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HIP JOINT

Transcript: MOVEMENTS HIP JOINT Dr. Navajyothi,M.D THANK YOU FLEXION EXTENSION ABDUCTION ADDUCTION MEDIAL ROTATION LATERAL ROTATION CIRCUMDUCTION LIGAMENTS BLOOD SUPPLY ARTCULAR SURFACES NERVE SUPPLY

Hip Joint

Transcript: Anterior pubis ramus to anterior surface of intertrochanteric fossa reinforce the fibrous capsule inferiorly and anteriorly tightens during abduction and extension Ishial portion of acetabulum and spirals to the neck of the femur Prevents hyperextension of the hip Retroversion Hip Joint Mehran Mortazavi, KC Miller, Hari Nandakumar Ligaments Hip Movements Anterior Tilt Posterior Tilt Lateral Tilt Pelvic Rotation Arthritis Blood Supply Iliofemoral Ligament Y Ligament Base of anterior inferior iliac spine to intertrochanteric line Strongest ligament Prevents hyperextension of hip Main stabilizing ligament Acetabulum (ishium, pubis, ilium) Head of the Femur 12-14 Degrees Anteversion Attaches to the acetabular notch and the transverse acetabular ligament to the femoral head fovea Supplies blood for the femoral head Hip Fractures Ligamentum Teres Bones of the Hip Joint Coxa Vara Coxa Valga Femoral Neck Angles Pubicfemoral ligament Ishiofemoral Ligament Excessive Anteversion

Hip Joint

Transcript: The hip joint has the following normal ranges of movement: Flexion: Horizontal Axis, Saggital Plane Extension:Horizontal Axis, Saggital Plane Adduction: Antereoposterior Axis, Frontal Plane Abduction: Antereoposterior Axis, Frontal plane Acetabulum Joint Capsule and ligaments Hip Osteoarthritis Bones in the Joint Acetabulum Articulating Cartilage Movements Ligamentum teres Muscle in the Joint The most important one is the Ilio femoral ligament at the front of the hip joint, which is also the strongest ligament in the human body. Bursa Hip Joint Zona Orbicularis

hip joint

Transcript: Major ligaments of the hip joint Origin: Pectineal line of pubis Insertion: Pectineal line of femur Action: Adducts and flexes thigh Gemelli (superior and inferior) Gluteus minimus Sartorius Origin: anterior surface of sacrum Insertion: greater trochanter of femur Action: Laterally rotate extended hip and abduct flexed hip Origin: Ilium Insertion: anterior surface of greater trochanter of the femur Action: Abduct and medially rotate hip Caleb Chudleigh Rachel Lenderink Janae Larsen Jason Bueling Obturator Externus Origin (superior): Ishial spine Origin (inferior): Ishial Tuberosity Insertion: medial surface of greater trochanter of femur Action: Laterally rotate extended hip and abduct flexed hip The Acetabular Labrum Gracilis Hip Lateral Rotators Hip flexors Origin: iliac spine Insertion: superior part of medial tibia Action: Flexes, abducts, and laterally rotates thigh at hip joint. Acetabulum – forms socket of hip joint -Ilium -Ischium -Pubis Head of femur Articular cartilage Origin: Ishial Tuberosity Insertion of Semitendinosus: medial surface of superior tibia Insertion of Semimembranosus: Posterior part of medial condyle of the tibia Action: Extends hip; flexes knee and rotates it medially Iliopsoas Adductor Brevis Origin: lateral border of ishial tuberosity Insertion: between the greater and lesser trochanter of the femur Action: Laterally rotates hip Type of Joint Origin: Inferior body of pubis Insertion: proximal femur Action: Adducts thigh and, to some extent, flexes it Origin: obturator foramen and membrane Insertion: greater trochanter of femur Action: Laterally rotates hip fibrous capsule Pectineus Adductor longus Adductor brevis Adductor magnus Gracilis Quadratus Femoris Biceps Femoris Hip Joint Motion Presentation Moore, Keith L.. Clinically Oriented Anatomy. Baltimore, Maryland: Williams & Wilkins, 1992. Print. Semitendinosus and Semimembranosus Piriformis Gluteus maximus Semitendinosus Semimembranosus Biceps Femoris Works Cited Hip Abductors Tensor Fasciae Latae Iliofemoral ligament Ishiofemoral ligament Pubofemoral ligament Ligament of head of femur Origin of long head: Ishial Tuberosity Origin of short head: femur Insertion: lateral side of head of fibula Action: Extends hip, flexes knee and rotates it laterally Adductor longus Origin: Inferior body of pubis Insertion: middle third of femur Action: Adducts thigh Flex Extend Adduct Abduct Rotate Circumduct Obturator internus Gluteus medius Gluteus minimus Origin: Inferior ramus of pubis and Ishial Tuberosity Insertion: Medial femur Action: Adducts thigh Piriformis Obturator internus Obturator externus Gemelli, superior and inferior Quadratus femoris Adductor Magnus Gluteus maximus Origin: Inferior body of pubis Insertion: Superior part of medial tibia Action: Adducts thigh, flexes knee and helps rotate it medially. Iliopsoas Psoas Iliacus Tensor Fasciae Latae Sartorius Rectus Femoris Bones involved Movements possible Hip Adductors Circumduction Origin: Anterior Inferior iliac spine Insertion: base of patella Action: flexes hip and extends leg at knee THE END Origin: Ilium, including iliac crest and dorsal surface of sacrum and coccyx Insertion: gluteal tuberosity of femur and iliotibial tract Action: extends hip; assists in lateral rotation of the femur; used for climbing stairs and jumping Origin: iliac spine and iliac crest Insertion: Lateral Condyle of the tibia Action: flexes hip, abducts and medially rotates hip Origin: obturator membrane and surrounding bone Insertion: medial surface of greater trochanter of femur Action: Laterally rotate extended hip and abduct flexed hip Composed of the Psoas Major and the Iliacus Origin of Psoas: Sides of T12 to L5 vertebrae and intervertebral discs between them Origin of Iliacus: iliac crest Insertion of both: Lesser Trochanter Action: flexing thigh at hip joint and stabilizing hip joint Pectineus Hip extensors Joint cavity Made of fibrocartilage Deepens the hip socket Attached to bony rim of the Acetabulum Helps prevent hip from dislocating Gluteus medius Distinguishing features of a synovial joint Ball and socket joint Origin: ilium Insertion: greater trochanter of femur Action: Abduct and medially rotate hip Rectus femoris

Hip Joint

Transcript: Anatomy for Radiological Technology Mahidol University Bangkok Thailand 10700 Multiaxial Ball & Socket Synovial Joint Acetabulum of Hip Bone Branches of the Obturator Obturator & Gluteal nerves Extension Adduction Medial Circumduction Miss Piyathida Inpa Student ID :5307036 MTRT/B No.32 Year 3 Anatomy Radiological Technology Mahidol University Bangkok Thailand 10700 e-mail :( piyathida.inp@student.mahidol.ac.th) Blood Supply Intracapsular Structure Abduction Bone Concern Gluteal Arteries Lateral Nerve Supply Femoral Arteries ... small Movement Branches of the Femoral Hip Joint Flexion Rotation Head of Femur Acetabular Labrum Ligament of the Head of Femur

Hip joint

Transcript: Hip replacement Motion analysis The hip joint Hip pain in footballers - biomechanics Hip injuries

Hip Joint

Transcript: Hip Joint -Before exercising, warm up by stretching. Especially outer thigh muscles. -Avoid overusing the muscles around the hip.(repetitive motion) -If one leg is longer than the other, balance out the leg length. The pain is most noticeable while walking or sleeping on the injured side. Trochanteric Bursitis Used in everyday activities such as: walking exercise •movements such as running, jumping, etc... Flexibility in the hip join allows for greater range of motion. lubricates the cartilage for smooth and non-painful movement. It can be cause by... - aging -unneeded and excessive stress on the joint. -genetically passed on etc... Prevention produces Synovial fluid Common Injuries -Weight loss(lessen stress on the hips) -Exercise to strengthen the muscles around, supporting and connected to the hip such as the quadriceps. cause: Imbalances in the body Prevention Bibliography Some symptoms and signs: - Stiffness in hips getting out of bed. - Unable to do daily routine such as putting on shoes. -Stiffness after sitting for a long time. -Swelling and tenderness the greater trochanter supports muscle tendons to provide cushion. Osteoarthritis The cartilage is broken down causing swelling and stiffness. Hips will start to hurt even while walking and resting. ninds.nih.gov healthpages.org hjd.med.nyu.edu arthritisresearchuk.org cea1.com google.com clinicalkey.com Trochanteric Bursitis Snapping Hip Piriformis Syndrome Osteoarthritis Iliacus tendinitis creates support Composition of the hip joint Inflammation and irritation around the greater trochanter are common causes. It is usually involved with the gluteal tendons which are exposed to tendinitis. Functions

Hip joint

Transcript: Hip joint By:Atanov Aron 26-1 Resources https://www.versusarthritis.org/about-arthritis/conditions/osteoarthritis-oa-of-the-hip https://www.webmd.com/ Functions of the hip joint Diagnosis Wide range of motion Stability and weight-bearing Osteoarthritis is diagnosed by an abnormal X-ray that shows characteristic features such as narrowing of the joint and spurring of the joint margins About the hip joint The ball-and-socket joint connecting a leg to the trunk of the body, in which the head of the thigh bone fits into the socket of the hip bone. Precautions Let your doctor know if you are pregnant If you haveintrauterine device (IUD) for birth control You may have to remove all jewelry and other metal objects from your body before having an X-ray Who is in the risk zone? Osteoarthritis usually starts in people over the age of 45 and is more common in women than men. Research has shown that injuries, and jobs that involve heavy lifting or long periods of standing up, are associated with an increased risk of developing hip osteoarthritis. Most common pathologies Arthritis is the most common cause of the breakdown of hip tissue. Three kinds of arthritis commonly affect the hip: Osteoarthritis being one of them

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