The hip joint Flashcards

1
Q

What does the sacroillac joint do?

A

Provides articulation with the sacrum

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2
Q

What does the pubic synthesis do?

A

Provides articulation between the left and right hip bones

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3
Q

What is the articulation of the femur?

A

Ball and socket synovial joint which articulates with the head of the femur

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4
Q

Describe the composition of the hip bone?

How does the composition differ in children and adults

A

Consits of the ilium, pubis and ischium

In children these are seperated by the triradiate cartilage

These start to fuse between 15 and 17 and are complete by 20-25

Together they form the acetabulum to form the hip joint - where the head of femur joins

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5
Q

Describe the illium?

A

Widest and largest and is located superiorly

Body of the ilium forms the superior part of the acetabulum , above this, the ilium exapands to form the wing

The Internal surface - has a concave shape which produces the iliac fossa (origin of the iliac muscle

The external surface - has a convex shape and provides attachments to the gluteal muscles

Iliac crest - thickened superior margin of the wing - extends from anterior superior illiac spine to posterior superior illiac spine

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6
Q

Describe the pubis?

A

Most anterior portion of the hip bone.

Consits of the pubis body - articulates with opposite pubic body and the pubic symphysis . Superior aspect is marked by a rounded thickening which extends to the pubic tubercle

Superior pubic ramus - extends laterally from the pubic body to acetabulum

Inferior pubic ramus - extends laterally from the pubic body to join the inferior ischial ramus - this forms the ischiopubic ramus

ramus = branch

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7
Q

What is the obturator foramen?

A

An area which is enclosed by the superior and inferior rami through which the obturator nerve, artery and vein passes through to reach the lower limb

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8
Q

What does the ischium form?

A

The posteroinferior part of the hip bone, body and superior and inferior ramus

Inferior ischial ramus - combines with inferior pubic ramus - forms ischiopubic ramus and encloses obturator foramen

posteroinferior aspect forms the ischial tuberosities - what you sit on when sitting on a chair

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9
Q

What is the sacrospinous ligament ?

A

Runs from the ischial spine to the sacrum, thus creating the greater sciatic foramen through which many nerves and vessels pass to enter the lower limb.

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10
Q

What is the sacrotuberous ligament?

A

This runs from the sacrum to the ischial tuberosity, forming the lesser sciatic foramen

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11
Q

Describe the acetabulum?

A

Forms a cup-like socket on the inferolateral aspect of the pelvis

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12
Q

What is the acetabular labrum?

A

A fibrocartilaginous collar which encircles the acetabulum, it deepens it and provides a more secure fit for the femoral head.

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13
Q

Describe the articulations of the femur?

A

The femur articulates with the acetabulum of the pelvis proximally to form the hip joint, and with the tibia and patella distally to form the knee joint. It is the longest bone in the human body

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14
Q

Describe the femoral head?

A

Covered with hyaline cartilage.

In the centre there is a small depression called the fovea capitis where the ligament teres (lig of HOF) attaches.

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15
Q

Describe the neck of the femur?

A

The neck connects the head of the femur to the femoral shaft.

It passes inferiorly, posteriorly and laterally, making an angle of approximately 125° with the long axis of the femoral shaft.

This angle is slightly smaller in females.

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16
Q

Describe the greater and lesser trochanters?

A

The greater and lesser trochanters are large bony prominences at the proximal end of the femoral shaft.

On the anterior aspect, they are connected by the intertrochanteric line and on the posterior aspect by the intertrochanteric crest

17
Q

Describe the femoral shaft?

What is the posterior ridge called and what is its purpose?

A

Smooth and rounded

Posterior ridge is called the linea aspera

The intramuscular septa and many muscles of the thigh attach

18
Q

What interlinks with the linea aspera?

A

The gluteal tuberoisty which lies between the upper end of the linea aspera and the intertrochanteric crest; this is the site of insertion of the gluteus maximus muscle of the buttock.

Inferiorly, the linea aspera diverges to form the lateral and medial lines. The medial margin continues inferiorly as the medial supracondylar ridge and terminates at the adductor tubercle on the medial condyle of the femur.

19
Q

FROM CAPSULE AND CAPSULAR LIGAMENTS

A