Hip Fracture Classifications
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Hip Fracture Classifications
In vertebrate anatomy, the hip, or coxaLatin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) (: ''coxae'') in medical terminology, refers to either an anatomical region or a joint on the outer (lateral) side of the pelvis. The hip region is located lateral and anterior to the gluteal region, inferior to the iliac crest, and lateral to the obturator foramen, with muscle tendons and soft tissues overlying the greater trochanter of the femur. In adults, the three pelvic bones ( ilium, ischium and pubis) have fused into one hip bone, which forms the superomedial/deep wall of the hip region. The hip joint, scientifically referred to as the acetabulofemoral joint (''art. coxae''), is the ball-and-socket joint between the pelvic acetabulum and the femoral head. Its primary function is to support the weight of the torso in both static (e.g. standing) and dynamic (e.g. walking or running) postures. The hip joints have very i ...
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Vertebrate
Vertebrates () are animals with a vertebral column (backbone or spine), and a cranium, or skull. The vertebral column surrounds and protects the spinal cord, while the cranium protects the brain. The vertebrates make up the subphylum Vertebrata with some 65,000 species, by far the largest ranked grouping in the phylum Chordata. The vertebrates include mammals, birds, amphibians, and various classes of fish and reptiles. The fish include the jawless Agnatha, and the jawed Gnathostomata. The jawed fish include both the Chondrichthyes, cartilaginous fish and the Osteichthyes, bony fish. Bony fish include the Sarcopterygii, lobe-finned fish, which gave rise to the tetrapods, the animals with four limbs. Despite their success, vertebrates still only make up less than five percent of all described animal species. The first vertebrates appeared in the Cambrian explosion some 518 million years ago. Jawed vertebrates evolved in the Ordovician, followed by bony fishes in the Devonian. T ...
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Femur
The femur (; : femurs or femora ), or thigh bone is the only long bone, bone in the thigh — the region of the lower limb between the hip and the knee. In many quadrupeds, four-legged animals the femur is the upper bone of the hindleg. The Femoral head, top of the femur fits into a socket in the pelvis called the hip joint, and the bottom of the femur connects to the shinbone (tibia) and kneecap (patella) to form the knee. In humans the femur is the largest and thickest bone in the body. Structure The femur is the only bone in the upper Human leg, leg. The two femurs converge Anatomical terms of location, medially toward the knees, where they articulate with the Anatomical terms of location, proximal ends of the tibiae. The angle at which the femora converge is an important factor in determining the femoral-tibial angle. In females, thicker pelvic bones cause the femora to converge more than in males. In the condition genu valgum, ''genu valgum'' (knock knee), the femurs conve ...
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Pelvic Tilt
Pelvic tilt is the orientation of the pelvis The pelvis (: pelves or pelvises) is the lower part of an Anatomy, anatomical Trunk (anatomy), trunk, between the human abdomen, abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also c ... in respect to the thighbones and the rest of the body. The pelvis can tilt towards the front, back, or either side of the body. Anterior pelvic tilt and posterior pelvic tilt are very common abnormalities in regard to the orientation of the pelvis. Forms *Anterior pelvic tilt (APT) is when the front of the pelvis drops in relationship to the back of the pelvis. For example, this happens when the hip flexors shorten and the hip extensors lengthen. It is also called lumbar hyperlordosis, which is characterized by an exaggerated curve in the lower back. *Posterior pelvic tilt (PPT) is the opposite, when the front of the pelvis rises and the back of the pelvis drops. For example, this ...
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Running
Running is a method of terrestrial locomotion by which humans and other animals move quickly on foot. Running is a gait with an aerial phase in which all feet are above the ground (though there are exceptions). This is in contrast to walking, a slower form of movement where at least one foot is always in contact with the ground, the legs are kept mostly straight, and the center of gravity vaults over the stance leg or legs in an inverted pendulum fashion.Biewener, A. A. 2003. Animal Locomotion. Oxford University Press, US. books.google.com/ref> A feature of a running body from the viewpoint of Spring mass system, spring-mass mechanics is that changes in Kinetic energy, kinetic and potential energy within a stride co-occur, with energy storage accomplished by springy tendons and passive muscle elasticity. The term "running" can refer to a variety of speeds ranging from jogging to Sprint (running), sprinting. Running in humans is associated with improved health and life expect ...
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Walking
Walking (also known as ambulation) is one of the main gaits of terrestrial locomotion among legged animals. Walking is typically slower than running and other gaits. Walking is defined as an " inverted pendulum" gait in which the body vaults over the stiff limb or limbs with each step. This applies regardless of the usable number of limbs—even arthropods, with six, eight, or more limbs, walk. In humans, walking has health benefits including improved mental health and reduced risk of cardiovascular disease and death. Difference from running The word ''walk'' is descended from the Old English ''wealcan'' 'to roll'. In humans and other bipeds, walking is generally distinguished from running in that only one foot at a time leaves contact with the ground and there is a period of double-support. In contrast, running begins when both feet are off the ground with each step. This distinction has the status of a formal requirement in competitive walking events. For quadrupedal ...
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Standing
Standing, also referred to as orthostasis, is a position in which the body is held in an upright (orthostatic) position and supported only by the feet. Although seemingly static, the body rocks slightly back and forth from the ankle in the sagittal plane, which bisects the body into right and left sides. The sway of quiet standing is often likened to the motion of an inverted pendulum. Standing at attention is a military standing posture, as is stand at ease, but these terms are also used in military-style organisations and in some professions which involve standing, such as modeling. ''At ease'' refers to the classic military position of standing with legs slightly apart, not in as formal or regimented a pose as standing at attention. In modeling, ''model at ease'' refers to the model standing with one leg straight, with the majority of the weight on it, and the other leg tucked over and slightly around. There may be a time when a person is standing, where they lose con ...
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Torso
The torso or trunk is an anatomical terminology, anatomical term for the central part, or the core (anatomy), core, of the body (biology), body of many animals (including human beings), from which the head, neck, limb (anatomy), limbs, tail and other appendages extend. The tetrapod torso — including that of a human body, human — is usually divided into the ''chest, thoracic'' segment (also known as the upper torso, where the forelimbs extend), the ''abdomen, abdominal'' segment (also known as the "mid-section" or "midriff"), and the ''pelvic'' and ''perineum, perineal'' segments (sometimes known together with the abdomen as the lower torso, where the hindlimbs extend). Anatomy Major organs In humans, most critical Organ (anatomy), organs, with the notable exception of the brain, are housed within the torso. In the upper chest, the heart and lungs are protected by the rib cage, and the abdomen contains most of the organs responsible for digestion: the stomach, which breaks ...
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Weight-bearing
In orthopedics, weight-bearing is the amount of weight a patient puts on an injured body part. Generally, it refers to a leg, ankle or foot that has been Bone fracture, fractured or upon which surgery has been performed, but the term can also be used to refer to resting on an arm or a wrist. In general, it is described as a percentage of the body weight, because each leg of a healthy person carries the full body weight when walking, in an alternating fashion. After surgery of the hip, or of the bones of the leg, ankle, or foot, it is of the utmost importance for recovery to get the right amount of weight-bearing when moving around with Crutch, crutches or frames. The grades of weight bearing for each phase of recovery will be determined by the surgeon. The Anti-Gravity Treadmill can allow testing of weight bearing by lowering effective body weight in 1% increments from 100 to 20% of body weight.{{Cite journal , last=Henkelmann , first=Ralf , last2=Palke , first2=Lisa , last3=Schnei ...
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Femoral Head
The femoral head (femur head or head of the femur) is the highest part of the thigh bone (femur The femur (; : femurs or femora ), or thigh bone is the only long bone, bone in the thigh — the region of the lower limb between the hip and the knee. In many quadrupeds, four-legged animals the femur is the upper bone of the hindleg. The Femo ...). It is supported by the femoral neck. Structure The head is globular and forms rather more than a hemisphere, is directed upward, medialward, and a little forward, the greater part of its convexity being above and in front. The femoral head's surface is smooth. It is coated with cartilage in the fresh state, except over an ovoid depression, the fovea capitis, which is situated a little below and behind the center of the femoral head, and gives attachment to the ligament of head of femur. The thickest region of the articular cartilage is at the centre of the femoral head, measuring up to 2.8 mm. The diameter of the femoral hea ...
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Acetabulum
The acetabulum (; : acetabula), also called the cotyloid cavity, is a wikt:concave, concave surface of the pelvis. The femur head, head of the femur meets with the pelvis at the acetabulum, forming the Hip#Articulation, hip joint. Structure There are three bones of the ''os coxae'' (hip bone) that come together to form the ''acetabulum''. Contributing a little more than two-fifths of the structure is the ischium, which provides lower and side boundaries to the acetabulum. The Ilium (bone), ilium forms the upper boundary, providing a little less than two-fifths of the structure of the acetabulum. The rest is formed by the Pubis (bone), pubis, near the midline. It is bounded by a prominent uneven rim, thick and strong on top, which serves as the point of attachment for the acetabular labrum. The acetabular labrum reduces the size of the opening of the acetabulum and deepens the surface of the hip joint. At the lower part of the acetabulum is the acetabular notch, which is continuo ...
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Ball-and-socket Joint
The ball-and-socket joint (or spheroid joint) is a type of synovial joint in which the ball-shaped surface of one rounded bone fits into the cup-like depression of another bone. The distal bone is capable of motion around an indefinite number of axes, which have one common center. This enables the joint to move in many directions. An enarthrosis is a special kind of spheroidal joint in which the socket covers the sphere beyond its equator.Platzer, Werner (2008) ''Color Atlas of Human Anatomy'', Volume 1p.28/ref> Examples of joints Examples of this form of articulation are found in the hip, where the round head of the femur (ball) rests in the cup-like acetabulum (socket) of the pelvis The pelvis (: pelves or pelvises) is the lower part of an Anatomy, anatomical Trunk (anatomy), trunk, between the human abdomen, abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also c ...; and in the shoulder joint, where the roun ...
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Hip Bone
The hip bone (os coxae, innominate bone, pelvic bone or coxal bone) is a large flat bone, constricted in the center and expanded above and below. In some vertebrates (including humans before puberty) it is composed of three parts: the Ilium (bone), ilium, ischium, and the Pubis (bone), pubis. The two hip bones join at the pubic symphysis and together with the sacrum and coccyx (the pelvic part of the vertebral column, spine) comprise the human skeleton, skeletal component of the pelvis – the pelvic girdle which surrounds the pelvic cavity. They are connected to the sacrum, which is part of the axial skeleton, at the sacroiliac joint. Each hip bone is connected to the corresponding femur (thigh bone) (forming the primary connection between the bones of the lower limb and the axial skeleton) through the large ball and socket joint of the hip joint, hip. Structure The hip bone is formed by three parts: the Ilium (bone), ilium, ischium, and Pubis (bone), pubis. At birth, these thre ...
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