Ch. 8 ppt. Pelvis and Hips

What is the angle of the femoral neck that positions the femur medial relative to the pelvis, positioning the feet beneath the body?

Angle of inclination

What is the upper portion of the body that is stabilized and supported by the pelvis?

Head, arms, and trunk (HAT)

What is the partial replacement of a joint with a surgical implant?

Hemiarthroplasty

What is a herniation of the uterus, rectum, or bladder into the vagina called?

Pelvic Organ prolapse

What are the three portions of the pelvis?

illium, ischium, and pubis

What type of joint is the sacroiliac joint?

Synovial

What are the actions of the sacroiliac joint?

Shearing, torsion, rotation, and tension

What is the structural classification of the Coxal (hip) joint?

ball and socket

What is the functional classification of the Coxal (hip) joint?

Triaxial, or multiaxial

What are the actions of the hip joint?

flexion, extension, abduction, adduction, internal rotation, and external rotation

The hip joint absorbs and transfers forces with what other joint?

sacroiliac joint

What is the inflammatory condition in the spine that can lead to the fusion of its skeletal structures? Begins at the SI joint and may progress into vertebrae.

ankylosing spondylitis

What condition can lead to significant limitations in the mobility of the entire spine? also causes severe pain.

ankylosing spondylitis

What are the muscles that form the inferior muscular wall of the pelvic cavity called?

Pelvic floor

What are the important roles of the pelvic floor muscles?

organ support

sphincteric function

circulation

core support

sexual function

What muscles contract to help control bladder and bowel movements?

Levator Ani muscles

What are the pelvic floor muscles that FLEX the hip?

Psoas Major muscle

Iliacus muscle

(or iliopsoas muscle)

What are the psoas major and the iliacus muscles known as together?

iliopsoas muscle

What are the EXTENSORS of the hip?

Gluteus Maximus

Hamstrings

Adductor Magnus

Gluteus Medius

What is an overuse condition from the repetitive strain of the IT band: common in long-distance runners or cyclists called?

Iliotibial band syndrome (IT)

What are the ABductors of the hip?

Gluteus Medius

Gluteus Minimus

Piriformis

Gluteus Maximus

Sartorious

Tensor Fasciae Latae

What are the ADDuctors of the Hip?

Adductor Magnus

Adductor Longus

Adductor Brevis

Pectineus

Gracilis

Gluteus Maximus

What are the Hip ROTATORS?

Piriformis

Quadratus Femoris

Obturator Internus

Obturator Externus

Gemellus Superior

Gemmellus Inferior

What is a condition involving pain and paresthesia in the leg due to compression of the sciatic nerve on the posterior aspect of the hip called?

Sciatica

What is the position of the pelvis in which its anterior portion is elevated relative to its posterior portion called?

Posterior Pelvic Tilt

What is the position of the pelvis in which its posterior portion is elevated relative to its anterior portion?

Anterior pelvic tilt

What is the positon of the pelvis in the sagittal plane called?

Pelvic tilt

What is the position of the pelvis in the transverse plane called?

Pelvic rotation

What is the position of the pelvis in the frontal plane called?

Pelvic Obliquity

The pelvis and hip serve a primary role in _________ __________, transitioning the body from one place to another.

Functional Mobility

What is the loss of bowel or bladder control called?

Incontinence

What occurs when abdominal pressure increases from a bodily function, (sneezing, coughing, laughing, or exercise) and the individual cannot restrain urination?

Stress incontinence

What is the inability to control the bladder or bowels until appropriate?

Urge incontinence

What is a fracture of the proximal femur called?

Hip Facture

What is the surgical replacement of the entire hip joint with a prosthetic implant called? Replaces the entire femoral head and acetabulum.

Total Hip Arthroplasty

What is a specific restrictions to movement or weight bearing that may be in place after a hip fracture or surgery called?

Hip precautions

What are the muscles involved in Hip Flexion? Kicking a soccer ball

Psoas major

Iliacus

Tensor Fasciae Latae

Sartorious

Rectus Femoris

Glut med/min

What are the muscles involved in Hip EXTENSION? Ballroom dancing

Gluteus Maximus

Gluteus Medius

Hamstrings

Adductor Magnus

What are the muscles involved in Hip INTERNAL ROTATION? skiing

Gluteus Medius

Gluteus Minimus

Adductor Magnus

Adductor Longus

Adductor Brevis

Pectineus

Gracilis

What are the muscles involved in Hip EXTERNAL ROTATION? line dancing

Gluteus Maximus

Gluteus Medius

Piriformis

Quadratus Femoris

Obturator Internus

Obturator Externus

Gemellus Superior

Gemellus Inferior

Psoas Major

Iliacus

Sartorius

What are the muscles involved in Hip ABduction? ice skating

Gluteus Maximus

Gluteus Medius

Gluteus Minimus

Tensor Fasciae Latae

Sartorius

Piriformis

What are the muscles involved in Hip ADDuction? like Gymnastics

Adductor Magnus

Adductor Longus

Adductor Brevis

Pectineus

Gracilis

Gluteus Maximus

What can be used to assess movement and strength of the hip?

Goniometry and Manual Muscle Testing (MMT)

What is the normal angle of inclination?

120-125*

>125* in angle of inclination is called what?

Coxa valga

<120* angle of inclination is called what?

Coxa vara