Download presentation
Presentation is loading. Please wait.
1
The Hip Presented by: Dan McReynolds Tracy Reed Lance Best
Natalie Nord
2
Surface Anatomy Gluteal Region
Sacrum Iliac Crest Dimple for Posterior Superior Iliac Spine Greater Trochanter Intergluteal cleft Gluteal Fold Gluteal Sulcus
3
Surface Anatomy Anterior Pelvic Region
Anterior Superior Iliac Spine Supracristal Plane Inguinal Ligament
4
Os Coxa(e) Bone
5
Os Coxa(e) Bone Superior Pubic Ramus Inferior Pubic Ramus
6
Pubic Crest
7
Femur Anterior Posterior
8
Femur
9
Proximal Tibia
10
Ligaments Several strong ligaments, including the iliofemoral and Pubofemoral anteriorly and the Ischiofemoral ,that spirals posterior, are arranged so that they “screw” the femur head into the socket when a person stands upright.
11
Ligaments Intertrochanteric line Iliofemoral Ligament: Strong Y-shaped ligament that supports front of the hip joint. It connects the lower front iliac spine of the coxal bone to the Intertrochanteric line extending between the greater and lesser Trochanters of the femur. The iliofemoral ligament is the strongest ligament in the body.
12
Ligaments Ischiofemoral Ligament: Consists of a triangular band of strong fibers on the POSTERIOR SIDE of the hip joint. Its fibers connect from the Ischium at the point below and behind the acetabulum to blend with the circular fibers at the posterior end of the joint capsule and attach at the Intertrochanteric line of the femur.
13
Ligaments Pubofemoral Ligament: Attached to the Obturator crest and the Superior Ramus of the Pubis and then blends with the capsule and with the deep surface of the vertical band of the Iliofemoral Ligament and also attaches on the Intertrochanteric line of the femur.
14
Ligaments Runs from the sacrum to the Ischial tuberosity.
15
Ligaments Inguinal Ligament: This band runs from the Anterior Superior Iliac Spine of the Ilium to the Pubic Tubercle of the Pubic bone
16
Acetabular Labrum: Ring of tough Fibrocartilage attached to the rim of the acetabulum.
Transverse Acetabular Ligament: Consists of strong, flattened fibers, which cross the acetabular notch, and prevent inferior displacement of the head of the femur Ligament of the Head (Ligamentum Teres): Helps to secure the head of the femur in the acetabulum and provides some of its blood supply Ligaments
18
Articular Capsule Synovial Membrane: Lines the Fibrous layer as well as any intracapsular bony surfaces not lined with articular cartilage. Where the fibrous layer attaches to the femur, the synovial membrane reflects proximally along the femoral neck to the edge of the femoral head. Fibrous Layer: Attaches proximally on the hip bone to the bony rim of the acetabulum and the transverse acetabular ligament. Distally, it attaches to the femoral neck only anteriorly at the intertrochanteric line and the root of the greater trochanter. Posteriorly, the fibrous layer has an arched border that crosses the neck proximal to the Intertrochanteric crest but is not attached to it.
19
Capsule: Encloses the hip joint and attaches to the Acetabular Labrum
Capsule: Encloses the hip joint and attaches to the Acetabular Labrum. Covers approximately the proximal two thirds of the neck of the femur posteriorly. Zona Orbicularis: Deep fibers most marked in the posterior part of capsule, wind circularly around the neck of the femur.
20
Bursa Trocanteric Bursa: Separates the superior part of the Gluteus Maximus form the Treater Trochanter of the femur. Ischial Bursae: Separates the inferior part of the Gluteus Maximus from the Ischial Tuberosity. Gluteofemoral bursa: Separates the Iiotibial tract from the superior part of the proximal attachment of the Vastus Lateralis. Inflammation or infection of the bursa called bursitis.
21
Muscles of the hip Psoas Major Origin
Anterior & lateral surfaces of T12-L5 Insertion Lesser trochanter Action Hip flexion Innervation L2-L3 "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
22
Muscles of the hip Iliacus Origin
Anterior & lateral surfaces of T12-L5 Insertion Lesser trochanter Action Hip flexion Innervation L2-L3 "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
23
Muscles of the hip Gluteus maximus Origin Posterior sacrum & Ilium
Insertion Posterior femur distal to greater trochanter Action Hip extension, hyperextension, lateral rotation Innervation Inferior gluteal nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
24
Muscles of the hip Gluteus medius Origin Lateral ilium Insertion
Greater trochanter Action Hip adduction Innervation Superior gluteal nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
25
Muscles of the hip Gluteus minimus Origin Lateral ilium Insertion
Anterior surface of the greater trochanter Action Hip adduction & medial rotation Innervation Superior gluteal nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
26
Muscles of the hip Piriformis Origin Interal surface of sacrum
Sacrotuberous ligament Insertion Superior border of greater trochanter Action Lateral rotation, abduction, helps hold femur in acetabulum Innervation L5, S1 & S2 "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
27
Muscles of the hip Tensor fascia latae Origin
Anterior superior iliac spine Insertion Lateral condyle of tibia Action Combined hip flexion & abduction Innervation Superior gluteal nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
28
Sartorius (tailor's muscle)
Muscles of the hip Sartorius (tailor's muscle) Origin Anterior superior iliac spine Insertion Proximal medial aspect of tibia Action Combined hip flexion, abduction & lateral rotation Innervation Femoral nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
29
Muscles of the hip Adductor longus Origin Pubis Insertion
Middle 1/3rd of the linea aspera Action Hip adduction Innervation Obturator nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
30
Muscles of the hip Adductor magnus Origin Ischium & Pubis Insertion
Entire linea aspera & adductor tubercle Action Hip adduction Innervation Obturator nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
31
Muscles of the hip Adductor Brevis Origin Pubis Insertion
Pectineal line and proximal linea aspera Action Hip adduction Innervation Obturator nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
32
Muscles of the hip Pectineus Origin Superior ramus of pubis Insertion
Pectineal line of femur Action Hip flexion & adduction Innervation Femoral nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
33
Muscles of the hip Gracilis Origin Pubis Insertion
Anterior medial surface of proximal end of tibia Action Hip adduction Innervation Obturator nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
34
Biceps femoris (hamstrings)
Muscles of the hip Biceps femoris (hamstrings) Origin Long head: Ischial tuberosity Short head: Lateral lip of linea aspera Insertion Fibular head Action Long head: Extend hip & flex knee Short head: Flex knee Innervation Long head: Sciatic nerve Short head: Common peroneal nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
35
Semimembranosus (hamstrings)
Muscles of the hip Semimembranosus (hamstrings) Origin Ischial tuberosity Insertion Posterior surface of medial condyle of tibia Action Extend hip & flex knee Innervation Sciatic nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
36
Semitendinosus (hamstrings)
Muscles of the hip Semitendinosus (hamstrings) Origin Ischial tuberosity Insertion Anteromedial surface of proimal tibia Action Extend hip & flex knee Innervation Sciatic nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
37
Muscles of the hip Rectus femoris Origin Anterior inferior iliac spine
Insertion Tibial tuberosity Action Hip flexion & knee extension Innervation Femoral nerve "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
38
Nerves of the hip Sciatic Nerve Insertion Semimembranosus
Semitendinosus Biceps femoris (long head) "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
39
Superior Gluteal Nerve
Nerves of the hip Superior Gluteal Nerve Insertion Gluteus Medius Gluteus Minimus TFL (Tensor fascia latae) "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
40
Inferior Gluteal Nerve
Nerves of the hip Inferior Gluteal Nerve Insertion Gluteus Maximus Gluteus Medius "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
41
Nerves of the hip Femoral Nerve Insertion: Illiacus Rectus Femoris
Sartorius Pectineus "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
42
Nerves of the hip Obturator Nerve Insertion Adductor Brevis
Adductor Longus Adductor Magnus Gracilis "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
43
Muscles of the hip Common Peroneal Nerve Insertion
Biceps femoris (short head) "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
44
Superior Gluteal Artery
Arteries of the hip Superior Gluteal Artery Insertion Gluteus Maximus Gluteus Medius Gluteus Minimus Piriformis TFL "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
45
Inferior Gluteal Artery
Arteries of the hip Inferior Gluteal Artery Insertion Semimembranosus Biceps femoris Piriformis "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
46
Arteries of the hip Obturator Artery Insertion Adductor Brevis
Adductor Longus Adductor Magnus Gracilis "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
47
Lateral Circumflex Femoral Artery
Arteries of the hip Lateral Circumflex Femoral Artery Insertion Rectus Femoris Sartorius "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
48
Medial Circumflex Femoral Artery
Arteries of the hip Medial Circumflex Femoral Artery Insertion Pectineus "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
49
Deep Femoral (Profunda) Artery
Arteries of the hip Deep Femoral (Profunda) Artery Insertion Adductor Brevis Adductor Longus Semitendinosus "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
50
Veins of the hip
51
Reference: Musculoskeletal Images are from the University of Washington "Musculoskeletal Atlas: A Musculoskeletal Atlas of the Human Body" by Carol Teitz, M.D. and Dan Graney, Ph.D. "Copyright University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use without prior written permission of the authors and the University of Washington."
Similar presentations
