Transcript Os Coxae and Femur

Presentation
Hip Joint
By: Aaron White, Ashley Garbarino, Anna Mueller
Pelvic Girdle
PSIS
ASIS
Illiac
fossa
Superior
Ramus
Pubic crest
Obturator
Foramen
Inferior
Ramus
Pubic arch
Os Coxae and Femur
Greater sciatic notch
Ischial spine
Lesser sciatic notch
Pectineal
line
Femur
Linea aspera
Adductor
tubercle
Condyles and Epicondyles
Lateral
epicondyle
Medial
epicondyle
Tibial tuberosity
Anterior crest
Intercondylar
eminence
Tibia
Medial
malleolus
Hot guy!!!
ASIS
Tip of
greater
trochanter
Inguinal ligament
Supracristal
line
Even
hotter!!!
Illiac crest
Gluteus
maximus
Intergluteal cleft
PSIS
Sacrum
Gluteal fold
(sulcus)
Acetabular labrum is a fiberocartilage rim
It enhances the depth of acetabulum
Ball and socket - synovial joint
Articular Capsule
Anterior view
Right hip joint
Fibrous layer: Attaches to rim of the acetabulum to neck of the
femur
Synovial membrane: Lines the fibrous layer along with bony
surfaces not lined with articular cartilage
Ligaments:
Anterior view of right hip joint
Ligaments:
Posterior view of right hip
Ligaments:
Anterior view of right hip joint
Ligaments:
Superior view of transverse cut
Ligaments:
Right hip bone and
femur
Ligaments:
Anterior view
Right hip bone
Inguinal
ligament
Trochanteric Bursa & Ischial Bursa
Bursa:
They are sac like structures filled with synovial fluid
that cushion movement. Strategically situated to alleviate
friction – between muscles and boney prominences.
Gluteofemoral Bursa
Sciatic nerve
Femoral nerve
(yellow)
Femoral artery
(red)
Femoral vein
(blue)
Superior gluteal nerve
Inferior gluteal nerve
Superior gluteal artery
Inferior gluteal artery
Common peroneal nerve
Obturator nerve
Obturator artery
Great saphenous vein
Deep femoral (profunda) artery
Profunda femoral vein
Lateral circumflex
femoral artery
Medial circumflex
femoral artery
Origin: Anterior and lateral surfaces of T12 through L5
T12 through L5
Insertion: Lesser trochanter
Action: Hip flexion
Innervations & vascular supply: L2 and L3
Origin: Iliac fossa
Insertion: Lesser trochanter
Action: Hip flexion
Innervations & vascular supply: Femoral nerve
Origin: Pubis
Insertion: Pectineal line and proximal linea aspera
Action: Hip adduction
Innervations & vascular supply: Obturator nerve, Obturator artery,
Deep femoral artery
Origin: Ischial tuberosity
Insertion: Posterior surface of medial condyle of tibia
Action: Extend hip and flex knee
Innervations & vascular supply: sciatic nerve and inferior gluteal artery
Origin: Anterior inferior iliac spine
Insertion: Tibial tuberosity
Action: Hip flexion and knee extension
Innervations & vascular supply: Femoral nerve,
Lateral circumflex femoral artery
Origin: Ischium and pubis
Insertion: Entire linea aspera and adductor tubercle
Action: Hip adduction
Innervations & vascular supply: Obturator nerve and Obturator artery
Origin: Ischial tuberosity
Insertion: Anteromedial surface of proximal tibia
Action: Extend hip and flex knee
Innervations & vascular supply: Sciatic nerve and Deep femoral
Origin: Anterior superior iliac spine
Insertion: Proximal medial aspect of tibia
Action: Combination of hip flexion, abduction, lateral rotation
Innervations & vascular supply: Femoral nerve and
Lateral circumflex femoral artery
Origin: Pubis
Insertion: Anterior medial surface of proximal end
of tibia
Action: Hip adduction
Innervations & vascular supply: Obturator nerve and Obturator artery
Origin:
Long head: Ischial
tuberosity
 Short head: Lateral lip
of linea aspera
Insertion: Fibular head
 Action
 Long head: extend hip
 Short head: flex knee
and flex knee
Innervations & vascular supply:
Long head: Sciatic nerve
Short head: Common peroneal nerve and inerior gluteal artery
Origin: Superior ramus of pubis
Insertion: Pectineal line of femur
Action: Hip flexion and adduction
Innervation and vascular supply: Femoral nerve,
Medial circumflex femoral artery
Origin: Posterior sacrum and ilium
Insertion: Posterior femur distal to greater trocanter
Action: Hip extension, hyperextension, lateral rotation
Innervations & vascular supply: Inferior gluteal nerve and
Superior gluteal artery
Origin: Lateral ilium
Insertion: Greater Trochanter
Action: Hip abduction
Innervations & vascular supply: Superior gluteal nerve and
Superior gluteal artery
Origin: Pubis
Insertion:
Medial 1/3 of the linea aspera
Action: Hip adduction
Innervations & vascular supply: Obturator nerve, Obturator artery,
Deep femoral artery
Origin: Lateral ilium
Insertion: Anterior surface of the greater trochanter
Action: Hip abduction, medial rotation
Innervations & vascular supply: Superior gluteal nerve and
Superior gluteal artery
Origin: Internal surface of sacrum, Sacrotuberous
ligament
Insertion: Superior border of greater trochanter
Action: Lateral rotation, abduction, helps hold femur in
aceatabulum
Innervations & vascular supply: L5, S1, and 2
Superior and inferior gluteal arteries
Sciatica
-Irritation of the sciatic nerve due to an injury.
-Pain radiates down the back of the leg. May be confused for a herniated disc.
-Piriformis muscle spasms and compresses against Sciatic nerve against the pelvis.
-MRI (neurography) to help diagnose Piriformis Syndrome.
-PT’s & PTA’s treatment is heat (cold if post-surgical), ultrasound, and massage as well
as stretching exercises.
Botox
-Botox injection to paralyze the
Piriformis muscle.
-Surgery is the last resort.
Origin: Anterior superior iliac spine
Insertion: Lateral condyle of tibia
Action: Combined hip flexion and abduction
Innervations & vascular supply: Superior gluteal nerve,
Superior gluteal artery
ANTERIOR VIEW OF LEG
Psoas major
Illiacus
Posterior view of leg
Biceps femoris
Posterior view of leg
Semitendinosus
Semimembranosus
ANTERIOR VIEW OF LEG
Pectineus
Adductor
brevis
Adductor longus
Sartorius
Rectus
femoris
MEDIAL VIEW OF LEG
Gracilis
Sartorius
Adductor
magnus
Gluteus
minimus
Gluteus
maximus
Piriformis
Gluteus
medius
Tensor fascia
latae