Hip And Gluteal Region

Question 1

What bridges the acetabular notch?

Answer 1

Transverse actabular ligament

Question 2

What part of the acetabulum is lined by hyaline cartilage?

Answer 2

Lunate surface

Question 3

What is the one spot on the head of the femur without articular cartilage?

Answer 3

Fovea (for ligament of the head)

Question 4

What are the 3 ligaments if the hip joint?

Answer 4

Iliofemoral, Pubofemoral, Ischiofemoral

Question 5

Which hip ligament prevents hyperextension of hip joint?

Answer 5

Iliofemoral

Question 6

Which ligament prevents excessive abduction at the hip joint?

Answer 6

Pubofemoral

Question 7

What is the weakest ligament of the hip joint?

Answer 7

Ischiofemoral (spirals superolaterally)

Question 8

What encircles the hip joint capsule, constricting it around the neck of the femur?

Answer 8

Orbicular fibers

Question 9

Where are the orbicular fibers the weakest?

Answer 9

Posteriorly/Inferiorly

Question 10

What is the most important blood supply to the hip?

Answer 10

Medial Circumflex Femoral Artery

Question 11

Hilton’s Law

Answer 11

Nerves that supply muscles that it cross a joint will also give sensory fiber innervation to that joint

Question 12

What is the clinical sign of a femoral neck fracture?

Answer 12

Limb is shortened and externally rotated

Question 13

What is a possible complication of intracapsular fractures?

Answer 13

Avascular necrosis

Question 14

What are the clinical signs of a posterior hip dislocation?

Answer 14

Shortened and internally rotated limb

Question 15

Sacrotuberous ligament

Answer 15

Attaches to posteromedial surface of pelvis and inserts onto ischial tuberosity

Question 16

Sacrospinous ligament

Answer 16

Posterior attachment to ventrolateral surface of sacrum and anterior attachment to ischial spine

Question 17

What forms the greater and lesser sciatic foramen?

Answer 17

Sacrospinous/sacrotuberous ligameents and greater/lesser sciatic notches

Question 18

3 Bursas of thee Gluteal Region

Answer 18

Trochanteric, Ischial, Gluteofemoral

Question 19

What is in the greater sciatic foramen?

Answer 19

Piriformis, Suprapiriform foramen, Infrapiriform foramen

Question 20

What passes thru the suprapiriform foramen?

Answer 20

Superior gluteal nerve

Question 21

What passes thru the infrapiriform foramen?

Answer 21

Inferior gluteal nerve, Sciatic nerve, Posterior femoral cutaneous nerve, obturator internus nerve, Pudendal nerve, Quadratus femoris nerve

Question 22

4 arteries that supply the gluteal region

Answer 22

Superior gluteal artery, inferior gluteal artery, middle circumflex femoral artery, superior perforating artery

Question 23

What are possible complications of injections to the gluteus maximus?

Answer 23

Risk of damage to the sciatic nerve

Question 24

Piriformis Syndrome

Answer 24

Sciatic nerve is impinged on by the piriformis muscle. Causes pain radiating down the thigh/leg. Often aggravated by sitting.