The Hip Joint & Pelvic Girdle

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The Hip Joint & Pelvic Girdle Chapter 9 The Pelvis • The Pelvic bone is divided into THREE SECTIONS • Ilium • Pubis • Ischium The Ilium Upper 2/5ths 1. Iliac crest 2. Anterior spine a. superior b. inferior 3. Sciatic notch The Ilium "Iliac crest The Ilium Sciatic notch The Ischium Posterior and lower 2/5ths Acetabulum The Ischium The Ischium • 2. Ischial tuberosity The Pubis Pubic synthesis Pubic crest 1. Iliac crest 2. Anterior spine 3. Sciatic notch 4. Acetabulum 5. Ischial tuberosity 6. Pubic crest The Femur 1. Head 2. Neck 3. Greater Trochanter 4. Lesser Trochanter 5. Linea Aspera - vertical ridge on the posterior surface 6. Lateral Condyle 7. Medial Condyle The Femur 3. 1. The Femur 2. 4. 1 = Head 2 = Neck 5. 3 = Greater trochanter 4 = Lesser trochanter 5 = Linea Aspera 6. 6= Medial condyle 7. 7= Lateral condyle Anterior Hip 1. 1 = iliac crest 2. 2 = anterior spine 3 = greater trochanter 3. 4 = lesser trochanter 5 = ischial tuberosity 6 = pubis crest 4. 5. 6. Posterior Hip 1. 1 = iliac crest 2 = greater trochanter 3 = ischial tuberosity 2. 4 = lesser trochanter 3. 4. 5 = linea aspera 5. Iliotibial (I.T.) Band The Hip Joint Movements of the hip 1. Flexion 2. Extension 3. Abduction 4. Adduction 5. Inward rotation 6. Outward rotation A. Flexion B. Extension C. Abduction D. Adduction E. Inward rotation F. Outward rotation Pelvic Girdle • Sacroiliac joint • Ilium • Sacrum Movements of the pelvis Anterior rotation (tilt) Posterior rotation (tilt) Anterior and Posterior Pelvic Rotation Posterior rotation Anterior rotation Right and Left Pelvic Rotation • LEFT ROTATION: The left pelvis moves inferiorly in relation to the right pelvis Left Lateral Tilt • RIGHT ROTATION: The right pelvis moves inferiorly in relation to the left pelvis Right Lateral Tilt.

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Minimally Invasive Surgical Treatment Using 'Iliac Pillar' Screw for Isolated
European Journal of Trauma and Emergency Surgery (2019) 45:213–219 https://doi.org/10.1007/s00068-018-1046-0 ORIGINAL ARTICLE Minimally invasive surgical treatment using ‘iliac pillar’ screw for isolated iliac wing fractures in geriatric patients: a new challenge Weon‑Yoo Kim1,2 · Se‑Won Lee1,3 · Ki‑Won Kim1,3 · Soon‑Yong Kwon1,4 · Yeon‑Ho Choi5 Received: 1 May 2018 / Accepted: 29 October 2018 / Published online: 1 November 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Abstract Purpose There have been no prior case series of isolated iliac wing fracture (IIWF) due to low-energy trauma in geriatric patients in the literature. The aim of this study was to describe the characteristics of IIWF in geriatric patients, and to pre- sent a case series of IIWF in geriatric patients who underwent our minimally invasive screw fixation technique named ‘iliac pillar screw fixation’. Materials and methods We retrospectively reviewed six geriatric patients over 65 years old who had isolated iliac wing fracture treated with minimally invasive screw fixation technique between January 2006 and April 2016. Results Six geriatric patients received iliac pillar screw fixation for acute IIWFs. The incidence of IIWFs was approximately 3.5% of geriatric patients with any pelvic bone fractures. The main fracture line exists in common; it extends from a point between the anterosuperior iliac spine and the anteroinferior iliac spine to a point located at the dorsal 1/3 of the iliac crest whether fracture was comminuted or not. Regarding the Koval walking ability, patients who underwent iliac pillar screw fixation technique tended to regain their pre-injury walking including one patient in a previously bedridden state.
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Applied Anatomy of the Hip RICARDO A
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Surgical Management of Pelvic Ewing's Sarcoma in Children and Adolescents
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Stress Fractures Stress Fractures in the Pelvis Typically Occur in the Ilium, Most Commonly in the Which Are a Common Cause of Hind Limb Lameness
function of the pelvis is to connect the hind limbs of the horse to the axial Ilial wing skeleton. The ilium is the largest bone of If Only They Could Talk the pelvis. The wing of the ilium is covered by the gluteal muscles with a narrow shaft extending back to form part of the hip joint. The ischium forms the back of the pelvic floor and can be palpated on both sides at the base of the Ilial shaft tail. The pubis is the smallest bone of the Pubis Our regular focus on equine health. This month MJR vet pelvis and forms another part of the hip joint and the pelvic floor. JOHN MARTIN discusses two types of stress fractures Stress fractures in the pelvis typically occur in the ilium, most commonly in the which are a common cause of hind limb lameness. wing of the ilium but can also be seen in Hip socket the narrow ilial shaft. These stress John Martin fractures can be present with an acute onset of lameness but can equally present with vague signs of ‘poor movement’ Ischium RACTURES of the pelvis are of hind limb lameness. maintaining healthy bone as the skeleton and stiffness, particularly if present on a common cause of hind limb The pathology of stress fractures has responds to stresses and changes. When a both sides of the pelvis. lameness in the young racing been discussed numerous times in this horse’s bones are subjected to repetitive Diagnosis of these stress fractures can thoroughbred. The severity of section of the Kingsley Klarion, but loading, as is the case with horses in sometimes be difficult, particularly in theseF fractures can range from minor basically in normal bone there is a training, this normal balance of osteoblast mild cases with subtle clinical signs.
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The Diagnosis of Acute Osteomyelitis of the Pelvis Alan Morgan, Alan K
POSTGRAD. MDI). J., (1966), 42, 74 Postgrad Med J: first published as 10.1136/pgmj.42.484.74 on 1 February 1966. Downloaded from THE DIAGNOSIS OF ACUTE OSTEOMYELITIS OF THE PELVIS ALAN MORGAN, ALAN K. YATES, M.B., Ch.B. (Brist.), F.R.C.S. Eng.* M.B., Ch.B. (Sheff.), F.R.C.S. Eng.** The Royal Infirmary and Children's Hospital, Sheffield. OSTEOMYELITIS of the pelvis has a sparse biblio- bone involved and does not include other graphy, probably because of its relative bones of ithe pelvis involved by subsequent infrequency in general orthopaedics. spread of the disease. Froener (1889) istated that less than 10%/ of In agreement with other authors we find cases occured in the pelvis in a series of 545 that the ilium is most commonly affected. The cases of acute osteomyelitis; Butler (1940) ilium forms the largest portion of the bony gives an incidence of 8% in 500 cases of acute pelvis. lits blade has an abundant blood supply osteomyelitis seen at the London Hospital. with a large nutrient artery entering its inner Von Bergmann (1906) found 63 cases of surface, and in the adult it is the only bone of osteomyelitis of the ilium in 71 cases of osteo- the pelvis containing haemopoetic marrow. myelitis of the pelvis. Krasnobajiv (1925), The ischium was more commonly involved Simmons (1915), Bearse (1923), Flickinger than in other series, but i,n no patient was the (1927) and Buosanti (1924) each give an in- pubis primarily infected, although it was in- cidence of osteomyelitis of the ilium of bet- volved by extension in several cases.
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Chapter 9 the Hip Joint and Pelvic Girdle
The Hip Joint and Pelvic Girdle • Hip joint (acetabular femoral) – relatively stable due to • bony architecture Chapter 9 • strong ligaments • large supportive muscles The Hip Joint and Pelvic Girdle – functions in weight bearing & locomotion • enhanced significantly by its wide range of Manual of Structural Kinesiology motion • ability to run, cross-over cut, side-step cut, R.T. Floyd, EdD, ATC, CSCS jump, & many other directional changes © 2007 McGraw-Hill Higher Education. All rights reserved. 9-1 © 2007 McGraw-Hill Higher Education. All rights reserved. 9-2 Bones Bones • Ball & socket joint – Sacrum – Head of femur connecting • extension of spinal column with acetabulum of pelvic with 5 fused vertebrae girdle • extending inferiorly is the coccyx – Pelvic girdle • Pelvic bone - divided into 3 • right & left pelvic bone areas joined together posteriorly by sacrum – Upper two fifths = ilium • pelvic bones are ilium, – Posterior & lower two fifths = ischium, & pubis ischium – Femur – Anterior & lower one fifth = pubis • longest bone in body © 2007 McGraw-Hill Higher Education. All rights reserved. 9-3 © 2007 McGraw-Hill Higher Education. All rights reserved. 9-4 Bones Bones • Bony landmarks • Bony landmarks – Anterior pelvis - origin – Lateral pelvis - for hip flexors origin for hip • tensor fasciae latae - abductors anterior iliac crest • gluteus medius & • sartorius - anterior minimus - just superior iliac spine below iliac crest • rectus femoris - anterior inferior iliac spine © 2007 McGraw-Hill Higher Education. All rights reserved. 9-5 © 2007 McGraw-Hill Higher Education. All rights reserved. 9-6 1 Bones Bones • Bony landmarks • Bony landmarks – Medially - origin for – Posteriorly – origin for hip hip adductors extensors • adductor magnus, • gluteus maximus - adductor longus, posterior iliac crest & adductor brevis, posterior sacrum & coccyx pectineus, & gracilis - – Posteroinferiorly - origin pubis & its inferior for hip extensors ramus • hamstrings - ischial tuberosity © 2007 McGraw-Hill Higher Education.
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Ilium, Pubis, and Ischium. What Kind of Joint Is This?? There Are 2 Pelvic Bones to Make up the Pelvic Girdle
The pelvis is also called the innominate bone—comprised of 3 bones fused together: ilium, pubis, and ischium. What kind of joint is this?? There are 2 pelvic bones to make up the pelvic girdle. Each pelvic bone is also called an os coxae (right and left). The sacrum forms the back of the pelvis. The pubic bones from the 2 innominate bones articulate with each other at the pubic symphysis (which will be addressed in a few slides). 1 *Remember the Ilium is the top part of the pelvic bone and articulates the pelvis with the spinal column through the sacrum.* Iliac crest—rounded top edge Anterior superior iliac spine—rounded anterior point Anterior inferior iliac spine—rounded pt below ASIS Posterior superior iliac spine—rounded posterior point Posterior inferior iliac spine—rounded pt below PSIS Greater sciatic notch—large groove below PIIS Gluteal lines—slash markings that are attachments for the gluteal muscles 2 The ilium is where you put your hands on your hips. 3 *Remember the Ischium is the posterior part of the pelvis bone. The ischial tuberosity is what you sit on. For those of you that have been told that you have a “bony butt” it is because the people you have sat on can feel your ischial tuberosities very well.* Ischial spine—pointy process below greater sciatic notch Lesser sciatic notch—below ischial spine Ischial tuberosity—rounded edge Ramus—before the fissure to the pubis; helps form the bridge 4 Notice the ramus helping form the bridge to the pubic bone. 5 *The pubic bone is the most anterior part of the innominate bone.
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