1 / 12

The Hip Joint

The Hip Joint. Type: Synovial (Ball & Socket) Articular Surfaces: head of femur & acetabulum. Articular surfaces: 1- Acetabulum has: - C- shaped articular surface = lunate surface, Acetabular fossa,

lela
Download Presentation

The Hip Joint

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Hip Joint Type: Synovial (Ball & Socket) Articular Surfaces: head of femur & acetabulum

  2. Articular surfaces: 1- Acetabulumhas: - C- shaped articular surface = lunate surface, Acetabular fossa, • Acetabular notch -----► converted into acetabular foramen by transverse ligament of the acetabulum • - Labrum acetabulare deepens the acetabular cavity. • 2- Head of femur

  3. Capsule & Synovial Membrane:

  4. Ligaments: 1- Ilio-femoral lig.: Y- shaped, strong, attached between AIIS and both ends of trochantric line. Prevents hyper-extension. 2- Pubo-femoral lig.:Triangular in shape, supports the inferomedial part of the joint, attached between ilio-pubic eminence and the capsule. Prevents hyper-abduction. 3- Iscio-femoral lig.: from ischium to the back of the capsule. It becomes tense in medial rotation. 4- round ligament of the head of femur: Inside the joint, between head of femur to acetabular notch and transverse lig., carries blood supply to head of femur.

  5. Movements: 1- Flexion: Psoas major, Iliacus + Rectus femoris, sartorius, pectineus. 2- Extension: Gluteus maximus + hamstring 3- Abduction: Gluteus medius & minimus + tensor fascia latae 4- Adduction: Adductor longus, brevis, magnus + gracilis, pectineus 5- Medial rotation: Gluteus medius & minimus + tensor fascia latae 6- Lateral rotation: The 6 lateral rotators: Obturator internus, 2 gemelli, piriformis, obturator externus, quadratus femoris + gluteus maximus, adductors. 7- Circumduction: Nerve supply of hip joint: 1- Femoral nerve. 2- Obturator nerve. 3- sciatic nerve. 4- Nerve to quadratus femoris.

  6. Relations of the hip joint: • Anteriorly: Pectineus, Iliopsoas, RF (straight head), femoral vessels. • Laterally: Tensor fascia latae, gluteus minimus & medius. • Posteriorly: Piriformis, obturator internus, 2 gemelli, quadratus femoris, sciatic nerve. • Above: RF (reflected head), gluteus minimus. • Below: Obturator externus.

  7. Stability of the hip joint: The hip joint is very stable joint due to: 1- The head of femur fits accurately to the acetablum. 2- The three strong ligaments outside the capsule. 3- The surrounding strong muscles. Hip dislocation is usually posterior as in car accidents. It occurs with no fracture of the acetabulum (if the hip is flexed and adducted) or with fracture acetabulum (if the hip is flexed and abducted). The sciatic nerve may be injured in posterior hip dislocation.

  8. Blood supply to the head of femur:

  9. Blood supply to acetabular fossa and ligament of the head of femur:

  10. X-Ray of the hip joint:

  11. MRI of the hip joint:

  12. Thank You

More Related