Chapter 7 Femur and Pelvic Girdle Anatomy and Pathologies
iliac wings that are more flared obtuse pubic arch (greater than 90 degrees) larger and more rounded inlet
How can you tell if a pelvis is a female?
heart-shaped (oval) inlet acute pubic arch (less than 90 degrees) iliac wings that are less flared
How can you tell if a pelvis is a male?
female (7.3)
Is figure 7.3 a male or female pelvis?
medial
Is the lesser trochanter located on the medial or lateral aspect of the proximal femur
sacroiliac
Which joint structure has a classification that is synovial, a mobility type of amphiarthrodial, and movement type that is limited
hip joint
Which joint structure has a classification that is synovial, a mobility type of diarthrodial, and movement type of ball and socket?
symphysis pubis (joint structures)
Which joint structures has a classification that is cartilaginous, mobility type of amphiarthrodial and a limited movement.
acetabulum (union)
Which joint structures has a classification that is cartiliaginous, mobility type of synarthrodial, and nonmovable movement type.
lesser trochanter
Which of the following landmarks is not a palpable bony landmark?
Ischial spines
Which structure is considered as the most posterior?
female
Wide, more flared ilia, pubic arch angle of 110 degrees, ischial spines protruding less into pelvic inlet describes which pelvis male or female
ischial spine (7.3)
What is F pointing to?
ischial tuberosity (7.1)
What is F pointing to?
inferior ramus (7.1)
What is G pointing to?
obturator foramina (7.1)
What is H pointing to?
symphysis pubis (7.3)
What is H pointing to?
ischial tuberosity (7.3)
What is I pointing to?
body of the pelvis (7.1)
What is I pointing?
body of the ilium (7.1)
What is J pointing to?
ala/wing (7.1)
What is K pointing to?
neck of femur (7.4)
What is K pointing to?
lesser trochanter (7.4)
What is L pointing to?
sacroilliac joint (7.1)
What is L pointing to?
greater trochanter (7.4)
What is M pointing to?
ischial spine (7.1)
What is M pointing to?
ischial tuberosity (7.4)
What is N pointing to?
sacrum (7.1)
What is N pointing to?
Body of the ilium (7.2)
What is O pointing to?
Ala/wing (7.5)
What is P pointing to?
PSIS (7.2)
What is P pointing to?
Body of ilium (7.5)
What is Q pointing to?
posterior inferior iliac spine (7.2)
What is Q pointing to?
Body of pubis (7.5)
What is R pointing to?
greater sciatic notch (7.2)
What is R pointing to?
Inferior ramus of ischium (7.5)
What is S pointing to?
ischial spine (7.2)
What is S pointing to?
Greater trochanter (7.5)
What is T pointing to?
lesser sciatic notch (7.2)
What is T pointing to?
Lesser trochanter (7.5)
What is U pointing to?
ischial tuberosity (7.2)
What is U pointing to?
Neck of femur (7.5)
What is V pointing to?
ramus (7.2)
What is V pointing to?
inferior ramus (7.2)
What is W pointing to?
acetabulum (7.2)
What is X pointing to?
anterior inferior iliac spine (7.2)
What is Y pointing to?
ASIS (7.2)
What is Z pointing to?
wing
What is another term for ala?
Inferior aperture
What is another term for the outlet of the true pelvis?
femur
What is the largest and strongest bone of the body?
symphysis pubis
What is the name of the joint found between the superior rami of the pubic bones
ligament of the head of the femur or ligamnet capitis femoris
What is the name of the ligament that attaches to the fovea capitis
male
A heart-shaped pelvic inlet, narrow ilia that are less flared, pubic arch angle of 75 degrees describes which pelvis male or female.
ilium
Ala, posterior superior iliac crest (PSIS), anterior superior iliac supine (ASIS), Articulates with the sacrum to form the sacroiliac (SI) joints are the main structures or characteristics of which hip bone structures.
acetabulum, middle teens
All three division of the hip bone eventually fuse at the .................................... at the age of ................................
pelvic brim
An imaginary plane that divides the eplvic region into the greater and lesser pelvis is called the ..............................................
15-20
Because of the alignment between the femoral head and pelvis, the lower limb must be rotated ................................. degrees internally to place the femoral neck parallel to the plane of the IR to achieve a true AP projection
Ankylosing spondylitis
What pathologic indicates early fusion of the sacroiliac (SI) joints?
lesser pelvis
Forming the actual birth canal is the major function of which pelvis, greater or lesser?
superior ramus of pubis (7.3)
Whats is G pointing to?
ischium
Possesses a large tuberosity found at the most inferior aspect of the pelvis, lesser sciatic notch are the main structures or characteristics of which hip bone structures.
pubis (joint)
Possesses a slightly movable joint, forms the anterior, inferior aspect of the lower pelvic girdle are the main structures or characteristics of which hip bone structures.
ischical tuberosities
Which bony landmark is found on the most inferior aspect of the posterior pelvis?
greater pelvis
Supporting the lower abdominal organs and the feuts is the major function of which pelvis, greater or lessser?
obturator foramen
The ........................................... of the pelvis is the largest foramen in the skeletal system
ischium (two aspects)
The body and the ramus are two aspects of what part of the hip bone?
false pelvis
The greater pelvis is also known as the .........................
ilium (list)
The iliac crest, ASIS, ala/wing, PSIS, posterior inferior iliac spine, greater sciatic notch, anterior inferior iliac spine are associated with what part of the pelvis?
1 1/2 - 2 inches
The ischial tuberosity is about ........................................ degrees below the upper margin of the greater trochanter
ischium (list)
The ischial tuberosity, ischial spine, lesser sciatic notch, ramus are associated with what part of the pelvis?
body and the ramus
The ischium is divded into two parts called the?
true pelvis
The lesser pelvis is also known as the ................................
posteriorly
The lesser trochanter projects ........................ from the junction between the neck and shaft
the hip bones/pelvic girdle
The ossa coxae and innominate bones are two terms also used to describe what?
acute, less than
The pubic arch angle on an average male pelvis is an ................................. angle that is ........................ 90 degrees.
they make up the pelvis
The right and left hip bones, the sacrum, and the coccyx are the four bones that make up what.
pubis
The superior ramus, inferior ramus are associated with what part of the pelvis?
External rotation
The typical physical sign for a possible hip facture is the ............................................ of the involved foot
1 inch
The upper margin of the greater trochanter is ..................................... degrees above the level of the superior border of the symphysis pubis
avulsion (evulsion) fractures of the pelvis
These fractures casue extreme pain and occurs is adolescent athletes who experience sudden, forceful, or unbalanced contraction of the tendinous and muscular attachments.
SCFE (slipped capital femoral epiphysis)
This epiphyses appear shorter and epiphyseal plate wider
pelic ring fracture
This is a biolateral radiolucent lines across bones and misalignmnet of SI joints
acetabulum
This is a deep cup shaped cavity that accepts the head of the femur to form the hip joint
greater sciatic notch
This is a deep notch directly superior to the the ischial spine.
fovea capitis
This is a small depression located in the center of the femoral head.
neck of femur
This is a strong pyramaid process of bone that connects the head of the femur to the body or shaft
ala
This is a thin and flared superior part of the ilium.
DDH (development dysplasia of the hip)
This is an increased hip joint space and misalignment
ankylosing spondylitis
This is early fusion of the SI joints and "bamboo spine"
ischial spine
This is posterior to the acetabulum and is a bony projection.
osteoarthritis
This is the hallmark sign of spurring and narrowing of the joint space.
legg-calve-perthes disease
This is the most common type of aseptiv or ischemic necrosis. Disease occurs predominantly in 5-10 year old boys, x-rays look like a flatttened femoral head that later can appear fragmented
lesser sciatic notch
This is the smaller notch inferior to the ischial spine
crest of the ilium
This is the superior margin of the ala and extends from the ASIS to the PSIS.
metastatic carcinoma
This is usually consists of numerous small lytic lesion
intertrochanteric crest
This is where the trochanters join together posteriorly by a thick rigde called the .................
acetabulum (3)
This one bone structure is part of the pubis, ischium, and iliac.
false pelvis (makes up)
This pelvis supports the lower abdominal organs, formed primarily by the ala of the ilium, and greater pelvis makes up which pelvis the false or true pelvis?
pelvis
This serves as the baseof the trunk and forms the connection between the vertebral column and the lower limbs
true pelvis (makes up)
Ths is the lesser pelvis, a cavity that forms the actually birth canal, and is found below the pelvic brim. Which pelvis does this describe, the false or true pelvis?
superior ramus (7.1)
What is E pointing to?
True
True or False: The terms pelvis and pelvic girdle are not synonymous.
ilium, ischium, and pubis
What are the three divisions of the hip bone.
hip joint, sacroiliac joint, and the symphysis pubis joint
What are the three important joints involved with femur and pelvic gridle
right and left hip bones
What are the two bones that make up the pelvic girdle
ASIS, iliac crest
What are the two important radiographic landmarks found on the ilium?
Iliac crest (7.1)
What is A pointing to?
greater trochanter (7.3)
What is A pointing to?
ASIS (7.1)
What is B pointing to?
neck of femure (7.3)
What is B pointing to?
acetabulum (7.3)
What is C pointing to?
greater trochanter (7.1)
What is C pointing to?
ASIS (anterior superior iliac spine) (7.3)
What is D pointing to?
body of the ischium (7.1)
What is D pointing to?
crest of ilium (7.3)
What is E pointing to?
