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Dr P K Sharma Professor Department of Anatomy K G M U, Lucknow
INTRODUCTION Ball and socket type of synovial joint Multiaxial Range of motion restricted (weight bearing )
BONES Femoral head - >1/2 of sphere-Ball Acetabulum- vinegar cup-Socket Head of the femur articulates with acetabulum
ARTICULAR SURFACES Head of Femur- hyaline cartilage Nonarticular-fovea capitis Acetabulum- Articular surface - horse shoe shaped hyaline cartilage covered
LIGAMENTS OF HIP JOINT Capsular ligament(joint capsule) Ilifemoral ligament-ligament of Bigelow(strongest) Pubofemoral ligament Ischiofemoral ligament Transverse acetabular ligament Acetabular labrum Ligamentum teres femoris.
CAPSULAR LIGAMENT Strong dense fibrous sac Inner fibres circular, outer fibres longitudnal ATTACHMENTS Hip Bone- Femur -.
posterior view of right hip ischiofemoral ligament Hip Ligaments Resists adduction and internal rotation. Note: none of these ligaments restrict flexion.
ILIOFEMORAL LIGAMENT Ligament of Bigelow strongest Y shaped Stem Medial (vertical) Lateralband(oblique) intermediate thin stratum. Anteriorly blends with capsule Prevents hyperextension of hip
PUBOFEMORAL LIGAMENT Resists abduction and some external rotation. Base –iliopubic eminence,superior pubic ramus,obturator crest. Blends with capsule deep to medial band of iliofemoral.
ISCHIOFEMORAL LIGAMENT Weak Supports capsule from behind From ischium, fibres spiral behind femoral neck attach to greater trochanter
OTHER LIGAMENTS A B A-Round lig/lig.teres femoris B-Acetabular labrum C-transverse acetabular ligament C
STABILITY OF HIP JOINT Depth of articular socket Strong lig.- Muscles- Length,obliquity of femur neck.
BURSAE AROUND HIP JOINT Subgluteal/ischial bursa Subpsoas/iliopsoas
ARTERIAL SUPPLY Medial circumflex femoral Lateral circumflex femoral Obturator artery Superior Inferior gluteal Nutrient artery
MOVEMENTS AND RANGE
LATERAL ROTATORS MEDIAL ROTATORS
APPLIED ASPECTS Dislocation(congenital,acquired) Perthes disease(pseudocoxalgia) Coxa vera and coxa valga Osteoarthritis Fracture neck femur
CONGENITAL DISLOCATION Loose joint capsule Hypoplastic head Externally rotated short limb Inability to abduct Assymmetry of skin folds of thigh
AQUIRED DISLOCATION Posterior(most common) Joint flexed, adducted, medially rotated – Traumatic- Car driver, dashboard strike-Femur head forced out of acetabulum,capsule tear is posterioinferiorly.
PERTHES DISEASE Destruction,flattening of head of femur Increased joint space
COXA VARA In case of Fracture femur neck Perthes disease
COXA VALGA Seen in congenital dislocation of hip,rickets- softening neck of femur
OSTEOARTHRITIS Old age Osteophytes grow on articular ends- painful, limiting movement.
FRACTURE NECK OF FEMUR Intracapsular- Subcapital(avascular necrosis most common) Cervical Basal/intertrochantric Extracapsular-old age
SHENTON’S LINE In case of dislocation and in fracture neck femur. DISRUPTED CURVE
SHOEMAKER’S LINE Straight line from tip of greater trochanter to ASIS upto umblicus. If G.T. elevated in fracture neck Line passes below umblicus.
Iliofemoral ligament takes origin from A. Iliopubic rami B. Posterior inferior iliac spine C. Anterior superior iliac spine D. Anterior inferior iliac spine
Lurching gait is seen and trendelenburg sign is positive in paralysis of all EXCEPT A. Gluteus maximus B. Gluteus minimus C. Gluteus medius D. Tensor fasciae latae
Amongst the following muscles which muscle is a medial rotator of thigh A. Quardratus femoris B. Piriformis C. Gluteus medius D. Obturator internus
The hip joint most commonly dislocates in the following direction A. anterior B. posterior C. superior D. inferior
Hyperextension at hip joint is prevented by A. Iliofemoral ligament B. Ischiofemoral ligament C. Pubofemoral ligament D. Capsular ligament
Hip joint D.Rania Gabr D.Sama. D.Elsherbiny. Objectives Know the type and formation of hip joint. Differentiate the stability and mobility between the.
Rania Gabr Hip Joint. Objectives Know the type and formation of hip joint. Differentiate the stability and mobility between the hip joint and shoulder.
1 Prof. Saeed Makarem. The head of the femur articulates with the acetabulum. The wide superior part of the articular surface is the weight bearing.
HIP JOINT By: Dr. Mujahid Khan. Articulation The hip joint is the articulation between the hemispherical head of femur and the cup shaped acetabulum.
HIP Joint. The hip joint is the articulation between the femur and the acetabulum of the pelvis and its primary function is to support the weight of the.
Objectives Know the type and formation of hip joint. Differentiate the stability and mobility between the hip joint and shoulder joint. Identify the muscles.
Joints of the lower limb. Hip joint Synovial ball-and-socket joint a- head of femur b- lunate surface of acetabulum 2-Articular surfaces: 1-Type: 3-Nerve.
HIP JOINT …..the largest joint in the body Dr. Zeenat Zaidi.
The Hip Anatomy Mazyad Alotaibi. Joint complex Hip – ball and socket Closely associated the SIJ and lsp Movements – flex, ext, MR, LR, add and abd Joint.
The Hip Joint Type: Synovial (Ball & Socket) Articular Surfaces: head of femur & acetabulum.
TENSOR FASCIA LATA Origin: – anterior aspect of iliac crest – anterior superior iliac spine (ASIS) Insertion: anterior aspect of IT band, below greater.
Intergluteal cleft Gluteal Fold Gluteal Sulcus Iliac Crest Dimple for Posterior Superior Iliac Spine Sacrum Greater Trochanter.
Hip & Pelvis. Hip Joint n Between Acetabulum (Pelvis) & Head of Femur n Ball and Socket Joint n Weight Bearing.
HIP COMPLEX. Review Bony Articular Surfaces Synovial ball and socket joint: Synovial ball and socket joint: Femoral head. Acetabular fossa. Lunate surface.
Lower Extremity Introduction. Hip Joint Head of the femur with acetabulum of innominate Ball in socket Better union than shoulder Acetabular labrum similar.
Hip and Thigh General Introduction Anatomy. Hip Joint Ball and Socket –Ball = Femoral Head –Socket = Formed by the three Pelvic Bones Socket called the.
Chapter 9 The Hip Joint and Pelvic Girdle. Pelvic Girdle Anterior Gluteal Line External Surface Auricular Surface Iliopectineal Eminence Greater Sciatic.
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Gluteal region. Skin and fascia of the gluteal region.
Muscles of Thigh Dr. Sama ul Haque. Objectives Know the type and formation of hip joint. Differentiate the stability and mobility between the hip joint.
Lower Extremity Introduction. Hip Joint Head of the femur with acetabulum of innominate Ball in socket Better union than shoulder Acetabular labrum.
Gluteal region S KIN AND FASCIA OF THE GLUTEAL REGION.
Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey.
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The Anatomy of the Hip and Pelvis. Bony Anatomy Femur = Thigh Bone Longest and strongest bone Designed for maximum support and mobility during weight-
The Hip is a ball and socket joint like the shoulder, but because it is me stable it has less motion than the shoulder.
Hip Joint. The hip is the most proximal of the lower extremity joints. It is very important in weight- bearing and walking activities. Like the shoulder,
THE HIP JOINT Muscles of the Hip Gluteus Maximus O: lower posterior iliac crest and posterior surface of the sacrum I: gluteal tuberosity (upper, posterior.
KINESIOLOGY Scientific Basis of Human Motion, 12 th edition Hamilton, Weimar & Luttgens Presentation Created by TK Koesterer, Ph.D., ATC Humboldt State.
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Chapter 17 The Hip. Overview The hip articulation is formed between the head of the femur and the acetabulum of the pelvic bone The hip articulation is.
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PTA Students Curtis, Tonya, Emilee, & Zeke. Them Bones….. …Of the iliofemoral joint. And one extra.
Anatomy and Physical Exam Yibing Li 01/07/2004 MSK-HIP (Part I)
The Gluteal Region (Buttock) Dr. Zeenat Zaidi Gluteal Region It is the region behind the pelvis, extending from the iliac crest superiorly to the gluteal.
BIOMECHANICS OF HIP JOINT. TYPE SYNOVIAL JOINT VARIETY BALL & SOCKET JOINT THE MAJOR FUNCTION OF HIP JOINT IS STABILITY IT SUPPORTS THE BODY WEIGHT.
The Hip Joint. MOVEMENT Flexion Extension Abduction Adduction Internal Rotation External Rotation.
Will Collett Peer Support Avascular necrosis Superior Gluteal Nerve Injury Inferior Gluteal Nerve Injury Thomas Test Injection Site.
Hip Joint Part (5) Hip External & Internal Rotation.
Hip Injuries. Pelvis (right and left) Sacrum Coccyx Parts to know: Pubic Symphysis Sacroiliac Joint Bones of the Pelvic Girdle.
Prof. Ahmed Fathalla Ibrahim Professor of Anatomy College of Medicine King Saud University
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Hip Lab Brandee Johnson Cindy Dong Ken Bufford. Hip joint is a joint? Ball-and-socket Ball-and-socket.
Gluteal region D.Rania Gabr D.Sama. D.Elsherbiny.
1 Myology Myology of the Pelvis. 2 Pelvic Girdle Pelvic girdle: consists of the two hipbones (coxal bones) –Function of the pelvic girdle is to attach.
Ms. Bowman. Pelvis Two innominates articulate with the sacrum to form the sacroiliac joint Innominates formed by the fusion of the ilium, ischium,
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