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The Hip Joint and Pelvic Girdle

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The Hip Joint and Pelvic Girdle

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    1. Chapter 9 The Hip Joint and Pelvic Girdle

    2. Pelvic Girdle

    3. Joints Symphysis Pubis (amphiarthrodial) Fibrocartilaginous interpubic disc Superior Pubic Ligament Inferior Pubic Ligament Sacroiliac Joints (arthroidial) Junction of the sacrum suspended between the two iliac bones Posterior Sacroiliac Ligament Sacrotuberous ligament Anterior Sacroiliac Ligament

    4. Joints Acetabulofemoral (enarthrodial) Iliofemoral Y Ligament Teres Ligament Pubofemoral Ligament Ischiofemoral Ligament

    5. Range of Motion Flexion 120 (knee flexed) 90 (knee extended) Extension 20 Abduction 45 Adduction 20-30 Internal Rotation 40 External Rotation 45

    6. Cutaneous Distribution

    8. Movements Hip Flexion Hip Extension Hip Abduction Hip Adduction Hip External Rotation Hip Internal Rotation Anterior Pelvic Rotation Posterior Pelvic Rotation Left Lateral Pelvic Rotation Right Lateral Pelvic Rotation Left Transverse Pelvic Rotation Right Transverse Pelvic Rotation

    10. Muscles Iliopsoas Iliacus Psoas Major Strengthening Stretching

    11. Muscles Sartorius Strengthening Stretching

    12. Muscles Rectus Femoris Strengthening Stretching

    13. Muscles Tensor Fasciae Latae Strengthening Stretching

    14. Muscles Gluteus Maximus Strengthening Stretching

    15. Muscles Gluteus Medius Strengthening Stretching

    16. Muscles Gluteus Minimus Strengthening Stretching

    17. Muscles Six Deep Lateral Rotator Muscles Piriformis Gemellus Superior Gemellus Inferior Obturator Externus Obturator Internus Quadratus Femoris Strengthening Stretching

    18. Muscles Semitendinosus Strengthening Stretching

    19. Muscles Semimembranosus Strengthening Stretching

    20. Muscles Biceps Femoris Long head Short head Strengthening Stretching

    21. Muscles Adductor Brevis Strengthening Stretching

    22. Muscles Adductor Longus Strengthening Stretching

    23. Muscles Adductor Magnus Strengthening Stretching

    24. Muscles Pectineus Strengthening Stretching

    25. Muscles Gracilis Strengthening Stretching

    26. Techniques In Evaluating Levelness of Pelvis Anterior Superior Iliac Spines Posterior Superior Iliac Spines Iliac Crests

    27. Pelvic Deviations Lordosis (pelvic tilt) Scoliosis Pelvic Torsion Leg length discrepancy

    28. Deviations of the Hip Hip Flexion Contracture (contributes to a lordosis condition) Test Both knees to chest. Maintain one knee to chest while lowering other leg should be flat on table. Distinguish between the commonly tight muscles: Iliopsoas Rectus Femoris Tensor Fasciae Latae

    29. Femur Angle Coxa Normal Between 115-140, averaging 126 at adulthood Coxa Vara Decrease in angle caused by weight bearing on weak femur Results in weak gluteus medius Coxa Valga Increase in angle caused by non-weight bearing Gluteus Medius Gait Caused by: Nerve damage or other pathology Functional weakness due to coxa vara Congenital Hip Dislocation Stance Hip abducted position, leaning toward side of weakness Gait Manner of style of walking . Positive Trendelenburg Gait Deviations of the Hip

    30. Gaits Gluteus Maximus Gait Anatomy Gait: Posterior sway on side of weakness with weight bearing on same side Hip Flexor Gait Circumduction gait

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