hip, thigh, groin, and pelvis

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1
Pelvis
Bony structure made of the ilium, ischium, and pubis that protects organs and forms the hip joint
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Ilium
Upper and largest portion of the pelvis that forms the superior part of the acetabulum
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Ischium
Posterior-inferior portion of the pelvis that forms the back part of the acetabulum
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Pubis
Anterior portion of the pelvis that forms the front part of the acetabulum
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Acetabulum
Cup-shaped socket of the pelvis where the femoral head sits to form the hip joint
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ASIS ( anterior superior iliac spine)
Bony landmark on the pelvis where the sartorius muscle attaches
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AIIS ( anterior inferior iliac spine)
Bony pelvic landmark where the rectus femoris muscle attaches
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PSIS (Posterior superior iliac spine)
Posterior pelvic landmark located around the level of S2 Vertebra
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Iliac crest
Upper ridge of the ilium that is level with the L4 Lumbar
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Iliac foss
Large concave area on the ilium where the abdominal muscles attach
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Greater sciatic notch
Large indentation in the pelvis that allows nerves to pass from the pelvis to the thigh
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Ischial Tuberosity
Large bony prominence of the ischium that serves as the origin for the hamstring muscles
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Sacrotuberous ligament
Ligament connecting the sacrum to the ischial tuberosity forming the lesser sciatic foramen
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Ischial spine
Bony projection separating the greater and lesser sciatic notches
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Obturator foramen
Large opening in the pelvis formed by the pubis and ischium that allows nerves and blood vessels to pass
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Pubic symphysis
Cartilaginous joint connecting the left and right pubic bones
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Pubic tubercle
Bony projection where the inguinal ligament attaches
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Femur
Longest and strongest bone in the body forming the thigh
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Femoral Head
Rounded top of the femur that fits into the acetabulum
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Fovea capitis
Small depression on the femoral head where the ligament supplying blood attaches
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Greater trochanter
Large lateral projection of the femur where gluteus medius and minimus attach
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Lesser trochanter
Smaller projection on the femur where the iliopsoas muscle attaches
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Linea aspera
Ridge on the posterior femur where adductor muscles attach
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Sacrum
Triangular bone formed by the fusion of 4-5 vertebrae that connects the spine to the pelvis
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Acetabular joint
Ball-and socket joint between the femur and pelvis that allows multi-directional movement
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Sacroiliac joint
Joint between the sacrum and ilium that stabilizes the pelvis
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Anterior hip muscles
Muscle group responsible for hip flexion including iliacus, psoas major, rectus femoris, sartorius, and pectineus
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Iliacus
Hip flexor muscle located in the iliac fossa
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Psoas major
Powerful hip flexor connecting the spine to the femur
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Rectus femoris
Quadriceps muscle that flexes the hip and extends the knee
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Sartorius
Long muscle that flexes, abducts, and laterally rotates the hip
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Pectineus
Muscle that assists with hip flexion and adduction
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Vastus medialis
Quadriceps muscle responsible for knee extension and patellar stabilization
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Vastus lateralis
Largest quadriceps muscle responsible for knee extension
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Vastus intermedius
Deep quadriceps muscle that extends the knee
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Tensor fascia latae (TFL)
Lateral hip muscle that stabilizes the pelvis and tightens the IT badn
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Gluteus medius
Hip abductor that stabilizes the pelvis during walking
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Gluteus minimus
Deep hip abductor assisting gluteus medius
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Gluteus maximus
Large posterior muscle responsible for hip extension
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Biceps femoris
Hamstring muscle responsible for knee flexion and hip extension
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Semitendinosus
Hamstring muscle assisting in knee flexion and hip extension
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Semimembranosus
Hamstring muscle that flexes the knee and extends the hip
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Piriformis
Muscle that externally rotates the hip
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Quadratus femoris
Small muscle responsible for external hip rotation
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Adductor longus
Medial thigh muscle that adducts the hip
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Adductor brevis
Medial thigh muscle that assists with hip adduction
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Adductor magnus
Large medial thigh muscle responsible for powerful hip adduction
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Gracilis
Long medial thigh muscle assisting hip adduciton and knee flexion
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iliofemoral ligament
Strong ligament that prevents hyperextension of the hip
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Y ligament of Bigelow
Another name for the iliofemoral ligament and the strongest hip ligament
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Pubofemoral ligament
Ligament that limits hip abduction and extension
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Ischiofemoral ligament
ligament that stabilizes the posterior hip joint
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ligamentum teres
ligament that carries blood supply to the femoral head
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Acetabular labrum
Ring of cartilage that deepens the hip socket for stability
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Trochanteric bursa
Fluid-filled sac that reduces friction near the greater trochanter
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Femoral artery
Major artery supplying blood to the lower limb
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Femoral Nerve
Nerve supplying the anterior thigh muscles
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Sciatic nerve
Largest nerve in the body supplying the posterior thigh and lower leg
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Obturator nerve
Nerve supplying the medial thigh muscles
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Hip flexion
Movement bringing the thigh toward the chest (about 120*)
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Hip extension
Movement moving the thigh backward (about 30*)
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Hip abduction
Movement moving the leg away from the midline (about 45)
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Hip adduction
Movement moving the leg toward the midline (about 70)
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Hip internal rotation
Rotation of the femur inward (about 35)
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Hip external rotation
Rotation of the femur outward (about 45)
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Femoral shaft fracture
Break in the middle portion of the femur usually caused by high force trauma
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Signs of femoral fracture
Sever pain, swelling, deformity, muscle guarding, and shortened externally rotated leg
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Femoral neck fracture
Break near the femoral head that can lead to avascular necrosis
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Avascular Necrosis
Death of bone tissue due to loss of blood supply
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Hip dislocation
Displacement of the femoral head from the acetabulum
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Posterior hip dislocation
Most common hip dislocation where the femoral head moves backward
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Hamstring strain
Tear of the hamstring muscles often due to sudden acceleration or overstretching
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Quadriceps strain
Tear of quadriceps muscle due to forceful contraction or overstretching
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Hip pointer
Contusion of the iliac crest caused by direct impact
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Thigh contusion (Charley Horse)
Bruising of the quadriceps from direct blow
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Myositis ossificans
Formation of bone tissue inside muscle after severe contusion
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Trochanteric bursitis
Inflammation of the trochanteric bursa causing lateral hip pain
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Osteitis pubis
Inflammation of the pubic symphysis due to repetitive stress
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Legg-Calve-Perthes-disease
Childhood condition involving avascular necrosis of the femoral head
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Slipped capital femoral epiphysis
Condition where the femoral head slips at the growth plate in adolescents
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