Osteology of the Hip Flashcards
What shape is the hip bone?
Large, flat
What is the hip bone formed by?
Fusion of three primary bones- ilium, ischium and pubis
When do the three primary bones of the hips fuse?
At the end of the teenage years
What is each of the three primary bones of the hip formed from?
It’s own primary centre of ossification
How many secondary centres of ossification appear in the hip bone later?
5
How are the three primary hip bones joined at birth?
By hyaline cartilage
What separates the three primary bones at puberty?
A Y-shaped triradiate cartilage
Where is the triradiate cartilage centred?
In the acetabulum
When do the two parts of the ischiopubic rami fuse?
By the 9th year
When do the primary hip bones begin to fuse?
Between 15 and 17 years
When is fusion of the hip bones complete?
Between 20 and 25 years
How do the lines of fusion of primary bones appear in older adults?
There is little or no trace
What forms the largest part of the hip bone?
Ilium
What does the ilium contribute to?
The superior part of the acetabulum
Describe the structure of the ilium?
Thick medial portions
Thin, wing-like posterolateral portions
What are the thick medial portions of the ilium for?
Weight bearing
What are the thin, wing like posterolateral portions called?
Alae
What are the alae for?
Providing broad surfaces for the flesh attachments of muscles
What does the body of the pubis do?
Joins the pubis and ischium to form the acetabulum
What does the ilium have anteriorly?
Stout anterior superior and anterior inferior iliac spines
What is the purpose of the iliac spines?
Providing attachments for ligaments and tendons of the lower limb muscles
What begins at the anterior superior iliac spine?
The iliac crest
What is the iliac crest?
The long curved and thickened superior border of the ala of the ilium
Where does the iliac crest terminate?
The posterior superior iliac spine
What does the iliac crest serve as?
A protective ‘bumper’
What is the iliac crest an important site of?
Aponeurotic attachment for thin, sheet-like muscles and deep fascia
What is the tubercle of the iliac crest?
A prominence on the external lip of the crest
Where does the iliac tubercle lie?
5-6cm posterior to the ASIS
What does the posterior inferior iliac spine mark?
The superior end of the greater sciatic notch
What does the lateral surface of the ala of the ilium have?
Three rough curved lines- the posterior, anterior and inferior gluteal lines
What do the three gluteal lines demarcate?
The proximal attachments of the three large glural muscles
What does each ala have medially?
The iliac fossa
What is the iliac fossa?
A large, smooth depression
What is the purpose of the iliac fossa?
Provides proximal attachment for the iliacus muscle
What can happen to the bone forming the superior part of the iliac fossa?
It may become thin and translucent, especially in older women with osteoporosis