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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.
The term slipped capital femoral epiphysis is actually a misnomer, because the epiphysis (end part of a bone) remains in its normal anatomical position in the acetabulum (hip socket) due to the ligamentum teres femoris. It is actually the metaphysis (neck part of a bone) which slips in an anterior direction with external rotation.
FABER or Patrick test - To identify if pain may come from the sacroiliac joint during flexion, abduction, and external rotation, the clinician externally rotates the hip while the patient lies supine. Then, downward pressure is applied to the medial knee stressing both the hip and sacroiliac joint. [1] [2] [4]
The Drehmann sign describes a clinical test of examining orthopedic patients and is widely used in the functional check of the hip joint. It was first described by Gustav Drehmann (Breslau, 1869–1932). [1] The Drehmann sign is positive if an unavoidable passive external rotation of the hip occurs when performing a hip flexion.
The gluteus maximus straightens the leg at the hip; when the leg is flexed at the hip, the gluteus maximus extends it to bring the leg into a straight line with the body. [3] The anus also aligns when the leg is flexed at the hip, making the muscle tighten and the pelvis tilt forward.
This causes the femur to rotate and point the knee laterally. The lateral rotators also oppose medial rotation by the gluteus medius and gluteus minimus. When the hip is flexed to 90 degrees, piriformis abducts the femur at the hip and reverses primary function, internally rotating the hip when the hip is flexed at 90 degrees or more. [7]
Hip dysplasia is a congenital condition in which the hip is deformed in a way that decreases the congruency between the head of the femur and the acetabulum of the pelvis. [22] Bony congruence is a stabilizing factor to the hip joint, so the decrease in this conferred by hip dysplasia makes one more susceptible to dislocation. [22]
The pectineus muscle is the most anterior adductor of the hip. The muscle's primary action is hip flexion; it also produces adduction and external rotation of the hip. It can be classified in the medial compartment of thigh [2] (when the function is emphasized) or the anterior compartment of thigh (when the nerve is emphasized). [3]