PresentationHip Joint

By: Aaron White, Ashley Garbarino, Anna Mueller

SuperiorRamus

Inferior Ramus

Obturator Foramen

Illiac fossa

Pubic arch

Pubic crest

ASIS

PSIS

Pelvic Girdle

Greater sciatic notch

Lesser sciatic notch

Ischial spine

Os Coxae and Femur

Pectineal line

Linea aspera

Adductortubercle

Femur

Condyles and Epicondyles

Medial epicondyle

Lateralepicondyle

Tibial tuberosity

Anterior crest

Tibia

Medial malleolus

Intercondylar eminence

Supracristal line

Inguinal ligament

ASIS

Tip of greater trochanter

Hot guy!!!

Gluteal fold(sulcus)

Gluteus maximus

PSIS

Sacrum

Illiac crest

Intergluteal cleft

Even hotter!!!

Acetabular labrum is a fiberocartilage rimIt enhances the depth of acetabulum

Ball and socket - synovial joint

Articular Capsule

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

Anterior view Right hip joint

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 Origin: Anterior and lateral surfaces of T12 through L5through L5

T12 through L5T12 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

Long head: Ischial tuberosity

Short head: Lateral lip of linea aspera

Insertion: Fibular head

Long head: extend hip and flex knee

Short head: flex knee

Action

Innervations & vascular supply: Long head: Sciatic nerveShort head: Common peroneal nerve and inerior gluteal artery

Origin: Superior ramus of pubis

Insertion: Pectineal line of femur

Action: Hip flexion and adductionAction: 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 adductionAction: 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

Psoas major

Illiacus

ANTERIOR VIEW OF LEG

Biceps femoris

Posterior view of leg

SemitendinosusSemimembranosus

Posterior view of leg

Adductor longus

Sartorius

Pectineus

Rectus femoris

Adductor brevis

ANTERIOR VIEW OF LEG

Gracilis

SartoriusAdductor magnus

MEDIAL VIEW OF LEG

Gluteus minimus

Piriformis

Gluteus medius

Gluteus maximus

Tensor fascialatae