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43 Cards in this Set
- Front
- Back
The Pelvis is directed which ways?
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Downwardly and Outwardly
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What ligament is centered within the Acetabulum?
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Ligamentum Teres
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The femoral head has an angle inclination at what? in the frontal plane?
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125 degrees
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Angle Greater then 125 in pelvis is What?
Angle Less than 125 in pelvis is what? |
Coxa Valga
Coxa Vara |
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In the transverse plane, the angle of torsion in the pelvis is normally at what?
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15 degrees
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Increased Angle of Pelvis is?
Decreased angle of pelvis is? |
Anteversion (feet make an "A"
Retroversion |
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What is the Pubic Symphysis?
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Interpubic disk separates the two pubic bones.
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Sacroilliac joint is made up of what?
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Each innominate bone that articulates with the sacrum at the posterior side.
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The limits the ROM of the Coxofemoral joint?
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Deep acetabulum
Strength of ligaments Strong muscular support Dense synovial Capsule |
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What does the Iliofemoral Ligament (Y) do and where is it found?
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It works with the capsule to prevent hyperextension and allows support for us to stand upright with little muscular support.
Found at the AIIS, it splits to insert distal intertrochanteric line and the inserting on the femoral neck |
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Pubofemoral ligament is found where and limits what movements?
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Found on the pubic ramus and limits abduction and hyperextension
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Ischiofemoral ligament is found where and limits what movements?
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originates at the posterior acetabular rim attaching to the joint capsule and greater trochanter
Limits hip extension |
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Ligamentum teres supports what?
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medial and lateral cicumflex arteries
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Inguinal ligament is found where and what is its importance?
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originates off ASIS and inserts at the pubic symphysis
holds down the soft tissues of the anterior hip as they move from trunk to leg. Serves as superior border of the femoral triangle |
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Extrinsic muscles of Hip?
Instrinsic Muscles of Hip? |
1. Generate a great force to allow for flexion, extension, and internal rotation
2. only externally rotates hip |
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Iliopsoas muscle group?
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Made up of the psoas major, psoas minor, and iliacus muscles
They are the primary hip flexors with knee extended |
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Rectus femoris, iliacus and sartorius work to do what?
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Anteriorly rotate the pelvis on the sacrum.
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What is the adductor Group?
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Adductor longus, magnus, and brevis
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What muscles besides the adductor group adduct the hip?
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pectineus and gracilis
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Gluteus medius?
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Prime abductor of hip and maintains horizontal position of the pelvis and the torso's upright posture during gait.
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Trendelenburg test
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Stand on affected leg if the non affected legs hip drop then the affected legs gluteus medius is weak
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Tensor fasciae latae?
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an abductor and internal rotator of the hip.
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External rotators of hip (instrinsic)
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Piraformis, quadratus femoris, obturator inturnus
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Gluteus Maximus?
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Extensor of hip
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hamstrings?
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Extend hip and decelerating knee extension and hip flexion during running
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Femoral Triangle?
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Inguinal ligament, Sartorius, and adductor longus (SALI)
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What is located within the femoral triangle?
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Femoral nerve, artery, vein and lymph nodes
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Trochanteric Bursa
Gluteofemoral Bursa Ischial Bursa |
1. lubricates area between gluteus maximus and greater trochanter
2. seperates gluteus maximus and the origin of vastus lateralis 3. serves as weight bearing structure when seated. |
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Complete eval of hip consists of what?
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assessment of lower extremity, spinal column and posture
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Direct blow to the iliac crest is also known as a?
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hip pointer
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Fall on buttock can lead to what?
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coccyx or ischium pathology or sacroiliac joint dysfunction.
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Legg-calve-perthes disease?
Slipped Capital femoral epiphysis? |
1. avascular necrosis occuring in children 3 to 12
2. displacement of the femoral head relative to femoral shaft common ages 10 to 15 |
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Angle of inclination?
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angular relationship of the femoral head and femoral shaft
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angle of torsion?
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in transverse plane; the relationship between the femoral head and femoral shaft; normally about 15 degrees
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anteverted and retroverted
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1. increases greater than 15 degrees
2. decrease less than 15 degrees |
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Nelatons line?
Pilonidal Cyst? |
1. quick screen to determine the presence of coxa vara (draw line from asis to ischial tuberosity, greater tuberosity superior indicates coxa vara, inferior could indicate coxa valga.)
2. an infection over the posterior aspect of the median sacral crests |
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Trochanteric Bursitis
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caused by an acute blow but generally caused by tight IT band.
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Iliopsoas Bursitis?
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Usually caused by rheumatoid arthritis or osteoarthritis of the hip
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Leading factors for Degenerative Hip changes?
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Age, repetitive trauma, acute trauma, or improper bony arrangement
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Piriformis syndrome MOI and S/S
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1. Tight, spasm or hypertrophic piriformis placing pressure on sciatic nerve
2. burning pain, numbness |
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Hip Pointer
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result in disproportionate amount of pain, swelling, discoloration, loss of function
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Quad Contusion Care?
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First 24 hours are critical to long-term management and rehab. Immediate Ice and knee flexion as pain tolerates.
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Hip dislocations occur when?
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hip is in flexion and adduction and an axial force is delivered to the femur. Displacing posteriorly
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