Hip and Knee 2 Flashcards
What is the ball of the hip called?
Femoral Head
What is the socket of the hip called?
Acetabulum
What is the socket of the hip called?
Acetabulum
What does the head of the femur articulate with?
Acetabulum
Depth of acetabulum is increased by
Fibrocartilaginous Acetabulum Labrum and Transverse Acetabular Ligament
The head of the femur is covered with what type of cartilage
Articular
Which part of the femur head is not covered with articular cartilage
Pit or Fovea for Ligament of Head of Femur
What ligament prevents hyperextension of hip joint?
Iliofemoral Ligament
What ligament prevents overabduction of hip joint
Pubofemoral Ligament
What ligament goes from the ischial part of acetabular rim to neck of femur
Ischiofemoral Ligament
What ligament goes from the ischial part of acetabular rim to neck of femur
Ischiofemoral Ligament
What is the chief flexor of the hip joint?
Iliopsoas
Name the flexors of Hip
Iliopsoas Sartorius Tensor Fasciae Latae Rectus Femoris Pectineus Adductor Longus, Brevis and Magnus Gracilis
Name the Hip Extensors (3)
Gluteus Maximus
Hamsrings
Adductor Magnus - Posterior Part
Name the three parts of hamstrings for hip extensors
Semitendinosus, Semimembranosus, Biceps Femoris Long Head
Which part of the Adductor Magnus is a hip extensor
Posterior Part
Name the Hip Adductors (6)
Pectineus Adductor Longus Adductor Brevis Adductor Magnus Obturator Externus Gracilis
Name the Hip Abductors and Medial Rotators (3)
Gluteus Medius
Gluteus Minimus
Tensor Fasciae Latae
Name the Hip Lateral Rotators (5)
Obturator Internus and Externus Piriformis Gluteus Maximus Gemelli Quadratus Femoris
The medial and lateral circumflex arteries are branches of which artery
Profunda Femoris Artery
The artery to head of femur is what?
Branch of Obturator Artery
Nerve supply to hip
Femoral, Obturator and Superior Gluteal Nerve
Nerve supply to hip
Femoral, Obturator and Superior Gluteal Nerve
The knee is what type of synovial joint
Hinge Type
How many articular surfaces does knee have?
Femora-Tibial (Lat and Medial) and Femoro Patellar
How many articular surfaces does knee have?
Femora-Tibial (Lat and Medial) and Femoro Patellar
Is the fibula involved in the knee joint
No
The joint capsule is strengthened by how many capsular ligaments? (5)
5
What are the capsular ligaments of the joint capsule of knee
Patellar Ligament
Fibular or Lateral Collateral Leg
Tibial or Medial Collateral Lig
Oblique Popliteal Ligament
How many bursae around knee joint?
12
How many bursae communicate with joint cavity?
4
What knee bursae communicate with joint cavity?
Suprapatellar Bursa
Popliteal Bursa
Anserine Bursa
Gastrocnemius Bursa
What does medial rotation of femur on tibia cause
Locking of Knee
What does lateral rotation of femur on tibia cause on knee
Unlocking knee
Which muscle unlocks the knee
Popliteus
Which muscle unlocks the knee
Popliteus
Name the five flexors of knee
Hamstrings Sartorius Gracilis Gastrocnemius Popliteus
Name the extensor of knee
Quadriceps Femoris
The menisci of knee are what type of fibrocartilage
Crescentic Plates
Which menisci of knee are broader posteriorly
Medial Meniscus
The tendon of what separates lateral meniscus from PCL
Popliteus
The tendon of what separates lateral meniscus from PCL
Popliteus
Which cruciate ligament is weaker in knee
Anterior Cruciate Ligament
Which cruciate ligament of knee limits posterior rolling of femoral condyles on tibia
Anterior Cruciate Ligament
Which cruciate ligament of knee prevents posterior displacement of femur on tibia and hyperextension of knee
Anterior Cruciate Ligament
Which cruciate ligament of knee prevents anterior rolling of femur on tibia?
Posterior Cruciate Ligament
Which cruciate ligament prevents hyeprflexion of knee
Posterior cruciate ligament
The intra-articular structures within knee joint consists of
Cruciate Ligaments and Menisci
How many bursae around knee joint
12
How many bursae around knee communicate with joint cavity
4
Which 4 bursae communicate with joint cavity of knee
Suprapatellar Bursa
Popliteal Bursa
Anserine Bursa
Gastrocnemius Bursa
The tibial collateral ligament of knee extends from
medial epicondyle of femur to medial condyle and medial surface of tibia
Deep fibres of the Tibial Collateral Ligament are firmly attached to
Medial Meniscus
The fibular collateral ligament extends from
Lateral epicondyle of femur to head of fibula
The tendon of popliteus passes where?
deep to Fibular Collateral Ligament
What type of joint is hip
Diarthrodial Joint
What is the normal angle of neck shaft within hip
130 Degrees
What is the normal angle of fem ante version in hip
15 Degrees
What is the normal angle of acetabulum anteversion
20 Degrees
The labrum has what type of pressure
Negative Intra-Articular Pressure
Name the four hip flexors
Ilio-Psoas
Rectus Femoris
Sartorius
Pectineus
What is the origin of Iliopsoas
Iliac Blade L Spine
What is the origin of Rectus Femoris
AIIS
What is the origin of Sartorius
ASIS
What is the origin of pectineus
Pectineal Line of Pubis
Insertion of Iliopsoas
Lesser Trochanter
Insertion of Rectus Femoris
Patella
Insertion of Sartorius
Pes Anserinus
Insertion of pectineus
pectineal line of femur
Innervation of Iliopsoas
L1 Ventral Ramus and Femoral Nerve
Rectus Femoris Innervation
Femoral Nerve
Sartorius Innervation
Femoral Nerve
Pectineus Innervation
Femoral Nerve
Name the four hip extensors
Gluteus Maximus
Semitinosus
Semimembranous
Biceps Femoris
Origin of Gluteus Maximus
Ilium, Dorsal Sacrum
Origin of Semitinosus
Ischial Tuberosity
Origin of Semimembranous
Ischial Tuberosity
Origin of Biceps Femoris in Hip
Ischial Tuberosity
Insertion of Gluteus Maximus
ITB and Glut Tuberosity on Femur
Insertion of Semitinosus
Pes Anserinus
Insertion of Semimembranous
Pes Anserinus
Insertion of Biceps Femoris
Fibula Head/lateral Tibia
Innervation of Gluteus Maximus
Inferior Gluteal Nerve
Insertion of Semitinosus, Semimembranous and Biceps Femoris
Sciatic Nerve
Insertion of Semitinosus, Semimembranous and Biceps Femoris
Sciatic Nerve
Name the 3 Hip Abductors
Gluteus Medius, Gluteus Minimus and Tensor Fascia Latae
Name the origin of Gluteus Medius and Minimus
Ilium
Name the origin of Tensor Fascia Latae
Iliac Crest
Name the insertion of Gluteus Medius and Minimus
GT
Name the insertion of Tensor Fascia Latae
Gerdy’s Tubercle/ITB
Innervation of Hip Abductors
- Gluteus Medius
- Gluteus Minimus
- Tensor Fascia Latae
Superior Gluteal Nerve
Name the four Hip Adductors
Adductor Longus
Adductor Brevis
Adductor Magnus
Gracilis
Origin of Adductor Longus
Pubis
Insertion of Adductor Longus
Linea Aspera
Innervation of Adductor Longus
Obturator Nerve
Adductor Brevis origin
Inferior Pubic Ramus
Adductor Brevis insertion
Pectineal Line, Linea Aspera
Adductor Brevis Innervation
Obturator Nerve
Adductor Magnus Origin
Pubic Ramus, Ischial Tub
Adductor Magnus insertion
Adductor Tubercle
Adductor Magnus Innervation
Obturator Nerve and Sciatic Nerve
Gracilis Origin
Body & Inf Pubic Ramus
Gracilis Insertion
Pes Anserinus
Gracilis Innervation
Obturator Nerve
Name the 3 Hip Internal Rotators
Anterior Fibres of Glut Medius
Tensor Fascia Latae
Psoas
Origin of Anterior Fibres of Glut Medius
Ilium
Origin of Tensor Fascia Latae
Iliac Crest
Origin of Psoas
Lumbar Spine, Transverse Processes
Insertion of Anterior Fibres of Glut Medius
Greater Trochanter
Innervation of Anterior Fibres of Gluteus Medius
Superior Gluteal Nerve
Tensor Fascia Latae origin
Iliac Crest
Tensor Fascia Latae Insertion
Iliotibial Band/Gerdys Tubercle
Tensor Fascia latte innervation
Superior Gluteal Nerve
Psoas Origin
Lumbar Spine Transverse Processes
Lumbar Spine Insertion
Lesser Trochanter
Lumbar Spine Innervation
L2,L3
Name the 7 Hip External Rotators
Gluteus Maximus Piriformis Sup Gemellus Inf Gemellus Obturator Internus Obturator Externus Quadratus Femoris
Origin of Gluteus Maximus
Ilium
Origin of Piriformis
Anterior Sacrum
Origin of Sup Gemmelus
Ischial Spine
Origin of Inf Gemellus
Ischial tuberosity
Origin of Obturator Internus
Obturator Membranous
Origin of Obturator Externus
Obtraturor Membrane
Origin of Quadratus Femoris
Ischial Tuberosity
Insertion of Gluteus Maximus
ITB/Prox Femur
Insertion of Piriformis
Superior Greater Trochanter
Insertion of Sup Gemellus
Medial Greater Trochanter
Insertion of Inf Gemellus
Medial Greater Trochanter
Insertion of Obturator Internus
Medial Greater Trochanter
Insertion of Obturator Internus
Medial Greater Trochanter
Insertion of Obturator Externus
Medial Greater Trochanter
Quadratus Femoris Insertion
Intertrochanter Crest
Innervation of Gluteus Maximus
Inferior Gluteal Nerve
Innervation of Piriformis
Nerve to Piriformis
Innervation of Superior Gemellus, Inf Gemellus, Obturator internus, obturator externes
Nerve Obturator Nerve
Innervation of Quadratus Femoris
Nerve to Quadratus
Shenton’s line is formed by
Medial Edge of Femoral Neck and Inferior Edge of Superior Pubic Ramus
Loss of contour of shenton’s line is sign of
Fractured neck of femur
Fractures of the femoral neck do not always cause
Loss of Shenton’s Line
Blood supply to femoral head capsule
via medial and lateral femoral circumflex
Ligamentum Teres blood supply
Acetabular branch of obturator artery
What type of capsular hip injury should you always fix
Extra Capsular
Which type of hip capsular injury is blood supply intact
Extracaspular
Undisplaced Hip injury fix or not
Fix
Displaced and young hip injury fix or not
Fix
Knee normal range of motion
5-130 degrees
What is the largest sesamoid bone in body
Patella
where is the thickest hyaline cartilage in body?
Patella
Name the four knee extensors
Rectus Femoris
Vastus Medialis
Vastulus Lateralis
Vastus Intermedius
Origin of Rectus Femoris
AIIS/Sup Acetabular Rim
Origin of Vastus Medialis?
Intertroch. Line/ medial linea aspera
Origin of Vastulus Lateralis
Greater Trochanter, Lateral Line Aspera
Origin of Vastus Intermedius
Prox Femoral Shaft
Insertion of rectus Femoris
Tib. Tuberosity(via patella)
Insertion of Vastus Medialis
Tib. Tuberosity(via patella
Insertion of Vastuls Lateralis
Tib. Tuberosity(via patella)
Insertion of Vastus Intermedius
Tib. Tuberosity(via patella)
Knee extensors innervation
Femoral Nerve
Innervation of Rectus Femoris, Vastus Medialis, Vastulas Lateralis and Vastus Intermedius
Femoral Nerve
Name the four knee extensors
Biceps Femoris
Semimembranous
Semitendinous
Gasocnemius
Biceps Femoris origin
Ischial Tub./Linea aspera
Semimembranous Origin
Ischial Tuberosity
Gastrocnemius Origin
Med and Lat femoral condyles
Biceps Femoris Insertion
Fibula Head/lat tibia
Semimembranous Insertion
Pes Anserinus
Semitendinosus Insertion
Pes Anserinus
Gastrocnemius Insertion
Os Calcis via tendo achilles
Biceps Femoris, Semimembranous and Semitendinosus Innervation
Sciatic Nerve
Gastrocnemius Innervation
S1
Which part of Menisci is avascular
Central
Which part of menisci is more mobile
Lateral
The medial menisci is firmly attached to
Tibia
The lateral meniscus is unattached where
Popliteus Hiatus
How does an ACL Injury happen
Knee buckles during pivot
Features of ACL injury on x-ray
Haemarthrosis
Segond fracture