hip and pelvis Flashcards

1
Q

what is a hernia?

A

a condition in which part of an organ is displaced and protrudes through the wall of the cavity containing it

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2
Q

which muscle pulls the kneecap into its groove?

A

vastus medialis (part of quadriceps femoris)

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3
Q

what causes a trendenburg gates?

A

s.gluteal nerve gluteus medius

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4
Q

where is the safest site to insert an IM injection?

A

dorsogluteal site>>children over 3 years Ventrogluteal site>> over 7 yrs ***

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5
Q

how do u locate the ventrogluteal site?

A

place the palm of ur hand on the greater trochanter of the femur a& point ur thumb towards the ingual region and ur index finger towards the ASIS, spread the middle and index fingers to make a V and i jet btw the PIPJ of ur fingers into the gluteus medius

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6
Q

Name the three main extracapsular ligaments of the hip joint and state their function.

A

-iliofemoral>>most strongest! limits adduction -pubo-femoral -ischiofemoral

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7
Q

what is the strongest ligament of the human body

A

iliofemoral ligament.

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8
Q

Why, anatomically, is hip extension limited to only about 15°?

A

during hip extension, the action of the joint capsule ligaments r like twisted ropes, they push the femoral head more into the acetabulum, but during hip flexion, they unwind themselves becoming more loose & gives more hip mobility

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9
Q

describe the beauty of the hip joint capsule ligaments

A

during hip extension, the action of the joint capsule ligaments r like twisted ropes, they push the femoral head more into the acetabulum, but during hip flexion, they unwind themselves becoming more loose & gives more hip mobility. **the combination of these amazing ligaments make hip dislocation VERY RARE, but those who have undergone hip replacement, their hip joints r at least partially vacuum, so they can implant the prothesis, which makes risk of dislocation.

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10
Q

describe blood supply to the head of femur?

A

-lateral and medial circumflex A. -Artery of the ligament of head of femur -

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11
Q

describe the structure of the acute bleum labrum

A

its made of connective tissue and fibrocartilage

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12
Q

describe blood supply to the head of femur?

A

-lateral and medial circumflex A. -Artery of the ligament of head of femur -

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13
Q

the lateral and medial circumflex A. arises from the________artery

A

Deep thigh A.

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14
Q

What is the principal function of the gluteus maximus muscle and the iliotibial tract?

A

Maximus is not active during standing walking

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15
Q

what causes trendenburgs gait?

A

weakness or parlays pf the small gluteus muscles (gluteus medius and minimum), the pelvis can no longer be stabilised and is tilted towards the unaffected side.

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16
Q

actions of Gluteus Maximus

A

upper fibers=abduction lower fibers= adduction

17
Q

what causes trendenburgs gait? what causes this? how will patients present

A

weakness or parlays pf the small gluteus muscles (gluteus medius and minimum), the pelvis can no longer be stabilised and is tilted towards the unaffected side. -superior gluteal nerve injury is a major factor in this GAIT. they will tilt towards the affected side, to keep the gravity over the stance leg>> COMPENSATED TRENEDELBURG

18
Q

where is the important blood supply of the femoral neck located?

A

on the postrio-superior aspect of the femoral neck.

19
Q

what is the maain blood supply for the dome of the femoral head?

A

medial femoral circumflex A. (leteral epipheseal A)

20
Q

what is Avascular necrosis?

A

death of segment of there bone

21
Q

what is sub capital fracture

A

(femioral neck fracture)

22
Q

Types of hip fractures

A
23
Q

What is the function of the femoral canal?

A

The empty space allows distension of the adjacent femoral vein, so it can cope with increased venous return, or increased intra-abdominal pressure

24
Q

What is the unhappy triad

A

Medial meniscus, bc it is firmly attached to the medial collateral ligamet and joint capsule.
So if ligament tears, it pulls meniscus with it

25
Q

Meniscal tears are common injuries, particularly amongst footballers. Which meniscus is most commonly torn and why?

A

Medial meniscus, bc it is firmly attached to the medial collateral ligamet and joint capsule.
So if ligament tears, it pulls meniscus with it

26
Q
A
27
Q

blood supply of fermoral head

A