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Kinesiology ch 9
the hip joint and pelvic girdle. FAU Pyka
116
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Undergraduate 4
10/21/2014

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Term
Hip joint
Definition

also called acetabular femoral

relatively stable due to: bony architecture, strong ligaments, large supportive muscles

funcitons in weight bearing & locomotion, enhanced significantly by its wide range of motion, abilitiy to run, cross-over cut, side-step cut, jump & other directional

Term
what type of joint is the hip?
Definition

ball and socket joint

head of the femur connecting with acetabulum of the pelvic girdle

Term
pelvic girdle
Definition

right and left pelvic bones joined together posteriorly by sacrum

pelvic bones are ilium, ischium and pubis

Term
femur
Definition
longest bone in the body
Term
sacrum
Definition

extension of the spinal column with 5 fused vertebrae

extending inferiorly is the coccyx

Term
what are the 3 areas of the pelvic bone
Definition

upper 2/5s --> ilium

posterior & lower 2/5 --> ischium

anterior & lower 1/5 --> pubis

Term
anterior pelvis
Definition
origin for hip flexors
Term
tensor fasciae latae
Definition
anterior iliac crest
Term
sartorius
Definition
anterior superior iliac spine
Term
rectus femoris
Definition
anterior inferior iliac spine
Term
lateral pelvis
Definition
origin for the hip abductors
Term
gluteus medius & minimus
Definition
just below iliac crest
Term
medially
Definition
origin for adductors
Term
adductor magnus, adductor longus, adductor brevis, pectineus, & gracilis
Definition
pubis and its inferior ramus
Term
posteriorly
Definition
origin for hip extensors
Term
gluteus maximus
Definition
posterior iliac crest, posterior sacrum, coccyx
Term
posteroinferiorly
Definition
origin for hip extensors
Term
hamstrings
Definition
ischial tuberosity
Term
proximal thigh
Definition
insertion for short muscles of hip
Term
gluteal muscles and most of the 6 deep external rotators
Definition
greater trochanter
Term
iliopsoas
Definition
lesser trochanter
Term
proximal thigh (anteriorly)
Definition
origin for 3 knee extensors
Term
three vasti muscles of quads
Definition
anteriorly
Term
proximal thigh (posteriorly)
Definition
insertion for hip adductors, lina aspera
Term
patella
Definition
insertion for all 4 quad muscles
Term
proximal tibia or fibula
Definition

insertion for the remainder of the hip muscles

sartorius, gracilis & semitendinosus --> upper anteromedial tibial surface just below medial condyle after crossing knee posteromedially

semimembranosus --> posteromedially on medial tibial condyle

biceps femois --> laterally, primarily on fibular head with some fibers attaching on lateral tibial condyle

iliotibial tract of tensor fasciae latae --> anterolaterally on Gerdy's tubercle of tibia

Term
anterior joints
Definition

two pelvic bones join to form symphysis pubic

amphiarthrodial

Term
posterior joints
Definition

sacrum is between the 2 pelvic bones and forms the sacroiliac joints

strong ligaments unite these bones to form rigid, slightly moveable joints

Term
what is a joint
Definition

large and heavy bones covered by heavy muscles

very minimal oscillating type movements occur in sacroiliac joints (walking)

 

Term
body movements involve movement with which entire joints?
Definition
pelvic girdle and hip joints
Term
in walking, hip flexion and extension occur with
Definition

pelvic girdle rotation

forward in hip flexion, backward in hip extension

Term
in running, what does pelvic rotation do?
Definition
increases the length of stride
Term
in kicking, what does the pelvic rotation do?
Definition
results in a greater distance or more speed to the kick
Term
what is the most mobile joint in the body
Definition

acetabulofemoral joint

multiaxial arrangement

enarthrodial type joint

femoral head inserting into acetabulum

reinforced by extremely strong and dense ligamentous capusle, especially anteriorly

Term
iliofemoral or Y ligament
Definition
located anteriorly, prevents hyperextension
Term
pubofemoral ligament
Definition
located anteromedially and inferiorly, limits excessive extension and abduction
Term
teres ligament
Definition
attaches from deep in acetabulum to a depression in femoral head, slightly limits adduction
Term
ichiofemoral ligament
Definition
located posteriorly, extends from ischium to trochanteric fossa of femur, limits internal rotation
Term
what is the hip flexion range of motion?
Definition
0-130 degrees
Term
what is the hip hyperextension range of motion?
Definition
0-30 degrees
Term
hip abduction degree
Definition
0-45 degrees
Term
hip adduction degrees
Definition
0-30 degrees
Term
hip internal rotation degree
Definition
0-45 degrees
Term
hip external rotation degrees
Definition
0-50 degrees
Term
how many planes of motion does the pelvic girdle move through
Definition

3, 6 different movements

 

Term
all pelvic girdle rotation results from motion in
Definition

right hip

left hip

lumbar spine

Term
anterior & posterior pelvic rotation are through which planes
Definition
sagittal and anteroposterior plane
Term
right and left lateral rotation is in which plane?
Definition
lateral or frontal plane
Term
right transverse (clockwise) rotation and left transverse (counterclockwise) rotation are in which plane?
Definition
horizontal or transverse plane of motion
Term
hip flexion
Definition
movement of femur straight anteriorly toward pelvis
Term
hip extension
Definition
movement of the femur straight posteriorly away from the pelvis, sometimes referred to as hyperextension
Term
hip abduction
Definition
movement of femur laterally to side away from midline
Term
hip adduction
Definition
movement of femur medially toward midline
Term
hip external rotation
Definition
rotary movement of femur laterally around its longitudinal axis away from midline, lateral rotation
Term
hip internal rotation
Definition
rotary movement of femur medially around its longitudinal axis toward the midline, medial rotation
Term
hip diagonal abduction
Definition
movement of femur in a diagonal plane away from midline of body
Term
hip diagonal adduction
Definition
movement of femur in a diagonal plane toward midline of body
Term
anterior pelvic rotation
Definition
anterior movement of upper pelvis, iliac crest tilts forward in a sagitally plane, anterior tilt
Term
posterior pelvic rotation
Definition
posterior movement of upper pelvis, iliac crest tilts backwards in a sagittal plane, posterior titl
Term
left lateral pelvic rotation
Definition

in frontal plane left pelvis moves inferiorly in relation to right pelvis

either left pelvis rotates downward or right pelvis rotates upward

left lateral tilt

Term
right lateral pelvis rotation
Definition

in frontal plane right pelvis moves inferiorly in relation to left pelvis

either right pelvis rotates downward or left pelvis rotates upward

right lateral tilt

Term
left transverse pelvic rotation
Definition

in horizontal plane pelvis rotates to body's left

right iliac crest moves anteriorly in relation to left iliac crest, which moves posteriorly

 

Term
right transverse pelvic rotation
Definition

horizontal plane pelvis rotates to body's right

left iliac crest moves anteriorly in relation to right iliac crest, which moves posteriorly

Term
left transverse pelvic rotation
Definition

horizontal plane pelvis rotates to body's left

right iliac crest moves anteriorly in relation to left iliac crest which moves posteriorly

 

Term
right transverse pelvic rotation
Definition

horizontal plane pelvis rotates to body's right

left iliac crest moves anteriorly in relation to right iliac crest, which moves posteriorly

Term
what do the muscles involved in hip and pelvic girdle motions depend largely on?
Definition
direction of movement and position of body in relation to earth and gravitational forces
Term
when standing on both feet and contracting hip flexors, the trunk and pelvis rotate...
Definition
anteriorly
Term
lying supine and contracting hip flexors, the thighs move forward into...
Definition
flexion on the stable pelvis
Term
hip flexors muscles are used in moving thighs....
Definition
up toward the trunk
Term
how are hip extensors muscles used when the pelvis and trunk move downward slowly on the femur?
Definition
eccentrically
Term
hip extensors work how when the trunk is raised on the femur (rising to a standing position)?
Definition
concentrically
Term
what is the movement in the downward phase of a squat?
Definition

the hips and knees are flexed

hip and knee extensors in eccentric contraction

Term
anterior, primarily hip flexion muscles
Definition

iliopsoas

pectineus

rectus femoris

sartorious

Term
medial, primarlily hip adduction muscles
Definition

adductor brevis

adductor longus

adductor magnus

gracilis

Term
posterior, primarily hip extension
Definition

gluteus maximus

biceps femoris

semitendinosus

semimembranosus

external rotators

Term
lateral, primarily hip abduction
Definition

gluteus medius

glueus minimus

external rotators

tensor fasciae latae

Term
iliac region
Definition

iliopsoas muscles flexes hip

iliacus 

psoas major

psoas minor

Term
gluteal region
Definition

extend and rotate the hip

gluteus maximus, medius, minimi

tensor fascia latae

6 deep external rotators --> piriformis, obturator externus, obturator internus, gemellus superior, gemellus inferior & quadratus femoris

Term
how many sections is the thigh broken into?
Definition

3

anterior compartment, primarily knee extensors

posterior compartment, hamstring group

medial compartment, primarily adductors

Term
what makes up the anterior compartment?
Definition

rectus femoris

vastus medialis

vastus intermedius

vastus lateralis

sartorius

Term
what makes up the posterior compartment?
Definition

biceps femoris

semitendinosus

semimembranosus

Term
what makes up the medial compartment?
Definition

adductor brevis

adductor longus

adductor magnus

pectineus

gracilis

Term
what plexus innervate the hip and pelvic girdle muscles
Definition
lumbar and sarcral plexus (lumbosacral plexus)
Term
lumbar plexus
Definition

formed by anterior rami of spinal nerves L1-L4 and some fibers of T12

 

lower abdomen and the anterior and medial portions of lower extremity

Term
sacral plexus
Definition

formed by the anterior rami of L4, L5, S1-S4

 

lower back, pelvis, perineum, posterior surface of the thigh & leg, dorsal & plantar surfaces of the foot

Term
lumbar plexus major nerves
Definition

femoral nerve

obturator nerve

Term
femoral nerve is used for which muscles
Definition

iliopsoas

rectus femoris

vastus medialis, intermedius, lateralis

pectineus

sartorius

sensation to anterior & lateral thigh, medial leg & foot

Term
obturator nerve is used for which muscles
Definition

adductor brevis, longus, magnus

gracilis

abturator externus

sensation to the medial thigh

Term
sacral plexus innervates which nerves
Definition

superior gluteal nerve

inferior gluteal nerve

sciatic nerve

Term
superior gluteal nerve arises from
Definition

L4, L5, S1

innervates gluteus medius, minimus & tensor fascia latae

Term
interior gluteal nerve arises from
Definition

L5, S1, S2

gluteus maximus

Term
what are the branches of the sacral plexus (muscles)
Definition

piriformis (S1, S2)

gemellus superior (L5, S1, S2)

gemellus inferior & obturator internus (L4, L4, S1, S2)

quadratus femoris (L4, L5, S1)

Term
sciatic nerve innervates which muscles
Definition

tibial division: semitendinosus, semimembranosus, biceps femoris (long head) and adductor magnus

sensation for posterolateral lower leg & plantar aspect of foot

common peroneal (fibular) division: sensation to anterolateral lower leg & dorsum of foot

Term
iliopsoas actions (3), origin, insertion
Definition

flexion of hip

external rotation of femur

transverse pelvic rotation contralaterally when ipsilateral femus is stabilized

origin: inner surface of the ilium, lower borders of transverse processess of lumbar vertebrae 1-5, sides of last thoracic vertebrae, intervertebral fibrocartilage

insertion: pectineal line and iliopectineal eminence

Term
recutus femoris actions (3), origin, insertion
Definition

flexion of hip

extension of knee

anterior pelvic rotation

origin: anterior inferior iliac spine, groove above acetabulum

insertion: superior aspect of the patella and patellar tendon to the tibial tuberosity

Term
sartorius actions (5), origin, insertion
Definition

flexion of hip

flexion of knee

external rotation of thigh as it flexes the hip and knee

abduction of the hip

anterior pelvic rotation

origin: anterior superior iliac spine and notch below spine of ilium

insertion: anterior medial condyle of tibia

Term
pectineus actions (3), origin, insertion
Definition

flexion of hip

adduction of hip

external rotation of the hip

origin: space on front of pubis above the crest

insertion: rough line leading from lesser trochanter to linea aspera

Term
adductor brevis actions (3), origin, insertion
Definition

adduction of the hip

external rotation as it adducts the hip

assists in flexion of the hip

origin: front of the inferior pubic ramus just below the origin of the longus

insertion: lower 2/3 of the pectineal line of the femur and the upper half of the medial lip of the linea aspera

Term
adductor longus actions (2), origin, insertion
Definition

adduction of the hip

assists in flexion of the hip

origin:anterior pubic just below its crest

insertion: middle 1/3 of linea aspera

Term
adductior magnus actions (3), origin, insertion
Definition

adduction of the hip

exernal rotation as the hip adducts

extension of the hip

origin: edge of the entire ramus of the pubis and the ischium and ischial tuberosity

insertion: whole length of linea aspera, inner condyloid ridge and adductor tubercle

Term
gracilis actions (4), origin, insertion
Definition

adduction of the hip

weak flexion of the knee

internal rotation of the hip

assists with flexion of the hip

origin: anterior medial edge of descending ramus of pubis

insertion: anterior medial surface of the tibia below the condyle

Term
semitendinosus actions (5), origin, insertion
Definition

flexion of the knee

extension of the hip

internal rotation of the hip

internal rotation of a flexed knee

posterior pelvic rotation

origin: ischial tuberosity

insertion: upper anterior medial surface of tibia

Term
semimembranosus actions (5), origin, insertion
Definition

flexion of the knee

extension of the hip

internal rotation of the hip

interna rotation of the flexed knee

posterior pelvic rotation

origin: ischial tuberosity

insertion: posteromedial surface of the medial tibial condyle

Term
biceps femoris actions (5), origin, insertion
Definition

flexion of the knee

extension of the hip

external rotation of the hip

external rotation of the flexed knee

posterior pelvic rotation

origin: ischial tuberosity, lower half of linea aspera, lateral condyloid ridge

insertion: lateral condyle of the tibia, head of fibula

Term
gluteus maximus actions (5), origin, insertion
Definition

extension of the hip

external rotation of the hip

upper fibers assist in abduction

lower fibers assist in adduction

posterior pelvic rotation

origin: posterior 1/4 of ilium crest, posterior surface of sacrum and coccyx near the ilium, fascia of lumbar area

insertion: oblique ridge on lateral surface of greater trochanter and iliotibial band of fascia latae

Term
gluteus medius actions (3), origin, insertion
Definition

abduction of the hip

internal rotation and flexion (anterior fibers)

external rotation and extension (posterior fibers)

origin: lateral surface ilium just below crest

insertion: posterior and middle surfaces of greater trochanter of the femur

Term
gluteus minimus actions (3), origin, insertion
Definition

abduction of the hip

internal rotation as femur abducts

flexion of the hip

origin: lateral surface of ilium below the origin of the gluteus medius

insertion: anterior surface of the greater trochanter of femur

Term
tensor fascia latae actions (4), origin, insertion
Definition

abduction of the hip

flexion of the hip

tendency to rotate hip internally as it flexes

anterior pelvic rotation

origin: anterior iliac crest and surface of the ilium just below crest

insertion: 1/4 of the way down the thigh into the ilitibial tract, inserts into Gerdy's tubercle on the anterolateral tibial condyle

Term
what are the 6 deep lateral rotator muscles? what do they do?
Definition

piriformis

gemellus superior

gemellus inferior

obturator externus

obturator internus

quadratus femoris

exerternal rotation of the hip

Term
hip flexion agonist (6)
Definition

psoas

iliacus (iliopsoas)

rectus femoris

pectineu

sartorius

tensor fasciae latae

Term
hip extension agonist (4)
Definition

gluteus maximus

biceps femoris (long head)

semitendinosus

semimembranosus

Term
hip abduction agonist (4)
Definition

gluteus medius

tensor fasciae latae

gluteus meximus

gluteus minimus

Term
hip adduction agonists (4)
Definition

adductor brevis

adductor longus

adductor magnus

gracilis

Term
hip internal rotation agonist (3)
Definition

gluteus minimus

gluteus medius

tensor fasciae latae

Term
hip external rotation (2)
Definition

gluteus maximus

6 deep external rotators 

Term
motions with pelvic rotation (chart)
Definition
[image]
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