week 4- Hip And Femur Anatomy Flashcards
Which is the largest and superior bone of the hip
Ilium
Which bone is located most posteriorly and inferiorly in the hip
Ischium
Which bone of the hip forms the most interior portion
Pubic bone. Located medially to the ischium
What do the acetabulum
Fusion of these 3 bones. Centre
What makes up the ball and socket joint of the hip
Acetabulum acts as the socket for the head of the femur which acts as the ball
How many axis can the hip joint rotate
Many it’s multiaxial
What is the hip joint designed for
Stability and weightbearing
What shape is the lunate surface of the acetabulum
Concave- like a crescent moon
What is another name for the hip joint
Acetabulofemoral joiny
What covers head of femur and lunate surface of acetabulum
Hyaline cartilage
Where is the acetabular fossa located
In the centre of the lunar surface- inside the crescent
What does the acetabular fossa contain
Loose CT, mobile fat pad
Not covered by hyaline cartilage
What is the acetabulum labrum
Firbocartilagenous collar that surrounds the bony rim of the acetabulum in a crescent shape
Where is the transverse acetabular ligament located
In between the crescent gap of the acetabular regions
How does the labrum of the acetabulum Benidorm stability of the hip joint
By deepening the acetabulum and increasing the area of articulation with the head of the femur
Where is the fovea captis femoris located. What is not located here
The top of the head of the femur. No hyaline cartilage is found here
Where does the joint capsule of the bio joint bind
Attaches to the acetabular labrum and the transverse acetabular ligament
How is the joint capsule adapted to its function to be strong and fibrous
Help of 3 ligaments.
Anteriorly and superiorly by the ILIOFEMORAL LIGAMENT (connects the anterior inferior iliac spine and the acetabular rim to the femoral intertrochanteric line. It is the strongest ligament of the hip joints)
PUBERFORMORAL LIGAMENT (more medial. From the obiturator crest and superior Remus of the pubis)
ISCHIOFEMORAL LIGAMENT (most posterior. Connects the ischia part of the acetabular run to the neck of the femur)
How many ligaments are in the hip joint
3
Name the ligaments of the hip joint
ILIOFEMORAL LIGAMENT( strongest. Located anteriorly)
PUBOFEMORAL LIGAMENT (more medial)
ISCHIOFEMORAL LIGAMENT (posteriorly located)
How are the ligaments’ fibres arranged and why
In a spiral fashion to help stabilise the joint by pulling the head of the femur medially into the acetabulum.
-reduces amount of muscle energy required to maintain a standing position
-prevents hyper extension of the hip
-prevents excessive abduction
Name the movements provided by the hip joint
Flexion
Extension
Adduction
Abduction
Internal/medial rotation
Lateral rotation
Circumduction- 360 movement of the leg
How is blood supplied to the leg
Medial and lateral circumflex femoral arteries
They arise from the deep femoral artery
-artery to head of femur
Where is the psoas major muscle origin and insertion
Bodies of vertebra T12-L4
Transverse processes of L1-L5
Lesser trochanter of femur as ILIOPSOAS TENDON
Where is the ilacis muscle origin and insertion
Iliac fossa
Lesser trochanter of femur
Thigh flexion.
Femoralnerve
Femoral artery
What is the iliopsoas muscle
Psaos major and iliacus muscle
They come together to pass underneath the inguinal ligament and into the region of the thigh
Where is the psoas minor origin and insertion
Small muscle runs along the surface of the psoas major
40-70% people don’t have this muscle
O: vertabral bodies T12 L1
I: iliopubic eminence
LUMBAR ARTERIES
SPINAL NERVE
What is the ilacus innervated by
Femoral nerve
What is the psoas major innervated by
Femoral nerve
What is the psaos minor innervated by
Lumbar plexus
Where did the tensor fascia latae located
Anterior superior iliac spine
Insterts ay iliotibial tract, lateral condyle of tibia
Thigh internal rotation
Knee leg external rotations
Stabilise hip and knee joint
Gluteal nerve
Femoral artery
What are the superficial gluteus Muscles responsible for
Extension
Abduction
Rotation of the thigh at the hip joint
Stabilise pelvis
What is the gluteus maximum inervated by
Inferior gluteal nerve
What are the other 3 muscles inervated by
Superior gluteal nerve
What do the muscles receive their blood supply from
Superior gluteal artery
Inferior gluteal artery
What is the femoral artery the continuation of
The external iliac artery
Where is the femoral artery location
Origin=Directly behind the inguinal ligament
End= exits the pelvis through the vascular lacuna and runs down towards the popliteal fossa
What bones make up the pelvis
Ileum
Ishcium
Pubis
What binds to the ischial tuberosity
Hamstring
Where does the hamstring bind
Ischial tuberosity
Where is the ischial tuberosity located
On the ischial inferiorly and posteriorly (bottom of the back curve)
What is the obturator foramen
The hole in between ischium and pubis
Where is the pubic tubercle located
Anteriorly and superiorly on the pubis. Slightly lateral to the pubic symphysis
Where is the superior pubic ramus located
Above the obturator foramen, centrally to the hole
Where is the inferior pubic ramus located
Inferiorly to the obturator foramen , centrally to the hole
Where is the ischial spine located
Posteriorly and superiorly on the ischium (top notch)
Where is the anterior superior iliac spine (ASIS) found
Where the iliac crest ends Anteriorly
Where is the anterior inferior iliac spine located (AIIS)
inferior to the ASIS on the iliac
What muscle binds to the anterior inferior iliac spine
Rectus femoris , going in to the thigh
Where is the posterior superior iliac spine located
Posteriorly on the iliac, laterally to the spine. Superior (on top of) iliac spine
Where is the posterior inferior iliac spine located
Inferior and more lateral to the PSIS
Where is the obturator membrane located
Inside of the obturator foramen