Pelvis, Hip, and Thigh Conditions

Question 1

Pelvis Functions

Answer 1

Protects Organs
Transmits loads between trunk and lower extremity
Provides sites for muscle attachements

Question 2

Pelvis fused bones

Answer 2

Sacrum
Coccyx
Ilium, Ischium, and Pubis

Question 3

SacroIliac (SI) Joint

Answer 3

Critical Link between the two Pelvic Bones
Strong Ligamentous Support
Semi-Mobile Joint

Question 4

Sacrococcygeal Joint

Answer 4

Fused Line Symphysis united by a fibrocartilaginous disc

Question 5

Pubic Symphysis

Answer 5

Interpubic disc located between the two joint surfaces

Question 6

Femur weakest point

Answer 6

Femoral Neck b/c its at a right angle

Question 7

Angle of Inclincation

Answer 7

Angle of depression formed by a line drawn through the shaft of femur and a line passing through the long axis of the femoral neck
Approximately 125 degrees in the FRONTAL plane

Question 8

Coxa Valga

Answer 8

> 125 degrees

Question 9

Coxa Vara

Answer 9

<125 degrees

Question 10

Angle of Torsion

Answer 10

Relationship between femorall head and femoral shaft in TRANSVERSE plane
Approximately 12 degrees

Question 11

Anteversion

Answer 11

> 12 degrees

Question 12

Retroversion

Answer 12

<12 degrees

Question 13

Hip Joint

Answer 13

Head of femur and acetabulum of pelvis
Ball and Socket Joint
Very Stable

Question 14

Hip Joint Capsule

Answer 14

Completly surrounds joint, attaching to the labrum of the acetabular socket
Passes over a fat pad internally to join to the distal aspect of the femoral neck

Question 15

Ligaments of Hip Joint

Answer 15

Iliofemoral Ligament
Pubofemoral Ligament
Ischiofemoral Ligament
Wide Ligament of Bigalow/Iliofemoral
Ingunial Ligament

Question 16

Iliofemoral Ligament

Answer 16

cut or repair with hip replacement

Limits hyperextension

Question 17

Pubofemoral Ligament

Answer 17

Limits abduction and hyperextension

Question 18

Ischiofemoral Ligament

Answer 18

Limits extension

Question 19

Femoral Triangle Borders

Answer 19

Ingunial Ligament - Superior
Sartorious - lateral
Adductor Longus - medial

Question 20

Femoral Triangle Contents

Answer 20

Femoral Nerves
Femoral Artery
Femoral Vein

Question 21

Femoral Triangle Importance

Answer 21

1) Highly Palpable - supine with hip extension for pulse

2) Pressure Point - can contain leg bleeding at this point

Question 22

Q-angle

Answer 22

Angle between line of resultant force produced by quadriceps and line of patellar tendon
Males - 13 degrees
Females - 18 degrees

Question 23

Posterior Pelvic Tilt

Answer 23

Assists Hip Flexion

Question 24

Anterior Pelvic Tilt

Answer 24

Assists Hip Extension

Question 25

Lateral Pelvic Tilt

Answer 25

Assists Hip Abduction

Question 26

Hip Pointer Contusion MOI

Answer 26

Direct blow to Iliac Crest

Common - anterior or lateral portion of crest

Question 27

Hip Pointer Contusion S&S

Answer 27

Antalgic Gait with shortened swing phase
Increase pain with active trunk flexion and active hip flexion
Point tenderness; swellingl ecchymosis

Question 28

Hip Pointer Contusion Management

Answer 28

Standard acute; rest; protect with hard-shell pad for return to activity

Question 29

Quadriceps Contusion MOI

Answer 29

Direct Blow

Common - Anterolateral Thigh

Question 30

Quadriceps Contusion S&S

Answer 30

Transitory loss of function

With continued play, progressively stiffer and unresponsive