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Flashcards in Chapter 29 Deck (57):
1

formed by the articulation of the head of the femur with the acetabulum of the hip bone

hip joint

2

deep fascia of the thigh

fascia lata

3

largest nerve in the upper thigh

sciatic nerve

4

formation of the hip bones by the ilium, ischium, and pubis

pelvic girdle

5

description of the region at the front of the upper thigh, just below the inguinal ligament

femoral triangle

6

gap in the fascia lata, which is found 4cm inferior and lateral to the pubic tubercle

saphenous opening

7

the hip is laterally and posteriorly displaced to the extent that the femoral head has no contact with the acetabulum and the normal "U" configuration cannot be obtained on ultrasound

frank dislocation

8

the patient lies in the supine position. the examiner's hand is place around the hip to be examined with the finger over the femoral head. the hip is flexed 90 degrees, and the thigh is abducted

Ortolani maneuver

9

on physical exam, the knee is lower in position on the affected side of the neonate with DDH when the patient is supine and the knees are flexed

Galeazzi sign

10

the patient lies in the supine position with the hip flexed 90 degrees and adducted. downward and outward pressure is applied. if the hip is dislocated, the examiner will feel the femoral head move out of the acetabulum

Barlow maneuver

11

This occurs with the femoral head moves posteriorly and remains in contact with the posterior aspect of the acetabulum

subluxation

12

this abnormal condition of the hip results in congenital hip dysplasia; included dysplastic, subluxated, dislocatable, and dislocated hips

developmental displacement of the hip (DDH)

13

the ______ joint unites the two hip bones with the sacral part of the vertebral column

sacroiliac

14

the hip bones are the fusion of the three separate bones, the ______, the ______, and the ______, which together form the pelvic girdle

ilium, ischium, and pubis

15

the bone of the upper thigh is the ______

femur

16

the femoral artery branches into the ______ artery, which is the main artery supply for the thigh muscles

profunda femoris

17

the largest nerve in the upper thigh is the ______ nerve

sciatic

18

the deep fascia of the thigh, the ______, forms a tough connective tissue surrounding the muscles

fascia lata

19

the ______ is formed by the inguinal ligament, the adductor longus (medially), and the sartorius (laterally).

femoral triangle

20

the contents of the femoral triangle include the femoral ______, the femoral ______ and ______, and the femoral ______

canal, vein, artery, nerve

21

the femoral vein and artery and the femoral canal are enclosed in a connective tissue sleeve called the femoral ______

sheath

22

the contents of the femoral triangle are separated from the more deeply lying hip joint by muscles; the ______ is medial, and the ______ is lateral

pectineus, iliacus

23

the articulation of the head of the femur with the acetabulum of the hip bone forms the ______

hip joint

24

the gluteus ______ muscle is the immediate cover for the upper part of the hip joint, whereas the obturator externus is found winding below it from front to back

minimus

25

the ______ muscle is immediately posterior to the joint, and the obturator internus and the gemelli and quadratus femoris are lower down

piriformis

26

the rounded shape of the femur and the cup shape of the ______ form the "ball and socket" hip joint

acetabulum

27

one of the strongest ligaments in the body is the ______ it is very important for standing and maintaining correct upright balance

iliofemoral ligament

28

to move away from the body

abduction

29

turning inward

medial rotation

30

bending forward

flexion

31

turning outward

lateral rotation

32

bending backward

extension

33

to move toward the body

adduction

34

the primary flexors of the hip are the ______ major, the ______, and the ______ femoris

psaos, iliacus, rectus

35

when the trochanter moves forward, the femur rotates ______, and when the trochanter moves backward, the femur rotates ______

medially, laterally

36

the medial rotators are the anterior fibers of gluteus ______ and ______

medius and minimus

37

the lateral rotators are the small muscles at the back of the joint: ______, ______, and ______femoris, with assistance of the gluteus ______

piriformis, obturator internus, and quadratus femoris,
gluteus maximus

38

ossification of the femoral head begins between ___ and ___ months of age, occurs earlier in girls than boys, and is often complete by 1 year

2 and 8

39

sonography of the neonatal hip is performed with a ______ transducer

linear array

40

sonographically, the femoral head is _____ because it is cartilaginous and contains a focal echogenic ossification nucleus

hypoechoic

41

the femoral head sits within the acetabulum, which is ______ and has a deep concave configuration

echogenic

42

two thirds of the head should be covered by the ______

labrum

43

the basic hip anatomy is imaged in four different views;

coronal/neutral; coronal/flexion; transverse/flexion; transverse/neutral

44

the angle between the baseline and the acetabular roofline that represents the osseous acetabulum is the ______ angle

alpha

45

the angle between the baseline and the inclination line is the ______ angle

beta

46

the ______ angle reflects changes in the cartilaginous acetabulum, which occur more quickly than do changes in the osseous acetabulum and may therefore be more sensitive than the ______ angle

beta, alpha

47

the ______ view is performed with the infant in the supine position from the lateral aspect of the hip joint with the plane of the transducer oriented coronally with respect to the hip joint

coronal/neutral

48

the transducer is maintained in the lateral position while the hip is moved into a 90-degree angle of flexion in the ______ view. during this assessment, the transducer is moved in an anteroposterior direction with respect to the body to allow visualization of the entire hip

coronal/flexion

49

a normal hip gives the appearance of a "ball on a spoon" in the midacetabulum. the ______ is the ball, the ______ forms the spoon, and the iliac line is the handle

femoral head, acetabulum

50

the transducer plane is rotated 90 degrees and moved posteriorly into a posterolateral position over the hip joint in the ______ view

transverse/flexion

51

from the transverse or flexion view, the leg is brought down into a neutral position to the ______ view

transverse/neutral

52

______ causes of hip dislocation can be traumatic or nontraumatic

acquired

53

______ dislocation occur in utero and are associated with neuromuscluar disorders

teratogenic

54

______ of the hip include dysplastic, subluxated, dislocatable, and dislocated hips

development displacement

55

a ______ hip is on in which the proximal femur moves more that 6mm on the left and 4mm on the right within the acetabulum but cannot be displaced out of it

subluxable

56

a ______ hip is one in which the proximal femur can be displaced our of the acetabulum but can be reduced

dislocatable

57

a ______ hip is one in which the femoral head is displaced out of the acetabulum and cannot be reduced

dislocated