Week 11: Pelvis and hip Flashcards
5 Bones of the pelvic girdle
- ilium
- ischium
- pubis
- sacrum
- coccyx
4 bony prominances of the pelvic girdle?
- iliac crest
- ASIS
- PSIS
- SIT (ischial tuberosity)
Which ligament is responsible for limiting sacral and pelvic motions?
short posterior SI ligament
What are the main differences between men and women pelvis?
men: more stable, more weight bearing, more prone to osteophytes
women: more flexible, more prone to SI dysfunction
Why is the pelvic ring important?
it is the connection between the sacrum and pelvis; it helps transfer weight
how many joints are in the pelvic girdle?
7 joints lumbosacral 2- sacroiliac sacrococcygeal symphysis pubis 2- coxofemoral
What is the SI joint?
transfer weight from spine to LE
What is nutation of the SI joint? Counter-nutation?
Nutation: anterior tilt of sacrum to ilium; PPT
Counter: posterior tilt of sacrum to ilium, APT
What is the open packed position of SI joint? Closed packed?
open: counter-nutation (Anterior tilt)
closed: nutation (posterior tilt)
What is the lumbosacral joint?
Connection between L5 and Sacral base
T/F with lumbar flexion, PPT always occurs?
No, at about 45* of flexion the ligaments are taut and vertebrae are stable and an APT occurs
APT and PPT occur in which plane?
Sagittal Plane
Lateral Pelvic Tilt occurs in which plane?
Frontal Plane
Rotation occurs in which plane?
Rotation
T/F: pelvic motion can be isolated?
false
With APT, what occurs at the pelvis, sacrum, hip, and lumbar spine?
APT
Sacral counternutatoin (posterior tilt)
Hip flexion
Lumbar extension
With PPT, what occurs at the pelvis, sacrum, hip, and lumbar spine
PPT
Sacral nutation (anterior tilt)
Hip extension
Lumbar flexion
With elevation/lateral pelvic tilt, what occurs at the hip and lumbar regions?
ipsilateral hip hikes up and adducts
ipsilateral lumbar lateral flexion
What depression/lateral pelvic tilt, what occurs at the hip and lumbar regions?
ipsilateral hip depression and abduction
contralateral lumbar flexion
With anterior pelvic rotation, what occurs at the hip and trunk?
Anterior hip swing
posterior trunk rotation towards the planted leg
Internal rotation planted hip
With posterior pelvic rotation, what occurs at the hip and trunk?
Posterior swing hip
Anterior trunk rotation towards planted leg
External rotation planted hip
What is the angle of inclination for normal hip alignment? Which plane?
125* frontal plane
What is the femoral anteversion for normal hip alignment? Which plane?
12-15* transverse plane
How many DOF does the coxofemoral joint have?
ball and socket
tri-axial (3 DOF)
concave acetabulum with convex femoral head
Strongest hip ligament?
Iliofemoral L. or “Y” ligament
Weakest hip ligament?
Ischiofemoral L.
3 hip ligaments
Iliofemoral L.
Pubofemoral L.
Ischiofemoral L.
3 closed packed position for hip motions?
Extension
ER
Abduction
3 Resting position for hip motion?
30* flexion
abduction
Slight ER