Capsule of hip joint

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Capsule of hip joint
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Capsule of hip-joint (distended). Posterior aspect.
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Hip-joint, front view. The capsular ligament has been largely removed. (Capsular ligament visible at center.)
Details
Identifiers
Latin capsula articularis coxae
Anatomical terminology

The articular capsule (capsular ligament) is strong and dense.

Anterosuperiorly, it is attached to the margin of the acetabulum 5 to 6 mm. beyond the labrum behind; but in front, it is attached to the outer margin of the labrum, and, opposite to the notch where the margin of the cavity is deficient, it is connected to the transverse ligament, and by a few fibers to the edge of the obturator foramen.

It surrounds the neck of the femur, and is attached, in front, to the intertrochanteric line; above, to the base of the neck; behind, to the neck, about 1.25 cm. above the intertrochanteric crest; below, to the lower part of the neck, close to the lesser trochanter.

From its femoral attachment some of the fibers are reflected upward along the neck as longitudinal bands, termed retinacula.

The capsule is much thicker at the upper and forepart of the joint, where the most resistance is required; behind and below, it is thin and loose.

It consists of two sets of fibers, circular and longitudinal.

The circular fibers, zona orbicularis , are most abundant at the lower and back part of the capsule, and form a sling or collar around the neck of the femur.

Anteriorly they blend with the deep surface of the iliofemoral ligament, and gain an attachment to the anterior inferior iliac spine.

The longitudinal fibers are greatest in amount at the upper and front part of the capsule, where they are reinforced by distinct bands, or accessory ligaments, of which the most important is the iliofemoral ligament.

The other accessory bands are known as the pubofemoral ligament and the ischiofemoral ligament.

The external surface of the capsule is rough, covered by numerous muscles, and separated in front from the psoas major and iliacus by the iliopectineal bursa, which not infrequently communicates by a circular aperture with the cavity of the joint.

Pathologies

Hip Capsule Contracture

This pathology is similar to the frozen shoulder. It may be caused by arthritis or by a long period of immobilization

Capsular Pattern :

End-Feels

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The femur, or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia (shinbone) and patella (kneecap), forming the knee joint. By most measures the two femurs are the strongest bones of the body, and in humans, the largest and thickest.

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The ulna is a long bone found in the forearm that stretches from the elbow to the smallest finger, and when in anatomical position, is found on the medial side of the forearm. It runs parallel to the radius, the other long bone in the forearm. The ulna is usually slightly longer than the radius, but the radius is thicker. Therefore, the radius is considered to be the larger of the two.

Tibia Long bone of the lower leg

The tibia, also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates, and it connects the knee with the ankle bones. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane or centre-line. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body next to the femur. The leg bones are the strongest long bones as they support the rest of the body.

Gluteus minimus Smallest of the three gluteal muscles

The gluteus minimus, or glutæus minimus, the smallest of the three gluteal muscles, is situated immediately beneath the gluteus medius.

Hip Anatomical region between the torso and the legs, holding the buttocks and genital region

In vertebrate anatomy, hip refers to either an anatomical region or a joint.

Shoulder joint Synovial ball and socket joint in the shoulder

The shoulder joint is structurally classified as a synovial ball and socket joint and functionally as a diarthrosis and multiaxial joint. It involves articulation between the glenoid cavity of the scapula and the head of the humerus.

Lateral meniscus

The lateral meniscus is a fibrocartilaginous band that spans the lateral side of the interior of the knee joint. It is one of two menisci of the knee, the other being the medial meniscus. It is nearly circular and covers a larger portion of the articular surface than the medial. It can occasionally be injured or torn by twisting the knee or applying direct force, as seen in contact sports.

Upper extremity of femur

The upper extremity, proximal extremity or superior epiphysis of the femur is the part of the femur closest to the pelvic bone and the trunk. It contains the following structures:

The body of femur, is the almost cylindrical, long part of the femur. It is a little broader above than in the center, broadest and somewhat flattened from before backward below. It is slightly arched, so as to be convex in front, and concave behind, where it is strengthened by a prominent longitudinal ridge, the linea aspera.

Intertrochanteric crest

The intertrochanteric crest is a bony ridge located on the posterior side of the head of the femur, stretching obliquely downward and medially from the summit of the greater trochanter to the lesser trochanter.

Iliofemoral ligament

The iliofemoral ligament is a ligament of the hip joint which extends from the ilium to the femur in front of the joint. It is also referred to as the Y-ligament. the ligament of Bigelow, the ligament of Bertin and any combinations of these names.

Ischiofemoral ligament

The ischiofemoral ligament, consists of a triangular band of strong fibers on the posterior side of the hip joint. Its fibers span from the ischium at a point below and behind the acetabulum to blend with the circular fibers at the posterior end of the joint capsule and attach at the intertrochanteric line of the femur.

Zona orbicularis

The zona orbicularis or annular ligament is a ligament on the neck of the femur formed by the circular fibers of the articular capsule of the hip joint. It is also known as the orbicular zone, ring ligament, and zonular band.

Intertrochanteric line

The intertrochanteric line is a line located on the anterior side of the proximal end of the femur.

Glenohumeral ligaments

In human anatomy, the glenohumeral ligaments (GHL) are three ligaments on the anterior side of the glenohumeral joint. Reinforcing the anterior glenohumeral joint capsule, the superior, middle, and inferior glenohumeral ligaments play different roles in the stability of the head of the humerus depending on arm position and degree of rotation.

Femoral head

The femoral head is the highest part of the thigh bone (femur). It is supported by the femoral neck.

Articular capsule of the knee joint

The articular capsule of the knee joint is the wide and lax joint capsule of the knee. It is thin in front and at the side, and contains the patella, ligaments, menisci, and bursae of the knee. The capsule consists of an inner synovial membrane, and an outer fibrous membrane separated by fatty deposits anteriorly and posteriorly.

Pelvis Lower part of the trunk of the human body between the abdomen and the thighs

The pelvis is the lower part of the trunk, between the abdomen and the thighs, together with its embedded skeleton.

Vastus muscles

The vastus muscles are three of the four muscles that make up the quadriceps femoris muscle of the thigh. The three muscles are the vastus intermedius, the vastus lateralis, and the vastus medialis located in the middle, on the outside, and inside of the thigh, respectively. The fourth muscle is the rectus femoris muscle a large fleshy muscle which covers the front and sides of the femur.

References

PD-icon.svgThis article incorporates text in the public domain from page 334 of the 20th edition of Gray's Anatomy (1918)