Osteology of the Hip Flashcards

1
Q

What shape is the hip bone?

A

Large, flat

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2
Q

What is the hip bone formed by?

A

Fusion of three primary bones- ilium, ischium and pubis

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3
Q

When do the three primary bones of the hips fuse?

A

At the end of the teenage years

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4
Q

What is each of the three primary bones of the hip formed from?

A

It’s own primary centre of ossification

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5
Q

How many secondary centres of ossification appear in the hip bone later?

A

5

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6
Q

How are the three primary hip bones joined at birth?

A

By hyaline cartilage

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7
Q

What separates the three primary bones at puberty?

A

A Y-shaped triradiate cartilage

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8
Q

Where is the triradiate cartilage centred?

A

In the acetabulum

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9
Q

When do the two parts of the ischiopubic rami fuse?

A

By the 9th year

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10
Q

When do the primary hip bones begin to fuse?

A

Between 15 and 17 years

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11
Q

When is fusion of the hip bones complete?

A

Between 20 and 25 years

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12
Q

How do the lines of fusion of primary bones appear in older adults?

A

There is little or no trace

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13
Q

What forms the largest part of the hip bone?

A

Ilium

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14
Q

What does the ilium contribute to?

A

The superior part of the acetabulum

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15
Q

Describe the structure of the ilium?

A

Thick medial portions

Thin, wing-like posterolateral portions

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16
Q

What are the thick medial portions of the ilium for?

A

Weight bearing

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17
Q

What are the thin, wing like posterolateral portions called?

A

Alae

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18
Q

What are the alae for?

A

Providing broad surfaces for the flesh attachments of muscles

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19
Q

What does the body of the pubis do?

A

Joins the pubis and ischium to form the acetabulum

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20
Q

What does the ilium have anteriorly?

A

Stout anterior superior and anterior inferior iliac spines

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21
Q

What is the purpose of the iliac spines?

A

Providing attachments for ligaments and tendons of the lower limb muscles

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22
Q

What begins at the anterior superior iliac spine?

A

The iliac crest

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23
Q

What is the iliac crest?

A

The long curved and thickened superior border of the ala of the ilium

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24
Q

Where does the iliac crest terminate?

A

The posterior superior iliac spine

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25
Q

What does the iliac crest serve as?

A

A protective ‘bumper’

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26
Q

What is the iliac crest an important site of?

A

Aponeurotic attachment for thin, sheet-like muscles and deep fascia

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27
Q

What is the tubercle of the iliac crest?

A

A prominence on the external lip of the crest

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28
Q

Where does the iliac tubercle lie?

A

5-6cm posterior to the ASIS

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29
Q

What does the posterior inferior iliac spine mark?

A

The superior end of the greater sciatic notch

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30
Q

What does the lateral surface of the ala of the ilium have?

A

Three rough curved lines- the posterior, anterior and inferior gluteal lines

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31
Q

What do the three gluteal lines demarcate?

A

The proximal attachments of the three large glural muscles

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32
Q

What does each ala have medially?

A

The iliac fossa

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33
Q

What is the iliac fossa?

A

A large, smooth depression

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34
Q

What is the purpose of the iliac fossa?

A

Provides proximal attachment for the iliacus muscle

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35
Q

What can happen to the bone forming the superior part of the iliac fossa?

A

It may become thin and translucent, especially in older women with osteoporosis

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36
Q

What is the auricular surface?

A

An ear-shaped articular area

37
Q

Where is the auricular surface found?

A

Posteriorly, on the medial aspect of the ilium

38
Q

What is found superior to the auricular surface?

A

An even rougher iliac tuberosity

39
Q

What is the purpose of the iliac tuberosity?

A

For synovial and syndesmotic articulation with the reciprocal surfaces of the sacrum at the sarco-iliac joint

40
Q

What does the ischium form?

A

The posterio-inferior part of the hip bone

41
Q

What does the superior part of the body of the ischium fuse with?

A

The pubis and the ilium

42
Q

What is formed with the fusion of the superior part of the body of the ischium and the pubis and ilium?

A

The postero-inferior aspect of the acetebulum

43
Q

What is the ischiorabic ramus?

A

A bar of bone

44
Q

What forms the ischiopubic ramus?

A

The joining of the ramus of the ischium with the inferior ramus of the pubis

45
Q

What does the ischiopubic ramus constitute?

A

The inferiomedial boundary of the obturator foramen

46
Q

What does the posterior border of the ischium form?

A

The inferior margin of a deep indentation called the greater sciatic notch

47
Q

What shape is the ischial spine?

A

Large, triangular

48
Q

Where is the ischial spine found?

A

At the inferior margin of the greater sciatic notch

49
Q

What does the ischial spine provide?

A

A ligamentous attachment

50
Q

What does the ligamenteous attachment separate?

A

The greater sciatic notch from the lesser sciatic notch

51
Q

How does the lesser sciatic notch differ from the greater?

A

It is more inferior, rounded, smaller, and smooth-surfaced

52
Q

What does the lesser sciatic notch serve as?

A

A trochlea or pulley for a muscle that emerges from the bony pelvis

53
Q

What is the ischial tuberosity?

A

A rough bony projection

54
Q

Where is the ischial tuberosity found?

A

At the junction of the inferior end of the body of the ischium and its ramus

55
Q

What is the purpose of the ischial tuberosity?

A

Bodys weight rests on this when sitting

Provides proximal, tendinous attachment of posterior thigh muscles

56
Q

What does the pubis form?

A

The anteromedial part of the hip bone

57
Q

What does the pubis contribute to?

A

The anterior part of the acetabulum

58
Q

What does the pubis provide?

A

Proximal attachment for the muscles of the medial thigh

59
Q

What is the pubis divided into?

A

A flattened, medially placed body, and the superior and inferior rami

60
Q

How do the superior and inferior rami project?

A

Laterally from the body

61
Q

What does the symphysial surface of the body of the pubis articulate with medially?

A

The corresponding surface of the body of the contralateral pubis

62
Q

How does the symphysial surface articulate with the contralateral pubis?

A

By means of the pubic symphysis

63
Q

What forms the pubic crest?

A

The anterosuperior border of the united bodies and symphysis

64
Q

What does the pubic crest provide?

A

Attachent for abdominal muscles

65
Q

What are pubic tubercles?

A

Small projections at the lateral ends of the pubic crest

66
Q

Why are the pubic tubercles important?

A

As landmarks of the inguinal regions

67
Q

What do the pubic tubercles provide?

A

Attachment for the main part of the inguinal ligament, and thereby indirect muscle attachments

68
Q

What is the pecten pubis?

A

A sharp raised edge

69
Q

What forms the pecten pubis?

A

The posterior margin of the superior ramus of the pubis

70
Q

What does the pecten pubis form?

A

Part of the pelvic brim

71
Q

What is the obturator foramen?

A

A large oval or irregularly triangular opening in the hip bone

72
Q

What is the obturator foramen bounded by?

A

The pubis and the ischium and their rami

73
Q

Is the obturator foramen open or closed?

A

Closed, apart from a small passageway

74
Q

What is the passageway in the obturator foramen called?

A

The obturator canal

75
Q

What is the purpose of the obturator canal?

A

To allow passage of the obturator nerve and vessels

76
Q

What closes the obturator foramen?

A

The thin, strong obturator membrane

77
Q

What is the advantage of the presence of the foramen?

A

It minimises bony mass while its closure by the obturator membrane still provides extensive surface area on both sides for fleshy muscle attachment

78
Q

What is the acetabulum?

A

The large cup-shaped cavity or sock on the lateral aspect of the hip bone

79
Q

What does the acetabulum articulate with?

A

The head of the femur

80
Q

What does the articulation of the acetabulum and the femur form?

A

The joint

81
Q

What is the acetabular notch?

A

Where the margin of the acetabulum is incomplete inferiorly

82
Q

What is the acetabular fossa?

A

The rough depression in the floor of the acetabulum extending superiorly from the acetabular notch

83
Q

What do the acetabular notch and fossa create?

A

A deficit in the smooth lunate surface of the acetabulum

84
Q

What is the lunate surface of the acetabulum?

A

The articular surface receiving the head of the femur

85
Q

How is the isolated hip bone or bony pelvis placed in the anatomical position?

A

The ASIS and the anterosuperior aspect of the pubis lie in the same coronal plane
Symphysial surface of the pubis is vertical, parallel to the median plane

86
Q

How does the acetabulum face in the anatomical position?

A

Inferolaterally, with the acetabular notch directly inferiorly

87
Q

How does the obturator foramen lie in the anatomical position?

A

Inferiomedial to the acetabulum

88
Q

How does the internal aspect of the body of the pubis face in the anatomical position?

A

Almost directly superiorly