The Hip And Pelvis bones Flashcards
The 3 bones at the hip
Pubis
Sacrum
Ischium
What are the Anterior palatable structures
Iliac crest
ASIS
pubic tubercles
Inguinal ligament
What are the posterior palpable structures
PSIS Sacrum Ischial tuberosity Coccyx Sacral spinous processes
Explain the femoral head of the proximal femur
Spherical covered in articular hyaline cartilage, part from the fovea where the ligaments attach
Explain the femoral neck of the proximal femur
Vulnerable to fracture especially in elderly
Explain the trochanteric region of the proximal femur
Greater trochanter laterally facing, posterior and inter medial is the lesser trochanter, sites for muscle insertion, between the two trochanters is the intertrochanteric line where the hip ligaments are attached
Explain the posterior intertrochanteric crest
Where the 2 lines of the linea aspera develop which comes of the gluteal tuberosity where the gluteus maximus inserts, more lateral and medial of this is the pectineal line. Both lines join to form the linea aspera the raised ridged area which goes to the distal femur (muscle attachments)
What are anteverted hips
‘In toeing gate’ affects all lower limbs biomechanics, patiala squints
Where does the femoris head get its blood supply from
The ligament teres , the artery within the femoral head, supplies blood to the medial and lateral circumflex arteries join through capsule and supply the neck of the femur, within the shaft and trochanteric region there are nutrient arteries, fractures in this area can equal a loss of blood supply E.G vascular necrosis
Describe the hip joint
Synovial, poly axial ball and socket joint, 3 degrees of movement, flexion and extension, abduction and adduction, medial and lateral rotation
What is the acetabulum
The lunate surface of hyaline cartilage, cartilage deficient centrally (Horseshoe shape) articular surface doesn’t connect deficit of the interior aspect crossed with the transverse ligament, often fat pads in central area the lunate surface of the articular cartilage is joined by a transverse acetabular ligament deepened by an acetabular labrum which wraps all the way around the edge of the articular surface
What is the acetabular labrum
Fibro- cartilaginous rim, triangular in cross section
Name the Ligaments of the hip
Iliofemoral ligament
Pubofemoral ligament
Ischiofemoral ligament
Ligament teres
What is the iliofemoral ligament
2 bands