Hip Joint + Hip Flexors + Extensors

Question 1

How do you palpate the hip joint?

Answer 1

Hip Joint cannot be palpated only surface marked

Question 2

How do you surface mark the hip joint?

Answer 2

• Find ASIS
• Ask patient to find Pubic tubercle
• find MIDPOINT
• go laterally 2cm 45°

Question 3

What is the groin triangle?

draw if available

Answer 3

Question 4

What are the hip flexor muscles?

Answer 4

• Tensor Fascia Lata
• Rectus Femoris
• Ilio
• Psoas
• Sartorious

TRIPS

Question 5

Tensor Fascia Lata

Answer 5

Origin- Illiac crest / ASIS
insertions - inserts into iliotibial tract

Question 6

Rectus Femoris

Answer 6

Origin
* straight head - Anterior Inferior Illiac Spine
* Reflectibe head - Acetabulum
insertions - inserts onto the patella via the quadriceps femoris tendon… joins to tibeal tuberosity

Question 7

Illiacus

Answer 7

origin - inside of ilium (ILIAC FOSSA)
merges with PSOAS MAJOR
insetions - lesser trachantor

Question 8

Psoas Major

Answer 8

origins - lumbar spine (lower 6 vertebra)
insertions- lesser trachantor

Question 9

Sartorius

Answer 9

origins - Antertior Superior Illiac Spine
insertions - Pes Anserine (Medial Tibeal Condyle )
flexing + lateral rotation
hip + knee flex

Question 10

how do you palpate the TFL

Answer 10

• find ASIS
• walk fingers back to IC
• run down side of thigh
• medially rotate

Question 10

how do you palpate the sartorious

Answer 10

• supine position
• knee into flexion
• cross knee over
• apply pressure to knee as they abbduct

Question 11

What are the Hip Extensor muscles?

Answer 11

• Gluteus maximus
• Adductor Magnus
• Hamstrings

Question 12

Glute Max

Answer 12

origins - posterior surface of the ilium (also attaches to sacrum+coccyx)
insertion - femoral shaft (gluteal tuberosity)

Question 13

Hamstrings

Answer 13

origin- ischial tuberosity
insertions
biceps femoris- laterally inserts head of the fibula
semimembranosus + semitendinous - medially insert on the tibial condyle