W25-L3: Hip complex Flashcards

1
Q

What is the line joining the greater and lesser trochanter on the anterior surface?

A

intertrochanteric line

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2
Q

What is the line joining the greater and lesser trochanter on the posterior surface?

A

intertrochanteric crest

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3
Q

Where does the head of femur article with the acetabulum?

A

The roof of the acetabulum (thickest cartilage)

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4
Q

What are the intra-arcticular strucutres?

A
  • Labrum: deepens acetabulum

- Ligament of head of femur: only directs branch of obturator artery to femoral head

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5
Q

There are 2 systems of the trabecular system that meet at the hip inferior and superior. What are they?

A

Superior: Vertical and arcuate

Inferior: medial and lateral

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6
Q

Where does the line of gravity pass relative to the hip?

A

posterior

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7
Q

What is the close packed position?

A

where articulate surfaces meet the best and ligaments are torte

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8
Q

When is close packed position for the hip?

A

extension, abduction & medial rotation

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9
Q

What is open packed position for the hip?

A

Flexion, adduction, lateral rotation

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10
Q

What is the ligamentous support for the hip?

A
  • Strong iliofemoral anterior

- Weaker behind (pubofemoral and ischiofemoral), don’t attach to femur directly

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11
Q

What are the retinacular fibres?

A

reflections of fibrous tissue from capsule to the femoral neck which contain retinacular vessels

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12
Q

What do the retinacular vessels supply?

A

Head of femur

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13
Q

What are the range of flexion and extension at the hip?

A

Flexion: 120
Extension: 10-20

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14
Q

What do the cuff of fixator muscles do?

A

Stabilise the head of femur by pulling it into the socket

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15
Q

What is the primary role of gluteus medius and minimus?

A

Maintain the position of pelvis in a coronal plane

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16
Q

Which nerve innervates the hip?

A

Branches of femoral and obturator

17
Q

Where does referred pain from the hip go?

A

Obturator nerve

18
Q

Where does referred pain to the hip come from?

A

Lumbar spine and sacro-iliac joint

19
Q

What is the blood supply of the hip?

A

anastomoses between branches of medial and lateral femoral circumflex

20
Q

Where does dislocation of the hip generally occur?

A

In the posterior direction

21
Q

What is the neck-shaft angle in adults?

A

135 degrees

22
Q

What happens in fractured NOF?

A

Blood supply especially retinacular vessels are susceptible