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Flashcards in The Hip - Lecture Deck (64):
1

The hip is classified as what type of joint?

Ball and Socket

2

Name the three bones that make up the os coxa

Ilium
Ischium
Pubis

3

Which hip bone contributes to the acetabulum and the ramus?

The ischium

4

T or F

The ilium + ramus = ischial tuberosity

False
haha so freaking false.

ischium + ramus = ischial tuberosity

5

What bone forms the anterior 1/5th of the acetabulum?

Pubis

6

The angle of the femoral shaft and head of the femur is approx what angle in adulthood?

120 degrees

7

How is the acetabulum angled in space?

Laterally, inferiorly, and anteriorly

8

Name the three joints that make up the pelvic girdle

Acetabularfemoral
Sacroiliac
Pubis symphysis

9

What structure marks the widest point on the iliac crests?

Iliac Tubercle

10

What is another name for a hip pointer?

Iliac Crest Contusion

11

Contusion to the site or an avulsion of what muscles are involved usually with an iliac crest contusion?

Quadratus lumborum and or the abdominal muscles

12

T or F

The greater trochanters should be a little higher than the pubic tubercles

False

Should be level

13

What is a bucket handle fracture

When the superior and inferior pubic rami fractures with a separation or fracture of the contra-lateral SI joint

14

Sprung pelvis =?

Separation of the pubic symphysis and both SI joints

15

Straddle fracture =?

Bilateral superior pubic rami and ischiopubic fracture. usually resulting from a vertical compression trauma

16

Where are the most common areas of the pelvis for avulsion fractures?

ASIS
AIIS
Ischial Tuberosity

17

What muscle groups attach at the Symphysis?

Adductors

18

T or F

The Sartorius attaches to the Anterior inferior iliac spine

False

The anterior superior iliac spine
The Rectus femoris attaches to the AIIS

19

What muscle attaches to the lesser trochanter?

Iliopsoas

20

What ligament attaches at the fovea capitis

Ligamentum Teres

21

What is the inclination angle and what should it measure?

The angle between the femoral shaft and the neck
125-130 degrees but can vary with body types

22

What is the angle that the femoral neck makes with the acetabulum called?

Angle of anteversion
Normal = 8-15 degrees

23

What is an aka for femoral ante version?

Medial Femoral Torsion

24

T or F

Femoral ante version gives a toe out gait

False

Toe-in

25

How great does the angle between the femoral neck and the transcondylar axis have to be to be considered Femoral Anteversion

Greater than 15 degrees

26

With Femoral retroversion the angle between the femoral neck and the transcondylar axis is less than ____

8 degrees

27

Decreased femoral head torsion may result in what conditions?

Low back or sacroiliac pathologies
Internal rotation of the tibia
Supination of the feet

28

AVN of the femoral capital epiphysis before close of the growth plate is known as?

Legg-Calve-Perthes Disease

29

T or F

Legg-Calve-Perthese Disease is more common in males 5:1

True

30

Pegg-Calve Perthese Disease would elicit a positive in what ortho test?

Trendelenberg Test

31

What are the main causes of the Legg-Calve-Perthes disease?

Trauma
Hereditary
Nutritional
Circulatory

32

List the 4 stages of the Legg Calve Perthes Disease

Avascularization
Revascularization
Repair
Deformity

33

Name the 3 extra-articular ligaments that help provide stability at the hip joint

Iliofemoral ligament of Bertin/Bigelow
Pubofemoral
Ischiofemoral

34

T or F

The ischiofemoral ligament is the strongest ligament in the body

False

Iliofemoral

35

What muscle does the iliofemoral ligament blend with?

Iliopsoas

36

T or F

The iliofemoral ligament is oriented superior-laterally

True

37

The pubofemoral ligament blends with what other structures?

Inferior band of the iliofemoral and pectineus muscle

38

Name the most commonly injured ligament in the hip

Ischiofemoral ligament

39

T or F
The medial band of the iliofemoral ligament limits external rotation & the medial band limits adduction

False

Opposite

40

What ligament limits abduction?

Pubofemoral

41

What ligament limits internal rotation of the hip

Ischiofemoral

42

Name the most powerful of hip flexors

Iliopsoas

43

Name a muscle that adducts, flexes and internally rotates the hip

Pectineus

44

What test could you do to test the TFL

Ober

45

What motions does the TFL help perform

Flexing, abducting and internally rotation the hip

46

What is the longest muscle in the body?

Sartorius

47

What are the actions of Sartorius?

Flexion, abduction and external hip rotation with some degree of knee flexion

48

What is the major internal rotator of the hip

Gluteus minimus

49

Weakness of this muscle can result in a "lurch"

Gluteus Medius

50

What muscle is an external rotator of the hip at less than 60 degrees of hip flexion?

Piriformis

51

What happens to the muscle action of Piriformis at 90 degrees of hip flexion?

The Piriformis reverses its muscle action becoming an internal rotator and abductor of the hip

52

What muscles extend the hip, flex the knee and internally rotate the tibia?

Semimembranosus + semitendinosus

53

T or F

The semimembranosus attaches more distally than the tedndinosus

False

54

Name the hip adductors

Adductor magnus
Adductor longus & brevis
Gracilis

55

The femoral triangle is defined superiorly by?

Inguinal ligament

56

T or F

The femoral triangle is defined medially by the sartorius

False

Adductor longus

Sartorius = lateral

57

T or F

The Femoral nerve lies lateral to the femoral artery

True

58

Name the neurovascular structures that pass through the femoral triangle from medial to lateral

Femoral vein, artery and nerve

59

Name the nerves that provide cutaneous innervation of the gluteal region

Subcostal nerves
Iliohypogastric nerve
DR L1 L2 L3
DPR - cluneal nerves of S1 S2 S3

60

T or F

The area superior to the inguinal ligament on the anterior region of the hip is supplied by the subcostal nerve, the femoral branch of the genitofemoral and the iliolingual nerve

False

This is the inferior area of the inguinal ligament

61

Is it more common for the common perennial nerve to pass superior or through the piriformis muscle

Through @ 11%
Superior to the muscle .9%

62

T or F

The medial femoral circumflex artery MFCA supplies the anterior portion of the capsule of the hip joint

False

The MFCA perforates and supplies the posterior hip joint capsule and synovium

63

What is the name of the terminal branch of the MFCA that supplies most of the femoral head

Lateral epiphyseal artery

64

PRICE stands for

Protection
Rest
Ice
Compression
Elevation