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Os Coxa (Innominate bone): The fusion of 3 bones during childhood Ilium ischium pubis OS COXA Acetabulum Obturator foramen Lateral and Medial Views of the Hip Bone Tubercle of the iliac crest Anterior gluteal line Ilium Iliac crest Iliac crest Anterior superior iliac spine Anterior superior iliac spine Ala Iliac fossa Posterior gluteal line Posterior superior iIiac spine Posterior inferior iliac spine Greater sciatic notch Ischial body Ilium Inferior gluteal line Anterior inferior Anterior inferior iliac spine iliac spine Arcuate Acetabulum line Superior ramus of pubis Ischial spine Pubic tubercle Lesser sciatic notch Ischium Ilium Ischium Pubis Pubic body Pubis Ischial tuberosity Ischial ramus (b) Lateral view, right hip bone Inferior ramus of pubis Articular surface of pubis (at pubic symphysis) Inferior ramus of pubis Posterior superior iliac spine Posterior inferior iliac spine Body of the ilium Auricular surface Ischial spine Obturator foramen Ischium Ischial ramus (c) Medial view, right hip bone Figure 8.8b, c ILIUM Iliac crest Anterior superior iliac spine Iliac fossa Posterior superior iliac spine Posterior inferior iliac spine Anterior inferior iliac spine Greater sciatic notch ILIUM Iliac crest Iliac fossa Posterior superior iliac spine Anterior superior iliac spine Anterior inferior iliac spine Posterior inferior iliac spine Greater sciatic notch Lesser sciatic notch ISCHIUM Anterior Ischial spine Lesser sciatic notch Ischial tuberosity ISCHIUM Posterior Ischial spine Lesser sciatic notch Pubic bone Ischial tuberosity PUBIS Pubic crest Pubic symphysis Pubic bone Pubic arch Female pelvis Male pelvis Female pelvis Male pelvis Pubic arch is broader in female Pubic arch is narrower in male Male pelvis Female pelvis FEMUR Greater trochanter Gluteal tuberosity Neck Lesser trochanter Head Fovea capitis FEMUR Head Neck Fovea capitus Greater trochanter Intertrochanteric crest Lesser trochanter FEMUR Medial condyle Gluteal tuberosity Linea aspera Popliteal fossa Lateral condyle FEMUR Medial epicondyle (adductor tubercle) Medial condyle Lateral condyle Medial condyle Lateral condyle Tibial tuberosity Anterior crest TIBIA Medial malleolus Fibular notch TIBIA Medial malleolus TIBIA Medial malleolus Fibular notch TIBIA Medial malleolus Fibular notch TIBIA Intercondylar eminance FIBULA Lateral malleolus Lateral malleolus Head Head TARSALS NAVICULAR MEDIAL (or 1st) CUNEIFORM TALUS INTERMEDIATE (or 2nd) CUNEIFORM CUBOID CALCANEUS LATERAL (or 3rd) CUNEIFORM METATARSALS: 1-5 FIRST METATARSAL Styloid Process FIFTH METATARSAL PHALANGES PROXIMAL PHALANX, FIRST DIGIT DISTAL PHALANX, FIFTH DIGIT DISTAL PHALANX, FIRST DIGIT INTERMEDIATE PHALANX, THIRD DIGIT TIBIA and PATELLA Patella Medial articular facet Base Apex Lateral articular facet Patella Medial articular facet The Lateral facet is larger. If you place the patella on your desk, it will always fall onto the lateral articular facet. Lateral articular facet Turning An Ankle Into A 'Knee' • Patient was a five-year-old girl with Ewing's sarcoma, a cancerous tumor, behind her left knee. Surgeons at The Children's Hospital of Philadelphia used a limb-sparing technique called rotationplasty to remove the diseased portion of bone, turn the shortened portion of the leg bone in a half-circle and reattach it, with the ankle joint functioning as a knee. • With a prosthetic attached to the mobile joint, the child, now 13, enjoys gymnastics and cheerleading. Turning An Ankle Into A 'Knee' Video of the 13-year-old patient, walking with a normal gait, can be viewed here: http://content.nejm.org/cgi/content/full/351/8/e7 Rotationplasty • VIDEO • MBA Implant
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