Hip Joint Flashcards

1
Q

Which bones form the acetabulum?

A

ileum, ischium and pubis

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2
Q

What is the lunate surface of the acetabulum?

A

the weight bearing part of the acetabulum

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3
Q

Which parts of the acetabulum are non articular?

A

the fossa filled by a fat pad and a notch filled by the ligament of head of femur

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4
Q

Where is the epiphyses in the head of the the femur?

A

at the anatomical neck

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5
Q

What is the fovea of the head of the femur?

A

the non articular site where the ligament of head of femur attaches

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6
Q

Where is the intertrochanteric line?

A

between the greater and lesser trochanters anteriorly

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7
Q

Where is the intertrochanteric crest?

A

between the greater and lesser trochanters posteriorly

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8
Q

What is responsible for growth and fusion of pressure epiphyses in the femur?

A

weight bearing

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9
Q

What is responsible for growth and fusion of traction epiphyses in the femur?

A

force of contraction from gluteal muscles

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10
Q

In what direction is the femoral head oriented?

A

upwards, medially and anteriorly

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11
Q

What protects the part of the femoral head which is outside the capsule?

A

the psoas bursa

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12
Q

What increases the surface area of the hip joint?

A

the labrum

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13
Q

What is the role of the ligament of head of femur?

A

direct a branch of the obturator artery to the head of the femur

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14
Q

What are the 4 trabecular systems in the bone of the femur?

A

vertical, arcuate, medial and lateral

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15
Q

Where does the line of gravity pass compared to the hip joint?

A

behind

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16
Q

What is the open packed position of the hip joint?

A

flexed, laterally rotated and adducted

17
Q

What ligaments reinforce the hip joint?

A

iliofemoral ligament, pubofemoral ligament, ischiofemoral ligament

18
Q

What is the role of the iliofemoral ligament?

A

to resist extension by spiraling and tightening

19
Q

What nerves is the hip joint innervated by?

A

femoral and obturator nerves

20
Q

What nerve will give referred pain from the hip?

A

the obturator nerve

21
Q

What will refer pain to the hip?

A

the sacroiliac joint and the lumbar spine

22
Q

What is the blood supply of the hip?

A

medial and lateral femoral circumflex arteries, artery of head of femur, retinacular vessels

23
Q

What fracture is associated with a dislocation of the hip?

A

fracture of the posterior lip of the acetabulum

24
Q

What nerve is endangered in a dislocation of the hip?

A

sciatic nerve

25
Q

What position of the leg indicates a fracture of the neck of femur?

A

external rotation and shortening of the limb - due to muscle spasm

26
Q

When is the blood supply to the hip joint at risk?

A

in a fracture of the neck of femur