anatomy of the hip joint

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ANATOMY OF THE HIP JOINT

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Page 1: Anatomy of the Hip Joint

ANATOMY OF THE HIP JOINT

Page 2: Anatomy of the Hip Joint

Bony Anatomy Femur

Femoral Head Femoral Neck Greater Trochanter Lesser Trochanter Intertrochanteric Crest Intertrochanteric Line Gluteal Tuberosity

Page 3: Anatomy of the Hip Joint

Bony Anatomy Pelvic Girdle

Acetabulum 3 bones fused

together Ilium

Iliac fossa Iliac Crest ASIS AIIS PSIS PIIS Gluteal Lines Greater Sciatic Notch

Lateral View

Page 4: Anatomy of the Hip Joint

Bony Anatomy Ilium

Iliac fossa Iliac Crest Iliac Tuberosity ASIS AIIS PSIS PIIS Gluteal Lines

Medial View

Page 5: Anatomy of the Hip Joint

Bony Anatomy Ilium Ishium Pubis

Superior Ramus of Pubis

Inferior Ramus of Pubis Pubic Crest Pubic Tubercle Pectin Symphyseal Surface

Page 6: Anatomy of the Hip Joint

Articulations of the Hip and Pelvis

Pubic Symphysis Interpubic disk Some movement

Page 7: Anatomy of the Hip Joint

Articulations of the Hip and Pelvis Pubic Symphysis Sacroiliac Joints

Page 8: Anatomy of the Hip Joint

Articulations of the Hip and Pelvis Pubic Symphysis Sacroiliac Joints Hip Joints

Page 9: Anatomy of the Hip Joint

Ligaments of the Hip JointLigament Name Location Main Function *

Iliofemoral “Y” Ant. Surf. Capsule Prevents hyperextension during standing

Pubofemoral Ant. & Inf. Surf. Cap.

Limits abduction and extension

Ischiofemoral Posterior Surf. Capsule

Prevents hyperextension

Lig. of Head Intracapsular - betw. fem. head and acetab. notch

Weak, contains artery, may limit

adduction

Transverse Acetab.

Continuation of acetab. labrum over notch

Helps hold head in acetabular fossa

*note: no ligaments limit hip flexion

Page 10: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Sacrotuberous Sacrospinous Function of these two

ligaments Iliolumbar Interosseous Sacroiliac

Page 11: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Sacrotuberous Sacrospinous Function of these two

ligaments Iliolumbar Interosseous Sacroiliac

Page 12: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Sacrotuberous Sacrospinous Function of these two

ligaments Iliolumbar Interosseous Sacroiliac Dorsal Sacroiliac

Page 13: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Hip Joint

Capsule Three thickenings of

the capsule Iliofemoral Pubofemoral Ishiofemoral

Ligamentum Teres Inguinal

Page 14: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Hip Joint

Capsule Three thickenings of

the capsule Iliofemoral Pubofemoral Ishiofemoral

Ligamentum Teres Inguinal

Page 15: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Hip Joint

Capsule Three thickenings of

the capsule Iliofemoral Pubofemoral Ishiofemoral

Ligamentum Teres Inguinal

Page 16: Anatomy of the Hip Joint

Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle

Sacroiliac Joint Hip Joint

Capsule Three thickenings of

the capsule Iliofemoral Pubofemoral Ishiofemoral

Ligamentum Teres Inguinal

Page 17: Anatomy of the Hip Joint

Hip Muscles Anterior

Rectus Femoris Sartorius Iliopsoas Muscle Group

Iliacus Psoas Major

Page 18: Anatomy of the Hip Joint

Hip Muscles Anterior

Rectus Femoris Sartorius Iliopsoas Muscle Group

Iliacus Psoas Major

Page 19: Anatomy of the Hip Joint

Hip Muscles Posterior

Semimembranosus Semitendinosus Biceps Femoris Gluteus Maximus

Page 20: Anatomy of the Hip Joint

Hip Muscles Medial

Adductor Brevis Adductor Longus Adductor Magnus Pectineus Gracilus

Page 21: Anatomy of the Hip Joint

Hip Muscles Lateral

Gluteus Medius Gluteus Minimus Tensor Fascia Lata Six Intrinsic External

Rotators Periformis Quadratus Femoris Obturator Internus Obturator Externus Gemellua Superior Gemellus Inferior

Page 22: Anatomy of the Hip Joint

Hip Muscles Lateral

Gluteus Medius Gluteus Minimus Tensor Fascia Lata Six Intrinsic External

Rotators Periformis Quadratus Femoris Obturator Internus Obturator Externus Gemellua Superior Gemellus Inferior

Page 23: Anatomy of the Hip Joint

Hip Joint – Blood SupplyMed. & Lat. Fem. Circumflex a.; Acetabular a. (30%)

Deep (Profunda) Femoral A.

Lateral Fem. Circumflex A.

Ascending branch

Transverse br.

Descending br.

Medial Fem. Circumflex A.

Femoral A.

Page 24: Anatomy of the Hip Joint

Motion of the Hip Joint

Extension

HyperextensionFlexion

AbductionAdduction

Page 25: Anatomy of the Hip Joint

Motion of the Hip Joint cont.

Medial Rotation Lateral Rotation

Page 26: Anatomy of the Hip Joint

Femoral Triangle Borders

Superior Lateral Medial Posterior Anterior

Structures