Hip And Pelvis (7A) Flashcards
Bones and pertinent bony landmarks of the pelvis
- ilium
- pubis
- ischium
- anterior superior iliac spine (ASIS)
- posterior superior iliac spine (PSIS)
- obturator foramen (where the obturator nerve passes through)
- ischial tuberosity
- iliac crest
- acetabulum
Bones and pertinent landmarks of femur
- head
- neck
- greater trochanter
- lesser trochanter
- trochanteric fossa
- shaft
- lateral epicondyle
- medial epicondyle
- lateral condyle
- medial condyle
Hip joint
- an articulating joint between the acetabulum of the pelvis and the femur
- called as the coxal joint in the textbook
- when we put our hands on the hip, really we are touching the iliac crest (not the actual hip joint)
- femur = thigh
- leg = distal to the knee (tibia and fibula)
Ilipsoas
- flex hip = strongest action
- iliacus and psoas major
- very powerful muscle, rarely weak in health people
Attachments of iliopsoas
- proximal = transverse processes of lumbar vertebrae and iliac fossa
- distal = lesser trochanter of femur
Innervation of iliopsoas
- L1-L3
- femoral nerve
is part of the core, so it is super strong
Actions of iliopsoas
Open chain movements:
- flex the hip
- externally rotate the hip
Closed chain movements:
- flex the trunk toward the thigh
- tilt pelvis anteriorly
Unilaterally:
- laterally flex lumbar spine (assist)
Gluteus Maximus
- large strong muscle for extending the hip
- extend hip = strongest action
- muscle fibers run in different directions
is the most powerful when the hip is flexed meaning when you squat and you need to get up, you’re using that muscle
Attachments of gluteus maximus
- proximal = sacrum, coccyx, and posterior iliac crest
- distal = iliotibial tract (IT tract AKA IT band: a tendonous sheath) and posterior femur
Innervation of gluteus maximus
- inferior gluteal nerve
Actions of gluteus maximus
All fibers:
- extend the hip
- externally rotate the hip
- abduct the hip
Lower fibers:
- adduct the hip
Tensor fasciae latae (TFL)
- abduct hip = strongest action
- small muscle belly on anterior ilium that becomes the IT tract (IT band)
Attachments of tensor fascia latae
- proximal = iliac crest outer lip (outside flare) and ASIS
- distal = lateral condyle of tibia (the textbook says IT band which attaches there)
Innervation of tensor fascia latae (TFL)
- superior gluteal nerve
Actions of tensor fascia latae
- flex the hip
- internally rotate the hip
- abduct the hip
Gluteus medius
- abduct hip = strongest action
- deep to gluteus maximus
Attachments of gluteus medius
- proximal = posterior ilium
- distal = greater trochanter of femur
Innervation of gluteus medius
- superior gluteal nerve
Actions of gluteus medius
- kind of similar to the deltoid of how it’s shaped
All fibers: - abduct the hip
Anterior fibers: - flex the hip
- internally rotate the hip
Posterior fibers: - extend the hip
- externally rotate the hip
Gluteus minimus
- smallest of the three gluteus muscles
- the deepest of the three
- abduct hip = strongest action
Attachments of gluteus minimus
- proximal = posterior ilium
- distal = anterior greater trochanter (unlike the medius which spans the entire trochanter, hence less actions)
Innervation of gluteus minimus
- superior gluteal nerve
Actions of gluteus minimus
- abduct the hip
- internally rotate the hip
- flex the hip
Pectineus
- most proximal distal attachment (AKA shortest) of the adductors
- adduct hip = strongest action
Attachments of pectineus
- proximal = pubic bone
- distal = proximal aspect of medial femur
Innervation of pectineus
- femoral nerve
- obturator nerve
Adductor longus
- not the strongest adductor of the muscles that adduct the hip
- adduct hip = strongest action
Attachments of adductor longus
- proximal = pubic bone
- distal = mid shaft aspect of medial femur