HIP

DISLOCATION
SITI NUR BAITI BINTI SHAIK
KHAMARUDIN
SHAFIRA AQILAH BINTI
RIDZUAN
 ANATOMY OF HIP JOINT
Movement of hip joint

The acetabulum

The synovial membrane

Fibrous membrane

Hip joint ligaments

Vascular supply

Nerve supply
 The hip joint is a
synovial
articulation
between the head
of femur and
acetabulum of
pelvic bone.
Multi-axial ball
(femoral head) and
socket (lunate
surface of
acetabulum) joint.
 Movements:
Flexion
Extension
Abduction
Adduction
Medial & lateral
rotation
Circumduction
 THE ACETABULUM

Almost entirely
encompasses
hemispherical head
of femur. Lunate surface is
The non-articular covered by
acetabular fossa
contains loose
hyaline cartilage.
 Acetabu
lar
Inferiorly
thenotch
The rim of labrum bridges
acetabulum is across acetabular
slightly raised by a notch as
fibrocartilaginous transverse
collar (acetabular acetabular
 THE SYNOVIAL
MEMBRANE
Attaches to the
margins of articular
surface of femur &
acetabulum.
Forms a covering
around the
ligament of head of
femur.
Lines the fibrous
membrane of the
joint.
THE FIBROUS MEMBRANE
Encloses hip joint,
generally thick.
Medially attached
to margin of
acetabulum,
transverse
acetabular ligament
& adjacent margin of
obturator foramen.
Laterally
intertrochanteric line
& neck of femur.
 LIGAMENTS OF HIP JOINT
Reinforce the external
surface of fibrous
membrane & stabilize the
joint.
1) Iliofemoral ligament
2) Pubofemoral ligament
3) Ischiofemoral ligament

) Oriented in spiral
fashion around hip joint
To stabilize
Less energy required
 VASCULAR SUPPLY
1. Branches of
obturator artery.
2. Medial and
lateral circumflex
femoral arteries.
3. Superior and
inferior gluteal
arteries
4. First perforating
branch of deep
artery of thigh.
 NERVE SUPPLY
Terminal branches of
lumbosacral plexus:
1. Femoral nerve
2. Obturator nerve
3. Sciatic nerve
4. Superior gluteal
nerve
5. Inferior gluteal
nerve
 REFERENCE
Richard L. Drake, et al. Lower Limb.
Grays Anatomy for Students, 2nd
Edition. Hip joint: 734-742.
http://www.slideshare.net/harjotsgur
udatta/acetabular-fracture-30212182