Lesson 24 A & P Hip

Aims of the Session This session will allow candidates to have an understanding of the bony prominences and soft tissues of the hip

Learning Outcomes By the end of the lesson the candidate will be able to Classify and describe the articulations of the hip joint and pelvis Be able to name the movements of the Pelvis & Hip joint Identify the bony prominences that aid palpation on a human subject Identify the main muscles on a human subject

Learning Outcomes By the end of the lesson the candidate will be able to Name the ligaments and bursae’s of the hip region

Bones of the hip region What Bones make up the pelvic Girdle? 2 Innominate bones Sacrum Watch Video

Bones of the hip region# What Bones make up an innominate bone? Watch Video

Articulations of the hip region What type of joint is the Sacroiliac joint? Gliding joint – limited movement What type of joint is the Pubis Symphysis? Slightly Movable Sacroiliac joint Watch Video Pubis Symphysis

Articulations of the hip region What type of joint is the Hip joint? Freely movable or Synovial Type – ball & socket Watch Video

Movements of the pelvis region# Hip Joint first Anterior rotation (tilt) Bilateral Posterior rotation (tilt) Bilateral Right Transverse rotation, unilateral Left Transverse rotation, unilateral Right unilateral elevation Left unilateral elevation or combinations due to tight/shortened muscles Flexion, extension & Hyper-extension Abduction & Adduction Circumduction Medial & Lateral rotation Watch Video

Bone Anatomy Iliac crest Anterior superior iliac spine (ASIS)# Anterior inferior iliac spine (AIIS) very hard to find Pubis Ramis Ischial tuberosity# Watch Video

Bone Anatomy Iliac fossa Obturator Foramen #Greater Trochanter Trochanteric Fossa Gluteal line Linea Aspera – line running down back of bone in middle 1/3 Lesser Trochanter# Pectinial line Watch Video

Bone Anatomy Adductor Tubicle Watch Video

Bone Anatomy Acetabulum# Watch Video

Try and Teach the Bone Anatomy Iliac Crest ASIS# AIIS Pubis Ramus Ischial Tuberosity# Greater Trochanter# Trochanteric Fossa Gluteal line Linea Aspera Iliac Fossa Obturator Foramen Lesser Trochanter Pectinial line Adductor Tubicle Include the bones & joints# Include movements#

4 Main Ligaments of the Hip region Iliofemoral Pubofemoral Ischiofemoral

Ligamentum Teres & Hip Anatomy Watch Video

Main Bursae of the Hip region Iliopectineal Superficial tronchantic Deep tronchantic We will now have a look where these are

Main Bursae of the Hip region Iliopectineal

Main Bursae of the Hip region Superficial Tronchantic

Main Bursae of the Hip region Deep Tronchantic Watch Video

Main Hip Region Muscles Working as a group, see what muscles you can name that Flex the hip Extend the hip Adduct the hip Abduct the hip Externally rotate the hip Internally rotate the hip List them down Watch Video

Main Hip Region Muscles Flex the hip# Psoas Major, Iliacus, Rectus Femoris, Sartorious, Tensor Fasciae Latae, Gluteus Medius & Minimus.

Main Hip Region Muscles Extend the hip# Biceps Femoris (long head), Semitendinosus, Semimembranosus, Gluteus Maximus, Piriformis, Quadratus Femoris,

Main Hip Region Muscles Abduct the hip Tensor Fasciae Latae, Gluteus Medius & Minimus, Piriformis

Main Hip Region Muscles Adduct the hip Pectineus, Adductor Longus, Adductor Brevis, Adductor Magnus, Gracilius, Gluteus Maximus, Semimembranosus, Semitendinosus, Quadratus Femoris, Iliacus.

Main Hip Region Muscles External Rotation of the hip Piriformis, Superior/Inferior Gemellus, Internal/External Obturator, Quadratus Femoris Sartorius, Psoas Major, Iliacus, Gluteus Maximus & Medius, Bicep Femoris (long head),

Main Hip Region Muscles Internal Rotation of the hip Gluteus Medius & Minimus, Semitendinosus, Semimembranosus, Adductor Magnus Gracilis Quadratus Femoris

Main Hip Region Muscles Lets look at each muscle

Main Hip Region Muscles Psoas Major Flexion, Adduction, Ext Rotation, O-L1-L5 Trans Processes I-Lesser Trochanter Watch Video

Main Hip Region Muscles Iliacus Flexion, Adduction, Ext Rotation O-Iliac fossa I-Just distal to lesser Trochanter. Watch Video

Main Hip Region Muscles Sartorius, Flexion, Abduction, External Rotation, O-ASIS I-Inferior to condyle of tibia Watch Video

Main Hip Region Muscles Rectus Femoris Flexion O-AIIS, Roughened area above Acetabulum I-Patella & Tibial tuberosity Watch Video

Main Hip Region Muscles Tensor Fasciae Latae, Flexion, Abduction, Internal Rotation. O-Outer lip of iliac crest & Between ASIS & AIIS I-Greater Trochanter (as ITB) & Anterior/Inferior to lateral Condyle of Tibia Watch Video

Main Hip Region Muscles Gluteus Maximus Extension, Adduction, External rotation O-Iliac crest & gluteal line I-Gluteal line of femur, (& as ITB) Inferior/Anterior lateral condyle Of the tibia see next slide Watch Video

Main Hip Region Muscles Gluteus Medius Abduction, Anterior-Flexion & Internal rotation Posterior-Extension & External rotation O-Iliac crest, Ant/Post gluteal lines I-Posterior edge of greater trochanter Watch Video

Main Hip Region Muscles Gluteus Minimus Abduction, Int Rotation Anterior-flexion Posterior-Extension O-Ant/Post Gluteal lines I-Ant edge of greater trochanter Watch Video

Main Hip Region Muscles Biceps Femoris (long/short head), Extension, Adduction, External Rotation O-Ischial Tuberosity & Linea Aspera I-Head of Fibula & Lateral Tibial Condyle Watch Video

Main Hip Region Muscles Semitendinosus, Extension, Adduction, Internal Rotation O-Ischial Tuberosity I- Inferior to medial tibial condyle Watch Video

Main Hip Region Muscles Semimembranosus, Extension, Adduction, Internal Rotation O-Ischial Tuberosity I- Medial tibial condyle Watch Video

Main Hip Region Muscles Piriformis, Abduction & External Rotation O-Superior 2/3 of sacrum I-Greater trochanter Watch Video

Main Hip Region Muscles Quadratus Femoris, External rotation, Adduction, Extension O-Ischial Tuberosity I-Intertrochanic crest Watch Video

Main Hip Region Muscles Pectineus, Flexion, Adduction, External rotation O-Superior aspect of pubic Bone I-Pectineal line on femur Watch Video

Main Hip Region Muscles Adductor Brevis, Adduction, Flexion External rotation O-Pubic bone I-Proximal 1/3 of linea aspera Watch Video

Main Hip Region Muscles Adductor Longus, Adduction, Flexion External rotation O-Pubic bone I-Middle 1/3 of linea aspera Watch Video

Main Hip Region Muscles Adductor Magnus, Anterior portion Adduction, Flexion, External rotation O-Pubic bone I-Adductor tubicle Watch Video

Main Hip Region Muscles Adductor Magnus, Posterior portion Adduction, Extension, Internal rotation O-Ischial tuberosity I-Linea aspera Watch Video

Main Hip Region Muscles Gracilis, Adduction, Flexion, External rotation O-Anterior inferior aspect of Pubis symphysis & pubic bone I-Distal to medial Tibial condyle Watch Video

Main Hip Region Muscles Superior/Inferior Gemellus, External rotation O-Ischial spine Outer aspect of Ischial Tuberosity I-Greater Trochanter & Fossa Watch Video

Main Hip Region Muscles Internal/External Obturator, External rotation O-rim of Obturator Foramen I-Greater Trochanter & Fossa Watch Video