Hips and Pelvis

Question 1

what makes up the bony pelvis

Answer 1

coxal bones
sacrum
coccyx

Question 2

what are coxal bones

Answer 2

ilium
ischium
pubis
acetabulum
obturator foramen

Question 3

what 3 bones does the acetabulum connect

Answer 3

ilium
pubis
ischium

Question 4

concave sacrum

Answer 4

anterior/ventral surface

Question 5

convex sacrum

Answer 5

posterior/dorsal surface

Question 6

coccyx

Answer 6

-4 fused vertebrae
-base is superior
-apex is inferior
-no nerves

Question 7

anterior pelvic outlet

Answer 7

ischial tuberosities
ischiopubic rami
pubic symphysis

Question 8

posterior pelvic outlet

Answer 8

sacrotuberous ligament
sacrum
coccyx

Question 9

female pelvis

Answer 9

-wider
-more shallow
-larger opening
-sacrum flattened anteriorly

Question 10

pubic arch

Answer 10

-angle at anterior inferior pelvis
-female-thumb and index
-male-index and middle

Question 11

Q-angle

Answer 11

-overall line of force of quadriceps
-wider pelvis increases angle
-increased medial knee stress

Question 12

fovea

Answer 12

-depression at femur head
-attachment for ligament of head

Question 13

femur neck

Answer 13

projects superomedially from shaft

Question 14

hip joint

Answer 14

-synovial articulation between head of femur and acetabulum
-multi axial ball and socket for stability and weight bearing
-flexion, extension, abduction, adduction, medial rot, lateral rot, circumduction

Question 15

femoroacetabular joint consists of

Answer 15

acetabulum surface and femoral head with hyaline cartilage

Question 16

acetabular labrum

Answer 16

-deepens the socket
-fibrocartilage

Question 17

fovea- ligamentum teres

Answer 17

-runs from central of femoral head to inferior rim of acetabulum
-carries small branch of obturator artery

Question 18

hip joint capsule

Answer 18

-attaches to borders of the articular surfaces of the femur and acetabulum
-forms covering around the ligamentum teres
-reinforced by ligaments

Question 19

what are the anterior ligaments of the hip joint

Answer 19

-iliofemoral
-pubofemoral
-inguinal

Question 20

iliofemoral ligament

Answer 20

-Y ligament
-ilium inferior to ASIS to anterior femur
-prevents excessive extension

Question 21

pubofemoral limagent

Answer 21

-from pubic portion of acetabular ring to anterior femur
prevents excessive abduction

Question 22

inguinal

Answer 22

-medial ASIS to later pubic tubercle

Question 23

what is the posterior ligament of the hip joint

Answer 23

-ischiofemoral- from ischial rim to acetabulum to anterior joint capsule and femur, prevents excessive extension

Question 24

arterial circulation

Answer 24

-right common iliac artery
-left common iliac artery

Question 25

internal common iliac artery becomes...

Answer 25

internal becomes the obturator artery

Question 26

external common iliac arteries becomes...

Answer 26

external becomes the femoral artery

Question 27

femoral triangle

Answer 27

-structure within femoral triangle from medial to lateral -N- femoral nerve -A- femoral artery -V- femoral vein -L- lymphatics

Question 28

where does the femoral artery descend

Answer 28

deep through thing, passes through adductor hiatus to become popliteal artery

Question 29

posterior arteries

Answer 29

-inferior gluteal arteries -superior gluteal arteries -enter gluteal region from pelvic cavity through greater sciatic foramen

Question 30

superior gluteal artery

Answer 30

-originates from posterior trunk of internal iliac artery -divides into superficial and deep branch -superficial branch passes through deep surface of gluteus maximus -deep branch passes between gluteus medius and minimus muscle

Question 31

inferior gluteal artery

Answer 31

-originates from anterior trunk of internal iliac artery in pelvic cavity -exits pelvic cavity with inferior gluteal nerve through greater sciatic foramen inferior to piriformis muscle

Question 32

veins

Answer 32

-inferior and superior gluteal veins follow the inferior superior gluteal arteries into pelvis where they join the pelvic plexus

Question 33

lymphatics

Answer 33

-deep lymphatic vessels of the gluteal region accompany the blood vessels into pelvic cavity and connect with internal iliac nodes

Question 34

fascia compartments

Answer 34

-fascia lata- envelopes entire thigh -3 intermuscular septa divide thigh into 3 compartments -all 3 septa attach to linea aspera -posterior- hamstrings -medial- adductors -anterior quadriceps

Question 35

femoral triangle boarders

Answer 35

-inguinal ligament -adductor longus -sartorius

Question 36

structures in femoral triangle

Answer 36

NAVL

Question 37

obturator nerve

Answer 37

-arises from lumbar plexus -anterior branch -posterior branch -branches innervate adductor longus, adductor braves, gracilis, obturator externs, anterior adductor magnus

Question 38

anterior branch of obturator nerve

Answer 38

-deep to adductor longus -superficial to adductor brevis

Question 39

posterior branch of obturator nerve

Answer 39

-pierces obturator externus -passes superficially to adductor magnus

Question 40

trochanteric bursa

Answer 40

-separates gluteus maximus from greater trochanter

Question 41

gluteofemoral bursa

Answer 41

-separtaes gluteus maximus and medius from proximal attachment of vastus lateralis at greater trochanter

Question 42

ischial bursa

Answer 42

-separates gluteal maximus from ischial tuberosity

Question 43

iliopsoas bursa

Answer 43

separates iliopsoas front hip capsule

Question 44

gluteus medius bursa

Answer 44

-separates gluteus medius from greater trochanter