Presentation is loading. Please wait.

Presentation is loading. Please wait.

Hip Injuries. Pelvis (right and left) Sacrum Coccyx Parts to know: Pubic Symphysis Sacroiliac Joint Bones of the Pelvic Girdle.

Similar presentations


Presentation on theme: "Hip Injuries. Pelvis (right and left) Sacrum Coccyx Parts to know: Pubic Symphysis Sacroiliac Joint Bones of the Pelvic Girdle."— Presentation transcript:

1 Hip Injuries

2 Pelvis (right and left) Sacrum Coccyx Parts to know: Pubic Symphysis Sacroiliac Joint Bones of the Pelvic Girdle

3 Bones of the Pelvis Ilium Ischium Pubis Pelvis

4 Parts of the Pelvis to know: Anterior Inferior Iliac Spine (AIIS) Anterior Superior Iliac Spine (ASIS) Iliac Crest Posterior Superior Iliac Spine (PSIS) Posterior Inferior Iliac Spine (PIIS) Greater Sciatic Notch Ischial Spine Lesser Sciatic Notch Ischial Tuberosity Ramus of the Ischium Pubic Tubercle Superior Ramus Inferior Ramus Body of the Pubis Obturator Foramen Acetabulum Parts of the Pelvis

5 Parts to Know: Sacrum Base of the Sacrum Sacral Canal Median Sacral Crest Sacral Cornua Sacral Hiatus Sacral Foramen Ala Lateral Sacral Crest Apex of the Sacrum Coccyx Coccygeal Vertebrae Coccygeal Cornu Transverse Processes Sacrum & Coccyx

6 Pelvis Femur Parts to know: Greater Trochanter Head of the Femur Neck of the Femur Lesser Trochanter Shaft of the Femur Linea Aspera Lateral Condyle of the Femur Lateral Epicondyle of the Femur Medial Condyle of the Femur Medial Epicondyle of the Femur Patellar Surface Popliteal Surface Intercondylar Fossa Bones of the Hip Anterior view Posterior view

7 Rectus Femoris Origin Anterior Inferior Iliac Spine (AIIS) Insertion Tibial Tuberosity via the patellar tendon Action Extend the knee Flex the hip Muscles of the Hip

8 Vastus Lateralis Origin Lateral lip of linea aspera, gluteal tuberosity, and greater trochanter. Insertion Tibial tuberosity via the patellar tendon. Action Extend the knee. Muscles of the Hip

9 Vastus Lateralis (posterior view) Muscles of the Hip

10 Vastus Intermedius Origin Anterior and lateral shaft of the femur. Insertion Tibial tuberosity via the patellar tendon. Action Extend the knee. Muscles of the Hip

11 Vastus Medialis Origin Medial lip of the linea aspera. Insertion Tibial tuberosity via the patellar tendon. Action Extend the knee. Muscles of the Hip

12 Sartorius Origin Anterior Superior Iliac Spine (ASIS) Insertion Proximal, medial shaft of the tibia at the pes anserinus Action Flex the hip, laterally rotate the hip, abduct the hip, flex the knee, medially rotate the flexed knee Muscles of the Hip

13 Sartorius (posterior view) Muscles of the Hip

14 Gracilis Origin Inferior ramus of the pubis Insertion Proximal, medial shaft of the tibia at pes anserinus Action Adduct hip, medially rotate hip, flex the knee, medially rotate the flexed knee Muscles of the Hip

15 Gracilis (posterior view) Muscles of the Hip

16 Pectineus Origin Superior ramus of the pubis. Insertion Pectineal line of the femur. Action Adduct the hip, medially rotate the hip, assist to flex the hip. Muscles of the Hip

17 Adductor Longus Origin Pubic tubercle. Insertion Medial lip of the linea aspera. Action Adduct the hip, medially rotate the hip, flex the hip. Muscles of the Hip

18 Adductor Magnus Origin Inferior ramus of the pubis, ramus of the ischium and ischial tuberosity. Insertion Medial lip of the linea aspera and adductor tubercle. Action Adduct the hip, medially rotate the hip, flex the hip. Posterior fibers of the Adductor Magnus also help to extend the hip. Muscles of the Hip

19 Adductor Magnus (posterior view) Muscles of the Hip

20 Adductor Brevis Origin Inferior ramus of the pubis. Insertion Pectineal line and medial lip of the linea aspera. Action Adduct the hip, medially rotate the hip, flex the hip. Muscles of the Hip

21 Tensor Fascia Latae and the Iliotibial Band Origin Iliac crest, posterior to the ASIS Insertion Iliotibial tract (which then inserts on the tibial tubercle on the lateral aspect of the proximal tibia) Action Flex the hip, medially rotate the hip, abduct the hip Muscles of the Hip

22 Iliacus Origin Iliac fossa. Insertion Lesser trochanter of the femur. Action Flex the hip, laterally rotate the hip, flex the trunk toward the thigh, tilt the pelvis anteriorly. Muscles of the Hip

23 Psoas Major Origin Bodies and transverse processes of lumbar vertebrae. Insertion Lesser trochanter of the femur. Action Flex the hip, laterally rotate the hip, flex the trunk towards the thigh, tilt the pelvis anteriorly, assist in laterally flexing the lumbar spine. Muscles of the Hip

24 Psoas Minor Origin Body and transverse process of first lumbar vertebra. Insertion Superior ramus of the pubis. Action Helps to create lordotic curvature in the lumbar spine, tilt the pelvis posteriorly. Muscles of the Hip

25 Quadratus Lumborum Origin Posterior iliac crest. Insertion Last rib and transverse processes of first through fourth lumbar vertebrae. Action Laterally tilt pelvis (elevate side), laterally flex the vertebral column to the same side, assist in extension of the vertebral column, fix the last rib during forced inhalation and exhalation. Muscles of the Hip

26 Semimembranosus Origin Ischial tuberosity. Insertion Posterior aspect of medial condyle of tibia. Action Flex the knee, medially rotate the flexed knee, extend the hip, assist in medially rotating the hip, tilt the pelvis posteriorly Muscles of the Hip

27 Semitendinosus Origin Ischial tuberosity. Insertion Proximal, medial shaft of the tibia at pes anserinus. Action Flex the knee, medially rotate the flexed knee, extend the hip, assist to medially rotate the hip, tilt the pelvis posteriorly. Muscles of the Hip

28 Biceps Femoris Origin Long head: Ischial tuberosity. Short head: Lateral lip of the linea aspera. Insertion Head of the fibula. Action Flex the knee, laterally rotate the flexed knee, Long head: extend the hip and assist to laterally rotate the hip, tilt the pelvis posteriorly. Muscles of the Hip

29 Quadratus Femoris Origin Lateral border of the ischial tuberosity. Insertion Intertrochanteric crest, between the greater and lesser trochanters. Action Laterally rotate the hip. Muscles of the Hip

30 Obturator Externus Origin Rami of pubis and ischium, obturator membrane. Insertion Trochanteric fossa of the femur. Action Laterally rotate the hip. Muscles of the Hip

31 Obturator Internus Origin Obturator membrane and inferior surface of the obturator foramen. Insertion Medial surface of the greater trochanter. Action Laterally rotate the hip. Muscles of the Hip

32 Inferior Gemellus Origin Ischial tuberosity. Insertion Medial surface of the greater trochanter. Action Laterally rotate the hip. Muscles of the Hip

33 Superior Gemellus Origin Ischial spine. Insertion Medial surface of the greater trochanter. Action Laterally rotate the hip. Muscles of the Hip

34 Piriformis Origin Anterior surface of sacrum. Insertion Superior aspect of the greater trochanter. Action Laterally rotate the hip and abduct the hip when the hip is flexed. Muscles of the Hip

35 Gluteus Minimus Origin Gluteal surface of the ilium between the anterior and inferior gluteal lines. Insertion Anterior aspect of the greater trochanter. Action Abduct the hip, medially rotate the hip, and flex the hip. Muscles of the Hip

36 Gluteus Medius Origin Gluteal surface of the ilium, between the posterior and anterior gluteal lines, just below the iliac crest. Insertion Lateral aspect of the greater trochanter. Action Abduct the hip, flex the hip (anterior fibers), medially rotate the hip (anterior fibers), extend the hip (posterior fibers) and laterally rotate the hip (posterior fibers). Muscles of the Hip

37 Gluteus Maximus Origin Coccyx, edge of sacrum, posterior iliac crest, sacrotuberous and sacroiliac ligaments. Insertion Iliotibial tract (upper fibers) and gluteal tuberosity (lower fibers). Action Extend the hip (all fibers), laterally rotate the hip (all fibers), abduct the hip (all fibers), adduct the hip (lower fibers). Muscles of the Hip

38 ROM of the Hip Joint Adduction Abduction Flexion Extension Internal Rotation External Rotation Torso Flexion Torso Extension Lateral Flexion Lateral Rotation Circumduction

39 Muscle Groups of the Hip Hip flexors Psoas Major Psoas Minor Iliacus Rectus Femoris Tensor Fascia Latae Sartorius Hip Extensors Gluteus Maximus Biceps Femoris Semimembranosus Semitendinosus Piriformis Hip Adductors Adductor Longus Adductor Magnus Adductor Brevis Gracilis Pectineus Hip Abductors Gluteus Medius Gluteus Minimus Piriformis

40 Muscles Groups of the Hip Medial Rotators Gluteus medius Gluteus Minimus Tensor Fascia Latae Lateral Rotators Gluteus maximus Piriformis Superior Gemellus Inferior Gemellus Obturator Internus Obturator Externus Quadratus Femoris

41 Common Injuries Groin strains Trochanteric Bursitis Testicular Contusion Hip Pointer (contusion) Hip Dislocation Avascular Necrosis Femur Fracture Thigh Contusion Myositis Ossificans Avulsion Fractures/Apophysitis Osteitis Pubis Piriformis Syndrome Legg-Calve’-Perthes Disease (Coxa Plana) Slipped Capital Femoral Epiphysis

42 Etiology Groin strain Pathology Treatment Groin Strain

43 Etiology Pathology Treatment Injection procedure Trochanteric Bursitis

44 Etiology Pathology Treatment Testicular Contusion

45 Etiology Hip pointer Pathology Treatment Hip Pointer (Contusion)

46 Etiology Hip Dislocation Pathology Treatment Hip Dislocation

47 Etiology Pathology Treatment Avascular Necrosis

48 Etiology Pathology Treatment Femur Fracture

49 Etiology Pathology Treatment Thigh Contusion

50 Etiology Pathology Treatment Myositis Ossificans

51 Etiology Pathology Treatment Avulsion Fractures/Apophysitis

52 Etiology Pathology Treatment Osteitis Pubis

53 Etiology Pathology Treatment Piriformis Test Piriformis Test Piriformis Release Piriformis Release Piriformis Syndrome

54 Etiology Pathology Treatment Legg-Calve’-Perthes Disease (Coxa Plana)

55 Etiology Pathology Treatment Slipped Capital Femoral Epiphysis

56 Students should be able to: Identify the different parts of the bones of the hip on a labeling quiz. Identify the different muscles of the hip on a labeling quiz. Identify the different bones on a practical exam. Identify the different hip injuries and conditions and be able to define them. For your quizzes:


Download ppt "Hip Injuries. Pelvis (right and left) Sacrum Coccyx Parts to know: Pubic Symphysis Sacroiliac Joint Bones of the Pelvic Girdle."

Similar presentations


Ads by Google