Session 3.1 Anatomy Of TheHip Flashcards
What 3 bones is the hip bone made up of ?
1) ilium
2) pubis
3) ischium
in a child , what are these three bones ( ILium pubis and ischium) separated by ?
Triradiate cartilage
When is fusion of the three bones that make up the hip bone complete ?
20-25 year old.
What are the three main articulations in hip joints ?
1) pubic symphysis
2) hip joint
3) sacroiliac joint
What is the sacroiliac joint ?
An articulation between the sacrum and the ilium bones.
What is the pubic symphysis?
An articulation between the left and right hip bone
What is the hip joint ?
An articulation between the hip. Bones and the head of the femur
What part of the hip bone is the largest and widest part ? And is located superiorly
Ilium
What is the shape of the internal surface of the ilium ?
Concave shape - which produces the iliac fossa which is the origin of the iliacus muscle
What is the shape of the external surface of the ilium ?
Convex shape and provides attachment to the gluteal muscles.
What is the superior margin of the ilium called ?
Iliac crest
What is the most anterior portion of the hip bone ?
The pubis.
What does the pubis consist of ?
1) a body
2) A superior ramus
3) An inferior ramus
Where would you find the superior pubic ramus ?
This extends laterally from the pubic body to the acetabulum.
Where would you find the inferior pubic ramus ?
This extends laterally for, the pubic body join with the inferior inferior ischial ramus to form the ischipubic ramus.
What does the obturator foramen allow through ?
The obturator nerve , artery and the vein which reach the lower limb.
What does the posteroinferior aspect of the ischium form ?
The ischial tuberosity.
When you are sitting upright in a chair , what are you sitting on ?
Ischial tuberosity.
When does fusion of the 3 bones ( ilium , ishicum and pubis) begin ?
15-17 years old,
What helps to strengthen the ball and socket joint of the hip ?
1) ACETABULAR LABRUM : which is a rim that attaches to the acetabulum. This is a fibrocartilagnous rim. This increases articular contact area by 10% so more than 50% of the femur fits into the acetabulum.
2) JOINT CAPSULE : capsular fibres take a spiral course. During extension , the capsule helps to pull the femur into the acetabulum. This is strengthened by three ligaments that also form part of the capsule.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What is the main blood supply to the femoral head ?
Deep femoral artery which branches off into medial circumflex and lateral circumflex artery.
Why is an intracapsular femoral neck fracture very harmful ?
This can tear retinacular arteries which can result in avascular necrosis of the femoral head
What can cause the superior gluteal nerve damage ?
Hip surgery , injections to button , fracture of greater trochanter, dislocation of hip joint.
What can damage to the superior gluteal nerve result in ?
Weakened abduction of lower limb , abrnomal stance phase of gait cycle ,
What can you do to try and diagnose a patient who may have had their superior gluteal nerve damaged
- ask patient to fixate one of their legs , if their leg is damaged , their GOOD leg would ‘say’.
- which would indicate that their other leg would be the one with the damaged superior gluteal nerve.
THIS IS CALLED THE TRENDELENBURG SIGN .
How would you administer intramuscular injections in the gluteal region?
- it is essential to avoid injury to the sciatic nerve region
1) DORSOGLUTEAL SITE : used in children between the ages of 3-7 years. ( upper outer quadrant - usually gluteus maximus)
2) VENTROGLUTEAL SITE : place the palm of your hand over the greater trochanter of the femur. Point your thumb towards the inguinal region and your index finger towards the anterior superior iliac crest. Spread your index and middle fingers to make a V and carefully inject between the joints of your fingers into the gluteas medius muscle.
How can you tell whether the femur is the posterior or anterior face ?
- because the posterior face of the femur has the line of aspera down the mid line of the femoral shaft. Also , they have an intertrochanteric crest , whereas the anterior surface has an intertrochanteric line.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
What muscle causes extension of the hip ?
Gluteas maximums
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What is the deep fascia of the thigh called ?
Fascia lata
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What is the deep fascia of the thigh called ?
Fascia lata
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What muscle causes extension of the hip ?
Gluteas maximums
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What is the deep fascia of the thigh called ?
Fascia lata
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What muscle causes extension of the hip ?
Gluteas maximums
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What is the deep fascia of the thigh called ?
Fascia lata
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What muscle causes extension of the hip ?
Gluteas maximums
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What is the deep fascia of the thigh called ?
Fascia lata
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What muscle causes extension of the hip ?
Gluteas maximums
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the strongest ligament in the body ?
The iliofemoral ligament
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What does Hilton’s
Law state?
The nerves supplying the muscles extending directly across and acting at a given joint also innervate the joint.
Where is the fascia lata thickened ?
At its lateral aspect where it forms the iliotibial tract which runs from the iliac crest to the lateral tibial condyle ( at the knee).
What is the deep fascia of the thigh called ?
Fascia lata
What classification would you classify gluteus maximus, gluteus minimus and mediaS?
Superficial muscles .
What innerverts the gluteus medius?
Superior gluteal nerve ( L4, L5 , S1).
What is the function of the gluteas minimus?
It abducts and medial.y internally rotates the lower limb.
What innerverts the gluteus medius?
The superior gluteal nerve ( L4, L5 , S1)
What is the function of the gluteas minimus?
Abducts and medically internally rotates the lower limb.
What innerverts the gluteus maximus?
Inferior gluteal nerve ( L5, S1, S2)
What is the function of the gluteas maximus?
- main extensor
- assists with the lateral , external rotation of the hip.
What assists the extension of the hip - helping the gluteas maximus?
Hamstrings : semimembranous, semitendinosus, biceps femoris
What is the abduction of the hip assisted by ? ( what assists the gluteas medius and minimus )
Sartorius , tensor fascia lata
What muscle causes extension of the hip ?
Gluteas maximums
What muscles cause abduction of the hip ?
- gluteals medius
Gluteas minimus
( POSTERIOR REGION)
Posteriorally , where the ligaments are weakest (ischiofemoral ) the lateral external rotators are
..
Greater in number and stronger because they effectively pull the head of the femur into the acetabulum.
Anteriorally , where the ligaments are the strongest ( iliofemoral & pubofemoral ligaments ) the medial flexors are …
Fewer and weaker.
What are examples of a few stabilising factors that increase the stability of the hip joint ?
1) the cup shaped acetabulum
2) the acetabular labrum which deepens the acetabulum
3) the capsule
4) the ligamentum teres
5) the extracapsular ligaments ( iliofemoral , ischiofemoral , pubofemoral )
6) the muscles surrounding the hip joint
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the strongest ligament in the body ?
The iliofemoral ligament
What type of joint is the hip joint ?
Synovial joint therefore really mobile
What forms the hip joint ?
The head of the femur and the pelvic acetabulum
What is the acetabulum and the femur covered in ?
Hyaline cartilage
What is the acetabular notch ?
A deep notch in the acetabulum of the hip bone. The acetabular notch contains fibroelastic fat covered with synovial membrane.
What is the longest bone in the body ?
The femur
What is the femoral head covered in ?
Hyaline cartilage
What is the small depressed called in the femoral head ?
Fovae capitis
What attaches to the small depression the femoral head ? ( fovea captitis)
Ligamentum teres which is the major blood supply to the femoral head in a child.
What are the three extracapsular ligaments in the hip joint that form part of the capsule that strengthens the hip joint ?
1) iliofemoral
2) pubofemoral
3) ischiofemoral
What is the strongest ligament in the body ?
The iliofemoral ligament
Where is the iliofemoral ligament located ?
- it has an inverted Y shape.
- the base of the Y is attached to the anterior , inferior iliac spine of the ilium.
- the limbs of the Y are both attached to the intertrochanteric line of the femur.
What is the function of the iliofemoral ligament ?
Prevents hyperextension of the hip.
- when seated , it becomes relaxed which permits the pelvis to tilt backwards into its sitting position.
Where is the location of the pubofemoral ligament ?
Lies inferior and anterior to the hip joint.
- it is a triangular shape.
- its base is attached to the superior pubic ramus and it’s apex to the inferior part of the intertrochanteric line anterioly.
What is the role of the pubofemoral ligament ?
- prevents excessive abduction and extension of the hip joint.
Where is the location of the ischiofemoral ligament ?
- spiral shaped and is attached to the body of the ischium posteriorly and the greater trochanter.
What is the function of the ischiofemoral ligament ?
Prevents excessive internal medial rotation
What is the weakest of the 3 ligaments ?
Ischiofemoral ligament
Transverse acetabular ligament
This is formed by the acetabular labrum as it bridges the acetabular notch.
- this converts the notch into a tunnel through which blood vessels and nerves can enter the hip joint.