8 Hip Joint and Pelvic Girdle - 420 050
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Transcript of 8 Hip Joint and Pelvic Girdle - 420 050
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The Hip Joint andPelvic Girdle
Anatomy and Physiology of
Human Movement
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Objectives
Bones, bony landmarks and oints
Mus!les
Movements
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Hip Joint
Hi" oint #femur and a!etabulum of "elvis$ %elatively stable due to: Bony ar!hite!ture &trong ligaments 'arge su""ortive mus!les
Hi" oint and "elvi! girdle (ork together mu!h likeshoulder oint and girdle Pelvis moves in res"onse to trunk and)or thigh movement
*ther bones to !onsider +ibia ibula Patella
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Pelvic Girdle
Pelvi! girdle Pelvi! bones, sa!rum, !o!!y- Pelvi! bones: .a!h "elvi! bone is made u" of three fused bones ilium,
is!hium, / "ubis %ight / left "elvi! bone oined together "osteriorly by sa!rum
&a!rum: .-tends from s"inal !olumn (ith 5 fused vertebrae
o!!y-: .-tends "osteriorly from sa!rum (ith 1 fused vertebrae
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'ateral femoral
e"i!ondyleMedial femoral
e"i!ondyle
Patella
+ibial tuberosity
Head of fibula
'ateral tibial
!ondyleMedial tibial
!ondyle
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Joints
Hi" oint AA A!etabular femoral oint
3iarthrodial multia-ial ball and so!ket
Movements Planes and a-es
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Joints
Pubi! sym"hisis Am"hiarthrodial !artilagenous oint
&lightly moveable
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Joints
&a!roilia! oints 3iarthrodial gliding oints
&lightly moveable
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Objectives
Bones, bony landmarks and oints
Mus!les
Movements
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Muscles
Anterior: lio"soas &artorius %e!tus femoris +ensor fas!iae latae
Posterior: luteus ma-imus Bi!e"s femoris &emitendonosus &emimembranosus 3ee" 6 e-ternal rotators
'ateral: luteus medius
luteus minimus
Medial: Addu!tor brevis
Addu!tor longus
Addu!tor magnus
ra!ilis
Pe!tineus
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Iliopsoas
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Sartorius
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Rectus Femoris
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Tensor Fasciae Latae
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Muscles
Anterior: lio"soas &artorius %e!tus femoris +ensor fas!iae latae
Posterior: luteus ma-imus Bi!e"s femoris &emitendonosus &emimembranosus 3ee" 6 e-ternal rotators
'ateral: luteus medius
luteus minimus
Medial: Addu!tor brevis
Addu!tor longus
Addu!tor magnus
ra!ilis
Pe!tineus
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Gluteus Maimus
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Semitendinosus
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Semimembranosus
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!iceps Femoris
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Si "eep #ternal Rotators
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Muscles
Anterior: lio"soas &artorius %e!tus femoris +ensor fas!iae latae
Posterior: luteus ma-imus Bi!e"s femoris &emitendonosus &emimembranosus 3ee" 6 e-ternal rotators
'ateral: luteus medius
luteus minimus
Medial: Addu!tor brevis
Addu!tor longus
Addu!tor magnus
ra!ilis
Pe!tineus
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Gluteus Medius
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Gluteus Minimus
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Muscles
Anterior: lio"soas &artorius %e!tus femoris +ensor fas!iae latae
Posterior: luteus ma-imus Bi!e"s femoris &emitendonosus &emimembranosus 3ee" 6 e-ternal rotators
'ateral: luteus medius
luteus minimus
Medial: Addu!tor brevis
Addu!tor longus
Addu!tor magnus
ra!ilis
Pe!tineus
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$dductor !revis
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$dductor Lon%us
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$dductor Ma%nus
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Pectineus
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Gracilis
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Objectives
Bones, bony landmarks and oints
Mus!les
Movements
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Movements
le-ion Movement of femur straight
anteriorly
.-tension Movement of femur straight
"osteriorly
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Movements
Abdu!tion Movement of femur laterally
to side a(ay from midline
Addu!tion Movement of femur
medially to(ard midline
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Movements
Hori7ontal addu!tion Movement of femur in a hori7ontal or transverse
"lane to(ard the midline
Hori7ontal abdu!tion Movement of femur in a hori7ontal or transverse
"lane a(ay from the midline
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Movements
.-ternal rotation Movement of femur laterally
around its long a-is a(ay from
midline nternal rotation Movement of femur medially
around its long a-is to(ard
midline
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Movements
3iagonal abdu!tion Movement of femur in a
diagonal "lane a(ay from
midline of body3iagonal addu!tion Movement of femur in a
diagonal "lane to(ard midlineof body
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Movements
Anterior "elvi! tilt Anterior movement of u""er
"elvis8 ilia! !rest tilts for(ard
in a sagittal "lanePosterior "elvi! tilt Posterior movement of u""er
"elvis8 ilia! !rest tilts
ba!k(ard in a sagittal "lane
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Movements
'eft lateral "elvi! tilt 'eft "elvis moves inferiorly in
relation to right "elvis in frontal
"lane
%ight lateral "elvi! tilt %ight "elvis moves inferiorly in
relation to left "elvis in frontal
"lane
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Movements
'eft transverse "elvi! tilt 'eft "elvis moves
"osteriorly in relation to the
right in transverse "lane%ight transverse "elvi! tilt %ight "elvis moves
"osteriorly in relation to theleft in transverse "lane
LI OF P'LL
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LI OF P'LL
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FL#(IO&
&u"erior movement of the femur in the sagittal "lane
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FL#(IO&
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FL#(IO&
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FL#(IO&
lio"soas
%e!tus femoris
&artorius +ensor fas!iae latae
Pe!tineus
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#(T#&SIO&
nferior movement of the femur in the sagittal "lane
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#(T#&SIO&
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#(T#&SIO&
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#(T#&SIO&
luteus ma-imus
Hamstrings Bi!e"s femoris
&emitendinosus
&emimembranosus
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$!"')TIO&
&u"erolateral movement of the femur in thefrontal "lane
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luteus minimus
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$!"')TIO&
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$!"')TIO&
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$!"')TIO&
+ensor fas!iae latae
luteus medius
luteus minimus
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$""')TIO&
nferomedial movement of the femur in thefrontal "lane
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$""')TIO&
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$""')TIO&
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$""')TIO&
ra!ilis
Addu!tor magnus
Addu!tor longus Addu!tor brevis
Pe!tineus
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HORI*O&T$L $!"')TIO&
Movement of the femur a(ay from the midlineof the body in the transverse "lane Mus!les Abdu!tors
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HORI*O&T$L $""')TIO&
Movement of the femur to(ards the midline inthe transverse "lane Mus!les Addu!tors
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I&T#R&$L+#(T#R&$L ROT$TIO&
Movement of the femur to(ards)a(ay the midline in
the transverse "lane along its long a-is