6Ligaments; Iliofemoral. Pubofemoral. Ischeofemoral Trensverse acetabular.Ligament of Head of femur.
7IliofemoralA triangular ligament attached by its apex to the lower front spine of the ilium and rim of the acetabulum, and by its base to the front intertrochanteric line of the femur. Also called Y ligament, Y-shaped ligament.Function:Lateral band of iliofemoral ligament limits adduction.Medial band of iliofemoral ligament limits lateral rotation.Iliofemoral Ligament becomes taut in extension preventing the femur from moving past vertical position ( resists hyperextension)
8Pubofemoral Limit the extension and abduction. Traingular in shape. The base atteched to the superio ramus of the pubis and the apex to the lower part of the intertrochantric line.FUNCTION:Limit the extensionand abduction.
9IschiofemoralSpiral in shape. Attached to the budy of the ischum to the greater trochanter. FUNCTION : Limit the extension
10Transver acetabularFromerd by acetabular labrum as its bridges the acetabular Notch. Convert the notch into tunnel through which the blood vessels and nerves enter the joint.
11Ligament of the head of the femur Flat and triangular. Apex attached to the fovea capitis. The base to the transver ligament and margine of the acetabular notch. Its ensheathed by synovial membrane.
12NERVE SUPPLY : MOVEMENT: Femoral. Obturator. Sciatic. Nerve to the Quadratu Femorus .MOVEMENT:Extention and flextionAbductuon and adductionLateral and medial rotationcircumduction
13Causes of hip painArthritis >The most common cause of chronic hip pain(degeneration or the articular cartilage)Osteoarthritis (OA), rheumatoid arthritis (RA), post-traumatic arthritis,Hip fractures> Hip fractures are common in older women, especially those with osteoporosis.FEMORAL NECK FRACTURE,, INTERTROCHANTERIC FRACTURES,, SUBTROCHANTERIC FRACTURESTendinitis >tendons can easily become inflamed if you overuse or participate in strenuous activities(runners)
14Cont.. Avascular necrosis. Hip dislocation. Transient Synovities. Perthes disease > disterbance of the blood supply to the epiphysis of Femoral head>> vascular necrosis..TB.Primary bone tumer (uncommon)
15How to Diagnose History Clinical Examination: - Physical examoination - Special Testing- Neurological ExaminationRadiologic InvestigationX-ray