Orthopedic clinical exam (Cleland) Basic Anatomy of Hip and Knee

Question 1

Hip joints (3)

Answer 1

1. Femoroacetabular
2. Pubic symphysis
3. Sacroiliac

Question 2

Femoroacetabular joint

Answer 2

• Type- synovial
• Closed packed- full extension, some internal rotation, and abduction
• Capsular pattern- internal rotation and abduction > flexion and extension

Question 3

Pubic symphysis joint

Answer 3

• Type- amphiarthroidal
• Closed packed- NA
• Capsular pattern- NA

Question 4

Sacroiliac joint

Answer 4

• Type- synovial
• Closed packed- not ducumented
• Capsular pattern- if pain produced when joint stressed

Question 5

Hip ligaments (4)

Answer 5

1. Iliofemoral
2. Ischiofemoral
3. Pubofemoral
4. Ligament of head of femur

Question 6

Iliofemoral ligament (hip)

Answer 6

• Attachment- anterior inferior iliac spine to intertrochanteric line of femur
• Function- Limit hip extension

Question 7

Ischiofemoral ligament (hip)

Answer 7

• Attachment- posterior inferior acetabulum to apex of greater tubercle
• Function- limit IR, ER, and EXT

Question 8

Pubofemoral ligament (hip)

Answer 8

• Attachment- Obturator crest of pubic bone to blend with capsule of hip and iliofemoral ligament
• Function- limit hip hyperabduction

Question 9

Ligament of head of the femur (hip)

Answer 9

• Attachment- morgin of acetabular notch and transverse acetabular ligament to head of femur
• Function- carry blood supply to head of femur

Question 10

Obturator nerve (hip)

Answer 10

• Segmental level- L2, L3, L4
• Sensory- Medial thigh
• Motor- adductor longus, adductor brevis, adductor magnus, gracilis, obturator externus

Question 11

Saphenous nerve (hip)

Answer 11

• Segmental level- femoral nerve
• Sensory- medial leg and foot
• Motor- none

Question 12

Femoral nerve (hip)

Question 13

Lateral cutaneous nerve of thigh

Question 14

Posterior cutaneous nerve of thigh (hip)

Question 15

Inferior cluneal nerve (hip)

Question 16

Sciatic nerve (hip)

Question 17

Superior gluteal (hip)

Question 18

Inferior gluteal (hip)

Question 19

Nerve to quadratus femoris (hip)

Question 20

Pudental nerve (hip)