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Osteopathy Term 2 > Hip & Pelvis > Flashcards

Hip & Pelvis Flashcards

1
Q

What type of joint is the iliofemoral joint?

A

Synovial ball and socket

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2
Q

Describe the articulations of the iliofemoral joint?

A

Head of the femur articulating with the acetabulum.

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3
Q

What is the acetabulum made from?

A

The junction between the illium, ischium and pubic bones.

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4
Q

Describe the articulations of the S.I joint

A

Articulation between the auricular surface of the illium and the alae (wings of the sacrum) S1 to S3

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5
Q

What type of joint is the S.I joint anterior and posterior

A

Anterior- synovial plane

Posterior- Fibrous

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6
Q

Describe the articulation between of the lumbosacral junction

A

Articulation between the inferior facets of L5 and the superior articular pillars of the sacrum

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7
Q

What type of joint is the lumbosacral junction?

A

Synovial gliding

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8
Q

What type of curvature does the lumber adopt?

A

Lordotic

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9
Q

Describe the articulation of the PSJ

A

Articulation between the left and right superior rami of the pubis

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10
Q

What type of joint is the PSJ

A

Cartilaginous symphysis

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11
Q

What type of bone is the sacrum?

A

Irregular bone

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12
Q

Describe the articulation between the sacrum and the coccyx

A

Articulation between the inferior apex of the sacrum and the base of the coccyx

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13
Q

What type of joint is the sacrococcygeal joint?

A

Fibrocartilagneous joint

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14
Q 
Describe the ROM of the hip
Flex
Ext
Abdcution
Adduction
Int Rot
Ext Rot
A 
Flex 110/120
Ext 10-15
Abdcution 30-50
Adduction 30
Int Rot 30-40
Ext Rot 40 to 60
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15
Q

Nutation and counternutation of the sacrum occurs around the axis of?

A

S2

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16
Q

Which ligament helps to stabilise the lumbosacral junction?

A

iliolumbar ligament

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17
Q

The direction of the ligaments of the SI joint give an indication of?

A

Weight transferance

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18
Q

Which ligament prevents abduction of the SI joint?

A

Interosseous ligament

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19
Q

Where does the interosseous ligament attach to/from?

A

Sacral tuberosities to the illium

fused transverse procees of the sacrum

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20
Q

Which 3 ligaments enclose and help to stabilise the head of the femur within the acetabulum?

A

illiofemoral
Pubofemoral
ischiofemoral ligament

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21
Q

The femoral head contains a small pit called?

A

Fovea capitis

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22
Q

The fovea capitis acts as an attachment site for which ligament?

A

Ligamentum teres

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23
Q

Avascular necrosis to the head of the femur results in a condition called?

A

Perthes disease

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24
Q

The illiofemoral ligament extends from/to?

A

The AIIS to the intertrochanteric crest of the femur

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25
Q

Which ligaments of the hip restrict hip extension?

A

illiofemoral and ischiofemoral ligament

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26
Q

Which ligament resists abduction of the hip joint?

A

Pubofemoral ligament

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27
Q

Which ligament resists adduction of the hip joint? (2)

A

Internal rotation and hip adduction

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28
Q

What is the most challanging (incongruent) position of the SI joint?

A

Lunge

29
Q

What degree of movement is capable at the sacrum?

A

Between 2 and 4 mm

30
Q

At what age does the sacrum fuse?

A

30

31
Q

Why would osteoarthritic changes of the SI joint inhibit movement?

A

Do to the formation of osteophytes (bone spurs)

32
Q

What is the lumbarization of the sacrum?

A

1st sacral vertebrae is not fused. It adopts the role of a sixth lumber vertebrae.

33
Q

What is sacralization of the lumber vertebrae?

A

The 5th lumber vertebrae fuses with the sacrum.

34
Q

What is the function of the transverse ligament of the acetabulum?
Which ligament does it blend with?
What is its function

A

Acts as an extension of the acetabulum labrum.
Ligamentum teres
Produces a foramen (passageway) for arteries, nerves and veins

35
Q

Most fractures of the femur involve which portion of the bone

Head
Neck
Shaft
Condylar parts

A

Neck

36
Q

The function of the acetabular labrum is…

Improve the depth of the socket
Shock absorption
Increase range of movement
Improve the ‘fit’ of the joint

A

Improve the depth of the socket

37
Q

The greater and lesser trochanter of the femur are joined anteriorly by the?

Intertrocanteric line
Adductor tubercle
Pectineal line
Intertrochanteric crest

A

Intertrocanteric line

38
Q

What is the level of the lumberplexus?

A

T12, L1 to L4

39
Q

What is the level of the sacral plexus?

A

L4 to S4

40
Q

What is the differance between idiopathic and functional scoliosis?

A

Functional scoliosis is congential

The scoliosis remains via flexion

41
Q

What causes functional scoliosis?

A 
Muscular imbalances
Antalgic posture (deviation)
42
Q

Where would you find the pars articularis?

A

Between the superior and inferior articular facets of the vertebrae?

43
Q

What is an anterior displacment a vertebrae called?

A

Spondylolisthesis

44
Q

What is a posterior displacment a vertebrae called?

A

retrolisthesis

45
Q

What factors contribute towards Spondylolisthesis ?

A

Full thickness tear to the illiolumber ligament
Weakness of musculature of the abdomen
Excess adipose tissue causing a pull
Postural adaptations

46
Q

What type of collagen are ligaments made from?

A

Type 1 collagen fibers

47
Q

Which 4 muscles does the sacrotuberous ligament blend with?

A

Biceps femoris
Piriformis
Multifidus
Gluteus maximus

48
Q

What is trabecula?

A

Present in cancelleous bone
Matrix structure within bone
Enables bone to bend and flex

49
Q

What nerve is affected by myalgia parasethetica?

Level?

A

Lateral femoral cutaneous nerve

L2/3

50
Q

Which nerve is affected by piriformis syndrome?

A

Sciatic nerve

51
Q

What is the nerve root level of the sciatic nerve?

A

L4 to S3

52
Q

What is the nerve root level of the sciatic nerve?

A

S2 to S4

53
Q

What is the motor and sensory function of the pudendal nerve?

A

Motor
Controls anal and urethral external sphincter
Sensory
External genitalia and the perineum

54
Q

If the sensory component of the pudendal nerve is damaged which condition does it lead to?

A

Saddle anesthesia

55
Q

Name 4 bursa of the hip joint.

A

Trochanteric bursa
illiopsoas bursa (illiopectineal bursa)
Ischiogluteal bursa
Gluteus medius bursa

56
Q

Which nerve innervates the quads? Level

A

Femoral nerve L2 to L4

57
Q

Which muscles are innervated by the anterior division of the femoral nerve?

A

Sartorius
illiacus
Pectineus

58
Q

Which muscle is innervated by the inferior gluteal nerve?

A

Glute Max

59
Q

What is the nerve root level of the Inferior gluteal nerve?

A

L5 to S2

60
Q

Which muscles are innervated by the superior gluteal nerve?

A

Glute med, min and tfl

61
Q

What is the nerve root level of the superior gluteal nerve?

A

L4 to S1

62
Q

Which muscles does the common fibular nerve inneravate?

A

Short head of the biceps femoris

63
Q

Which muscle does the superficial fibular nerve inneravate?

A

Lateral compartment of the leg

64
Q

Which muscles does the deep fibular nerve innervate?

A

Anterior compartment of the leg

65
Q

Which nerve innervates the posterior compartment of the leg?

A

Tibial nerve

66
Q

Which nerve supply’s cutaneous supply to the posterior compartment of the thigh? Level?

A

Posterior femoral cutaneous nerve

S1/2

67
Q

Which nerve innervates the obturator externus?

A

Obturator nerve

68
Q

Which nerve innervates the obturator internus? w/level.

A

Nerve to the obturator internus

L5 to S2

Osteopathy Term 2 (28 decks)

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