Hip And Pelvis Flashcards by Leila Jones

Stability in the hip joint is provided by

Bony configuration (ball and socket)
Vacuum effect
Ligaments and joint capsule
Muscles

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Definition of trabeculae

Porous and spongy inner portion of cancellous bone

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The 3 coxal bone and additional name

Ilium
Pubis
Ischium
Alternate name: innominate bone

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The pelvis refers to the whole unit?

2 coxal bones
Sacrum
Coccyx

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The pelvic girdle refers to?

The pelvis and the acetabular femoral joints together

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Ischium bony landmarks

Body
Ramus
Ischial tuberosity

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Bony landmarks of the pubis

Body of pubis
Superior and inferior rami
Symphasis pubis (joint)

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Bonny land marks of the ilium

Iliac crest
Iliac fossa
ASIS
AIIS
PSIS
PIIS

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Bony landmarks of the sacrum

Superior articular processes
Auricular surface
Posterior foramina
Coccyx

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What are the 4 pairs of foramen of the sacrum for?

For spinal nerves to exit

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Bony landmarks of the femur

Head
Neck
Greater Trochanter 
Lesser trochanter
Interochanteric line
Shaft/body
Linea aspera

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Distal femoral bony landmarks

Medial and lateral condyles
Medial and lateral epicondyles
Adductor tubercle

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Functions of the pelvic girdle

Supports body weight
transmits forces through L.E. To the spine
Protects internal organs

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The hip joint, in anatomical terms, is also called

The acetabulum/femoral joint

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Another name for the coxal bone

Os coxae

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Another other name for the coxal bone is?

The innominate bone

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Joints in the pelvic girdle

Sacroiliac joint
Acetabular joint
Sacrococcygeal joint
Symphasis pubis

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Most common site for fx

Femur head

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Where is the lumbosacral joint

Between L5 and the sacrum

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What kind of joint is the lumbosacral and what movements is it capable of?

Amphiarthrodial

Small amount of bending and twisting

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Where is the sacroiliac joint (SI Joint)?

Between the sacrum and the ilium

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What kind of joint is the sacroiliac joint and what movements is it capable of?

Synovial nonaxial

No voluntary movements but has get stability

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Where is the pubic symphasis

Between the 2 pubic bones

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What type of joint is the pubic symphysis and what are its functions?

Amphiarthrodial joint

Little motion except during labor

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Where is the acetabular joint

Between the concave acetabulum and the convex femur

What type of joint is the acetabular/femoral joint and what is its function

Diarthrodial, ball and socket | Allows great mobility

Normal ROM for hip flexion

0-120/140

Normal ROM for hip extension

0-18/30

Normal ROM for hip abduction

0-40/55

Normal ROM for hip adduction

0-20/25

Normal ROM for hip internal rotation

0-30/45

Normal ROM for hip external rotation

0-32/50

Normal end feel for hip flexion

Soft

Normal end feel for everything but hip flexion

Firm

Patient position for hip flexion

Supine with hip in 0 degrees of rot/abd/add/flex/ext

Patient position for hip extension

Prone knee ext in aggregate knee flex isolate GM

Patient position for hip abduction

Supine scoot to to opposite of table

Patient position for hip adduction

Supine scoot to your side of table opposite leg abducts

Patient position for hip internal rotation

Sitting with hip and knee at 90 degree flexion

Patient position for hip external rotation

Sitting with hip and knee at 90 degree flex

Axis for hip flexion and extension

Frontal

Axis for hip abduction and adduction

Sagittal

Axis for hip internal and external rotation

Vertical

Stationary/proximal arm position for hip flexion and extension

Midline of pelvis

Stationary/ proximal arm position for hip abduction and adduction

Line between ASIS

Stationary/ proximal arm position for hip internal and external rotation

Perpendicular to the floor

Moveable/ distal arm position for hip flexion and extension

Lateral midline of femur

Moveable/distal arm position for hip abduction and adduction

Anterior midline of femur

Moveable/distal arm position for hip internal and external rotation

Anterior midline of lower leg

Stabilization for hip flexion and extension

Ipsilateral pelvis

Stabilization for hip abduction

Iliac crest

Stabilization for hip adduction

Ipsilateral pelvis

Stabilization for hip internal and external rotation

Distal end of femur

Origin for gluteus minimus

Gluteal surface of ilium between the anterior and inferior gluteal lines

Insertion for gluteus minimus

Anterior aspect of greater trochanters

Origin for gluteus Maximus

Coccyx, edge of sacrum, posterior iliac crest, sacrotuberous, sacroiliac ligaments

Insertion for gluteus Maximus

Iliotibial tract (upper fibers) and gluteal tuberosity lower fibers

Origin for gluteus medius

Gluteal surface between posterior and anterior gluteal lines, just below iliac crest

Insertion for gluteus medius

Lateral aspect of greater trochanter

Origin for adductor magnus

Inferior ramus of pubis, ramus of ischium and Ischial tuberosity

Insertion of adductor magnus

Medial lip of linea aspera and adductor tubercle

Origin for adductor longus

Pubic tubercle

Insertion for adductor longus

Medial lip of linea aspera

Origin for adductor brevis

Inferior ramus of pubis

Insertion for adductor brevis

Pectineal line and medial lip of linea aspera

Origin for pectineus

Superior ramus of pubis

Insertion for pectineus

Pectineal line of femur

Origin for gracilis

Inferior ramus of pubis

Insertion for gracilis

Proximal, medial shaft of Tibet at pea anserinus tendon