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Hip
The Hip
97
Anatomy
Graduate
10/28/2014

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Term
the hip is closely related to what two other joints
Definition
spine, SIJ
Term
how are the hip, spine, and SIJ closely related
Definition
mechanics, function, symptom presentation
Term
the knee is a common area of pain referral from where
Definition
hip
Term
the hip joint is made up of what two parts
Definition
head of femur w/ acetabulum of pelvis
Term
the hip is considered these two joints
Definition
diarthordial, ball and socket
Term
how many degrees of freedom does the hip have?
Definition
3
Term
what are the 3 degrees of freedom for the hip
Definition
flex/ext, ab/adduction, IR/ER
Term
what are the 3 trabecular patterns of the hip
Definition
arcuate, trochanteric, vertical
Term
the arcuate bundle resists what
Definition
bending or shear of the head and neck of femur
Term
the trochanteric bundle resists what
Definition
tensile forces from muscles acting on greater trochanter
Term
the vertical bundle resists what
Definition
resists compression through head of femur
Term
Common pain patterns of the hip (5)
Definition
lateral thigh, groin, medial knee, buttock, low back
Term
Hip ROM: flexion with knee flexed
Definition
120
Term
Hip ROM: flexion with legs abducted 30 to 40 degrees
Definition
150
Term
Hip ROM: extension with knee extended
Definition
20
Term
Hip ROM: abduction
Definition
45
Term
Hip ROM: adduction
Definition
30
Term
Hip ROM: external rotatoin
Definition
45
Term
Hip ROM: internal rotation
Definition
30
Term
what must be considered when assessing ROM of the hip (3)
Definition
pelvic tilt, kyphosis, lordosis
Term
Ascending stairs requires how much Hip ROM?
Definition
40-67 flexion
Term
Descending stairs requires how much ROM
Definition
36 flexion
Term
Sit to stand requires how much ROM
Definition
104 flexion
Term
tying shoes requires how much flexion
Definition
110
Term
tying shoes requires how much flexion and ER if legs crossed?
Definition
110 flex, 33 ER
Term
walking requires how much ROM
Definition
20-40 flexion
Term
horizontal position of reference for the hip
Definition
line connecting the two ASIS's
Term
vertical position of reference line
Definition
ASIS to the patella
Term
resting/open packed position of hip
Definition
30 hip flexion, 30 hip abduction, 20 hip ER
Term
hip close packed position
Definition
full extension, internal rotation, abduction
Term
capsular pattern of hip
Definition
flexion, abduction, internal rotation, slight loss extension
Term
an greater than normal collum angle is called what
Definition
coxa valga
Term
a less than normal collum angle is called what
Definition
coxa vara
Term
angle of inclination aka
Definition
collum angle
Term
normal angle of inclination
Definition
125 degrees
Term
angle of inclination for elderly
Definition
120 degrees
Term
the angle of inclination is smaller in which gender
Definition
women
Term
if the angle of inclination is greater than 150 degrees, it is considered
Definition
coxa valga
Term
if the angle of inclination is less than 120 degrees, it is considered
Definition
coxa vara
Term
the collum angle influences these 4 things
Definition
ROM, speed of motion, strength of bony structure, shearing forces on the femoral head and neck
Term
angle between the axis of the femoral condyles and axis of the head and neck of the femur in the transverse plane
Definition
angle of torsion
Term
how does the acetabulum face
Definition
lateral, anterior, and inferior
Term
how does the femoral head face
Definition
medially, anterior, superior
Term
an anterverted hip will cause this type of toe
Definition
toeing-in
Term
a retroverted hip will cause this kind of toe
Definition
toeing-out
Term
due to the angle of torsion, there is a large area of the femur exposed anterior with the weight bearing surface confined to a small area where
Definition
posterior superior aspect of head of femur
Term
normal range for angle of torsion
Definition
12-15 degrees
Term
if the angle of torsion is greater than 15 it causes what (3)
Definition
anteversion, lacks ER, toe-in gait
Term
if the angle of torsion is less than 8 it causes what (3)
Definition
retroversion, lacks IR, toe-out gait
Term
the acetabulum is surrounded by what
Definition
fibrocartilaginous labrum
Term
the fibrocartilaginous ring is composed of little what
Definition
cartilage
Term
what is teh role of the cartilagenous ring of the acetabulum
Definition
lubricated and cushions joint
Term
the non articular portion of the acetabulum is covered/lined by what
Definition
fat pad
Term
the labrum is what type of collage primarily
Definition
type I
Term
role of the labrum (3)
Definition
deepens fossa, creates a negative intraarticular pressure, improves load distribution
Term
the head of the femur is almost completely covered by cartilage except what
Definition
fovea
Term
the head of teh femur is almost completed covered by what
Definition
cartilage
Term
how much articular cartialge is attached to the neck of the femur
Definition
9 mm
Term
which joint has more cartilage than any other joint in the body?
Definition
hip
Term
how many ligaments are there for the hip
Definition
6
Term
what are the 6 ligaments of the hip
Definition
iliofemoral, pubofemoral, ishiofemoral, ligamentum teres, transverse, zona obicularis
Term
iliofemoral ligament aka
Definition
Y ligament of Bigelow
Term
the iliofemoral ligament is _______ to the joint
Definition
anterior
Term
the iliofemoral ligament checks what motions
Definition
IR, extension
Term
the pubofemoral ligament is ______ to the joint
Definition
anterior
Term
the pubofemoral ligament checks what actions
Definition
abduction, IR
Term
the ishiofemoral ligament is ______ to joint
Definition
posterior
Term
the ishiofemoral ligament checks what actions
Definition
extension and IR
Term
the ligamentum teres attaches to what (2)
Definition
acetabular notch, fovea
Term
ligamentum teres is line with what
Definition
synovium
Term
role of the ligamentum teres
Definition
lubricates and provides some vascular supply to head of femur
Term
ligamentum teres is taught during what action
Definition
adduction of hip
Term
role of the transverse ligament
Definition
converts acetabular notch into a foramen for obturator artery
Term
the transverse ligament converts the acetabular notch into a foramen for what to pass through
Definition
artery
Term
annular ligament of teh hip
Definition
zona obicularis
Term
the zona obicularis is formed by what of the hip capsule
Definition
circular fibers
Term
the zona obicularis resists what action
Definition
hip distraction
Term
medial hip rotation will cause what muscle ot contract
Definition
tensor fascia latae
Term
the pes anserine is made up of wha tmuscles
Definition
semi-tendonosis, gracilis, sartorius
Term
where do the semi-tendinosus, gracilis, sartorious attach
Definition
proximal/medial shaft of tibia
Term
indicates weakness of gluteus medius muscle with unilateral weight bearing
Definition
trendelenberg sign
Term
repetitive stress injury resulting from friction of the ITB as it slides over the femoral condyle at approximately 30 degrees of knee flexion
Definition
ITB friction syndrome
Term
ITB friction syndrome is common among what 4 sports
Definition
long distance runners, downhill skiiers, jumping sports, cyclists
Term
synergistic muscles of hip flexion (7)
Definition
psoas major, iliacus, tensor fasciae latae, sartorious, rectus femoris, gluteus medius, gluteus minimis
Term
synergistic muscles of hip flexion (4): assists
Definition
adductor longus, pectineus, adductor brevis, adductor magnus
Term
synergistic muscles of hip extension (6)
Definition
gluteus maximus, biceps femoris, semitendinosus, semimembranosus, adductor magnus, gluteus medius
Term
synergistic muscles of medial rotation of the hip (8)
Definition
gluteus medius, gluteus minimimus, tensor fasciae latae, adductor magnus, adductor longus, adductor brevis, pectineus, gracilis
Term
synergistic muscles of medial rotation of the hip: assists (2)
Definition
semimembranosus, semitendinosus
Term
synergistic muscles of lateral rotation (12)
Definition
gluteus maximus, pirformis, quadratus femoris, obturator internus, obturator externus, gemellus superior, gemellus inferior, gluetus medius, psoas major, iliacus, sartorius
Term
synergistic muscles of lateral rotation: assists (1)
Definition
biceps femoris (long head)
Term
synergistic muscles of abduction: (5)
Definition
gluetus maximus, gluteus medius, gluteus minimus, tensor fascia latae, sartorious
Term
when the hip is flexed, what is an additional synergistic muscle of hip abduction
Definition
piriformis
Term
synergistic muscles of hip adduction (6)
Definition
adductor magnus, adductor longus, adductor brevis, pectineus, gracilis, gluteus maximus
Term
piriformis syndrome is a result of what being entrapped by the piriformis muscle?
Definition
sciatic nerve
Term
piriformis syndrome is entrapment of a nerve at what notch
Definition
sciatic notch
Term
piriformis syndrome is a result of what
Definition
overuse, trauma
Term
which gender is more likely to be affected by piriformis syndrome
Definition
females
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