Hip Joint Flashcards

1
Q

Of the hip joint what angle of motion is produced by abduction?

A

30-40 degrees

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2
Q

Of the hip joint what angle of motion is produced by adduction?

A

20-30 degrees

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3
Q

Of the hip joint what angle of motion is produced by lateral (external) rotation?

A

30-45 degrees

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4
Q

Of the hip joint what angle of motion is produced by medial (internal) rotation?

A

40-50 degrees

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5
Q

Of the hip joint what angle of motion is produced by extension?

A

10 degrees

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6
Q

Of the hip joint what angle of motion is produced by flexion?

A

Knees extended - 100 degrees

Knees flexed - 130 degrees

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7
Q

Name the 9 muscles found in the gluteal region?

A
Glutimus maximus
Glutimus medius
Glutimus minimus
Tensor Fascialatus
Piriformis
Gemelus superior
Obturator internus
Gemelus inferior
Quadratus femoris
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8
Q

What is the action of glutimus maximus and where does it attach onto?

A

Powerful extensor and also rotator

Attaches on the gluteal tuberosity (lateral) of the femur

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9
Q

What is the action of both glutimus medius and minimus?

A

Abductors

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10
Q

Name all the abductor-rotatator (lateral) muscles of the hip and what is their points of attachment?

A
Piriformis (sciatic nerve below)
Gemellus superior
Obturator internus
Gemellus inferior
All attach onto the greater trochanter
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11
Q

What is the function of quadratus femoris and where is its attachment?

A

Rotator (lateral)

Quadrate tubercle

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12
Q

Name all of the muscles in the medial compartment of the thigh and state their actions?

A
All adductor-rotators (medial)
Adductor magnus (adductor hiatus)
Adductor longus (femoral triangle)
Adductor brevis
Pectineus (pectineal line on femur)
Gracilis
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13
Q

Name all of the muscles in the anterior compartment of the thigh and state their actions?

A
All flexors of the hip and extensors of the knee
Rectus femoris
Vastus medialis
Vastus intermedius
Vastus lateralis
Sartorius (flexor of the hip AND knee)
Iliopsoas
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14
Q

Name all of the muscles of the posterior compartment of the thigh and state their actions?

A

All extensor-rotators of the hip and flexors of the knee
Semitendonosus
Semimembranosus
Biceps femoris

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15
Q

In the hip joint where is hyaline cartilage found?

A

On articular surfaces

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16
Q

In the hip joint where is synovial membrane found?

A

Lines non-articular surfaces

17
Q

What is the labrum made of?

A

Fibrocartilage

18
Q

What is the blood supply of the ligament of the head of femur?

A

Obturator artery

19
Q

What attaches onto the linea aspra?

A

Hamstrings

20
Q

What two causes of particular concern are attributed to posterior hip-dislocations?

A

Fracture of the neck of acetabulum

Damage to the sciatic nerve

21
Q

Name the intrinsic ligaments of the hip?

A

Ileofemoral ligament (limits extension to 10 degrees)
Pubofemoral ligament
Ishiofemoral ligament

22
Q

Define Hilton’s law?

A

Nerves to muscles which move a joint also supply sensory innovation to the joint

23
Q

Which arteries form the cruciate anastomosis?

A

Lateral circumflex
Medial circumflex
Inferior gluteal
1st perforating branch

24
Q

Which arteries form the tochenteric anastomosis?

A

Inferior gluteal
Superior gluteal
Lateral circumflex
Medial circumflex

25
Q

Where does the puedendal nerve travel through and what are its root values?

A

Lesser sciatic foreman

S2-S4

26
Q

What muscles does the superior gluteal nerve innovate and what are its root values?

A

Gluteus medius and minimus
Tensor facialatus
L4-S1

27
Q

What muscles does the inferior gluteal nerve innovate and what are its root values?

A

Gluteus maximus

L5-S2

28
Q

What muscles does the nerve to obturator supply and what are its root values?

A

Obturator internus
Gemelus superior
L5-S2

29
Q

What muscles does the nerve to quadratus femoris supply and what are its root values?

A

Quadrator femoris
Gemelus inferior
L4-S1

30
Q

What is of particular concern regarding a femoral neck fracture?

A

Loss of blood to the inter-capsule resulting in avascular necrosis

31
Q

Describe a positive Trendelenburgs sign?

A

Pelvis drops on non-weight baring side