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Anatomy of the Hip Bone

Jun 29, 2024

Anatomy of the Hip Bone

Overview

  • The hipbone is a large irregular flat bone located in the pelvic region.
  • Two hip bones, along with the sacrum and coccyx, form the bony pelvis.
  • It has three parts: ilium, pubis, ischium.
  • Early life: three bones separated by Y-shaped cartilage, later ossifies at acetabular cavity.
  • Acetabulum: cavity on lateral side, articulates with femur to form hip joint.

Ilium

  • Flat expanded part above the acetabular cavity.
  • Parts: two ends (upper and lower), three borders (anterior, posterior, medial), three surfaces (gluteal, iliac fossa, pelvic).
  • Upper End (Iliac Crest)
    • Elongated and expanded, highest point between third and fourth lumbar vertebrae.
    • Anterior superior iliac spine: a projection at the anterior end.
    • Posterior superior iliac spine: a projection at the posterior end.
    • Ventral segment: outer lip, inner lip, intermediate segment (tubercle about 5 cm behind anterior superior iliac spine).
    • Dorsal segment: inner and outer surface separated by a ridge.
  • Lower End
    • Smaller, forms ~2/5 of the articular surface of the acetabulum.
  • Borders
    • Anterior: from anterior superior iliac spine to acetabulum.
    • Posterior: from posterior superior iliac spine, continuous with posterior border of ischium, includes greater sciatic notch, ischial spine, lesser sciatic notch.
    • Medial: from iliac crest to iliopubic eminence, includes the arcuate line.
  • Surfaces
    • Gluteal surface: convex anteriorly, concave posteriorly, split by three lines (posterior, anterior, inferior gluteal lines).
    • Iliac fossa: smooth and concave, nutrient foramen present.
    • Sacral pelvic surface: divided into sacral and pelvic parts, includes auricular surface (resembles ear, articulates with sacrum).

Pubis

  • Forms the anterior part of hip bone, articulates with opposite bone forming symphysis pubis.
  • Parts: body, superior ramus, inferior ramus.
  • Body
    • Connects superior and inferior ramus, has three surfaces and one border (pubic crest and tubercle).
    • Surfaces: anterior (forms anterior wall of bony pelvis), posterior (smooth), symphyseal (rough, oval, forms cartilaginous joint).
    • Pubic crest: blunt upper border.
    • Pubic tubercle: crossed by spermatic cord in males, round ligament of the uterus in females.
  • Superior Ramus
    • Arises from lateral angle of body, passes above obturator foramen, unites with ilium.
    • Borders and surfaces: obturator crest, pectineal line, pelvic surface.
  • Inferior Ramus
    • Extends backwards, unites with ischium ramus.
    • Borders and surfaces: anterior and posterior surfaces, medial and lateral borders.

Ischium

  • Forms posterior and lower part of hip bone, contributes to acetabulum.
  • Parts: body and ramus.
  • Body
    • Upper end: fuses with ilium and pubis, part of acetabular cavity.
    • Lower end: forms ischial tuberosity (divided into areas).
    • Surfaces: femoral, dorsal, pelvic.
    • Borders: anterior, lateral, posterior (includes ischial spine).
  • Ramus
    • Extends upwards, forwards, medially to join inferior ramus of pubis.
    • Borders and surfaces: upper and lower border, anterior and posterior surfaces.

Acetabular Cavity

  • Deep hollow in the hip bone, faces laterally, downwards, forwards.
  • Articulates with femur head.
  • Contributions: pubis (upper anterior 1/5), ischium (lower posterior 2/5), ilium (rest).
  • Features: acetabular notch, fossa (rough non-articular), lunate surface.

Obturator Foramen

  • Large opening between pubis, ischium, acetabulum.
  • Boundaries: superior ramus, body of pubis, ischiopubic ramus, body of ischium.
  • Differences: in males (large and oval), in females (small and triangular).
  • Covered by obturator membrane, except upper part for nerve and vessel passage.

Ossification

  • Process of bone formation
  • Primary Centers (appear during intrauterine life)
    • Ilium: 8 weeks
    • Ischium: 3rd month
    • Pubis: 4th month
    • Fuse by 7-9 years, Y-shaped cartilage fuses by 15-18 years.
  • Secondary Centers (appear at puberty)
    • Iliac crest
    • Anterior inferior iliac spine
    • Body of pubis
    • Ischial tuberosity
    • Ischial spine
    • Fuse with main bone mass by 25 years.