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Hip Joint and Pelvic Girdle

Hip Joint and Pelvic Girdle

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Hip Joint and Pelvic Girdle

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  1. Hip Joint and Pelvic Girdle Anatomy and Physiology of Human Movement 420:050

  2. Hip Joint and Pelvic Girdle • Hip joint  Acetabular femoral joint • Pelvic girdle  Pelvis • Several bones • Hip joint and pelvic girdle work together much like shoulder joint and girdle • Pelvis moves in response to trunk and/or thigh movement • Extremely stable joint • Ligamentous structure • Muscles • Deep acetabulum

  3. Objectives • 1. Be able to identify the bones of the hip joint and pelvic girdle • 2. Be able to identify the hip joint, pelvic girdle, symphisis pubis and sacroiliac joints • 3. Be able to identify the landmarks of the femur, pelvic bones and proximal tibia • 4. Be able to identify and describe the movements of the hip joint and pelvic girdle • 5. Be able to identify and describe the general attachments (distal/proximal), and movements of the hip joint and pelvic girdle

  4. Hip Joint and Pelvic Girdle Bones • Femur • Pelvic bones: Three sections (fused at maturity) • Ilium • Ischium • Pubis • Sacrum • Extension of spine (5 fused verterbrae) • Coccyx • Pelvic girdle  Pelvic bones, sacrum and coccyx

  5. Pelvic bones Femur Sacrum Coccyx

  6. Ilium Upper 2/5 Ischium Posterior/lower 2/5 Pubis Anterior/lower 1/5

  7. Objectives • 1. Be able to identify the bones of the hip joint and pelvic girdle • 2. Be able to identify the hip joint, pelvic girdle, symphisis pubis and sacroiliac joints • 3. Be able to identify the landmarks of the proximal femur and pelvic bones • 4. Be able to identify and describe the movements of the hip joint and pelvic girdle • 5. Be able to identify and describe the general attachments (distal/proximal), and movements of the hip joint and pelvic girdle

  8. Hip Joint and Pelvic Girdle • Hip Joint  Joint classification • Multiaxial ball and socket • Pelvic Girdle: Two joints 1. Symphisis pubis: • Amphiarthrodial (cartilagenous) 2. Sacroiliac joints: • Diarthrodial nonaxial

  9. Sacroiliac Joints Symphisis pubis Acetabular femoral joint

  10. Objectives • 1. Be able to identify the bones of the hip joint and pelvic girdle • 2. Be able to identify the hip joint, pelvic girdle, symphisis pubis and sacroiliac joints • 3. Be able to identify the landmarks of the proximal femur and pelvic bones • 4. Be able to identify and describe the movements of the hip joint and pelvic girdle • 5. Be able to identify and describe the general attachments (distal/proximal), and movements of the hip joint and pelvic girdle

  11. Femoral and Pelvic Landmarks

  12. Head Neck Greater trochanter Lesser trochanter Gluteal tuberosity

  13. Lateral epicondyle Medial epicondyle Patella

  14. Anterior superior iliac spine Iliac crest Ilium Anterior inferior iliac spine Pubis Acetabulum Ischium Obturator foramen Ischial tuberosity Anterior

  15. Medial tibial condyle Lateral tibial condyle Fibular head Tibial tuberosity

  16. Objectives • 1. Be able to identify the bones of the hip joint and pelvic girdle • 2. Be able to identify the hip joint, pelvic girdle, symphisis pubis and sacroiliac joints • 3. Be able to identify the landmarks of the proximal femur and pelvic bones • 4. Be able to identify and describe the movements of the hip joint and pelvic girdle • 5. Be able to identify and describe the general attachments (distal/proximal), and movements of the hip joint and pelvic girdle

  17. Hip Joint and Pelvic Girdle Movements • Hip Joint: Multiaxial ball and socket • Flexion/extension • Abduction/adduction • Circumduction • Internal/external rotation • Pelvic girdle: • Anterior/posterior pelvic rotation/tilt • Right/left lateral pelvic rotation/tilt • Right/left transverse pelvic rotation/tilt

  18. Pelvic Girdle Movements • Anterior pelvic rotation/tilt: • Iliac crest tilts forward • Sagittal plane

  19. Pelvic Girdle Movements • Posterior pelvic rotation/tilt: • Iliac crest tilts backward • Sagittal plane

  20. Pelvic Girdle Movements • Right lateral pelvic rotation/tilt: • Right pelvis moves inferiorly in relation to left pelvis • Lateral plane • Opposite for left side Right or left?

  21. Pelvic Girdle Movements • Right transverse pelvic rotation/tilt: • Right iliac crest moves posteriorly in relation to the left iliac crest • Transverse plane • Opposite for left side Right or left?

  22. Movement Summary: • Hip Joint: • Multiaxial ball and socket • F/E, Abd/Add, I/E rotation, Circ. • Pelvic Girdle: • Rotation in all three planes