Hip Joint Flashcards
articulations of the hip joint
head of the femur articulates w/ acetabulum of the pelvis
articular capsule of the hip joint
external layer of the joint capsule attaches proximally on the hip bone
to the bony rim of the acetabulum and to the transverse acetabular ligament
covers approximately the proximal neck of the 2/3s of the neck of the femur posteriorly
synovial membrane of the hip joint
lines the fibrous layer
lines any intracapsular bony surfaces not lined with articular cartilage
ligaments of the hip joint
transverse acetabular ligament
iliofemoral ligament
pubofemoral ligament
ischiofemoral ligament
ligament of the head of the femur
transverse acetabular ligament
a continuation of the acetabular labrum
bridges the acetabular notch
iliofemoral ligament is a
strong Y-shaped ligament
attaches to AIIS and acetabular rim and the intertrochanteric line
what does the iliofemoral ligament do
reinforces the hip joint anteriorly and superiorly
prevents hyperextension of the hip joint during standing
pubofemoral ligament goes from
the obturator crest of the pubic bone
then
passes laterally and inferiorly to merge w/ fibrous layer of the joint capsule
what does the pubofemoral ligament do
reinforces the hip joint anteriorly and inferiorly
prevents over-ABD of the hip joint
the ischiofemoral ligament runs
from the ischial part of the acetabular rim
spirals superolateral to the neck of the femur (medial to the base of the greater trochanter)
what does the ischiofemoral ligament do
reinforces the hip joint posteriorly
ligament of the head of the femur
primarily a synovial fold conducting a blood vessel
movements of the hip joint
flexion/extension
ADD/ABD
medial-lateral rotation
circumduction
vascular elements of the hip joint
medial and lateral circumflex femoral arteries
neural elements of the hip joint
femoral nerve
obturator nerve
superior gluteal nerve
nerve to quadratus femoris
angles of the femur
angle of inclination
angle of declination
angle of inclination
long axis of the head and neck projects superomedial at an angle to that of the obliquely oriented shaft
angle can be b/w 115-140 degrees
allows for greater mobility of the femur at the hip joint
in what gender is the angle of inclination less
females
how does the angle of inclination allow for greater mobility
places the head and the neck more perpendicular to the acetabulum
coxavera
reduced angle of inclination
more forces are put upon the neck of the femur (more likely to fracture)
shortens a person’s leg
coxavalga
increases angle of inclination
lengthens the person’s leg
reduces the bone congruency (less stable at the joint)
angle of declination
torsion angle
angle b/w long axis of the head and neck of the femur and the transverse axis of femoral condyles
average degrees for males and females (torsion angle)
males: 7 degrees
females: 12 degrees
what does the torsion angle do with the angle of inclination
allows for rotary movements of the femoral head within the obliquely placed acetabulum
anterversion
increases the angle of declination
retroversion
decreases the angle of declination