Hip & Pelvis Flashcards

(68 cards)

1
Q

What type of joint is the iliofemoral joint?

A

Synovial ball and socket

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2
Q

Describe the articulations of the iliofemoral joint?

A

Head of the femur articulating with the acetabulum.

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3
Q

What is the acetabulum made from?

A

The junction between the illium, ischium and pubic bones.

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4
Q

Describe the articulations of the S.I joint

A

Articulation between the auricular surface of the illium and the alae (wings of the sacrum) S1 to S3

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5
Q

What type of joint is the S.I joint anterior and posterior

A

Anterior- synovial plane

Posterior- Fibrous

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6
Q

Describe the articulation between of the lumbosacral junction

A

Articulation between the inferior facets of L5 and the superior articular pillars of the sacrum

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7
Q

What type of joint is the lumbosacral junction?

A

Synovial gliding

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8
Q

What type of curvature does the lumber adopt?

A

Lordotic

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9
Q

Describe the articulation of the PSJ

A

Articulation between the left and right superior rami of the pubis

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10
Q

What type of joint is the PSJ

A

Cartilaginous symphysis

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11
Q

What type of bone is the sacrum?

A

Irregular bone

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12
Q

Describe the articulation between the sacrum and the coccyx

A

Articulation between the inferior apex of the sacrum and the base of the coccyx

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13
Q

What type of joint is the sacrococcygeal joint?

A

Fibrocartilagneous joint

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14
Q
Describe the ROM of the hip
Flex
Ext
Abdcution
Adduction
Int Rot
Ext Rot
A
Flex 110/120
Ext 10-15
Abdcution 30-50
Adduction 30
Int Rot 30-40
Ext Rot 40 to 60
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15
Q

Nutation and counternutation of the sacrum occurs around the axis of?

A

S2

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16
Q

Which ligament helps to stabilise the lumbosacral junction?

A

iliolumbar ligament

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17
Q

The direction of the ligaments of the SI joint give an indication of?

A

Weight transferance

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18
Q

Which ligament prevents abduction of the SI joint?

A

Interosseous ligament

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19
Q

Where does the interosseous ligament attach to/from?

A

Sacral tuberosities to the illium

fused transverse procees of the sacrum

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20
Q

Which 3 ligaments enclose and help to stabilise the head of the femur within the acetabulum?

A

illiofemoral
Pubofemoral
ischiofemoral ligament

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21
Q

The femoral head contains a small pit called?

A

Fovea capitis

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22
Q

The fovea capitis acts as an attachment site for which ligament?

A

Ligamentum teres

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23
Q

Avascular necrosis to the head of the femur results in a condition called?

A

Perthes disease

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24
Q

The illiofemoral ligament extends from/to?

A

The AIIS to the intertrochanteric crest of the femur

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25
Which ligaments of the hip restrict hip extension?
illiofemoral and ischiofemoral ligament
26
Which ligament resists abduction of the hip joint?
Pubofemoral ligament
27
Which ligament resists adduction of the hip joint? (2)
Internal rotation and hip adduction
28
What is the most challanging (incongruent) position of the SI joint?
Lunge
29
What degree of movement is capable at the sacrum?
Between 2 and 4 mm
30
At what age does the sacrum fuse?
30
31
Why would osteoarthritic changes of the SI joint inhibit movement?
Do to the formation of osteophytes (bone spurs)
32
What is the lumbarization of the sacrum?
1st sacral vertebrae is not fused. It adopts the role of a sixth lumber vertebrae.
33
What is sacralization of the lumber vertebrae?
The 5th lumber vertebrae fuses with the sacrum.
34
What is the function of the transverse ligament of the acetabulum? Which ligament does it blend with? What is its function
Acts as an extension of the acetabulum labrum. Ligamentum teres Produces a foramen (passageway) for arteries, nerves and veins
35
Most fractures of the femur involve which portion of the bone Head Neck Shaft Condylar parts
Neck
36
The function of the acetabular labrum is… Improve the depth of the socket Shock absorption Increase range of movement Improve the 'fit' of the joint
Improve the depth of the socket
37
The greater and lesser trochanter of the femur are joined anteriorly by the? Intertrocanteric line Adductor tubercle Pectineal line Intertrochanteric crest
Intertrocanteric line
38
What is the level of the lumberplexus?
T12, L1 to L4
39
What is the level of the sacral plexus?
L4 to S4
40
What is the differance between idiopathic and functional scoliosis?
Functional scoliosis is congential | The scoliosis remains via flexion
41
What causes functional scoliosis?
``` Muscular imbalances Antalgic posture (deviation) ```
42
Where would you find the pars articularis?
Between the superior and inferior articular facets of the vertebrae?
43
What is an anterior displacment a vertebrae called?
Spondylolisthesis
44
What is a posterior displacment a vertebrae called?
retrolisthesis
45
What factors contribute towards Spondylolisthesis ?
Full thickness tear to the illiolumber ligament Weakness of musculature of the abdomen Excess adipose tissue causing a pull Postural adaptations
46
What type of collagen are ligaments made from?
Type 1 collagen fibers
47
Which 4 muscles does the sacrotuberous ligament blend with?
Biceps femoris Piriformis Multifidus Gluteus maximus
48
What is trabecula?
Present in cancelleous bone Matrix structure within bone Enables bone to bend and flex
49
What nerve is affected by myalgia parasethetica? | Level?
Lateral femoral cutaneous nerve | L2/3
50
Which nerve is affected by piriformis syndrome?
Sciatic nerve
51
What is the nerve root level of the sciatic nerve?
L4 to S3
52
What is the nerve root level of the sciatic nerve?
S2 to S4
53
What is the motor and sensory function of the pudendal nerve?
Motor Controls anal and urethral external sphincter Sensory External genitalia and the perineum
54
If the sensory component of the pudendal nerve is damaged which condition does it lead to?
Saddle anesthesia
55
Name 4 bursa of the hip joint.
Trochanteric bursa illiopsoas bursa (illiopectineal bursa) Ischiogluteal bursa Gluteus medius bursa
56
Which nerve innervates the quads? Level
Femoral nerve L2 to L4
57
Which muscles are innervated by the anterior division of the femoral nerve?
Sartorius illiacus Pectineus
58
Which muscle is innervated by the inferior gluteal nerve?
Glute Max
59
What is the nerve root level of the Inferior gluteal nerve?
L5 to S2
60
Which muscles are innervated by the superior gluteal nerve?
Glute med, min and tfl
61
What is the nerve root level of the superior gluteal nerve?
L4 to S1
62
Which muscles does the common fibular nerve inneravate?
Short head of the biceps femoris
63
Which muscle does the superficial fibular nerve inneravate?
Lateral compartment of the leg
64
Which muscles does the deep fibular nerve innervate?
Anterior compartment of the leg
65
Which nerve innervates the posterior compartment of the leg?
Tibial nerve
66
Which nerve supply's cutaneous supply to the posterior compartment of the thigh? Level?
Posterior femoral cutaneous nerve | S1/2
67
Which nerve innervates the obturator externus?
Obturator nerve
68
Which nerve innervates the obturator internus? w/level.
Nerve to the obturator internus | L5 to S2