Quiz 3

Question 0

The femoral-acetabular joint is formed by the?

Answer 0

Approximating union of the head of the femur with the acetabulum of the pelvis.

Question 1

What is the femoral-acetabular articulation sometimes referred as?

Answer 1

As the coxofemoral joint

Question 2

The femoral-acetabular forms what type of joint?

Answer 2

Forms a diarthrodial ball and socket joint

This joint is also called enarthrodial is a multiaxial

Question 3

The hip has how many degrees of freedom?

Answer 3

3

Question 4

What is the functional role of the Hip?

Answer 4

It is designed for maximal stability while providing considerable mobility.

Question 5

What are the primary functions of the Hip?

Answer 5

Weight bearing support

Force transmission for ground reaction forces

Question 6

Where can referred pain in the hip region be associated?

Answer 6

Lumbo-sacral region 
Knee 
Anterior-Medial- lateral thigh 
Groin 
Buttock 
Foot/ankle

Question 7

What is interdependence of the hip with proximal and distal segments along with WB contribute to?

Answer 7

Developement of many hip pathologies

Often expressed during gait

Question 8

What is the resting position of the Hip?

Answer 8

30 degrees flexion
30 degrees abduction
0 degrees or slight ER

Question 9

What is the closed pack position of the Hip?

Answer 9

Extension
Internal rotation
Abduction

Question 10

When is the body in the most stable position?

Answer 10

Terminal stance

Question 11

What is the orientation of the acetabulum?

Answer 11

Lateral
Anterior
Inferior

Question 12

What cartilage is covering the acetabulum articular surface?

Answer 12

Horseshoe-shaped

Question 13

What is located in the deep acetabular fossa?

Answer 13

Synovial covered fibroelastic fat pad

Question 14

What is the wedge shaped fibro-cartilage in the acetabulum & deepens the socket to increase con cavity?

Answer 14

Acetabular labrum

Question 15

Femoral head

Answer 15

Distal convex

2/3 of sphere

Question 16

What type of cartilage is the femoral head lined with besides the fovea?

Answer 16

Hyaline

Question 17

What Is a capsule

Answer 17

Strong and dense; contributes significantly to joint stability

Question 18

Where is the capsule attached?

Answer 18

Proximally to entire rim of acetabulum distally to the base of femoral neck

Question 19

What does the capsule form multilayered?

Answer 19

Zona Orbicularis

Question 20

Where is capsule thickened and thin?

Answer 20

Thickened - anteriosuperiorly

Thin- posteriorinferiorly

Question 21

What does the capsule significantly restricts?

Answer 21

Joint distraction

Question 22

What is the capsule reinforced by?

Answer 22

Strong ligaments

Question 23

What are the 3 primary ligaments that contribute to stability in the hip?

Answer 23

Illiofemoral
Ischiofemoral
Pubofemoral

Question 24

What are the additional ligaments of the hip?

Answer 24

Ligament of the head of the femur (ligamentous teres) | Transverse acetabular ligament

Question 25

What is the Illiofemoral ligament also known as?

Answer 25

Inverted Y

Question 26

What is in the proximal portion of the Illiofemoral ligament?

Answer 26

Lower portion of ASIS Area on ilium Proximal to superior & posteriosuperior rim of acetabulum

Question 27

What is in the distal portion of the Illiofemoral ligament?

Answer 27

Intertrochanteric line Lateral fiber > anterior of greater trochanter Medial fiber> anterior of lesser trochanter

Question 28

What does the Illiofemoral primarily checks?

Answer 28

Extension | Internal rotation

Question 29

What is in the proximal portion of the Ischiofemoral ligament?

Answer 29

Area on ischium Posterior & posterior inferior to rim of acetabulum Fibers upward & laterally

Question 30

What is in the distal portion of the Ischiofemoral ligament?

Answer 30

Posterior superior femur neck | Neck meets greater trochanter

Question 31

What does the Ischiofemoral pulls tight on?

Answer 31

Extension | IR

Question 32

What is in the proximal portion of the Pubofemoral ligament?

Answer 32

Pubic bone near acetabulum

Question 33

What is in the distal portion of the Pubofemoral ligament?

Answer 33

Femur, anterior to lesser trochanter

Question 34

What does the Pubofemoral primarily tightens?

Answer 34

Abduction extension Checks IR

Question 35

The ligament of the head of the femur is also known as?

Answer 35

Ligamentum Teres

Question 36

What is a bursa?

Answer 36

Small Fluid filled sacks that act to decrease friction and provide cushion between the structures they sit between

Question 37

What are the 4 bursae locations?

Answer 37

Trochanteric Illiopectineal Iliopsoas Ischiogluteal

Question 38

Which bursa is often overlooked and is located closer to the tendinous insertion of the muscle?

Answer 38

Iliopsoas

Question 39

Which bursa is continuous with joint capsule anteriorly?

Answer 39

Iliopectineal

Question 40

What is also known as " weaver's bottom" ?

Answer 40

Ischiogluteal

Question 41

Where is the trochanteric bursa located?

Answer 41

Decreases friction between ITB, gluteal med/min and greater trochanter

Question 42

What is the trochanteric bursa due to?

Answer 42

IlliotibiAl band syndrome

Question 43

Where is the iliopectineal bursa located?

Answer 43

Between Iliopsoas and iliopectineal eminence of the bone at the superior acetabular rim

Question 44

What does the iliopectineal bursa presents as?

Answer 44

Deep groin pain

Question 45

Where is the ischiogluteal bursa located?

Answer 45

Between the ischial tuberosity and common hamstring tendon

Question 46

What population is ischiogluteal bursae most common in?

Answer 46

People who frequently sit on hard surfaces

Question 47

What are the 2 pathways for vascular structures?

Answer 47

Ligament of the head of the femur | Neck of the femur

Question 48

What are the 3 arteries?

Answer 48

Medial circumflex Lateral circumflex Obturator

Question 49

Where do the circumflex arteries supply?

Answer 49

Intra & extracapsular arterial rings ascending the neck of the femur

Question 50

What does the Obturator artery supply?

Answer 50

Branching that migrates to the femoral head by way of the ligament head

Question 51

Where does the structures spinal innervate?

Answer 51

L2-S1

Question 52

What is the primary innovation of the hip joint?

Answer 52

L3

Question 53

Where is there significant potential referral pattern of pain to and from the hip?

Answer 53

Because the innervations can be between L2-s1

Question 54

Where does the femoral nerve innervate?

Answer 54

Quadriceps | L2-4

Question 55

What should be watched out for At this level ?

Answer 55

ASIS fracture

Question 56

Where does the sciatic nerve innervate?

Answer 56

Hamstrings | L4-S3

Question 57

Which muscle is involved with the sciatic?

Answer 57

Pirimorsis, depending if it runs under, over, or through | Through is worse. Gemellus muscle

Question 58

Where does the Obturator nerve innervate?

Answer 58

Adductors L2-4

Question 59

When discussing musculotendinous function of the hip consideration must be given to the following?

Answer 59

2 joint muscles - Rectus femoris vs. Iliopsoas Multiple actions of muscles -econcentrics Position of the hip in reference to the pelvis

Question 60

What muscles are responsible for hip flexion?

Answer 60

``` Psoas major and minor Iliacus Rectus femoris Sartorius Pectineus Adductor Longus and Brevis Gracilis ```

Question 61

What muscles are responsible for hip extension?

Answer 61

``` Gluteus Maximus Hamstrings: Biceps femoris Semi tendinous Semi membranous Gluteus medius Adductor Magnus ```

Question 62

What is the femoral acetabulum flexion angle?

Answer 62

110-120 degrees

Question 63

What is the femoral-acetabulum extension angle?

Answer 63

10-15 degrees

Question 64

What is the femoral-acetabulum abduction angle?

Answer 64

30-35 degrees

Question 65

What is the femoral-acetabulum adduction angle?

Answer 65

30 degrees

Question 66

What is the femoral-acetabulum ER angle?

Answer 66

40-60 degrees

Question 67

What is the femoral-acetabulum IR angle?

Answer 67

30-40 degrees

Question 68

What is the ratio between quadriceps and hamstrings?

Answer 68

60%

Question 69

Is manual mobilization generally used at the hip?

Answer 69

No

Question 70

Identify the following Arthrokinematic motion? | Posterior & inferior glide

Answer 70

Flexion

Question 71

Identify the following Arthrokinematic motion? | Inferior glide

Answer 71

Abduction

Question 72

Identify the following Arthrokinematic motion? | Anterior glide

Answer 72

Lateral rotation

Question 73

Identify the following Arthrokinematic motion? | Posterior glide

Answer 73

Medial rotation

Question 74

What plane is the angle of inclination?

Answer 74

Frontal

Question 75

What is the angle of inclination knows as?

Answer 75

Femoral neck shaft angle

Question 76

What plane is the angle of torsion?

Answer 76

Transverse

Question 77

What is the angle of torsion known as?

Answer 77

Anteversion or retroversion

Question 78

A pathological increase in the angle of inclination is considered?

Answer 78

Coxa valgum

Question 79

What is the clinical presentation of Coxa valgum?

Answer 79

Increase leg length Increased compression force through femoral neck Abnormal location of joint contact with acetabulum Mechanical disadvantage for hip abductor

Question 80

A pathological decrease in the angle of inclination is considered?

Answer 80

Coxa Varum

Question 81

What is the clinical presentation for Coxa Varum?

Answer 81

Decrease leg length Increase shearing forces through femoral neck Abnormal location of joint contact with acetabulum Mechanical advantage for hip abductor