The Hip

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Hip
Joint
• Articulation
-The hip joint is the articulation between the hemispherical head
of the femur and the cup-shaped acetabulum of the hip bone.
-Ball and socket type of joint
-AKA Coxafemoral/ Acetabulofemoral joint
Hip
Joint
• Resting Position
- Flexion, Abduction, External Roation
• Closed Packed Position
- Extension, Abduction, Internal
Rotation
• Most stable position of the Hip
- Abduction
Hip Range of
Motion
• Hip Flexion: 0-120°
• Hyperextension: 0-10°
• External Rotation: 0-
45°
• Internal Rotation: 0-30°
• Abduction: 0-45°
• Adduction: 0-30°
Functional Range of Motion of the
HIP
• Shoe Tying: 120° of hip flexion
• Sitting: 112° of hip flexion
• Stooping: 125°
• Squating: 115° flexion, 20° abd, 20° IR
• Ascending stairs: 67° hip flexion
• Descending stairs: 36° hip flexion
• Crossing legs: 120° flexion, 20° abd, 20°
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Ligaments of the
Hip
• The iliofemoral ligament is a strong, inverted Y-shaped ligament.
Its base is attached to the anterior inferior iliac spine above;
below, the two limbs of the Y are attached to the upper and
lower parts of the intertrochanteric line of the femur.
• This strong ligament prevents overextension during standing.
Ligaments of the
Hip
• The pubofemoral ligament is triangular. The base of the ligament is
attached to the superior ramus of the pubis, and the apex is
attached below to the lower part of the intertrochanteric line.
• This ligament limits extension and abduction
Ligaments of the
Hip
• The ischiofemoral ligament is spiral shaped and is attached to
the body of the ischium near the acetabular margin. The fibers
pass upward and laterally and are attached to the greater
trochanter.
• This ligament limits extension
Ligaments of the
Hip
Iliofemoral Pubofemoral Ischiofemoral
Extension Extension Extension
Adduction Abduction Abduction
External Rotation External Rotation Internal Rotation