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acetabulofemoral joint
hip joint, ball and socket
head of femur connecting with acetabulum of pelvic girdle
pelvic girdle
ilium, ischium, pubis
right and left pelvic bone joined together posteriorly by sacrum
male vs female pelvic girdle
males:
narrower pelvic outlet & inlet
greater curvature of sacrum & coccyx
narrower pubic arch
females:
wider pelvic outlet & inlet
less curvature of sacrum & coccyx
broader pubic arch
what is the longest bone in the body
femur (thigh bone)
pelvis
hip bone
ilium, ischium, pubis
ilium
upper two fifths of pelvis
ischium
the lower, posterior two fifths of the pelvis
pubis
anterior and lower one fifth of pelvis
anterior pelvic landmark
origin for hip flexors
lateral pelvic landmark
origin for hip abductors
medial pelvic landmark
origin for hip adductors
posterior pelvic landmark
origin for hip extensors
posteroinferior
origin for hip extensors
proximal thigh
insertion for short muscles of hip
origin for 3 knee extensors
Patella
insertion for 4 quadriceps muscles
proximal tibia or fibula
insertion for remainder of hip muscles
hip joint (acetabulofemoral joint)
functions in weight bearing and locomotion of upper leg and trunk
enhanced by its relatively wide range of motion
What kind of joint is the hip joint?
ball and socket (enarthrodial)
pubic symphysis joint
two pelvic bones join via superior rami
amphiarthrodial joint
sacroiliac joints
sacrum sits between the 2 pelvic bones to form these joint
synovial joint (arthrodial)
motion available in multiple planes, though limited by strong ligaments
acetabulofemoral joint (hip joint)
2nd most mobile joint of body
multiaxial arrangement
Iliofemoral or Y ligament
located anteriorly, prevents hyperextension
pubofemoral ligament
located anteromedially & inferiorly, limits excessive extension & abduction
ischiofemoral ligament
located posteriorly, limits internal rotation
teres or round ligament
attaches from deep in acetabulum to a depression in femoral head (fovea capitis), slightly limits adduction
acetabular labrum
ring of fibrocartilage that follows the outer rim of acetabulum, cushion for hip joint, acts as seal to hold femoral head in its socket
lumbar and sacral plexus (lumbosacral plexus)
innervate pelvic girdle and lower limbs
anterior pelvic rotation
anterior movement of upper pelvis; iliac crest tilts forward in sagittal plane; anterior tilt
posterior pelvic rotation
posterior movement of upper pelvis; iliac crest tilts backward in a sagittal plane; posterior tilt; posterior tilt
left lateral pelvic rotation
left pelvic half moves inferiorly in relation to right pelvis; either left pelvis rotates downward or right pelvis rotates upward in frontal plane; left lateral tilt
right lateral pelvic rotation
left transverse pelvic rotation
in transverse plane pelvis rotates to body's left (turns to left); right iliac crest moves anteriorly in relation to left iliac crest, which moves posteriorly
right transverse pelvic rotation
in transverse plane pelvis rotates to body's right (turns to right); left iliac crest moves anteriorly in relation to right iliac crest, which moves posteriorly
Hip Flexion
movement of femur straight anteriorly towards pelvis
hip extension
movement of femur straight posteriorly away from the pelvis; sagittal plane movement
Hip Abduction
movement of femur laterally to side away from midline
hip adduction
movement of femur medially toward midline; frontal plane movement
Hip External Rotation
rotary movement of femur laterally around its longitudinal axis away from midline; lateral rotation
Hip Internal Rotation
rotary movement of femur medially around its longitudinal axis toward the midline; medial rotation
hip diagonal abduction
movement of femur in a diagonal plane away from midline of body
hip diagonal adduction
movement of femur in a diagonal plane toward midline of body
anterior hip joint & pelvic girdle muscles
Primarily hip flexion
-Iliopsoas
-Pectineus
-Rectus femoris
-Sartorius
posterior hip joint & pelvic girdle muscles
primarily hip extension
-gluteus maximus
-biceps femoris
-semitendinosus
-semimembranosus
-external rotators
medial hip joint and pelvic girdle muscles
Primarily hip adduction
-Adductor brevis
-Adductor longus
-Adductor magnus
-Gracilis
lateral hip joint and pelvic girdle muscles
primarily hip abduction
-gluteus medius
-gluteus minimus
-external rotators
-tensor fasciae latae
thigh
divided into 3 compartments by intermuscular septa
anterior compartment of thigh
Primarily knee extensors:
Rectus femoris.
Vastus medialis.
Vastus intermedius.
Vastus lateralis.
Sartorius.
posterior compartment of thigh
Hamstring group (biceps femoris, semitendinosus, semimembranosus)
medial compartment of thigh
primarily adductors
• Adductor brevis
• Adductor longus
• Adductor magnus
• Pectineus
• Gracilis
Iliopsoas
hip flexion; hip external rotation; anterior pelvic tilt
rectus femoris
hip flexion; knee extension; anterior pelvic tilt