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HIP BONE - I LEARNING OBJECTIVES At the end of the lecture, the student should be able to: • • • • • Enumerate the different parts of the bone. Discuss side determination. Discuss muscle attachments. Discuss ligamentous attachments. Discuss the different bones articulating with the hip bone. HIP BONE Hip bone is a large irregular bone, made of three parts, namely ILIUM. ISCHIUM. PUBIS. ACETABULAM Is formed by the union of ILIUM. ISCHIUM. PUBIS. SIDE DETERMINATION Acetabulum: Laterally directed. Ilium: Form upper part of bone. It lies above the acetabulum. Obturator foramen: Lies below the acetabulum, Bounded anteriorly by the pubis and Posteriorly by ischium. ILIUM UPPER END: is called the iliac crest. LOWER END: is fused with the pubis and ischium at the acetabulum. ILIUM Borders: Anterior, Posterior And Medial. Surfaces: Gluteal Surface, Iliac Surface, Sacropelvic Surface. ILIAC CREST Curvatures: convex and concave. Anterior end: anterior superior iliac spine. Posterior end: posterior superior iliac spine ANTERIOR BORDER OF ILIUM Starts: at anterior superior iliac spine and runs downwards to acetabulum. Lower part of the border has an elevated area called the anterior inferior iliac spine. POSTERIOR BORDER OF ILIUM Extends from posterior superior iliac spine to the upper end of the posterior border of ischium. A prominence below the posterior sup iliac spine is posterior inferior iliac spine. ATTACHMENTS OF ILIUM Iliac crest provides attachment to: • • • Tensor fascia lata at the outer lip. External oblique muscle in its anterior two thirds. Latissimus dorsi behind the highest point of the crest. INNER LIP OF ILIAC CREST Provides attachment to: • • • Transversus abdominus in its anterior two thirds. Fascia transversalis and fascia iliaca in its anterior two thirds, deep to transversus abdominis. Quadratus lumborum in its posterior one third with thoracolumber fascia around it. INTERMIDIATE AREA OF ILIAC CREST Gives rise to internal oblique muscle in its anterior two thirds. Posterior view of the abdominal region illustrating the internal abdominal oblique muscle and its bony attachments Both sides of muscle are shown DORSAL SEGMENT OF ILIAC CREST Lateral slope gives origin to gluteus maximus. Medial slope gives origin to erector spinae. DORSAL SEGMENT OF ILIAC CREST The interosseous and sacroiliac ligaments are also attached to it. ANTERIOR INFERIOR ILIAC SPINE • • Gives origin to the straight head of rectus femoris. Lower part of spine gives attachment to the iliofemoral ligament. POSTERIOR BORDER OF ILIUM Provides attachment to upper fibers of sacrotuberous ligament. Origin to a few fibers of piriformis muscle. REFERENCE • HUMAN ANATOMY KLM 6TH EDITION