iliofemoral joint (hip) presented by: angela, clifford, casey
DESCRIPTION
Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey. Hip Joint Cut & Labeled. A. Ligaments. Iliofemoral ligament #3 Pubofemoral ligament #4. ® Anterior view (both). A. Ligaments. Ischiofemoral ligament #5. ® Posterior view. A. Ligaments. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/1.jpg)
Iliofemoral Joint (Hip)Presented By:
Angela, Clifford, Casey
![Page 2: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/2.jpg)
Hip Joint Cut & Labeled
![Page 3: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/3.jpg)
A. Ligaments Iliofemoral
ligament #3 Pubofemoral
ligament #4
® Anterior view (both)
![Page 4: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/4.jpg)
A. Ligaments Ischiofemoral
ligament #5® Posterior view
![Page 5: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/5.jpg)
Ligament of the head (aka – ligamentum teres femoris)
A. Ligaments
![Page 6: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/6.jpg)
A. Ligaments Transverse ligament of the
acetabulum Zona orbicularis
![Page 7: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/7.jpg)
A. Ligaments Sacrotuberous
ligament Inguinal ligament
![Page 8: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/8.jpg)
B. Bursae Trochanteric bursa Ischial Bursa Gluteofemoral bursa (aka – intermuscular
bursa)
The Gluteofemoral bursa is found here under the muscle
![Page 9: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/9.jpg)
F. Clinical Concerns Piriformis SyndromeHow to get rid of a pain
in the buttocks.It is thought to be
caused by an impingement of the sciatic nerve by the shortening or tightening of the piriformis muscle.
![Page 10: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/10.jpg)
G. Surface Anatomy Gluteal fold (aka -
Gluteal sulcus) Intergluteal cleft
![Page 11: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/11.jpg)
G. Surface Anatomy
Supracristal Plane (SCR)This is best described as a transverse plane
passing through the tops or summits of the iliac crests; it usually passes through the fourth lumbar spinous process.
![Page 12: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/12.jpg)
G. Surface Anatomy Posterior Superior
Iliac Spine
![Page 13: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/13.jpg)
G. Surface Anatomy Sacrum Anterior superior iliac
spine Iliac crest
![Page 14: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/14.jpg)
G. Surface Anatomy Inguinal ligament Tip of Greater
Trochanter
![Page 15: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/15.jpg)
G. SurfaceAnatomy
![Page 16: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/16.jpg)
The Hip (Iliofemoral) Joint is a diarthrosis, or synovial triaxial articulation permitting movement in all three planes. Structural Classification: Ball-and-socket
![Page 17: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/17.jpg)
Cartilage
Acetabular Labrum: projecting rim located on the fibrocartilaginous layer which increases depth of joint cavity
Articular Cartilage of Head of Femur: opposing cartilage surface (shown in blue)
Acetabular Labrum
Articular Cartilage
![Page 18: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/18.jpg)
Articular CapsuleDense collagen fiber sleeve which surrounds the joint providing protection and stabilization. Covers approximately the proximal two thirds of the neck of the femur posteriorly. Synovial Membrane: lines the joint cavity and produces synovial fluid. Fibrous Layer: attaches proximally on the hip bone to the rim of the acetebelum and the transverse acetabular ligament
![Page 19: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/19.jpg)
The Hip Joint is composed of the articulation between the Os Coxae and the Femur. The Os Coxae is made up of three bones: the Ilium, the Ishium and the Pubis. (The Os Coxae also articulates with the Sacrum at the Sacroiliac Joint) The Acetabulum is a concave socket shared by all three bones on the lateral surface which articulates with the Head of the Femur.
![Page 20: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/20.jpg)
Movements of the Hip Joint
Circumductionand complexmotions
![Page 21: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/21.jpg)
Four Iliac Spines can be found on the margins of the Ilieum. These spines are attachment points for muscles and ligamentsand include the Anterior-Superior and Inferior spines and the Posterior-Superior and Inferior spines. The very superior point of the Ileum is called the Iliac Crest. Inferior to the Iliac Crest on the medial portion is a shallow depression called the Iliac Fossa, or Wing. Just inferior to the Posterior-Inferior Iliac Spine lies the Greater Sciatic Notch.
![Page 22: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/22.jpg)
The Ischium forms the posterior, inferior portion of the Os Coxae. The Ischial Spine projects superior to the Lesser Sciatic Notch. The Ischial Tuberosity lies at the posterior and lateral edge of the Ischium. The Ischial Ramus connects the Ischium to the Pubis. The Inferior Ramus of the Pubis meets the Ischium and extends to the Pubic Crest. Just superior to the crest the Superior Ramus connects the Pubis to the Ilieum. Together, the Ischium and the Pubis encircle the Obturator Foramen.
![Page 23: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/23.jpg)
The Symphysis Pubis, a pad of fibrocartilage, interconnectsthe medial anterior surfaces of both hip bones together.
The Pubic Arch is formed by the inferior rami of the Pubis and Ishium of the two sides.
A male pelvis has a pubic angle of 90 degrees or less. A female pelvis has a pubic angle of 100 degrees or more.
![Page 24: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/24.jpg)
Femur: The longest and heaviest bone in the bodyThe rounded Head of the Femur articulates with the acetabulum of the pelvis to form the Hip Joint. The Femur runs from the Hip Joint to articulate with the Tibia to form the Knee Joint. The Neck of the Femur joins the shaft at 125 degrees.The Greater Trochanter projects laterally. The Lesser Trochanter projects posteriorly and medially. These trochanters are where large tendons attach to the Femur.
![Page 25: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/25.jpg)
The Linea Aspera is a prominent elevation which runs along the posterior surface and serves as an attachment site for hip muscles.
The Pectineal Line is located just beneath the Lesser Trochanter.
The Adductor Tubercle is a bony prominance which can be found just above the medial epicondyle.
![Page 26: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/26.jpg)
TibiaThe Tibia articulates with the Femur at the Medial and Lateral Tibial Condyles. The condyles are separated by a ridge called the Intercondylar Eminence. The Tibial Tuberosity lies near the condyles and is large and rough enough to be felt through the skin.The Anterior Margin or Crest of the Tibia runs from the Tibial Tuberosity down the anterior surface.
![Page 27: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/27.jpg)
Sites of Bony Attachment
![Page 28: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/28.jpg)
Muscles
![Page 29: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/29.jpg)
Psoas Major Ant. and Lat. Surface of
T12-L5 Lesser Tochanter Hip Flexion L2 and L3 nerve
Iliacus Iliac fossa Lesser trochanter Hip Flexion Femoral nerve
Psoas Major
Iliacus
![Page 30: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/30.jpg)
Adductor Brevis Pubis Pectineal line and Prox.
Linea aspera Hip Adduction Obturator nerve Obturator and Deep
femoral artery Adductor Magnus
Ishcium and pubis Entire linea aspera and
adductor tubercle Hip Adduction Obturator nerve Obturator artery
![Page 31: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/31.jpg)
Semimembranosus Ischial tuberosity Post. Surface of medial
condyle of Tibia Extend hip and flex knee Sciatic nerve Inf. Gluteal artery
Semitendinosus Ischial tuberosity Anteromedial surface of Prox.
Tibia Extend hip and flex knee Sciatic nerve Deep femoral
![Page 32: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/32.jpg)
Rectus Femoris Ant. Inf. Iliac spine Tibial tuberosity Hip flexion, knee extention Femoral nerve Lat. Circumflex femoral
artery Sartorius
Ant. Sup. Iliac spine Prox. Medial aspect of tibia Hip flexion, abduction, lat.
Rotation Femoral nerve Lateral circumflex femoral
artery
Sartorius
![Page 33: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/33.jpg)
Adductor Longus Pubis Middle one-third of the linea
aspera Hip adduction Obturator nerve Obturator and Deep femoral
artery Gracilis
Pubis Ant. Med. Surface of Prox.
end of tibia Hip adduction Obturator nerve Obturator arteryGracil
is
![Page 34: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/34.jpg)
Biceps Femoris Long head: Ischial tuberosity Short head: Lat. Lip of linea
aspera
Fibular head
Long head: Extend hip and flex knee
Short head: Flex knee
Long head: Sciatic nerve Short head: Common
peroneal nerve
Inf. Gluteal artery
![Page 35: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/35.jpg)
Pectineus Sup. Ramus of pubis Pectineal line of femur Hip flexion and adduction Femoral nerve Medial circumflex femoral
artery Tensor Fascia Latae
Ant. Sup. Iliac spine Lateral condyle of tibia Hip flexion and abduction Superior gluteal nerve Superior gluteal artery
![Page 36: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/36.jpg)
Gluteus Maximus Post. Sacrum and ilium Post. Femur distal to greater
tochanter Hip extension,
hyperextension, lateral rotation
Inferior gluteal nerve Superior gluteal artery
Gluteus Medius Lateral ilium Greater tochanter Hip abduction Superior gluteal nerve Superior gluteal artery
![Page 37: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/37.jpg)
Gluteal minimus Lateral ilium Ant. Surface of the greater
tochanter Hip abduction, medial
rotation Superior gluteal nerve Superior gluteal artery
Piriformis Internal surface of sacrum,
Sacrotuberous ligament Sup. Border of the greater
tochanter Lateral rotation, abduction,
helps hold femur in acetabulum
L5, S1-S2 nerves Sup. And Inf. Gluteal arteries
![Page 38: Iliofemoral Joint (Hip) Presented By: Angela, Clifford, Casey](https://reader035.vdocuments.site/reader035/viewer/2022062410/568164dc550346895dd734d1/html5/thumbnails/38.jpg)
Questions?