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Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint.It consists of the following muscles: piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus.
It attaches to the posterior surface of the acetabular rim and acetabular labrum, and extends around the circumference of the joint to insert on the anterior aspect of the femur. [2] The ischiofemoral ligament limits the internal rotation and adduction of the hip when it is in a flexed position.
Certain precautions are crucial in order to lower the risk of getting pelvic fractures. The most damaging is one from a car accident, cycling accident, or falling from a high building which can result in a high energy injury. [13] This can be very dangerous because the pelvis supports many internal organs and can damage these organs. Falling is ...
The posterior fibres of gluteus medius contract to produce hip extension, lateral rotation and abduction. During gait, the posterior fibres help to decelerate internal rotation of the femur at the end of swing phase. Together with the gluteus minimus and other short pelvi-trochanteric muscles it centers and stabilises the hip.
The muscles of internal rotation include: of arm/humerus at shoulder. Anterior part of the deltoid muscle [1] Subscapularis [1] Teres major [1] Latissimus dorsi [1] Pectoralis major [1] of thigh/femur at hip [2] Tensor fasciae latae; Gluteus generalis; Anterior fibers of Gluteus meralis; Adductor longus and Adductor brevis; of leg at knee [3 ...
The Drehmann sign is positive if an unavoidable passive external rotation of the hip occurs when performing a hip flexion. In addition, an internal rotation of the respective hip joint is either not possible or accompanied by pain when forcefully induced. [2] The positive Drehmann sign is a typical clinical feature in slipped capital femoral ...
For example, when standing up, the knees are extended. When a joint can move forward and backward, such as the neck and trunk, extension is movement in the posterior direction. [10] Extension of the hip or shoulder moves the arm or leg backward. [11] Even for other upper extremity joints – elbow and wrist, backward movement results in extension.