Hip Joint Anatomy and Function
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Questions and Answers

What is the shape of the articular surfaces of the hip joint, and what cartilage covers them?

The articular surfaces of the hip joint are cup-shaped, and they are covered by hyaline cartilage.

Describe the structure and function of the ligamentum teres in the hip joint.

The ligamentum teres is a ligament that extends from the fovea of the femur to the acetabulum, playing a role in stabilizing the head of the femur.

How does the fibrocartilaginous acetabular labrum contribute to hip joint stability?

The acetabular labrum deepens the socket of the acetabulum, enhancing the stability of the hip joint by increasing the surface area of contact.

What are the primary components of the joint capsule in the hip joint?

<p>The joint capsule of the hip joint consists of a fibrous outer layer and an inner synovial membrane.</p> Signup and view all the answers

What is the significance of the low coefficient of friction in cartilage compared to ice?

<p>The cartilage coefficient of friction (≈ 0.002 - 0.01) allows for smooth joint movement, much less than ice (≈ 0.2 - 0.5), reducing wear on the joint surfaces.</p> Signup and view all the answers

What is the primary action of the iliopsoas muscle group and what nerves supply them?

<p>The iliopsoas muscle group primarily flexes the thigh, and is supplied by the femoral nerve (L2-L3) for the iliacus and the lumbar plexus (L2-L3) for the psoas major.</p> Signup and view all the answers

What is the origin and insertion of the adductor magnus muscle, and which nerves innervate it?

<p>The adductor magnus originates from the inferior ramus of the pubis and ischium, inserting on the linea aspera and medial epicondyle, and is innervated by the obturator nerve (L2-L4) and tibial portion of the sciatic nerve (L2-L4).</p> Signup and view all the answers

Describe the origin and action of the piriformis muscle.

<p>The piriformis originates from the anterior sacrum and gluteal surface of the ilium, and it laterally rotates and abducts the thigh.</p> Signup and view all the answers

Which muscles contribute to the hip flexion, and what is their common insertion point?

<p>The muscles contributing to hip flexion include the iliacus, psoas major, and psoas minor, all inserting at the lesser trochanter of the femur.</p> Signup and view all the answers

What differentiates the actions of the iliacus from the psoas major?

<p>While both muscles primarily flex the thigh, the psoas major also assists in stabilizing the lumbar spine due to its origin from the lumbar vertebrae.</p> Signup and view all the answers

What is the classification of the acetabulofemoral joint?

<p>It is classified as a synovial ball and socket joint.</p> Signup and view all the answers

What bony features fuse to form the innominate bone?

<p>The ilium, ischium, and pubis fuse to form the innominate bone.</p> Signup and view all the answers

Describe the main movements available at the hip joint.

<p>The main movements are flexion, extension, abduction, adduction, medial rotation, and lateral rotation.</p> Signup and view all the answers

What is the significance of the acetabular foramen?

<p>The acetabular foramen allows nerves and arteries to access the joint.</p> Signup and view all the answers

How do the capsular and intra-capsular ligaments function in the hip joint?

<p>They limit joint movement and provide stability to the hip joint.</p> Signup and view all the answers

What is unique about the fovea capitis on the femoral head?

<p>The fovea capitis is the only area on the femoral head that is not covered by articular cartilage.</p> Signup and view all the answers

What role do the muscles surrounding the hip joint play?

<p>They help in stability, movement, and are important for hip function.</p> Signup and view all the answers

Which surfaces of the femur articulate with the acetabulum?

<p>The femoral head articulates with the prominent lunate surface of the acetabulum.</p> Signup and view all the answers

What are the primary blood and nerve supplies to the hip joint?

<p>The primary supplies are through the medial and lateral femoral circumflex arteries and nerves from the lumbar and sacral plexus.</p> Signup and view all the answers

What is the range of flexion available at the hip joint?

<p>The hip joint allows for approximately 100° of flexion.</p> Signup and view all the answers

What is the shape of the articular surfaces in the hip joint?

<p>The articular surfaces of the hip joint are spherical, allowing for a wide range of motion.</p> Signup and view all the answers

Describe the attachments of the fibrous capsule in the hip joint.

<p>The fibrous capsule attaches proximally to the acetabulum and the transverse acetabular ligament, and distally to the neck of the femur at the greater trochanter.</p> Signup and view all the answers

What is the role of the synovial membrane in the hip joint?

<p>The synovial membrane lines the inner surface of the fibrous capsule and secretes synovial fluid to lubricate the joint.</p> Signup and view all the answers

What is the common origin of the hamstrings, and how do they contribute to hip stability?

<p>The common origin of the hamstrings is the ischial tuberosity, and they contribute to hip stability by allowing hip extension and knee flexion.</p> Signup and view all the answers

Identify the ligaments that enhance the stability of the hip joint capsule.

<p>The iliofemoral, pubofemoral, and ischiofemoral ligaments reinforce the stability of the hip joint capsule.</p> Signup and view all the answers

What actions do the long head of the biceps femoris perform at the hip and knee joints?

<p>The long head of the biceps femoris performs hip extension and knee flexion.</p> Signup and view all the answers

How does the iliofemoral ligament contribute to hip joint stability?

<p>The iliofemoral ligament is very strong, originating at the AIIS and fanning out to insert along the intertrochanteric line of the femur.</p> Signup and view all the answers

What movements does the ligamentum teres primarily support for the hip joint?

<p>The ligamentum teres primarily supports medial rotation and hip stability.</p> Signup and view all the answers

Describe the nerve supply for the semimembranosus and semitendinosus muscles.

<p>The semimembranosus and semitendinosus muscles are supplied by the tibial portion of the sciatic nerve, specifically L5-S2.</p> Signup and view all the answers

Explain the role of the gluteus maximus in hip movement.

<p>The gluteus maximus extends and laterally rotates the thigh.</p> Signup and view all the answers

What function do the deep fibers of the reflected head of rectus femoris serve in the hip joint?

<p>The deep fibers of the reflected head of rectus femoris strengthen the anteromedial aspect of the hip joint capsule.</p> Signup and view all the answers

What is the role of the sartorius muscle in hip joint movement?

<p>The sartorius muscle flexes, abducts, and laterally rotates the hip joint.</p> Signup and view all the answers

What are the origins and insertions of the gracilis muscle, and its main actions?

<p>The gracilis muscle originates from the pubis and inserts on the proximal part of the medial surface of the tibia; it adducts the hip joint and flexes the knee.</p> Signup and view all the answers

Discuss the significance of the acetabular labrum in hip joint stability.

<p>The acetabular labrum deepens the socket of the acetabulum, increasing the contact area with the femoral head.</p> Signup and view all the answers

Where does the gluteus medius muscle originate, and what are its primary actions?

<p>The gluteus medius originates from the outer surface of the ilium and primarily abducts and medially rotates the thigh.</p> Signup and view all the answers

What impact can a rupture of the joint capsule have on the hip joint?

<p>A rupture of the joint capsule can lead to dislocation of the hip joint.</p> Signup and view all the answers

Identify the nerve supply for the gluteus maximus and its innervation levels.

<p>The gluteus maximus is innervated by the inferior gluteal nerve from L5 to S2.</p> Signup and view all the answers

Describe the function of the transverse acetabular ligament in the hip joint.

<p>The transverse acetabular ligament crosses the acetabular notch and contributes to the stability of the hip joint.</p> Signup and view all the answers

What is the primary role of the ischiofemoral ligament in hip joint movement?

<p>The ischiofemoral ligament resists hip extension and medial rotation.</p> Signup and view all the answers

How does the iliopubic eminence relate to the pubofemoral ligament?

<p>The pubofemoral ligament originates from the iliopubic eminence and resists hip abduction and extension.</p> Signup and view all the answers

Mention a key feature of the ligament of the head of the femur.

<p>The ligament of the head of the femur attaches to the fovea and does not contribute to hip joint stability.</p> Signup and view all the answers

Study Notes

Hip Anatomy Study Notes

  • Learning Outcomes:
    • Students should be able to identify key bony features around the hip joint and describe them on X-rays.
    • State the shape of the articular surfaces of the hip joint and describe capsule and synovium attachments.
    • Describe the capsular and intracapsular ligaments of the hip joint and their role in limiting movement.
    • Describe the functions of hip muscles in terms of attachments, actions, nerve supply, and stability.
    • Describe the blood and nerve supply to the hip joint and its importance in relation to hip fractures.

Acetabulofemoral Joint

  • Classification: Synovial ball and socket joint

  • Movements: Flexion, extension, abduction, adduction, medial and lateral rotation

  • Planes of Movement: Sagittal, frontal, transverse, and multiaxial (medial-lateral, anterior-posterior, superior-inferior)

  • Stability: Deep structure enhances stability but compromises mobility

  • Bony Landmarks (Acetabulum):

    • Ilium
    • Ischium
    • Pubis
    • Fuse to form the innominate bone
    • Acetabulum, iliac crest, ASIS, AIIS, PSIS, PIIS, Greater Sciatic Notch, Ischial Spine, Ischial Tuberosity, Superior Pubic Ramus, Pubic Tubercle, Inferior Pubic Ramus, Obturator Foramen
  • Bony Landmarks (Femur):

    • Head
    • Neck
    • Greater Trochanter
    • Lesser Trochanter
    • Shaft
    • Linea aspera
    • Intertrochanteric line
    • Intertrochanteric Crest
    • Greater/Lesser Trochanter
    • Fovea Capitis
    • Trochanter; Greek for running, muscles attach here

Articular Surfaces

  • Shape: Lunate (moon shaped) surface of the acetabulum

  • Cartilage: Covered by articular cartilage

  • Acetabular Fossa: Nonarticular, contains fat, vessels, nerves

  • Acetabular Foramen: Gap allowing nerve and artery to the joint; bridged by transverse acetabular ligament

  • Femoral Head: Articulates with the lunate surface -Covered with articular cartilage -Except for the fovea capitis (Ligamentum Teres)

Cartilage Coefficient of Friction

  • Around 0.002-0.01 (ice 0.2-0.5)

Acetabular Hyaline Cartilage

  • Forms 2/3 of the femoral head in contact with the acetabulum

Acetabular Labrum

  • Fibrocartilaginous lip, significantly improves joint stability

Hip Joint Capsule

  • Strength: Very strong and fibrous covering the head and neck of the femur

  • Attachments:

    • proximally, the acetabulum and transverse acetabular ligaments
    • distally, the neck of the femur anteriorly
  • Synovial Membrane: Lines fibrous capsule, covers acetabular labrum, secretes synovial fluid

Hip Joint Stability

  • Anteromedially: Strengthened by deep fibres of reflected head; rectus femoris

  • Laterally: Strengthened by deep fibers from gluteus minimus

Capsular Ligaments

  • Iliofemoral: Very strong triangular band

  • Pubofemoral: Reinforces inferior and anterior aspects of the joint

  • Ischiofemoral: Spiral shape; less well defined

Intracapsular Ligaments

  • Transverse Acetabular Ligament: Crosses the acetabular notch

  • Ligament of Head of Femur (Ligamentum Teres): Attaches to the fovea, minimal role in stability.

Hip Muscles

  • Gluteal Muscles:

    • Gluteus Maximus:
      • Large, powerful extensor
      • Extends and laterally rotates thigh
  • Gluteus Medius:

    • Abducts thigh and medially rotates
  • Gluteus Minimus:

    • Abducts and medially rotates
  • Tensor Fascia Latae (TFL)/Iliotibial Band (ITB):

    • Hip flexion, abduction, and medial rotation
  • Hip Flexors:

    • Rectus Femoris:
      • Flexes and extends the knee
  • Iliacus:

    • Flexes thigh
  • Psoas Major:

    • Flexes thigh
  • Adductors: Adductor Brevis, Adductor Longus, Adductor Magnus

  • Bursae and Tendons

  • Pectineus,Pyramidallis, Tensor Fascia Latae/Iliofemoral Band

  • Muscles of posterior & medial thigh (hip flexors) : Semimembranosus, Semitendinosus, and Biceps Femoris

  • Rotator Cuffs (hip): Piriformis, Quadratus femoris, Obturator Internus, and Obturator Externus

Limitations of Movement

  • Flexion: 90-115 degrees

  • Extension : 15-30 degrees (hip flexed)

  • Abduction: 50-60 degrees

  • Adduction: 15-45 degrees (hip flexed)

  • Medial Rotation: 30-45 degrees

  • Lateral Rotation: 45-60 degrees

Significance of Blood Supply to Hip Fractures (complications)

  • AVascular Necrosis:

    • Complication associated with hip fractures
    • Occurs when blood supply to the femoral head is disrupted and it dies, typically within 6 hours
  • Blood Supply to Femoral Head: Complex system with multiple arteries that deliver supply from distal to proximal

  • Profunda Femoris: Major blood vessel supplying the femur

  • Key Vessels: Branches to retinacula arteries, Profunda Femoris (Lateral and Medial Circumflex Femoral Arteries); Branches to retinacular arteries.

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Hip Anatomy Slides PDF

Description

This quiz covers key aspects of hip joint anatomy, including the shape of articular surfaces, the role of cartilage, ligaments, and muscles. It also delves into the movements available at the hip joint and the significance of various components that contribute to its stability and function.

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