Hip Joint Complex Anatomy and Function
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Questions and Answers

What is the range of passive flexion with a flexed knee at the hip joint?

  • 160º
  • 140º (correct)
  • 90º
  • 120º
  • Which muscle is primarily responsible for hip extension and external rotation?

  • Psoas Major
  • Gluteus Medius
  • Gluteus Major (correct)
  • Quadriceps
  • What is the maximum external rotation of the hip joint?

  • 30º
  • 40º
  • 60º (correct)
  • 50º
  • Which of the following muscles contributes to both flexion and abduction at the hip joint?

    <p>Sartorius (D)</p> Signup and view all the answers

    What characterizes the hip joint's mobility compared to other joints in the body?

    <p>It is the second most mobile joint. (B)</p> Signup and view all the answers

    What does a positive Thomas Test indicate?

    <p>Shortening or snapping of the psoas (B)</p> Signup and view all the answers

    Which factor is assessed during the Squat and Lunge test?

    <p>Hip joint rotation and muscle weakness (C)</p> Signup and view all the answers

    What does the Gluteal Test specifically assess?

    <p>Muscle strength of the gluteus muscles (D)</p> Signup and view all the answers

    In the Back Saver Sit and Reach Test, what does the distance from the fingers to the toes indicate?

    <p>Tightness in the hamstrings (D)</p> Signup and view all the answers

    During the Gluteal Test for the gluteus medius, what is the position of the patient?

    <p>Lateral with flexed knee (C)</p> Signup and view all the answers

    What is the role of the hip joint complex?

    <p>Balance (D)</p> Signup and view all the answers

    What is the passive flexion degree with the knee in the extended position?

    <p>120º (B)</p> Signup and view all the answers

    Which hip joint muscle is NOT associated with flexion?

    <p>Gluteus Major (B)</p> Signup and view all the answers

    How many degrees of freedom does the hip joint have?

    <p>Three (B)</p> Signup and view all the answers

    What is the maximum degree of abduction at the hip joint?

    <p>45º (C)</p> Signup and view all the answers

    What does a positive outcome in the Thomas Test indicate?

    <p>Shortening or snapping of the psoas (C)</p> Signup and view all the answers

    Which significant condition can be assessed through the Squat and Lunge test?

    <p>Muscle weakness related to hip rotation (D)</p> Signup and view all the answers

    In the Gluteal Test for the gluteus major, what specific position is the patient in?

    <p>Prone with knee flexed and external rotation (C)</p> Signup and view all the answers

    What physical characteristic does the Back Saver Sit and Reach Test primarily assess?

    <p>Hamstrings shortening (C)</p> Signup and view all the answers

    During the Gluteal Test for the gluteus medius, how is the patient positioned?

    <p>Lateral with a flexed knee (B)</p> Signup and view all the answers

    Flashcards

    Hip Joint: Role and Structure

    The hip joint is the proximal joint of the lower limb, responsible for balance, and is a ball-and-socket joint with three degrees of freedom, making it very mobile.

    Hip Joint: Mobility

    Hip joint is the second most mobile joint in the body, allowing for a wide range of movement, but its unique structure means it cannot be fully dislocated by external forces.

    Hip Joint: Function Position

    The hip joint's 'functional position' is a slight flexion and external rotation, crucial for optimal posture and movement.

    Psoas Major Muscle: Function

    The psoas major muscle is the key player in flexing the hip and rotating it externally.

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    Gluteus Maximus: Function

    The gluteus maximus muscle is responsible for hip extension and external rotation.

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    Thomas Test

    A test where the patient lies on their back and brings the opposite knee to their chest. It's positive if the tested leg lifts off the ground and indicates a shortened or snapping psoas muscle.

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    Squat and Lunge Test

    This test assesses the position of the hips during squatting and lunging. An exaggerated internal or external rotation during these movements can indicate hip anteversion or retroversion, or muscle weakness.

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    Gluteal Test

    This test involves two variations to assess the strength of the gluteus muscles. For the gluteus major, the patient is prone with a flexed knee, pushing against resistance during external hip rotation. For the gluteus medius, the patient is in a side-lying position with a flexed knee, abducting the hip against resistance.

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    Back Saver Sit and Reach Test

    This test involves the patient sitting with knees stretched, flexing the opposite knee and reaching towards the toes without touching. The distance between the fingers and toes indicates hamstring flexibility.

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    Hamstring Flexibility Test

    This test involves the patient sitting with knees stretched, flexing the opposite knee and reaching towards the toes without touching. The distance between the fingers and toes indicates hamstring flexibility.

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    What makes the hip joint unique?

    The hip joint is a ball-and-socket joint with 3 degrees of freedom. It's the most mobile joint in the body besides the shoulder, and the only one that cannot be dislocated by external forces.

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    What is the difference between internal and external hip rotation?

    Internal rotation is when the femur rotates inward, towards the midline of the body. External rotation is when the femur rotates outward, away from the midline.

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    What is the primary function of the gluteus maximus muscle?

    The gluteus maximus is essential for keeping us upright and involved in many daily movements.

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    Which muscle is the primary hip flexor?

    The psoas major is a powerful hip flexor and external rotator, aiding in movements like bringing the leg up towards the body.

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    What role does the Tensor Fascia Latae (TFL) play in hip movement?

    The TFL is involved in several hip movements, including flexion and abduction, making it crucial for dynamic movements.

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    What does a positive Thomas test indicate?

    In this test, the patient lies on their back and brings the opposite knee to their chest. If the tested leg lifts off the ground, it indicates a shortened or snapping psoas muscle.

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    What does the Squat and Lunge Test assess?

    This test evaluates the hip's rotation during squats and lunges. If the hip rotates excessively inward or outward, it may indicate hip anteversion, retroversion, or muscle weakness.

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    What is assessed in the Gluteal Test?

    The two variations of the Gluteal Test assess the strength of the gluteus maximus and medius muscles. It involves pushing against resistance during external hip rotation (gluteus maximus) or hip abduction (gluteus medius).

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    What does the Back Saver Sit and Reach Test measure?

    This test involves the patient sitting with straight legs, then flexing the opposite knee and reaching towards the toes without touching them. The distance between the fingers and toes indicates hamstring flexibility.

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    What might an exaggerated hip rotation during squatting or lunging indicate?

    This test evaluates hip rotation during movements like squatting and lunging. It's positive if the hip rotates excessively inward or outward, which may indicate hip anteversion or retroversion.

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    Study Notes

    Hip Joint Complex

    • The hip joint is a ball-and-socket joint, crucial for balance.
    • It has three degrees of freedom.
    • Function position: 10° - 20°
    • High mobility but limited strength for decoaptation.
    • Second most mobile joint in the body.

    Range of Motion

    • FLEXION
      • Active flexion (extended knee): 90°
      • Active flexion (flexed knee): 120°
      • Passive flexion (extended knee): 120°
      • Passive flexion (flexed knee): 140°
    • EXTENSION
      • Active extension (extended knee): 20°
      • Active extension (flexed knee): 10°
      • Passive extension (extended knee): 20°
      • Passive extension (flexed knee): 30°
    • ABDUCTION: 45°
    • ADDUCTION: 10° - 15°
    • INTERNAL ROTATION: 30° - 40°
    • EXTERNAL ROTATION: 60°

    Main Hip Muscles

    • PSOAS MAJOR: Flexion and external rotation
    • TFL (Tensor Fascia Latae): Flexion, abduction, and external rotation
    • QUADRICEPS: Flexion
    • ADDUCTORS: Flexion, adduction, and internal rotation
    • SARTORIUS: Flexion, abduction, and internal rotation
    • GLUTEUS MAJOR: Extension and external rotation
    • GLUTEUS MEDIUS: Abduction and external rotation
    • GLUTEUS MINOR: Adduction and internal rotation
    • PYRAMIDALIS: Abduction and external rotation
    • HAMSTRINGS: Extension

    Tests

    Thomas Test

    • Purpose: Assessing for psoas tightness/shortening.
    • Procedure: Patient supine, lifting one leg towards the chest.
    • Positive Test: Limited leg lift, indicating potential tightness.
    • Significance: Shortening or snapping of the psoas might be observed.

    Squat and Lunge Test

    • Purpose: Evaluating hip joint's alignment during movement.
    • Procedure: Patient performs squats and lunges.
    • Positive Test: Abnormal internal/external rotation, suggesting potential muscle weakness, anteversion, or retroversion issues.
    • Significance: Neutral profile, anteversion, or retroversion issues can be identified.

    Gluteal Test

    • Purpose: Evaluating gluteus muscle strength. Two tests possible :
      • Gluteus Maximus: Patient prone, knee flexed (90°), external hip rotation, push to ceiling. Assessing for hip external rotation.
      • Gluteus Medius: Patient lateral position, knee flexed (90°), abduction of hip. Assessing for hip abduction.
    • Positive Test: Weakness detected in gluteus muscles.
    • Significance: Possible muscle deficits are identified

    Back Saver Sit and Reach Test

    • Purpose: Assessing hamstring flexibility.
    • Procedure: Patient seated, reaching towards their toes.
    • Positive Test: Limited reach, implying potential hamstring tightness.
    • Significance: Hamstring shortening is a potential finding.

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    Hip Joint Complex PDF

    Description

    This quiz explores the anatomy, range of motion, and main muscles associated with the hip joint complex. Learn about the functional capabilities and movements of this crucial ball-and-socket joint, as well as the specific muscles involved in its operation. Test your knowledge on hip flexion, extension, abduction, and more.

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