Hip Joint PDF - Dar Al Uloom University

C o ll e g e o f M e d ic i n e – ‫ك‬ ‫ل‬ Prof. Mujahid Khan ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬ ‫قرر‬$‫ – اسم ورقم ا‬Course Name and No. 0 C o ll e g e o f List the type and articular surfaces of hip joint M e Describe the capsule and ligaments of hip joint d ic...

C o ll e g e o f M e d ic i n e – ‫ك‬ ‫ل‬ Prof. Mujahid Khan ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬ ‫قرر‬$‫ – اسم ورقم ا‬Course Name and No. 0 C o ll e g e o f List the type and articular surfaces of hip joint M e Describe the capsule and ligaments of hip joint d ic List important bursae (if any) in relation to hip joint n i List important relations of hip joint e Describe movements of hip joint – ‫ك‬ ‫ل‬ ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬ ‫قرر‬$‫ – اسم ورقم ا‬Course Name and No. 0  The hip joint is the articulation between the hemispherical head of femur and the cup shaped acetabulum of the hip bone dicine – ‫كلية الطب‬ Loading… The articular surface of the acetabulum is horseshoe shaped and is deficient inferiorly at the acetabular notch C o ll e g e o f M e d ic i n e – ‫ك‬ ‫ل‬ ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬ C o ll e g e o M f The cavity of acetabulum is deepened by the presence e of a fibrocartilaginous rim called acetabular labrum d ic The labrum bridges across the acetabular notch and is Loading… i n e here called the transverse acetabular ligament – ‫ك‬ ‫ ل‬ The articular surfaces are covered with hyaline cartilage ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬  It is a synovial ball and socket joint The capsule encloses the joint and is attached to the acetabular labrum medially dicine – ‫كلية الطب‬ Laterally it is attached to the intertrochanteric line of the femur in front and along the posterior aspect of the neck of the bone behind ‫كلية الطب – ‪dicine‬‬ C o ll e g e o f M It is a strong, inverted Y-shaped ligament e d ic i Its base is attached to the anterior inferior iliac spine n above e – ‫ ك‬ Below the two limbs of Y are attached to the upper ‫ل‬ ‫ية‬ and lower parts of the intertrochanteric line of the ‫ا‬ femur ‫ل‬ ‫ط‬ ‫ب‬ C o ll e g e o f M e d ic i n e – ‫ك‬ ‫ل‬ ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬  Iliofemoral ligament prevents over extension during standing position dicine – ‫كلية الطب‬ ‫قرر‬$‫ – اسم ورقم ا‬Course Name and No. 0 C o ll e g e o M f It is a triangular ligament e d ic The base of the ligament is attached to the superior Loading… i n ramus of the pubis e – ‫ك‬ ‫ل‬ The apex is attached below to the lower part of the ‫ية‬ intertrochanteric line ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬  Pubofemoral ligament limits extension and abduction dicine – ‫كلية الطب‬ ‫قرر‬$‫ – اسم ورقم ا‬Course Name and No. 0 C o ll e g e o M f It is a spiral shaped ligament e d ic Attached to the body of the ischium near the acetabular i n margin e – ‫ك‬ Fibers pass upward and laterally and attached to the ‫ل‬ ‫ية‬ greater trochanter ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬ ‫كلية الطب – ‪dicine‬‬  It is formed by the acetabular labrum as it bridges the acetabular notch dicine – ‫كلية الطب‬ It converts the notch into a tunnel through which blood vessels and nerves enter the joint C o ll e g e o f M e d ic i n e – ‫ك‬ ‫ل‬ ‫ية‬ ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬ C o ll e g e o M f It is flat and triangular ligament e d ic It is attached by its apex to the pit on the head of the i n femur (fovea capitis) e – ‫ك‬ ‫ل‬ Attached by its base to the transverse ligament and ‫ية‬ the margins of the acetabular notch ‫ا‬ ‫ل‬ ‫ ط‬ It lies within the joint and is ensheathed by synovial ‫ب‬ membrane  It lines the synovial membrane and is attached to the margins of the articular surfaces It covers the portion of the neck of the femur that lies dicine – ‫كلية الطب‬ within the joint capsule It ensheathes the ligament of the head of the femur and covers the pad of fat contained in the acetabular fossa ‫قرر‬$‫ – اسم ورقم ا‬Course Name and No. 0 C o ll e g e o f M Femoral nerve e d ic i Obturator nerve n e – ‫ك‬ Sciatic nerve ‫ل‬ ‫ية‬ ‫ا‬ Nerve to the quadratus femoris ‫ل‬ ‫ط‬ ‫ب‬  The hip joint has a wide range of movement but less so than the shoulder joint The strength of the joint depends on the shape of the – ‫كلية الطب‬ dicine bones taking part in the articulation and on the strong ligaments Some of the movement has been sacrificed to provide strength and stability C o ll e g e o f M Flexion e d Extension ic i Abduction n e Adduction – Lateral rotation ‫ك‬ Medial rotation ‫ل‬ ‫ ية‬ Circumduction ‫ا‬ ‫ل‬ ‫ط‬ ‫ب‬  The extensor group of muscles is more powerful than the flexor group dicine – ‫كلية الطب‬ The lateral rotators are more powerful than the medial rotators C o ll e g e o M f Anteriorly: Iliopsoas, pectineus, and rectus femoris e d ic Posteriorly: The obturator internus, the gamelli, and the i quadratus femoris muscle separate the joint from sciatic n e nerve – ‫ك‬ ‫ ل‬ Superiorly: Piriformis and gluteus minimus ‫ية‬ ‫ا‬ Inferiorly: Obturator externus tendon ‫ل‬ ‫ط‬ ‫ب‬  Gray's Anatomy for Students, 4th edition Snell Clinical Anatomy, 9th edition dicine – Clinically ‫كلية الطب‬ Oriented Anatomy , Keith L. Moore- 7th edition Netter’s Atlas of Human Anatomy, 7th edition 0 ‫كلية الطب – ‪dicine‬‬