1. Lesson 24
A & P Hip

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

3. 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

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

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

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

7. 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

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

9. 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

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

11. 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

12. Bone Anatomy
Adductor Tubicle
Watch Video

13. Bone Anatomy
Acetabulum#
Watch Video

14. 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#

15. 4 Main Ligaments of the Hip region
Iliofemoral
Pubofemoral
Ischiofemoral

16. Ligamentum Teres & Hip Anatomy
Watch Video

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

18. Main Bursae of the Hip region
Iliopectineal

19. Main Bursae of the Hip region
Superficial
Tronchantic

20. Main Bursae of the Hip region
Deep Tronchantic
Watch Video

21. 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

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

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

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

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

26. 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),

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

28. Main Hip Region
Muscles
Lets look at
each muscle

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

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

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

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

33. 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

34. 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

35. 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

36. 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

37. 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

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

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

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

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

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

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

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

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

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

47. 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

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

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