The Hip Flashcards

1
Q

Where is the only location that the femoral head contacts?

A

The lunate surface

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2
Q

What is the normal torsion angle for the hip joint?

A

~15-20°

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3
Q

If a patient enters the clinic and presents with a hip joint orientation angle of >20°, this would indicate that the patient has hip ______

A

Anteversion

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4
Q

If a patient has hip anteversion what ranges of motion are limited?

A

Limited external rotation due to excess internal rotation

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5
Q

If a patient has femoral retroversion which limits internal rotation due to excessive external rotation, what compensation might you see and what is a potential injury they are predisposed to?

A
  • Toeing out as a compensation
  • Possible predisposition to labral tears
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6
Q

Which motion causes all the ligaments to tighten in the hip?

A

Full (hyper) hip extension

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7
Q

What is the purpose of the iliofemoral ligament?

A
  • Limits
    • Hip Extension
    • External rotation
    • Prevents pelvic tilting posteriorly
    • The strongest and stiffest ligament in the hip
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8
Q

What is the role of the pubofemoral ligament?

A
  1. Limits
    1. Hip extension
    2. Abduction
    3. External rotation (to a lesser degree compared to iliofemoral)
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9
Q

What does the ischiofemoral ligament do?

A
  1. Limits internal rotation
  2. Limits hip extension (slightly)
    1. limits most when combined with 10-20° hip abduction
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10
Q

What is the position of the hip in a closed-packed position?

A
  1. Full extension
  2. Slight hip internal rotation
  3. Slight hip abduction
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11
Q

What are the primary hip flexors?

A
  1. Iliopsoas
  2. Rectus femoris
  3. Sartorius
  4. Tensor fascia latae
  5. Adductor longus
  6. Pectineus
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12
Q

Where would you see increased leverage for the iliopsoas muscle?

A

When the hip is extended

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13
Q

At what angle does the glute max have the greatest mechanical advantage?

A

0° of flexion

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14
Q

What are the primary hip abductors?

A
  1. Gluteus medius
  2. Gluteus minimus
  3. Tensor fascia latae
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15
Q

What are the primary hip adductors?

A
  1. Adductor magnus
  2. Adductor longus
  3. Adductor Brevis
  4. Pectineus
  5. Gracilis
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16
Q

What are the primary hip external rotators?

A
  1. Gluteus maximus
  2. Piriformis
  3. Obturator internus
  4. Inferior gemellus
  5. Superior gemellus
  6. Obturator externus
  7. Quadratus femoris
17
Q

At what angle does the piriformis transition from an internal rotator to an external rotator?

A
  • ER @ or below 70° of hip flexion
  • IR @ >70° hip flexion