Hip Anatomy Flashcards

1
Q

how is the head of the femur positioned?

A

medially, superiorly, and anteriorly (up & in)

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2
Q

what is the resting position of the hip?

A

30 deg flex
30 deg abduction
slight ER

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3
Q

closed packed position of hip

A

full extension, IR, and abduction

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4
Q

capsular pattern of hip

A

flexion, abduction, IR
(some cases IR limited most)

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5
Q

“buckets” of the hip

A

dysplasia
OA
FAI

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6
Q

major function of the hip

A

transmit forces between pelvis and LEs

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7
Q

is the hip designed more for stability or mobility?

A

stability

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8
Q

what is hip dysplasia?

A

undercoverage of the femoral head by acetabulum

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9
Q

what is femoro-acetabular impingement?

A

excessive bony development and/or overcoverage of femoral head by acetablum

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10
Q

_______ is integral to successfully evaluating and treating hip dysfunctions

A

regional interdependence

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11
Q

position of acetabulum

A

anterior, lateral, inferior

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12
Q

which structure of the pelvis is important for shock absorption and proprioception?

A

fat pad of the acetabular fossa

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13
Q

a loose fat pad or labrum is an example of

A

internal derangement

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14
Q

the labrum creates _____ pressure

A

negative

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15
Q

the angle of inclination is in the ___ plane between the _____ & _____

A

frontal
femoral neck and shaft

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16
Q

normal range for angle of inclination in adults

A

125-139 deg

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17
Q

what angle of inclination indicates coxa valga?

A

> 139 deg

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18
Q

what angle of inclination indicates coxa vara?

A

<125 deg

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19
Q

angle of torsion is in the ___ plane and is between ___ & ____

A

horizontal
between axis through femoral neck and axis through condyles

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20
Q

normal angle of torsion in adults

A

10-15 deg

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21
Q

anteversion angle of torsion

A

> 15 deg

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22
Q

what issues does femoral anteversion cause?

A

toe-in and IR
predisposed OA and excessive anterior glide

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23
Q

relative retroversion angle of torsion

A

<10 deg

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24
Q

absolute retroversion angle of torsion

A

<0 deg

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25
Q

retroversion (relative & absolute) cause toe ____ and hip ____

A

toe-out
hip ER

26
Q

T/F: toe-in is always abnormal

A

T

27
Q

the hip joint capsule is thickened ____ & ____

A

anteriorly and superiorly

28
Q

which part of hip joint capsule is predisposed to dislocation?

A

posterior (and inferior)

29
Q

what type of cartilage is the acetabular labrum made of?

A

fibrocartilage

30
Q

what is the only mm that flexes the hip at end range of hip flexion?

A

iliopsoas

31
Q

in upright, contraction of iliopsoas, _____ L lordosis

A

increases
(causes sheering of L spine)

32
Q

if tight, which mm contributes to patellofemoral pain syndrome?

A

rectus femoris

33
Q

which glute muscles are commonly weak?

A

glute med POSTERIOR fibers

34
Q

80% of the fibers of _____ insert into ITB

A

glute max

35
Q

glute max is commonly atrophied in what conditions?

A

sway back
spinal DJD
hip DJD

36
Q

which mm is a potential site of sciatic nerve entrapment?

A

piriformis

37
Q

the piriformis _____ the hip below 90 deg and _____ above

A

below - ER (& aBduct)
above - IR (& aDduct)

38
Q

which hamstring is on the lateral aspect?

A

biceps femoris

39
Q

what is the most commonly strained hip muscle?

A

adductor longus

40
Q

there are > ___ bursae in the hip region

A

12

41
Q

what is the largest bursa of the hip?

A

iliopsoas

42
Q

sprinters and jumpers are most likely to have ___ bursitis

A

ischiogluteal (d/t over exertion of hammies)

43
Q

which bursa is common for bursitis (Hip)?

A

trochanteric (3 of them)

44
Q

what are the borders of the femoral triangle?

A

superior - inguinal ligament
medial - adductor longus
lateral - sartorius

45
Q

what is the main innervation of hip joint?

A

L3
(also L1-S1)

46
Q

nerves of mm that cross the hip also supply ___ & ___

A

joint capsule and joint

47
Q

T/F: pain referred from hip joint may be felt anywhere in the thigh, leg, or foot

A

T

48
Q

T/F: bad vascular integrity of the hip means there will be bad vascularization to the entire LE

A

T

49
Q

which artery supplies the femoral head?

A

ligamentum teres artery
can cause necrosis w/ dislocation

50
Q

normal hip flexion

A

110-120 deg

51
Q

normal hip extension

A

10-15 deg

52
Q

normal hip abduction

A

30-50 deg

53
Q

normal hip adduction

A

25-30 deg

54
Q

normal hip IR

A

30-40 deg

55
Q

normal hip ER

A

40-60 deg

56
Q

glide during flexion

A

posterior

57
Q

glide during extension

A

anterior

58
Q

glide during abduction

A

inferior/medial

59
Q

glide during adduction

A

superior/lateral

60
Q

glide during IR

A

posterior

61
Q

glide during ER

A

anterior