Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and...

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Manual of Structural Kinesiology The Hip Joint and Pelvic Girdle 9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd, EdD, ATC, CSCS

Transcript of Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and...

Page 1: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

The Hip Joint and Pelvic Girdle

Manual of Structural Kinesiology 9-1

Chapter 9The Hip Joint and Pelvic

GirdleManual of Structural Kinesiology

R.T. Floyd, EdD, ATC, CSCS

Page 2: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

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The Hip Joint and Pelvic Girdle

• Hip joint (acetabular femoral)– A relatively stable joint due to

• bony structure: ball and socket joint with a deep socket

• strong ligaments• large supportive muscles

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Bones• Ball & socket joint

– Head of femur connecting with acetabulum of pelvic girdle

– Pelvic girdle • right & left pelvic bone

joined together posteriorly by sacrum

• pelvic bones are ilium, ischium, & pubis

– Femur• longest bone in body• Patella

Page 4: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

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Bones

– Sacrum• extension of spinal column with 5 fused

vertebrae• extending inferiorly is the _________

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Bones

• Pelvic bone - divided into 3 areas– Upper two fifths = _______– Posterior & lower two fifths = ________– Anterior & lower one fifth = _______

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Joints

• Anteriorly– Two pelvic bones join to

form symphysis pubis• Posteriorly

– Sacrum is between the 2 pelvic bones & forms the sacroiliac joints

– Strong ligaments unite these bones to form rigid, slightly movable joints

Page 7: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

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Joints

• Large & heavy bones covered by thick, heavy muscles

• Very minimal movements occur in sacroiliac joints, as in walking

• Body movements usually involve entire pelvic girdle & hip joints

• In walking, hip flexion & extension occur with pelvic girdle rotation, forward in hip flexion & backward in hip extension

Page 8: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

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Joints

• Jogging & running result in faster movements & greater range of movement

• Pelvic rotation increases the length of stride in running; in kicking it results in a greater distance or more speed to the kick

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Movements

• Hip flexion– movement of femur

straight anteriorly toward pelvis

• Hip extension– movement of the femur

straight posteriorly away from the pelvis; sometimes referred to as hyperextension

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Movements

• Hip abduction– movement of femur

laterally to side away from midline

• Hip adduction– movement of femur

medially toward midline

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Movements

• 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

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Movements

• Anterior pelvic rotation– anterior movement of upper

pelvis; iliac crest tilts forward in a sagittal plane; anterior tilt

• Posterior pelvic rotation– posterior movement of upper

pelvis; iliac crest tilts backward in a sagittal plane; posterior tilt

Page 13: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

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Iliopsoas MuscleExternal rotation

of femur Flexion

of hip

Transverse pelvic rotation contralaterally when ipsilateral femur is stabilized

Page 14: Manual of Structural KinesiologyThe Hip Joint and Pelvic Girdle9-1 Chapter 9 The Hip Joint and Pelvic Girdle Manual of Structural Kinesiology R.T. Floyd,

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Rectus Femoris Muscle

Flexion of hip

Extension of knee

Anterior pelvic rotation

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Sartorius Muscle

External rotation of thigh as it flexes hip & knee

Flexion of knee

Flexion of hip

Abduction of hip

Anterior pelvic rotation

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Adductor Brevis Muscle

Adduction of hip

External rotation as it adducts hip

Assists in flexion of hip

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Adductor Longus Muscle

Adduction of hip

Assists in flexion of hip

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Adductor Magnus Muscle

External rotation as hip adducts

Adduction of hip

Extension of hip

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Gracilis Muscle

Adduction of hip

Weak flexion of knee

Internal rotation of hip

Assists with flexion of hip

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Semitendinosus Muscle Flexion of knee

Extension of hip

Internal rotation of hip

Internal rotation of flexed knee

Posterior pelvic rotation

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Semimembranosus Muscle Flexion of knee

Extension of hip

Internal rotation of hip

Internal rotation of flexed knee

Posterior pelvic rotation

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Biceps Femoris Muscle Flexion of knee

Extension of hip

External rotation of hip

External rotation of flexed knee

Posterior pelvic rotation

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Gluteus Maximus Muscle

Lower fibers assist in adduction

Upper fibers assist in abduction

Posterior pelvic rotation

External rotation of hip

Extension of hip

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Gluteus Medius Muscle

External rotation & extension (posterior fibers)

Abduction of hip

Internal rotation & flexion (anterior fibers)

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Tensor Fasciae Latae MuscleAbduction of hip

Flexion of hip

Tendency to rotate hip internally as it flexes

Anterior pelvic rotation

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Six Deep Lateral Rotator Muscles

External rotation of hip

Piriformis, Gemellus superior, Gemellus inferior,Obturator externus, Obturator internus, Quadratus femoris