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AcetabulumAcetabulariaHip JointHip Dislocation, CongenitalFemur HeadHip DislocationPelvic BonesHip ProsthesisOsteotomyArthroplasty, Replacement, HipBone RetroversionProsthesis FailureIschiumIliumLegg-Calve-Perthes DiseaseBone Diseases, DevelopmentalProsthesis DesignBone TransplantationFemoracetabular ImpingementOsteoarthritis, HipFemurJoint DiseasesCementationPubic BoneArthrographyEtretinateFractures, BoneOssification, HeterotopicSlipped Capital Femoral EpiphysesPelvimetryHip InjuriesReoperationPolyethylenesCeramicsTractionRange of Motion, ArticularBone CementsPolyethyleneFractures, ComminutedOrthopedic ProceduresHipPelvisFemur Head NecrosisOsseointegrationOsteolysisFollow-Up StudiesTomography, X-Ray ComputedCadaverImaging, Three-DimensionalTreatment OutcomeFracture Fixation, InternalProsthesis FittingRetrospective StudiesBone ScrewsPostoperative ComplicationsFemur NeckArthroscopyFemoral Neck FracturesCartilage, ArticularBiomechanical PhenomenaRecovery of FunctionTitaniumBone NeoplasmsWeight-Bearing
Wall of the acetabulumPelvicPelvisGreater trochanterInferior iliacPubicHead of thDome of the acetabulumSpinePubisAnatomyFracturesAnteriorlyCartilagePosterior columnIschiumDislocationProximal femurArticular surfaceHorseshoe-shapedInjuriesFractureLateralSuperiorSocketLaterallyInnominateIncreasesFossaNeckMediallyIliacusPINCERSphericalInguinal ligamentMedial wallReductionMusclesFasciaBoneImpingementFibrocartilageApproaches
Wall of the acetabulum4
  • The anterior column comprises the anterior border of the iliac wing, the entire pelvic brim, the anterior wall of the acetabulum, and the superior pubic ramus. (medscape.com)
  • The posterior column makes up the ischial portion of the bone, including the greater and lesser sciatic notch, the posterior wall of the acetabulum, the majority of the quadrilateral surface, and the ischial tuberosity. (medscape.com)
  • In the latter case, the posterior wall of the acetabulum is fractured, making subsequent reduction less stable. (amfs.com)
  • Repetitive shock, particular in sport, between the cam deformity on the femoral neck and the wall of the acetabulum eventually may even result in an avulsion tear of the antero superior labrum with very sharp stabs of groin pain. (chiropractic-help.com)
Pelvic8
  • Criteria on CT or MRI are not precisely defined but involve loss of the normal oval shape of the pelvic inlet at the level of the acetabulum. (marfan.org)
  • [ 8 ] Reed documented that approximately 5-10% of pediatric pelvic injuries involve the acetabulum. (medscape.com)
  • When we talk about pelvic tilt tendency, or sacroiliac pain, or even reference points like the Anterior Superior Iliac Spine (ASIS), having a working knowledge of the integral bones and joints make genuine understanding the aforementioned conditions/ landmarks truly possible. (nfpt.com)
  • If the ASIS dips lower than an inch of the PSIS (about 10 degrees), he or she is positive for anterior pelvic tilt. (nfpt.com)
  • The illustrator has done a very good job in pulling out muscles of the lateral anterior wall of the abdominal pelvic cavity. (posturalrestoration.com)
  • Pubis bone forms the anterior pelvic ring. (orthofixar.com)
  • Iliopectineal eminence: anterior pelvic rim prominence at the union of the ilium and pubis. (orthofixar.com)
  • Pelvic Fractures Pelvic fractures can involve the pubic symphysis, innominate bones, acetabulum, sacroiliac joint or sacrum. (msdmanuals.com)
Pelvis6
Greater trochanter3
  • Abduction causes the femoral neck or greater trochanter to jam against the superior segment of the acetabulum. (amfs.com)
  • The greater trochanter or femoral neck then acts like a lever, lifting the femoral head out of the acetabulum. (amfs.com)
  • The femoral head acts like a hammer and is the last link in the chain of forces transmitted from the greater trochanter, knee, or foot to the acetabulum. (medscape.com)
Inferior iliac5
  • Of the 313 articles, the filtered literature search identified 14 papers describing the psoas valley and its synonyms such as iliopsoas notch, a notch between anterior inferior iliac spine and the iliopubic eminence, Psoas-U and anterior wall depression. (biomedcentral.com)
  • The Anterior Inferior Iliac Spine (AIIS) is not one you can palpate, but you can see where it is located in the diagram. (nfpt.com)
  • Medial to the anterior inferior iliac spine is a broad, shallow groove, over which the iliacus and psoas major muscles pass. (pleasefireme.com)
  • The anterior border begins at the anterior superior spine and includes the anterior inferior iliac spine, situated superior to the acetabulum. (dartmouth.edu)
  • inferior to this is an anterior inferior iliac spine. (medscape.com)
Pubic6
  • The white area is the anterior column, the red area is the posterior column, and the purple area is the tie beam (inferior pubic ramus). (medscape.com)
  • Dalens' original landmark-based fascia iliaca block begins with a needle entry point 1/3 the distance between the anterior superior iliac spine and the pubic tubercle, along the inguinal ligament (Figure 2). (asra.com)
  • Irregular-shaped, anterior bone in red, that articulates with the pubic symphysis, a cartilaginous joint. (nfpt.com)
  • An eminence on the upper aspect of the pubic bone above the acetabulum, marking the junction of the bone with the ilium. (pleasefireme.com)
  • The following specific enlargements included: left wrist with fracture of the distal radius, right wrist with fracture of the distal radius, right hip with fractures of the acetabulum and superior pubic ramus, right knee with proximal fibular and tibial fractures and tears of the posterior cruciate ligament and anterior cruciate ligament. (smartimagebase.com)
  • The terminology of the hip bone is based on the anatomical position, in which the articular surface of the pubic symphysis is in a sagittal plane and the pubic tubercle and anterior superior iliac spine are in the same coronal plane. (dartmouth.edu)
Head of th5
  • Fractures of the acetabulum occur as a result of the force exerted through the head of the femur to the acetabulum. (medscape.com)
  • The inferior, wing-like bones in purple, that house the acetabulum, or the "socket" portion of the hip's ball and socket joint, that articulates with the head of the femur. (nfpt.com)
  • The head of the femur is what articulates in the socket, or acetabulum. (nfpt.com)
  • Around the periphery of the acetabulum is a thickened collar of fibrocartilage known as the acetabular rim, or labrum that further deepens the concavity and grasps the head of the femur. (orthofixar.com)
  • The head of the femur is angled superomedially and slightly anteriorly when articulating with the acetabulum. (medscape.com)
Dome of the acetabulum2
  • [ 2 ] Anatomic reduction and stable fixation of the fracture, such that the femoral head is concentrically reduced under an adequate portion of the weightbearing dome of the acetabulum, is the treatment goal in these difficult fractures. (medscape.com)
  • The second column runs from the dome of the acetabulum to the SI joint and allows for force transfer during standing. (orthofixar.com)
Spine8
  • The anterior superior iliac spine (ASIS) is palpated and the ultrasound probe is placed slightly inferior and medial to it (in the vicinity of Dalen's landmark based approach). (asra.com)
  • The iliopectineal arch (Fig. 29.7) is a condensation of the transversalis fascia that attaches laterally to the supe- rior anterior iliac spine and travels medially to insert on the iliopectineal eminence. (pleasefireme.com)
  • The anterior extent of the iliac crest is the anterior superior iliac spine, to which the inguinal ligament is attached, and the posterior extent is the posterior superior iliac spine. (dartmouth.edu)
  • The anterior superior iliac spine is an important landmark, which can be palpated (and sometimes seen) by tracing the iliac crest forward or the inguinal ligament upward. (dartmouth.edu)
  • Clinically, the lower limb is measured from the anterior superior iliac spine to the tip of the medial malleolus of the tibia. (dartmouth.edu)
  • The tubercle of the crest is the lateralmost part of the crest and is a projection of the outer lip about 5 cm posterior to the anterior superior iliac spine. (dartmouth.edu)
  • Inferior to the anterior inferior spine and anterior to the acetabulum, the junction of the ilium and pubis forms a diffuse swelling, the iliopubic eminence. (dartmouth.edu)
  • while sacrospinous ligament (anterior sacrum to ischial spine) separates greater and lesser sciatic foramina. (orthofixar.com)
Pubis4
  • Each hip bone consists of an ilium, an ischium, and a pubis, all three of which in the adult are fused at the acetabulum to form a single bone. (dartmouth.edu)
  • The body of the ilium is fused with the ischium and pubis and forms about the superior two fifths of the acetabulum. (dartmouth.edu)
  • The pubis bone is the smallest of the three bones and consists of a body and inferior and superior rami, it forms the anterior fifth of the acetabulum. (orthofixar.com)
  • The pubis and ilium osteotomies are performed in a supine position through an anterior approach with subsequent reorientation and screw fixation. (nih.gov)
Anatomy1
  • This scoping review aimed to investigate the literature on the anatomy of the psoas valley, an anterior depression on the acetabular rim, and propose a unified definition of the anatomical structure, describe its dimensions, anatomical variations and clinical implications. (biomedcentral.com)
Fractures5
  • Fractures of the acetabulum were treated nonoperatively until the middle of the 20th century. (medscape.com)
  • The roof of the acetabulum is the thick weightbearing portion and forms a separate fragment in bicolumnar fractures. (medscape.com)
  • Our findings indicated that the modified Stoppa approach is the most convenient approach when surgery is required and achieved favorable results in the treatment of anterior acetabular fractures because it improves visualization in lateral compression injuries and allows treatment of both column fractures with single incision. (biomedcentral.com)
  • Fractures of the acetabulum occur primarily in young adults as a result of high-velocity trauma. (medscape.com)
  • Although it is difficult to pinpoint the exact relation between the point of impact and the mechanism of injury in acetabulum fractures, certain relations are well recognized. (medscape.com)
Anteriorly3
  • Anterior dislocation of the hip occurs from a direct blow to the posterior aspect of the hip or, more commonly, from a force applied to an abducted leg that levers the hip anteriorly out of the acetabulum. (amfs.com)
  • The femoral head glides anteriorly into the acetabulum and increases joint loading. (physio-pedia.com)
  • The surface of the acetabulum faces laterally, inferiorly, and anteriorly. (orthofixar.com)
Cartilage1
  • At puberty, the 3 primary bones are still separated by a Y-shaped triradiate cartilage centered in the acetabulum. (medscape.com)
Posterior column2
  • The modified Stoppa approach for reduction of fracture acetabulum improves access to quadrilateral surface and posterior column and is considered to be advantageous in many facets of the surgery. (biomedcentral.com)
  • With the hip in neutral adduction-abduction, external rotation of the hip predisposes to anterior column injury, and internal rotation predisposes to posterior column injury. (medscape.com)
Ischium2
Dislocation5
  • If the leg is in neutral or an abducted position when struck, an anterior dislocation or fracture/dislocation may occur. (amfs.com)
  • A 22-year-old truck driver involved in a ski accident sustained an obturator dislocation of the right hip associated with a femoral head impaction in the weight-bearing zone and a medial wall fracture of the acetabulum. (jocr.co.in)
  • He sustained an obturator dislocation of the right hip associated with a severe femoral head impaction fracture in the weight-bearing zone and a medial wall fracture of the acetabulum (Fig. 1, 2, 3). (jocr.co.in)
  • High dislocation of hip, secondary acetabulum, increased misalignment on functional X‑ray, high-grade mobility restriction. (nih.gov)
  • Anterior hip dislocation with an associated vascular injury requiring amputation. (wikem.org)
Proximal femur1
  • Femoroacetabular impingement (FAI) syndrome is a motion-related clinical disorder of the hip involving premature contact between the acetabulum and the proximal femur, which results in particular symptoms, clinical signs and imaging findings. (physio-pedia.com)
Articular surface1
  • The articular surface of the acetabulum is limited to an inverted horseshoe-shaped area covering the anterior, superior, and posterior margins. (orthofixar.com)
Horseshoe-shaped1
  • The oral sucker had a horseshoe-shaped anterior collar with 43 circumoral spines, which differentiates this species from E. ilocanum (49-51 collar spines), another trematode species endemic to the Philippines. (cdc.gov)
Injuries3
  • Fracture acetabulum is a challenging, difficult to treat orthopedic injury due to its location and associated concomitant injuries. (biomedcentral.com)
  • Urethral injuries are classified as contusions, partial disruptions, or complete disruptions, and they may involve the posterior urethra (membranous and prostatic) or anterior urethra (bulbous and penile segments). (msdmanuals.com)
  • Anterior urethral injuries are often consequences of a perineal blow, motor vehicle crash, or perineal straddle injury due to a fall. (msdmanuals.com)
Fracture1
  • Acetabular fracture is a serious orthopedic injury that is managed using anterior, posterior, extensile, and combined surgical approaches. (biomedcentral.com)
Lateral4
  • The uterus was entirely anterior to the ovary, and vitellaria (glands) were abundant along both lateral portions of the worm, ending just posterior to the esophagus. (cdc.gov)
  • The fossa moves posteriorly and medially when this happens and usually results in compression of the temporomandibular joint disc between the anterior lateral temporal fossa and the anterior mandibular condyle and that's when you often see anterior disc displacements occurring on the left side. (posturalrestoration.com)
  • Adult Dysplasia of the Hip is a disorder of abnormal development of the hip joint resulting in a shallow acetabulum with lack of anterior and lateral coverage. (orthobullets.com)
  • so-called posterior (through the buttock area), lateral (from the side), anterolateral (a bit more towards the front) and finally direct anterior. (hipjointsurgery.co.uk)
Superior8
Socket4
Laterally1
  • The temporomandibular fossa moves anterior laterally with temporal internal rotation on the right side which is what this illustration depicts. (posturalrestoration.com)
Innominate1
Increases1
  • While the majority of acetabular development is determined by the age of eight, the depth of the acetabulum increases additionally at puberty, because of the development of three secondary centers of ossification. (orthofixar.com)
Fossa2
  • The ala (or wing) of the ilium presents three surfaces (the gluteal and sacropelvic surfaces and the iliac fossa) separated by three borders (anterior, posterior, and medial, respectively). (dartmouth.edu)
  • The anterior surface of the ilium forms a fossa and serves as the proximal attachment of the iliacus muscle. (orthofixar.com)
Neck4
Medially1
  • A medially directed force then pushes the femoral head through the anterior acetabular capsule. (amfs.com)
Iliacus1
  • The femoral nerve remains in this plane but gives off branches to the iliacus and acetabulum prior to reaching the inguinal ligament. (asra.com)
PINCER2
  • Pincer morphology describes "overcoverage" of the femoral head by the acetabulum in which the acetabular rim is extended beyond the typical amount, either in one focal area or more generally across the acetabular rim. (physio-pedia.com)
  • Reorientation of the acetabulum to normalize load transfer or avert femoroacetabular pincer impingement to prevent osteoarthritis of the hip. (nih.gov)
Spherical1
  • Several surgical methods for acetabular reorientation have been proposed for this purpose by reorientation of the acetabulum single, double, triple, spherical and periacetabular osteotomies. (org.pk)
Inguinal ligament1
  • il·i·o·pec·tin·e·al arch a thickened band of fused iliac and psoas fascia passing posteriorly from the posterior aspect of the inguinal ligament across the anterior aspect of the femoral nerve to attach to the iliopectineal eminence of the hip bone. (pleasefireme.com)
Medial wall1
Reduction1
  • She made the right choice in not rushing into surgery as a computer tomography revealed that the diagnosis of necrosis was wrong - she 'only' had a reduction of circulation caused by the outer edge of the acetabulum digging into the femoral head. (positivehealth.com)
Muscles1
  • The gluteal surface is crossed by variable muscular ridges (posterior, anterior, and inferior gluteal lines) that define attachments of gluteal muscles (fig. 12-1 ). (dartmouth.edu)
Fascia1
  • 3] Hence, simpler anterior approaches to the plexus were developed almost simultaneously, beginning with Winnie's "3-in-one" block in 1973,[4] and later Dalens' "fascia iliaca compartment block" in 1989. (asra.com)
Bone1
Impingement1
  • He replies, "Good, look at the cam deformity [enlarged femoral head knocks into the acetabulum] causing femoral acetabular impingement. (greenspun.com)
Fibrocartilage1
Approaches3