HIP

Question 1

Hip Joint Articulations:

Answer 1

Head of femur with acetabulum

Question 2

Hip joint Intracapsular structures:

Answer 2

Acetabular labrum. Ligamentum teres. Transverse acetabular ligament.

Question 3

Hip Joint Capsule attachments:

Answer 3

The edge of acetabulum incl. the transverse acetabular ligament. To the neck of femur to the intertrochanteric line anteriorly. The capsule is loose inferiorly.

Question 4

Hip joint Supporting ligaments (extracapsular):

Answer 4

Ilio-femoral ligament. Pubo-femoral ligament. Ischio-femoral ligament.

Question 5

Describe congenital dislocation of the hip (CDH)

Answer 5

Femoral head:
Femoral neck:
Acetabulum:
Labrum:
Ligamentum teres:
Transverse acetabular ligament:
Capsule:
Muscles:

Question 6

What are the 4 stages of Legg-Calve-Perthes disease (avascular necrosis)? What are the deformities seen?

Answer 6

Explain

Question 7

Explain Paget’s disease, and how it looks on radiographic images:

Answer 7

Explain

Question 8

Clinical manifestations of congenital dislocation of the hip (CDH)

Answer 8

Clicking hip
Barlow’s manoeuvre
Ortolani’s sign
Limb shortening (knees unlevel)
Tightness of adductors
Increase in telescoping of the limb
Asymmetrical buttock folds
Significant limp