MSK - The Hip Joint Flashcards

1
Q

What type of Joint is the Hip?

A

Synovial

Ball and Socket

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2
Q

What is the articulating surface of the Hip?

A

Acetabulum

Head of Femur

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3
Q

Which is the only intracapsular ligament?

A

Ligament of the head of Femur
Acetabular fossa to the fovea of the femur
It encloses a small branch of the Obturator Artery

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4
Q

Name the 3 Extracapsular Ligaments

And what they prevent

A

Iliofemoral (hyperextension of hip)
Pubofemoral (excessive abduction and extension)
Ischiofemoral (excessive extension of femur at hip)

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5
Q

What is the Vascular Supply?

A

Medial and Lateral Circumflex Arteries

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6
Q

What is its innervation?

A

Femoral Nerve
Obturator Nerve
Superior Gluteal Nerve
Nerve to Quadratus Femoris

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7
Q

What is special about the ligaments orientation?

A

They are arranged in a spiral which means that it is more stable as it can become tighter when extending the hip.
It also means less energy is required when standing upright

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8
Q

Flexor Muscles

A

Iliosoas
Rectus femoris
Sartorius

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9
Q

Extensor Muscles

A

Gluteus maximus
Semimembranous
Semitendinosus
Biceps femoris

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10
Q

Abduction

A

Gluteus medius
Gluteus minimus
Deep gluteal muscles

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11
Q

Adduction

A

Adductors longus, brevis and magnus
Pectineus
Gracillis

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12
Q

Lateral Rotation

A

Biceps femoris
Gluteus maximus
Deep gluteals

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13
Q

Medial rotation

A

Gluteus medius and minimus
semitendinosus
semimembranosus

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14
Q

What can happen from a neck of femur fractur

A

Lateral rotation
Limb appears shorter
Circumflex femoral artery can by damaged
Can cause avascular necrosis

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15
Q

Signs of a hip dislocation

A

Inability to abduct at the hip joint
Affected limb is shorter
Positive Trendelenburg sign

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16
Q

Which hip dislocation is most common?

Describe the leg positioning and which nerve can be damaged

A

Posterior
Medial rotation and leg appears shorter
Sciatic Nerve