Lecture 11: Hip Joint Flashcards

1
Q

Compare/contrast the hip joint with the glenohumoral joint

A

Both are ball-and-socket joints, but the hip joint is more stable

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2
Q

The articulation of the hip joint is covered with what type of cartilage?

A

Hyaline

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3
Q

The head of the femur articulates in what cup-shaped structure of the hip joint?

A

Acetabulum

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4
Q

What is the articular surface of the acetabulum?

A

Acetabular notch

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5
Q

What part of the acetabulum is filled with fat?

A

Acetabular fossa

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6
Q

What part of the hip joint articulation accomodates more than half the head of the femur?

A

Fibrocartilaginous labrum (deepens the joint socket by 10%)

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7
Q

What component of the hip joint articulation is attached to the bony brim of the acetabulum and the neck of the femur?

A

Joint capsule

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8
Q

Anteriorly, the hip joint capsule is attached to the base of the entire neck of the ______

A

Femur

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9
Q

Posteriorly, the hip joint capsule has a line of attachment across the ______ neck of the femur

A

Middle

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10
Q

The synovial membrane of the hip joint covers:

The ___________ neck of femur

_____ side of the capsule

Labrum

______ of head of femur

Fat pad of ________ fossa

A

Intracapsular

Inner

Ligament

Acetabular

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11
Q

What are the 3 bones that make up os coxae?

A

Ilium
Ischium
Pubis

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12
Q

Flexion of the hip is very extensive, but limited by overstretched ________ muscles in extension

A

Hamstring

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13
Q

What are the 4 hip flexor muscles?

A

Iliopsoas m.
Rectus femoris m.
Sartorius m.
Tensor fascia lata m.

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14
Q

What are the 2 hip extensor muscles?

A

Gluteus maximus m.

Hamstring m.

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15
Q

What are the 3 hip abductors?

A

Gluteus medius m.
Gluteus minimis m.
Tensor fascia lata m.

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16
Q

What are the 5 hip adductor muscles?

A
Adductor longus
Adductor brevis
Adductor magnus
Pectineus
Gracilis
17
Q

What are the medial rotators of the hip?

A
Tensor fascia lata
Gluteus minimis
Gluteus medius (anterior fibers)
Pectineus
Adductor longus
Adductor brevis
Adductor magnus
18
Q

What are the lateral rotators of the hip?

A
Obturator internus
Obturator externus
Gemelli (sup/inf)
Quadratus femoris
Piriformis
Gluteus maximus
Sartorius
19
Q

What are the 2 internal ligaments of the hip joint?

A

Transverse acetabular ligament

Ligament of head of femur

20
Q

Which internal ligament of the hip spans the acetabular notch?

A

Transverse acetabular ligament

21
Q

Which internal ligament of the hip joint contains an artery to the head of the femur and is covered by synovial membrane?

A

Ligament of head of femur

22
Q

What are the external ligaments of the hip joint?

A

Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament

23
Q

What is the most important of the femoral ligaments?

A

Iliofemoral ligament - it is one of the strongest ligaments in the body

It screws the femoral head into the acetabulum when standing, and prevents hyperextension

24
Q

The iliofemoral ligament is located _______ and ________

Anterior/posterior vs. superior/inferior

A

Anteriorly; superiorly

25
Q

Which external ligament of the hip joint is located anteriorly and inferiorly and blends with the medial iliofemoral ligament?

A

Pubofemoral ligament

26
Q

What is the primary function of the pubofemoral ligament?

A

Tightens during extension and abduction of the thigh, prevents overabduction

27
Q

What external ligament of the hip joint is located posteriorly and spirals superolaterally to the femoral neck?

A

Ischiofemoral ligament

28
Q

What nerves provide sensation in the hip joint?

A

Sensory branches of:

Gluteal n.
Obturator n.
Femoral n.

29
Q

What group of blood vessels provides the arterial supply to the hip joint?

A

Cruciate anastomosis

30
Q

What arteries are included in the cruciate anastomosis?

A
Medial femoral circumflex a.
Lateral femoral circumflex a.
Inferior gluteal a.
First perforating artery of profunda femoris a.
Obturator a.