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DR ANOOP S
Anatomy of the hip joint anoop
THE HIP JOINT IS A MULTIAXIAL
SYNOVIAL JOINT OF BALL-AND-SOCKET
TYPE.
Anatomy of the hip joint anoop
ACETABULUM
 APPROXIMATELY HEMISPHERICAL
CAVITY CENTRAL ON THE LATERAL
ASPECT OF THE INNOMINATE BONE.
 FACING ANTEROINFERIORLY.
 SURROUNDED BY AN IRREGULAR
MARGIN DEFICIENT INFERIORLY AT
THE ACETABULAR NOTCH.
 STARTS TO OSSIFY AT 12 YEARS
 FUSE AT 17 YEARS
 THE ACETABULAR FOSSA FORMS THE
CENTRAL FLOOR-ROUGH AND NON
ARTICULAR.
 THE ARTICULAR LUNATE SURFACE IS
WIDEST ABOVE (THE 'DOME'), WHERE
WEIGHT IS TRANSMITTED TO THE
FEMUR.
 THE HIP JOINT IS A MULTIAXIAL
SYNOVIAL JOINT OF BALL-AND-SOCKET
TYPE
 ARTICULAR SURFACES
 THE FEMORAL HEAD ARTICULATES WITH
THE CUP-SHAPED ACETABULUM, ITS
CENTRE LYING A LITTLE BELOW THE
MIDDLE THIRD OF THE INGUINAL
LIGAMENT.
 THE ARTICULAR SURFACES ARE
RECIPROCALLY CURVED.
Anatomy of the hip joint anoop
 THE CLOSE-PACKED POSITION IS IN FULL
EXTENSION, WITH SLIGHT ABDUCTION
AND MEDIAL ROTATION.
 LEAST PACK SEMIFLEXION
 THE FEMORAL HEAD IS COVERED BY
ARTICULAR CARTILAGE, EXCEPT FOR
A ROUGH PIT FOR THE LIGAMENTUM
TERES
 IN FRONT, THE CARTILAGE EXTENDS
LATERALLY OVER A SMALL AREA ON
THE ADJOINING NECK
Anatomy of the hip joint anoop
 CARTILAGE THICKNESS IS MAXIMAL
ANTEROSUPERIORLY IN THE
ACETABULUM AND ANTEROLATERALLY
ON THE FEMORAL HEAD
 THE ACETABULAR ARTICULAR SURFACE
IS AN INCOMPLETE RING, THE LUNATE
SURFACE
 DEFICIENT INFERIORLY OPPOSITE THE
ACETABULAR NOTCH
 THE ACETABULAR FOSSA IS DEVOID OF
CARTILAGE BUT CONTAINS
FIBROELASTIC FAT LARGELY COVERED BY
SYNOVIAL MEMBRANE
Anatomy of the hip joint anoop
 ACETABULAR DEPTH IS INCREASED BY
THE ACETABULAR LABRUM
 DEEPENS THE CUP AND BRIDGES THE
ACETABULAR NOTCH AS THE
TRANSVERSE ACETABULAR
LIGAMENT.
 DIAMETER OF THE ACETABULAR
CAVITY IS CONSTRICTED BY THE
LABRAL RIM
 EMBRACES THE FEMORAL HEAD,
MAINTAINING JOINT STABILITY
FIBROUS CAPSULE
 STRONG AND DENSE
ATTACHMENT
 ANTERIORLY TO THE
INTERTROCHANTERIC LINE
 SUPERIORLY TO THE BASE OF THE
FEMORAL NECK,
 POSTERIORLY 1 CM ABOVE THE
INTERTROCHANTERIC CREST
 INFERIORLY TO THE FEMORAL NECK
NEAR THE LESSER TROCHANTER
 IT HAS TWO SETS OF FIBRES, CIRCULAR
AND LONGITUDINAL
 THE CIRCULAR FIBRES (ZONA ORBICULARIS)
ARE INTERNAL AND FORM A COLLAR ROUND
THE FEMORAL NECK.
 PARTLY BLENDED WITH THE PUBOFEMORAL
AND ISCHIOFEMORAL LIGAMENTS BUT ARE
NOT DIRECTLY ATTACHED TO BONE
 EXTERNALLY, LONGITUDINAL FIBRES ARE
MOST NUMEROUS IN THE ANTEROSUPERIOR
REGION, REINFORCED BY THE ILIOFEMORAL
LIGAMENT.
 THE CAPSULE IS ALSO STRENGTHENED
BY THE PUBOFEMORAL AND
ISCHIOFEMORAL LIGAMENTS
 EXTERNALLY IT IS ROUGH, COVERED BY
MUSCLES AND SEPARATED FROM PSOAS
MAJOR AND ILIACUS BY A BURSA
 THE CAPSULAR ATTACHMENT TO THE
FEMUR LIES DISTAL TO THE GROWTH
PLATE OF THE FEMORAL HEAD BOTH
ANTERIOR AND POSTERIORLY
 THE UPPER FEMORAL EPIPHYSIS
ENTIRELY INTRACAPSULAR
Anatomy of the hip joint anoop
 LIGAMENTS
 ILIOFEMORAL, PUBOFEMORAL,
ISCHIOFEMORAL, TRANSVERSE
ACETABULAR AND THE LIGAMENTUM
TERES.
 ILIOFEMORAL LIGAMENT
 VERY STRONG AND SHAPED LIKE AN
INVERTED Y, LYING ANTERIORLY AND
INTIMATELY BLENDED WITH THE
CAPSULE.
 APEX IS ATTACHED BETWEEN THE
ANTERIOR INFERIOR ILIAC SPINE AND
ACETABULAR RIM, ITS BASE TO THE
INTERTROCHANTERIC LINE
 ERECT POSTURE, A VERTICAL LINE
THROUGH THE CENTER OF GRAVITY OF
THE BODY FALLS SLIGHTLY BEHIND A LINE
JOINING THE CENTERS OF THE TWO HIP
JOINTS.
 THE TENDANCY OF THE BODY TO FALL
BACKWARDS ON THE HIP JOINTS IS
RESISTED BY THE ILIOFEMORAL
LIGAMENTS WHICH MAINTAIN THE ERECT
POSTURE WITHOUT MUSCULAR ACTIVITY
AT THESE JOINTS
Anatomy of the hip joint anoop
 PUBOFEMORAL LIGAMENT
 TRIANGULAR, ITS BASE ATTACHING TO
THE ILIOPUBIC EMINENCE, SUPERIOR
PUBIC RAMUS, OBTURATOR CREST AND
OBTURATOR MEMBRANE.
 IT BLENDS DISTALLY WITH THE CAPSULE
AND DEEP SURFACE OF THE MEDIAL
ILIOFEMORAL LIGAMENT..
Anatomy of the hip joint anoop
 ISCHIOFEMORAL LIGAMENT
 THICKENS THE BACK OF THE CAPSULE
AND CONSISTS OF THREE DISTINCT PARTS
 CENTRAL
 MEDIAL
 LATERAL
 CENTRAL PART, THE SUPERIOR
ISCHIOFEMORAL LIGAMENT
 LATERAL AND MEDIAL INFERIOR
ISCHIOFEMORAL LIGAMENTS
EMBRACE THE POSTERIOR
CIRCUMFERENCE OF THE FEMORAL
NECK
Anatomy of the hip joint anoop
 TRANSVERSE ACETABULAR LIGAMENT
 PART OF THE LABRUM BUT HAS NO
CARTILAGE CELLS.
 ITS STRONG, FLAT FIBRES CROSS THE
ACETABULAR NOTCH FORMING A
FORAMEN THROUGH WHICH VESSELS
AND NERVES ENTER THE JOINT.
Anatomy of the hip joint anoop
LIGAMENTUM TERES (LIGAMENT OF THE
HEAD OF THE FEMUR)
 TRIANGULAR, FLATTENED BAND
 APEX ATTACHED ANTEROSUPERIORLY IN
THE FOVEA ON THE FEMORAL HEAD
 BASE IS ATTACHED ON BOTH SIDES OF
THE ACETABULAR NOTCH, BETWEEN
WHICH IT BLENDS WITH THE
TRANSVERSE LIGAMENT.
Anatomy of the hip joint anoop
 IT ALSO RECEIVES WEAKER
CONTRIBUTIONS FROM THE MARGINS OF
THE ACETABULAR FOSSA.
 ENSHEATHED BY SYNOVIAL MEMBRANE,
SYNOVIAL MEMBRANE
 LINES INNER PORTION OF CAPSULE AND
NON ARTICULAR STRUCTURES
 THE SYNOVIAL MEMBRANE COVERS THE
INTRACAPSULAR PART OF THE FEMORAL
NECK.
 THEN PASSES TO THE INTERNAL SURFACE
OF THE CAPSULE TO COVER THE
ACETABULAR LABRUM, LIGAMENTUM
TERES AND FAT IN THE ACETABULAR
FOSSA.
 IT IS THIN ON THE DEEP SURFACE OF THE
ILIOFEMORAL LIGAMENT WHERE IT IS
COMPRESSED AGAINST THE FEMORAL
HEAD AND SOMETIMES IS EVEN ABSENT
HERE.
BLOOD SUPPLY
 OBTURATOR ARTERY
 2 CIRCUMFLEX FEMORAL ARTERIES
 2 GLUTEAL ARTERIES
Anatomy of the hip joint anoop
 OBTURATOR ARTERY
 BRANCH OF THE INTERNAL ILIAC
ARTERY
 GIVES RISE TO AN ACETABULAR BRANCH
AND SUPPLIES THE FAT IN THE
ACETABULAR FOSSA.
MEDIAL CIRCUMFLEX FEMORAL ARTERY
 ARISES FROM THE PROFUNDA FEMORIS
 THREE BRANCHES
 ACENDING
 TRANSVERSE
 TERMINAL
LATERAL CIRCUMFLEX ARTERY
 ARISES FROM THE PROFUNDA FEMORIS
 HAS THREE BRANCHES
 ACENDING
 TRANSVERSE
 DECENDING
SUPERIOR GLUTEAL ARTERY
 ARISES FROM THE POSTERIOR BRANCH
OF THE INTERNAL ILIAC ARTERY
 TWO DIVISIONS
 SUPERFICIAL
 DEEP—TAKES PART IN TROCHANTERIC
ANASTOMOSIS
INFERIOR GLUTEAL ARTERY
 ANTERIOR BRANCH OF THE INTERNAL
ILIAC ARTERY
 6 DIVISIONS:
 ARTICULAR BRANCHES OF THE HIP JOINT
 CRUCIATE ANASTOMOTIC BRANCHES
 SUPERIOR GLUTEAL ARTERY SUPPLIES
THE UPPER PART OF THE ACETABULUM
 INFERIOR GLUTEAL ARTERY SUPPLIES
THE INFERIOR AND POSTERIOR PART OF
THE ACETABULUM AND THE CAPSULE
Anatomy of the hip joint anoop
Anatomy of the hip joint anoop
BLOOD SUPPLY OF THE HEAD OF FEMUR
EXTRACAPSULAR ARTERIAL RING AT THE
BASE OF THE FEMORAL NECK; 
 FORMED POSTERIORLY BY BRANCH OF MFCA 
 FORMED ANTERIORLY BY BRANCHES OF LFCA;
  SUPERIOR & INFERIOR GLUTEAL
ARTERY HAVE MINOR CONTRIBUTIONS; 
 ASCENDING CERVICAL BRANCHES 
         - THESE GIVE RISE TO RETINACULAR
ARTERIES
         - GIVES RISE TO SUBSYNOVIAL INTRA
ARTICULAR RING 
ARTERY OF LIGAMENTUM TERES
 DERIVED FROM OBTURATOR OR MFCA
 INADEQUATE TO SUPPLY FEMORAL HEAD
WITH DISPLACED FRACTURES
 FORMS THE MEDIAL EPIPHYSEAL VESSELS
 ONLY SMALL & VARIABLE AMOUNT OF THE
FEMORAL HEAD IS NOURISHED BY ARTERY OF
LIGAMENTUM TERES
EPIPHYSEAL BLOOD SUPPLY: 
 EPIPHYSEAL ARTERIAL BRANCHES ARISE AS
ARTERIES OF SUBSYNOVIAL INTRAARTICULAR
RING
 TWO GROUPS OF EPIPHYSEAL ARTERIES:
LATERAL & INFERIOR
       
             
METAPHYSEAL BLOOD SUPPLY:
 ARISES FROM EXTRACAPSULAR ARTERIAL
RING
 ARISE FROM BRANCHES OF ASCENDING
CERVICAL ARTERIES- SUBSYNOVIAL INTRA
ARTICULAR RING
NERVE SUPPLY OF THE HIP JOINT
 FEMORAL NERVE
 ANTERIOR DIVISION OF THE OBTURATOR
NERVE
 NERVE TO QUADRATUS FEMORIS
 SUPERIOR GLUTEAL NERVE
Anatomy of the hip joint anoop
FEMORAL NERVE
 FORMED BY THE DORSAL DIVISIONS OF THE
ANTERIOR PRIMARY RAMI OF SPINAL NERVES
L2,L3,L4
 GIVES RISE TO MUSCULAR/CUTANEOUS/
ARTICULAR BRANCHES
 ARTICULAR BRANCH-NERVE TO RECTUS
FEMORIS SUPPLIES THE HIP JOINT
OBTURATOR NERVE
 VENTRAL DIVISIONS OF THE ANTERIOR
PRIMARY RAMI OF SPINAL NERVES L2,L3,L4
 WITHIN THE OBTURATOR CANAL THE NERVE
DIVIDES INTO ANTERIOR AND POSTERIOR
DIVISONS
 BRANCH TO THE HIP JOINT ARISES FROM THE
ANTERIOR DIVISON
NERVE TO QUADRATUS FEMORIS
 ARISES FROM THE SACRAL PLEXUS (L4,L5,S1)
 SUPPLIES THE QUADRATUS FEMORIS,
GEMELLUS INFERIOR AND THE HIP JOINT
SUPERIOR GLUTEAL NERVE
 ARISES FROM THE SACRAL PLEXUS( L4,L5,S1)
 SUPPLIES THE GLUTEUS MEDIUS, GLUTEUS
MINIMUS AND TENSOR FASCIA LATAE AND
THE HIP JOINT
Anatomy of the hip joint anoop
MOVEMENTS MUSCLES NERVE SUPPLY
FLEXION ILIACUS AND
PSOAS MAJOR
LUMBAR
VENTRAL RAMI
RECTUS
FEMORIS
FEMORAL
SARTORIUS FEMORAL
TENSOR FACIA
LATA
SUPERIOR
GLUTEAL
PECTINEUS FEMORAL
ADDUCTORS
LONGUS AND
BREVIS
OBTURATOR
MOVEMENTS MUSCLES NERVE SUPPLY
EXTENSION GLUTEUS
MAXIMUS
INFERIOR
GLUTEAL
SEMIMEMBRANO
SUS
SCIATIC(TIBIAL
PART)
SEMITENDINOSU
S
SCIATIC(TIBIAL
PART)
BICEPS FEMORIS
LONG HEAD
SCIATIC(TIBIAL
PART)
ADDUCTOR
MAGNUS
ISCHIAL PART
SCIATIC(TIBIAL
PART)
MOVEMENTS MUSCLES NERVE SUPPLY
ADDUCTION ADDUCTORS
LONGUS,
BREVIS AND
MAGNUS
OBTURATOR
GRACILIS OBTURATOR
PECTINEUS FEMORAL
QUADRATUS
FEMORIS
L4/5 AND S1
VENTRAL RAMI
MOVEMENTS MUSCLES NERVE SUPPLY
ABDUCTION GLUTEUS
MEDIUS AND
MINIMUS
SUPERIOR
GLUTEAL
TENSOR FASCIA
LATA
SUPERIOR
GLUTEAL
PIRIFORMIS L5S1/2
VENTRAL RAMI
OBTURATOR
INTERNUS IN
FLEXION
L5S1/2
VENTRAL RAMI
MOVEMENTS MUSCLES NERVE SUPPLY
MEDIAL
ROTATION
TENSOR FASCIA
LATA
SUPERIOR
GLUTEAL
GLUTEUS
MINIMUS
SUPERIOR
GLUTEAL
GLUTEUS
MEDIUS ANT
FIBERS
SUPERIOR
GLUTEAL
MOVEMENTS MUSCLES NERVE SUPPLY
LATERAL
ROTATION
SARTORIUS FEMORAL
GLUTEUS
MAXIMUS
INFERIOR
GLUTEAL
OBTURATOR
INTERNUS AND
GEMELLI
L5S1/2 VENTRA
RAMI
OBTURATOR
EXTERNUS
OBTURATOR
QUADRATUS
FEMORIS
L4/5;S1 VENTRA
RAMI
PIRIFORMIS IN
FLEXION
L5S1/2 VENTRA
RAMI
 REFERENCE
 GRAY’S ANATOMY
 CUNNINGHAM’S MANUAL OF
PRACTICAL ANATOMY

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Anatomy of the hip joint anoop

  • 3. THE HIP JOINT IS A MULTIAXIAL SYNOVIAL JOINT OF BALL-AND-SOCKET TYPE.
  • 5. ACETABULUM  APPROXIMATELY HEMISPHERICAL CAVITY CENTRAL ON THE LATERAL ASPECT OF THE INNOMINATE BONE.  FACING ANTEROINFERIORLY.  SURROUNDED BY AN IRREGULAR MARGIN DEFICIENT INFERIORLY AT THE ACETABULAR NOTCH.  STARTS TO OSSIFY AT 12 YEARS  FUSE AT 17 YEARS
  • 6.  THE ACETABULAR FOSSA FORMS THE CENTRAL FLOOR-ROUGH AND NON ARTICULAR.  THE ARTICULAR LUNATE SURFACE IS WIDEST ABOVE (THE 'DOME'), WHERE WEIGHT IS TRANSMITTED TO THE FEMUR.
  • 7.  THE HIP JOINT IS A MULTIAXIAL SYNOVIAL JOINT OF BALL-AND-SOCKET TYPE
  • 8.  ARTICULAR SURFACES  THE FEMORAL HEAD ARTICULATES WITH THE CUP-SHAPED ACETABULUM, ITS CENTRE LYING A LITTLE BELOW THE MIDDLE THIRD OF THE INGUINAL LIGAMENT.  THE ARTICULAR SURFACES ARE RECIPROCALLY CURVED.
  • 10.  THE CLOSE-PACKED POSITION IS IN FULL EXTENSION, WITH SLIGHT ABDUCTION AND MEDIAL ROTATION.  LEAST PACK SEMIFLEXION
  • 11.  THE FEMORAL HEAD IS COVERED BY ARTICULAR CARTILAGE, EXCEPT FOR A ROUGH PIT FOR THE LIGAMENTUM TERES  IN FRONT, THE CARTILAGE EXTENDS LATERALLY OVER A SMALL AREA ON THE ADJOINING NECK
  • 13.  CARTILAGE THICKNESS IS MAXIMAL ANTEROSUPERIORLY IN THE ACETABULUM AND ANTEROLATERALLY ON THE FEMORAL HEAD
  • 14.  THE ACETABULAR ARTICULAR SURFACE IS AN INCOMPLETE RING, THE LUNATE SURFACE  DEFICIENT INFERIORLY OPPOSITE THE ACETABULAR NOTCH
  • 15.  THE ACETABULAR FOSSA IS DEVOID OF CARTILAGE BUT CONTAINS FIBROELASTIC FAT LARGELY COVERED BY SYNOVIAL MEMBRANE
  • 17.  ACETABULAR DEPTH IS INCREASED BY THE ACETABULAR LABRUM  DEEPENS THE CUP AND BRIDGES THE ACETABULAR NOTCH AS THE TRANSVERSE ACETABULAR LIGAMENT.  DIAMETER OF THE ACETABULAR CAVITY IS CONSTRICTED BY THE LABRAL RIM  EMBRACES THE FEMORAL HEAD, MAINTAINING JOINT STABILITY
  • 19. ATTACHMENT  ANTERIORLY TO THE INTERTROCHANTERIC LINE  SUPERIORLY TO THE BASE OF THE FEMORAL NECK,  POSTERIORLY 1 CM ABOVE THE INTERTROCHANTERIC CREST  INFERIORLY TO THE FEMORAL NECK NEAR THE LESSER TROCHANTER
  • 20.  IT HAS TWO SETS OF FIBRES, CIRCULAR AND LONGITUDINAL  THE CIRCULAR FIBRES (ZONA ORBICULARIS) ARE INTERNAL AND FORM A COLLAR ROUND THE FEMORAL NECK.  PARTLY BLENDED WITH THE PUBOFEMORAL AND ISCHIOFEMORAL LIGAMENTS BUT ARE NOT DIRECTLY ATTACHED TO BONE
  • 21.  EXTERNALLY, LONGITUDINAL FIBRES ARE MOST NUMEROUS IN THE ANTEROSUPERIOR REGION, REINFORCED BY THE ILIOFEMORAL LIGAMENT.
  • 22.  THE CAPSULE IS ALSO STRENGTHENED BY THE PUBOFEMORAL AND ISCHIOFEMORAL LIGAMENTS  EXTERNALLY IT IS ROUGH, COVERED BY MUSCLES AND SEPARATED FROM PSOAS MAJOR AND ILIACUS BY A BURSA
  • 23.  THE CAPSULAR ATTACHMENT TO THE FEMUR LIES DISTAL TO THE GROWTH PLATE OF THE FEMORAL HEAD BOTH ANTERIOR AND POSTERIORLY  THE UPPER FEMORAL EPIPHYSIS ENTIRELY INTRACAPSULAR
  • 25.  LIGAMENTS  ILIOFEMORAL, PUBOFEMORAL, ISCHIOFEMORAL, TRANSVERSE ACETABULAR AND THE LIGAMENTUM TERES.
  • 26.  ILIOFEMORAL LIGAMENT  VERY STRONG AND SHAPED LIKE AN INVERTED Y, LYING ANTERIORLY AND INTIMATELY BLENDED WITH THE CAPSULE.  APEX IS ATTACHED BETWEEN THE ANTERIOR INFERIOR ILIAC SPINE AND ACETABULAR RIM, ITS BASE TO THE INTERTROCHANTERIC LINE
  • 27.  ERECT POSTURE, A VERTICAL LINE THROUGH THE CENTER OF GRAVITY OF THE BODY FALLS SLIGHTLY BEHIND A LINE JOINING THE CENTERS OF THE TWO HIP JOINTS.  THE TENDANCY OF THE BODY TO FALL BACKWARDS ON THE HIP JOINTS IS RESISTED BY THE ILIOFEMORAL LIGAMENTS WHICH MAINTAIN THE ERECT POSTURE WITHOUT MUSCULAR ACTIVITY AT THESE JOINTS
  • 29.  PUBOFEMORAL LIGAMENT  TRIANGULAR, ITS BASE ATTACHING TO THE ILIOPUBIC EMINENCE, SUPERIOR PUBIC RAMUS, OBTURATOR CREST AND OBTURATOR MEMBRANE.  IT BLENDS DISTALLY WITH THE CAPSULE AND DEEP SURFACE OF THE MEDIAL ILIOFEMORAL LIGAMENT..
  • 31.  ISCHIOFEMORAL LIGAMENT  THICKENS THE BACK OF THE CAPSULE AND CONSISTS OF THREE DISTINCT PARTS  CENTRAL  MEDIAL  LATERAL
  • 32.  CENTRAL PART, THE SUPERIOR ISCHIOFEMORAL LIGAMENT  LATERAL AND MEDIAL INFERIOR ISCHIOFEMORAL LIGAMENTS EMBRACE THE POSTERIOR CIRCUMFERENCE OF THE FEMORAL NECK
  • 34.  TRANSVERSE ACETABULAR LIGAMENT  PART OF THE LABRUM BUT HAS NO CARTILAGE CELLS.  ITS STRONG, FLAT FIBRES CROSS THE ACETABULAR NOTCH FORMING A FORAMEN THROUGH WHICH VESSELS AND NERVES ENTER THE JOINT.
  • 36. LIGAMENTUM TERES (LIGAMENT OF THE HEAD OF THE FEMUR)  TRIANGULAR, FLATTENED BAND  APEX ATTACHED ANTEROSUPERIORLY IN THE FOVEA ON THE FEMORAL HEAD  BASE IS ATTACHED ON BOTH SIDES OF THE ACETABULAR NOTCH, BETWEEN WHICH IT BLENDS WITH THE TRANSVERSE LIGAMENT.
  • 38.  IT ALSO RECEIVES WEAKER CONTRIBUTIONS FROM THE MARGINS OF THE ACETABULAR FOSSA.  ENSHEATHED BY SYNOVIAL MEMBRANE,
  • 39. SYNOVIAL MEMBRANE  LINES INNER PORTION OF CAPSULE AND NON ARTICULAR STRUCTURES  THE SYNOVIAL MEMBRANE COVERS THE INTRACAPSULAR PART OF THE FEMORAL NECK.  THEN PASSES TO THE INTERNAL SURFACE OF THE CAPSULE TO COVER THE ACETABULAR LABRUM, LIGAMENTUM TERES AND FAT IN THE ACETABULAR FOSSA.
  • 40.  IT IS THIN ON THE DEEP SURFACE OF THE ILIOFEMORAL LIGAMENT WHERE IT IS COMPRESSED AGAINST THE FEMORAL HEAD AND SOMETIMES IS EVEN ABSENT HERE.
  • 41. BLOOD SUPPLY  OBTURATOR ARTERY  2 CIRCUMFLEX FEMORAL ARTERIES  2 GLUTEAL ARTERIES
  • 43.  OBTURATOR ARTERY  BRANCH OF THE INTERNAL ILIAC ARTERY  GIVES RISE TO AN ACETABULAR BRANCH AND SUPPLIES THE FAT IN THE ACETABULAR FOSSA.
  • 44. MEDIAL CIRCUMFLEX FEMORAL ARTERY  ARISES FROM THE PROFUNDA FEMORIS  THREE BRANCHES  ACENDING  TRANSVERSE  TERMINAL
  • 45. LATERAL CIRCUMFLEX ARTERY  ARISES FROM THE PROFUNDA FEMORIS  HAS THREE BRANCHES  ACENDING  TRANSVERSE  DECENDING
  • 46. SUPERIOR GLUTEAL ARTERY  ARISES FROM THE POSTERIOR BRANCH OF THE INTERNAL ILIAC ARTERY  TWO DIVISIONS  SUPERFICIAL  DEEP—TAKES PART IN TROCHANTERIC ANASTOMOSIS
  • 47. INFERIOR GLUTEAL ARTERY  ANTERIOR BRANCH OF THE INTERNAL ILIAC ARTERY  6 DIVISIONS:  ARTICULAR BRANCHES OF THE HIP JOINT  CRUCIATE ANASTOMOTIC BRANCHES
  • 48.  SUPERIOR GLUTEAL ARTERY SUPPLIES THE UPPER PART OF THE ACETABULUM  INFERIOR GLUTEAL ARTERY SUPPLIES THE INFERIOR AND POSTERIOR PART OF THE ACETABULUM AND THE CAPSULE
  • 51. BLOOD SUPPLY OF THE HEAD OF FEMUR EXTRACAPSULAR ARTERIAL RING AT THE BASE OF THE FEMORAL NECK;   FORMED POSTERIORLY BY BRANCH OF MFCA   FORMED ANTERIORLY BY BRANCHES OF LFCA;   SUPERIOR & INFERIOR GLUTEAL ARTERY HAVE MINOR CONTRIBUTIONS; 
  • 52.  ASCENDING CERVICAL BRANCHES           - THESE GIVE RISE TO RETINACULAR ARTERIES          - GIVES RISE TO SUBSYNOVIAL INTRA ARTICULAR RING 
  • 53. ARTERY OF LIGAMENTUM TERES  DERIVED FROM OBTURATOR OR MFCA  INADEQUATE TO SUPPLY FEMORAL HEAD WITH DISPLACED FRACTURES  FORMS THE MEDIAL EPIPHYSEAL VESSELS  ONLY SMALL & VARIABLE AMOUNT OF THE FEMORAL HEAD IS NOURISHED BY ARTERY OF LIGAMENTUM TERES
  • 54. EPIPHYSEAL BLOOD SUPPLY:   EPIPHYSEAL ARTERIAL BRANCHES ARISE AS ARTERIES OF SUBSYNOVIAL INTRAARTICULAR RING  TWO GROUPS OF EPIPHYSEAL ARTERIES: LATERAL & INFERIOR                      
  • 55. METAPHYSEAL BLOOD SUPPLY:  ARISES FROM EXTRACAPSULAR ARTERIAL RING  ARISE FROM BRANCHES OF ASCENDING CERVICAL ARTERIES- SUBSYNOVIAL INTRA ARTICULAR RING
  • 56. NERVE SUPPLY OF THE HIP JOINT  FEMORAL NERVE  ANTERIOR DIVISION OF THE OBTURATOR NERVE  NERVE TO QUADRATUS FEMORIS  SUPERIOR GLUTEAL NERVE
  • 58. FEMORAL NERVE  FORMED BY THE DORSAL DIVISIONS OF THE ANTERIOR PRIMARY RAMI OF SPINAL NERVES L2,L3,L4  GIVES RISE TO MUSCULAR/CUTANEOUS/ ARTICULAR BRANCHES  ARTICULAR BRANCH-NERVE TO RECTUS FEMORIS SUPPLIES THE HIP JOINT
  • 59. OBTURATOR NERVE  VENTRAL DIVISIONS OF THE ANTERIOR PRIMARY RAMI OF SPINAL NERVES L2,L3,L4  WITHIN THE OBTURATOR CANAL THE NERVE DIVIDES INTO ANTERIOR AND POSTERIOR DIVISONS  BRANCH TO THE HIP JOINT ARISES FROM THE ANTERIOR DIVISON
  • 60. NERVE TO QUADRATUS FEMORIS  ARISES FROM THE SACRAL PLEXUS (L4,L5,S1)  SUPPLIES THE QUADRATUS FEMORIS, GEMELLUS INFERIOR AND THE HIP JOINT
  • 61. SUPERIOR GLUTEAL NERVE  ARISES FROM THE SACRAL PLEXUS( L4,L5,S1)  SUPPLIES THE GLUTEUS MEDIUS, GLUTEUS MINIMUS AND TENSOR FASCIA LATAE AND THE HIP JOINT
  • 63. MOVEMENTS MUSCLES NERVE SUPPLY FLEXION ILIACUS AND PSOAS MAJOR LUMBAR VENTRAL RAMI RECTUS FEMORIS FEMORAL SARTORIUS FEMORAL TENSOR FACIA LATA SUPERIOR GLUTEAL PECTINEUS FEMORAL ADDUCTORS LONGUS AND BREVIS OBTURATOR
  • 64. MOVEMENTS MUSCLES NERVE SUPPLY EXTENSION GLUTEUS MAXIMUS INFERIOR GLUTEAL SEMIMEMBRANO SUS SCIATIC(TIBIAL PART) SEMITENDINOSU S SCIATIC(TIBIAL PART) BICEPS FEMORIS LONG HEAD SCIATIC(TIBIAL PART) ADDUCTOR MAGNUS ISCHIAL PART SCIATIC(TIBIAL PART)
  • 65. MOVEMENTS MUSCLES NERVE SUPPLY ADDUCTION ADDUCTORS LONGUS, BREVIS AND MAGNUS OBTURATOR GRACILIS OBTURATOR PECTINEUS FEMORAL QUADRATUS FEMORIS L4/5 AND S1 VENTRAL RAMI
  • 66. MOVEMENTS MUSCLES NERVE SUPPLY ABDUCTION GLUTEUS MEDIUS AND MINIMUS SUPERIOR GLUTEAL TENSOR FASCIA LATA SUPERIOR GLUTEAL PIRIFORMIS L5S1/2 VENTRAL RAMI OBTURATOR INTERNUS IN FLEXION L5S1/2 VENTRAL RAMI
  • 67. MOVEMENTS MUSCLES NERVE SUPPLY MEDIAL ROTATION TENSOR FASCIA LATA SUPERIOR GLUTEAL GLUTEUS MINIMUS SUPERIOR GLUTEAL GLUTEUS MEDIUS ANT FIBERS SUPERIOR GLUTEAL
  • 68. MOVEMENTS MUSCLES NERVE SUPPLY LATERAL ROTATION SARTORIUS FEMORAL GLUTEUS MAXIMUS INFERIOR GLUTEAL OBTURATOR INTERNUS AND GEMELLI L5S1/2 VENTRA RAMI OBTURATOR EXTERNUS OBTURATOR QUADRATUS FEMORIS L4/5;S1 VENTRA RAMI PIRIFORMIS IN FLEXION L5S1/2 VENTRA RAMI
  • 69.  REFERENCE  GRAY’S ANATOMY  CUNNINGHAM’S MANUAL OF PRACTICAL ANATOMY

Hinweis der Redaktion

  1. FRACTURES THROUGH THIS REGION THEREFORE OFTEN LEAD TO POOR OUTCOMES The pubis forms the anterosuperior fifth of the articular surface the ischium forms the floor of the fossa and rather more than the posteroinferior two-fifths of the articular surface ilium forms the remainder.
  2. THE ARTICULAR SURFACES ARE RECIPROCALLY CURVED BUT NEITHER COEXTENSIVE NOR COMPLETELY CONGRUENT
  3. THE ACETABULAR ARTICULAR SURFACE IS AN INCOMPLETE RING, THE LUNATE SURFACE, BROADEST ABOVE WHERE THE PRESSURE OF BODY WEIGHT FALLS IN THE ERECT POSTURE, AND NARROWEST IN ITS PUBIC REGION
  4.   A FIBROCARTILAGINOUS RIM The labrum is triangular in section, attaching by the base of the triangle to the acetabular rim while the apex is its free margin
  5. IT SURROUNDS THE FEMORAL NECK AND IS ATTACHED
  6. The capsular attachment also intersects the growth plate of the greater trochanter on the upper surface of the base of the neck
  7. AS THE HIP MOVES THE CAPSULAR LIGAMENTS, WIND AND UNWIND, TIGHTENING AROUND THE HIP, AFFECTING STABILITY AND JOINT CAPACITY. As a result of the last point, a hip containing fluid is most comfortable held a little flexed as this provides the largest volume for joint distension
  8. The iliofemoral ligament is more than 0.5 cm thick and one of the strongest ligaments of the body. The only rival being the interosseous sacroiliac ligament. It can be used as astay for levering the head of femur back into the ACETABULUM
  9. Role: It prevents overextension during standing.
  10. Fuss and Bacher consider this ligament to consist of four crura Role: It limits extension and abduction.
  11. Role: It limits extension
  12. SPIRALS SUPEROLATERALLY FROM THE ISCHIUM, WHERE IT IS ATTACHED POSTEROINFERIOR TO THE ACETABULUM, BEHIND THE FEMORAL NECK TO ATTACH TO THE GREATER TROCHANTER DEEP TO THE ILIOFEMORAL LIGAMENT. SOME FIBRES BLEND WITH THE ZONA ORBICULARIS.
  13. IT VARIES IN STRENGTH. OCCASIONALLY ITS SYNOVIAL SHEATH EXISTS ALONE, WITHOUT A CORE; RARELY BOTH LIGAMENT AND SHEATH ARE ABSENT. The ligament appears to tense when the thigh is semi-flexed and adducted, and to relax in abduction ole: It limits adduction and provides a pathway for blood vessels to enter the head of femur.
  14. ANTR OR MEDIAL BRANCH PASTR OR LATERAL BRANCH---THE ACETABULAR BRANCH BOTH FORMS AN ANASTOMOSIS WITH THE MFCA
  15. ACENDING OF BOTH PLUS SUP GLUTEAL ARTERY FORMS TROCHANTERIC ANASTOMOSIS AND GIVES RISE TO RETINACULAR BRANCHES– HEAD OF FEMUR TRANVERSE OF BOTH AND INF GLUTEAL AND 1 PERFORATOR FROM THE PROFUNDA FEMORIS: CRUCIATE ANASOTOMIS TERMINAL GIVES RISE TO AN ACETABULAR BRANCH AND IT SUPPLIES FAT IN THE ACETABULAR FOSSA
  16. SUPERFICIAL SUPPLIES THE G MAXIMUS DEEP HAS SUPERIOR AND INFERIOR DIVISIONS AND DEEP TAKES PART IN TROCHANTERIC ANASTOMOSIS
  17. MUSCULAR BRANCHES TO THE G MAX AND PIRIFORMIS CUTANEOUS BRANCHES TO THE BUTTOCKS AND BACK ARTERY TO SCIATIC NERVE COCCYGEAL BRANCH
  18. LATERAL EPIPHYSEAL VESSELS THAT ENTER HEAD POSTEROSUPERIORLY;  VESSELS FROM MEDIAL EPIPHYSEAL ARTERY ENTERING THRU LIGAMENTUM TERES