The Hip Flashcards
Describe how you would find the joint line of the hip
Palpate the ASIS, and the pubic tubercule, and find the midpoint of this line.
The joint line is about 2-3cm below this, and can’t be felt as too deep into the body
Describe how you find the ASIS of the hip (anterior superior iliac spine)
Situated at the anterior end of the iliac crest (upper part of pocket area)
Describe how you would find the greater trochanter
Run hands down from the middle of the crest 7-10cm or bring fingers forwards from the hollows in the sides of the buttocks
What is an posterior extra-capsular ligament of the hip (femur to hip)
ischiofemoral ligament
What makes up the femoral triangle
- superiorly (also known as the base) by the inguinal ligament.
- medially by the lateral border of the adductor longus muscle.
- laterally by the medial border of the sartorius muscle
Describe how you would find the pubic tubercule
about 5cm above genitalia a bony ring can be felt- about 1cm above and lateral to the pubic symphysis
Describe how you would find the femoral triangle
Ask the patient to go into fabers position (hip flexed in adduction and lateral rotation)
What are two anterior extra-capsular ligaments of the hip (femur to hip)
- iliofemoral
- pubofemoral
Describe how you find the PSIS (posterior superior iliac spine)
Trace backwards along the iliac crest- situated by the dimples of venus
Describe how you would find the ischial tuberosity
Called the ‘sitting bones’
Can trace round from the greater trochanter or felt underneath the buttocks
Describe the location of the femoral artery in relation to the nerve to feel the femoral pulse
- N (nerve)
- A (artery)
- V (vein)
- Y (lymphatic vessels)
So, femoral artery is medial to the nerve
What is the floor of the femoral triangle made up of?
Portions of the adductor longus muscle, the pectineus and the iliopsoas
