L9: The lower-limb the hip

Question 1

actions of the hip joint (5)

Answer 1

flexion 
extension 
abduction 
adduction 
circumduction

Question 2

which trochanter is more superior and lateral

Answer 2

greater trochanter

Question 3

anterior line between the trochanters

Answer 3

intertrochanteric line

Question 4

posterior line between the trochanters

Answer 4

intertrochanteric crest

Question 5

1/4 of gluteus maximus inserts onto

Answer 5

gluteal tuberosity on posterior femur

Question 6

what is distal from the gluteal tuberosity

Answer 6

linea aspera

Question 7

what inserts onto the linear aspera

Answer 7

adductor muscles from the medial compartment of thigh

Question 8

where does the head of the femur sit

Answer 8

acetabulum

Question 9

which bones meet in the acetabulum

Answer 9

pubis, ischium and ilium

Question 10

what is at the inferior surface of the acetabulum

Answer 10

transverse acetabular ligament

Question 11

what does the transverse acetabular ligament allow

Answer 11

blood vessels to access the head of the femur

Question 12

3 ligaments from the bones of the pelvis

Answer 12

iliofemoral
pubofemoral
ischiofemoral

Question 13

weakest ligament from the pelvis

Answer 13

ischiofemoral

Question 14

strongest ligament of pelvis

Answer 14

iliofemoral

Question 15

what do most hip fractures displace

Answer 15

shenton’s line

Question 16

what two muscles form iliopsoas

Answer 16

psoas major

iliacus

Question 17

what muscle has the lumbar plexus embedded into it

Answer 17

psoas major

Question 18

when are psoas major and iliacus considered the same muscle

Answer 18

once passed the inguinal ligament

Question 19

femoral artery splits into

Answer 19

profunda femoris + deep femoral artery

Question 20

deep femoral artery branches into

Answer 20

circumflex arteries

Question 21

what artery goes towards the greater trochanter

Answer 21

lateral circumflex

Question 22

what artery goes towards the lesser trochanter

Answer 22

medial circumflex

Question 23

what arteries come from the circumflex and anastomosis

Answer 23

retinacular arteries

Question 24

main blood supply to NOF =

Answer 24

retinacular arteries

Question 25

artery to NOF that is small in adults but big in children

Answer 25

artery to the head of the femur (also called foveolar)

Question 26

NOF fracture causes

Answer 26

• shortened limb
• external rotation of limb
• retinacular arteries torn (avascular necrosis)

Question 27

inferior gluteal nerve innervates

Answer 27

gluteus maximus

Question 28

3/4 of gluteus maximus attaches to

Answer 28

the iliotibial tract

Question 29

trendelenburg gait

Answer 29

lesion in superior gluteal nerve or its spine roots –> hip drop on contralateral side

Question 30

which part of the sciatic nerve is more likely to deviate

Answer 30

common fibular nerve (comes through or above piriformis)

Question 31

which hip movements share L2 and L3

Answer 31

flexion

adduction

Question 32

which hip movements share L4 L5

Answer 32

extension

abduction

Question 33

muscles of hip flexion=

Answer 33

iliopsoas
sartorius
rectus femoris
pectineus

Question 34

muscles of flexion come from which nerve

Answer 34

lumbar plexus and femoral nerve

Question 35

muscles of hip extension=

Answer 35

gluteus maximus
hamstrings
short gluteal muscles

Question 36

nerve of extension

Answer 36

inferior gluteal nerve
tibial nerve
lumbosacral plexus

Question 37

muscles of adduction

Answer 37

adductors
pectineus
gracilis

Question 38

nerve of adduction=

Answer 38

obturator nerve

Question 39

muscles of abduction

Answer 39

gluteus medius
gluteus minimus
tensor fascia latae

Question 40

nerve of abduction

Answer 40

superior gluteal nerve