The Hip

Question 1

What free fused bones make up the pelvis

Answer 1

Ilium, ischium, pubis

Question 2

Describe the anatomy of the acetabulum?

Answer 2

• Deepened and protected by fibrocartilaginous labrum
• hyaline lining
• centre filled with fatty tissue (+synovial sheath)
• cavity directed obliquely antero-laterally and inferiority

Question 3

What is the trabecular pattern of the hip?

Answer 3

Superior to inferior compression trabeculae

Inferiolateral to medial tension trabeculae

-lead to osteoporosis + fracture of femoral neck

Question 4

What 3 bursa can be found around the hip?

Answer 4

Greater trochanteric bursa
Ischial bursa
Iliopectinal bursa

Question 5

What is angle of inclination?
What is more than normal?
What do we call these angles?

Answer 5

The angel from shaft of femur to neck of femur
= 125* aprox

> 125* = Coxa valgus
< 125* Coxa varus

Question 6

What is angle of anteversion?

Answer 6

Formed by projection of long axis of femoral he and and transverse axis of femoral condyle
-should be 12*

Variations can cause toeing in / toeing out

Question 7

Open/closed packed position of the hip?

Answer 7

Closed:
-full extension + internal rotation/abduction

Open:

• 10-30* flexion
• 10-30* abduction
• 10-30* External rotation

Question 8

What is the capsule pattern of the hip?

Answer 8

Decreasing stiffness 
Internal rotation 
Abduction 
Flexion 
Extension 
Adduction 
External rotation

Question 9

What is a trendelenburg sign?

Answer 9

Weakness of the Gluteus Medius = unsupported hip on opposite stride (walk like a model)

Trendelenburg sign: one legged standing stability
-pelvic drop on opposite side

Question 10

What is the boarder and content of femoral triangle ?

Answer 10

Superior = inguinal ligament 
Medial = adductor longus 
Lateral = Sartorius 

Femoral artery, nerve and vein

Question 11

Trochanteric bursitis?

Cause, presents, pain?

Answer 11

Cause: overuse or direct injury
Present: pain felt primarily over the lateral hip region/greater trochanter
Pain: deep and aching

Question 12

Bony palpation of hip?

Answer 12

Greater trochanters

Anterior, inferiorly, Posteriorly

Question 13

Soft tissue palpation?

Answer 13

-Femoral triangle: inguinal lig, adductor longus, Sartorius

• femoral artery
• lymph nodes
• hip flexors, adductors, abductors
• sciatic nerve
• Ischial tuberosity
• hamstrings
• trochanteric bursa

Question 14

Rang of motion for hip?

Answer 14

flexion: 135*
Extension: 30*
Abduction: 45-50*
Adduction: 20-30*
Internal: 35*
External: 45*

Question 15

Joint play motions of the hip?

Answer 15

Long axis distraction 
S-I glide in flexion 
S-I glide in flexion + internal 
S-I glide in flexion + external 
Extension