The Hip. FemurCircumductionAcetabulumIliofemoral External rotation...
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Transcript of The Hip. FemurCircumductionAcetabulumIliofemoral External rotation...
The HipThe Hip
FemurFemur
CircumductionCircumduction
AcetabulumAcetabulum
IliofemoralIliofemoral
External rotationExternal rotation
AbductionAbduction
PubisPubis
PubofemoralPubofemoral
FlexionFlexion
IliumIlium
ExtensionExtension
IschiofemoralIschiofemoral
IschiumIschium
AdductionAdduction
Internal rotationInternal rotation
The HipThe Hip
AnatomyAnatomy
InjuriesInjuries
EvaluationEvaluation
RehabilitationRehabilitation
AnatomyAnatomy
BonesBones
LigamentsLigaments
MusclesMuscles
Bones of the hip jointBones of the hip jointFemur- The ball part of this bone connects to the other three Femur- The ball part of this bone connects to the other three bones to comprise the hip joint.bones to comprise the hip joint.
Ilium-This is the largest area of the hip bones. Ilium-This is the largest area of the hip bones.
Ischium-The ischium is a curved bone which lies below the ilium.Ischium-The ischium is a curved bone which lies below the ilium.
Pubis-The pubis is the front-most area of the hip bones.Pubis-The pubis is the front-most area of the hip bones.
The ilium, ischium, and pubis come together and form a cup-like The ilium, ischium, and pubis come together and form a cup-like shape that the head of the femur fits into. This cup is called the shape that the head of the femur fits into. This cup is called the acetabulum.acetabulum.
LigamentsLigamentsThe iliofemoral ligament attaches the The iliofemoral ligament attaches the pelvis to the femur. It prevents excessive pelvis to the femur. It prevents excessive extension of the hip.extension of the hip.
The pubofemoral ligament attaches the The pubofemoral ligament attaches the pubis bone of the pelvis to the femur. pubis bone of the pelvis to the femur.
The posterior of the hip joint capsule is The posterior of the hip joint capsule is reinforced by the ischiofemoral ligament reinforced by the ischiofemoral ligament that attaches from the ischial part of the that attaches from the ischial part of the acetabular rim to the femur. acetabular rim to the femur.
Motions of the hipMotions of the hip
Flexion and extension Flexion and extension
Abduction and adduction Abduction and adduction
Internal and external rotation Internal and external rotation
Circumduction Circumduction
Muscles of the hipMuscles of the hip
Flexor groupFlexor group
Extensor groupExtensor group
External rotatorsExternal rotators
Internal rotatorsInternal rotators
AbductorsAbductors
AdductorsAdductors
Injuries Injuries Hip flexor strainHip flexor strain
Groin strainGroin strain
Hip pointerHip pointer
Hip dislocationHip dislocation
Myositis OssificansMyositis Ossificans
ITB syndromeITB syndrome
Stress FractureStress Fracture
Legg-Calve'-Perthes Legg-Calve'-Perthes DiseaseDisease
Avulsion FractureAvulsion Fracture
Snapping HipSnapping Hip
Hip Flexor strainHip Flexor strain
Hip flexor strainHip flexor strain
Hip pointerHip pointer
A hip pointer is an injury is to the A hip pointer is an injury is to the iliac crest, the bony prominence that iliac crest, the bony prominence that can be felt along the waist line. When can be felt along the waist line. When someone sustains a hip pointer someone sustains a hip pointer injury, the bone and overlying injury, the bone and overlying muscle can be bruised. muscle can be bruised.
Hip pointerHip pointer
Groin strainGroin strain
Hip dislocationHip dislocationIt requires substantial force to pop the It requires substantial force to pop the thighbone out of its socket. thighbone out of its socket. In nine out of ten hip dislocations, the In nine out of ten hip dislocations, the head of the thighbone is pushed out and head of the thighbone is pushed out and back (posterior dislocation). This leaves back (posterior dislocation). This leaves the hip in a fixed position, bent and the hip in a fixed position, bent and twisted in towards the middle of the body.twisted in towards the middle of the body.
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Hip dislocationHip dislocation
Hip dislocationHip dislocation
Hip dislocationHip dislocation
Hip dislocationHip dislocation
Myositis OssificansMyositis OssificansMyositis ossificans is an unusual condition Myositis ossificans is an unusual condition that often occurs in athletes who sustain a that often occurs in athletes who sustain a dirtect blow that causes deep tissue dirtect blow that causes deep tissue bleeding. bleeding. The soft-tissues that were injured in the The soft-tissues that were injured in the traumatic event initially develops a traumatic event initially develops a hematoma, and subsequently develop the hematoma, and subsequently develop the myositis ossificans. myositis ossificans. The word myositis ossificans means that The word myositis ossificans means that bone forms within the muscle, and this bone forms within the muscle, and this occurs at the site of the hematoma. occurs at the site of the hematoma.
Myositis OssificansMyositis Ossificans
ITB syndromeITB syndrome
ITB syndromeITB syndromeIliotibial band syndrome is due to Iliotibial band syndrome is due to inflammation of the iliotibial band, a thick inflammation of the iliotibial band, a thick band of fibrous tissue that runs down the band of fibrous tissue that runs down the outside of the leg. outside of the leg. The iliotibial band begins at the hip and The iliotibial band begins at the hip and extends to the outer side of the shin bone extends to the outer side of the shin bone (tibia) just below the knee joint. (tibia) just below the knee joint. The band functions in coordination with The band functions in coordination with several of the thigh muscles to provide several of the thigh muscles to provide stability to the outside of the knee joint. stability to the outside of the knee joint.
Stress FractureStress Fracture
Legg-Calve'-Perthes DiseaseLegg-Calve'-Perthes Disease LCPD is of unknown origin. It is LCPD is of unknown origin. It is known that bone death occurs in the known that bone death occurs in the ball of the hip due to an interruption ball of the hip due to an interruption in blood flow. in blood flow. The age of diagnosis is usually The age of diagnosis is usually between 2 and 12 years old, with the between 2 and 12 years old, with the average age of 6. average age of 6. Most of these children are very Most of these children are very active and often very athletic. active and often very athletic.
Legg-Calve'-Perthes DiseaseLegg-Calve'-Perthes Disease
The first symptoms characterized in The first symptoms characterized in LCPD are usually a limp and perhaps LCPD are usually a limp and perhaps pain in the hip, groin, or knee (known pain in the hip, groin, or knee (known as a referred pain). as a referred pain).
Often you will first notice limping Often you will first notice limping during your child's active play. during your child's active play.
They usually cannot tell you an They usually cannot tell you an instance when they hurt themselves. instance when they hurt themselves.
Legg-Calve'-Perthes DiseaseLegg-Calve'-Perthes Disease
Avulsion FractureAvulsion FractureCauses:Causes: This injury occurs in sports where This injury occurs in sports where athletes must start and stop running athletes must start and stop running quickly, must jump, or kick. Such as quickly, must jump, or kick. Such as football, soccer, and basketball. football, soccer, and basketball. Signs and Symptoms:Signs and Symptoms: You will have You will have sudden pain and may feel a "pop" in your sudden pain and may feel a "pop" in your hip or groin. You may have trouble moving hip or groin. You may have trouble moving your hip and leg. The pain is often worse your hip and leg. The pain is often worse when the area is touched.when the area is touched.
Avulsion FractureAvulsion Fracture
Snapping HipSnapping HipThe snapping sensation results from the The snapping sensation results from the movement of a muscle or tendon over a bony movement of a muscle or tendon over a bony structure. structure. ITB-When the hip is straight, the band is behind ITB-When the hip is straight, the band is behind the head of the femur. When the hip bends, the the head of the femur. When the hip bends, the band moves over the head of the femur so that it band moves over the head of the femur so that it is then front of it. is then front of it. Tendons-As you bend the hip, the tendon shifts Tendons-As you bend the hip, the tendon shifts across the anterior aspect of pelvis; when you across the anterior aspect of pelvis; when you straighten the hip, the tendon moves back. straighten the hip, the tendon moves back. Torn Labrum-If there is a loose flap of cartilage Torn Labrum-If there is a loose flap of cartilage catching within the joint, this may cause a catching within the joint, this may cause a snapping sensation when the hip is moved.snapping sensation when the hip is moved.