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Anatomy Hip Joint
exam 1
Question | Answer |
---|---|
what type of joint is the hip joint? | synovial joint |
how many degrees of freedom does a hip joint have? | 3 |
function of hip joint | support body weight and allow motion |
femoral head shape | convex ovoid |
type of cartilage on femoral head | thick articular cartilage |
why is there a lot of articular cartilage on femoral head? | because we put all our body weight on it |
femoral neck projects... | superiorly, medially, and anteriorly from femoral head |
labrum is made up of what? | fibrocartilage |
labrum function | deepens socket, articulates with femoral head, creates suction seal of femoral head |
labrum has... | proprioception and nocioception |
proprioception | knowing where the body is spatially |
nocioception | pain reception |
decreased femoral head-neck offset | how hip arthritis starts, can cause injury to labrum, should be 125 |
normal angle of inclination | 125 degrees |
coxa vara | when angle of inclination is less than 125 degrees, puts pressure on femoral neck, leads to stress fractures |
coxa valga | angle of inclination is greater than 125 degrees, leads to acetabular dysplasia, patient but put hips into abduction for increases stability |
torsion angle | the rotation (twist) that exists between the shaft and neck of femur |
normal torsion angle | 15 degrees |
excessive anteversion | greater than 15 degrees |
retroversion | less than 15 degrees |
acetabulum shape | concave ovoid |
acetabulum function | reciprocates with femoral head |
acetabular fossa doesn't have much cartilage because... | the area has little bone contact |
ligamentum teres | extends from acetabulum to head of the femur, minimal blood supply to femoral head |
walls of femoral shaft and neck are made up of... | dense compact bone, can withstand high loads |
under compact bone shell in femoral shaft and neck there is... | spongy bone |
spongy bone in the shaft and neck are arranged... | to form pillars |
pillars can | withstand small loads |
in femoral neck, pillars form.. | arches |
arches can | withstand greater loads |
calcar femorale | plate of cortical bone, response to stress on trabeculae |
calcar femorale location | extends from region of trochanteric line into femoral neck |
fibrous capsule function | serves as container for hip joint, developed in the womb |
fibrous capsule attaches medially to | the rim of acetabulum |
fibrous capsule attaches laterally to | base of femoral neck |
fibrous capsule attaches anteriorly to | trochanteric line |
fibrous capsule attaches posteriorly to | femoral neck |
3 major ligaments supporting the hip | iliofemoral, ischiofemoral, pubofemoral |
strongest ligament in the hip | iliofemoral |
weakest ligament in the hip | ischiofemoral |
iliofemoral ligament | main reinforcement of anterior capsule |
iliofemoral ligament attaches | proximally to AIIS and distally to trochanteric line |
iliofemoral ligament function | limits extension and ER |
ischiofemoral ligament | primarily a posterior structure |
ischiofemoral attaches | proximally at inferior aspect of acetabulum and distally to medial surface of greater trochanter |
ischiofemoral function | limits extension, IR, adduction |
pubofemoral ligament | hammock like, helps support femoral head |
pubofemoral ligament attaches | proximally at body and superior ramus of pubis, distally at inferior surface of femoral neck |
pubofemoral ligament function | limits extension and abduction |
3 bursae of the hip | iliopsoas, superficial trochanteric, ischiogluteal |
bursa | fluid filled sac, NOT born with, body's reaction to friction |
iliopsoas bursa | deep to psoas tendon, cushions tendon from structures on anterior aspect of the hip |
superficial trochanteric bursa | between greater trochanter and tensor fascia lata |
ischiogluteal bursa | between ischium and gluteal muscles |
innervation of the hip joint | Femoral, Obturator, Tibial, Superior & Inferior, Small individual nerves |
Blood supply to the hip | Medial and lateral circumflex, Obturator artery, Deep femoral artery |
majority of blood flow to hip joint | medial and lateral circumflex |