Hip joint Flashcards

1
Q

what two membranes is the articular capsule made up of

A

external- formed by the dense irregular collagenous tissue called fibrous capsule

internal- lines inside and seperates the structures except the hyaline cartilage

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2
Q

3 types of ligaments at joint

A

intrinsic- form external layer of fibrous capsule

Intraarticular- within articular cavity but not within synovial cavity

Extraarticular- outside fibrous membrane and don’t attach to it

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3
Q

how much do normal hips and dysplastic hips cover the femoral head

A

normal- acetabulum covers 66-81%

Dysplastic- acetabulum covers 38-64%

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4
Q

what covers the acetabular fossa

A
  • lunate surface on edges

- the transverse acetabular lig will complete the rest

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5
Q

what arteries travel thru the transverse acetabular lig

A

acetabular branches from the obturator and medial circumflex artery

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6
Q

what depends the acetabular fossa

A

acetabular labrum

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7
Q

what pos does the hip have to be in to uniformly distribute the load

A

flexed 90 degrees
abducted 5 degrees
rotated lat 10 degrees

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8
Q

what pos is the most stable for the hip

A

when it is extended

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9
Q

what are the pros attachments of the hip joint

A
  • lunate surface attached by transverse lig
  • fibrocartilagenous acetabular labrum
  • fibrous capsul
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10
Q

where is the thickest and most protected part of the hip joint

A

sup and ant

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11
Q

Pincer vs CAM impingment

A

pincer- hip socket covers too much

cam- misshapen femoral head

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12
Q

inferior and sup attachment of hip j

A

inf- intertrochanteric line

sup- base of greater trochanter

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13
Q

what is found on the posterior part of hip joint and where is the post attachment

A

zona orbicularis (circular fibers of lower part of fibrous capsul)

intertrochanteric crest

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14
Q

what is the strongest lig of the hip j and what does it prevent

A

iliofemoral lig

extension

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15
Q

what are the attachments of the iliofemoral lig

A

2 bands
lat= AIIS to base of greater trochanter and prox 1/3 of intertrochanteric line

med-AIIS to distal 1/3 of interochanteric line

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16
Q

pubofemoral lig attachments and what does it prevent

A

Obturator crest of pubic bone to lower 1/3 of intertrochanteric line

prevent over abduction

17
Q

Ishiofemoral lig

A

post view

from ischial part of acetabular rim to neck of femur and greater trochanter

18
Q

Blood supply of hip j (3 main)

A
  1. med + lat circumflex
  2. Arteries of head of femur (acetabular artery of obturator and medial circumflex)
  3. crutiate astemosis
19
Q

nerves that supply the hip j (ant, post, inf, sup)

A

ant- femoral n (articular branch, to rec fem, to pectinous), accessory obturator

Post- n. to qaud fem and inf gemellus, sciatic

Sup- sup gluteal

inf- ob nerve, nerve to obturator et

20
Q

how do stress fractures of the femoral neck occur

A

result of gradual alteration/modification of bone due to increase repetitive activity