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Radiographic
Anatomy of Proximal
Femur and Pelvic
Girdle
Chandan Prasad Rajbhar
Tutor
College of Paramedical Sciences
TMU, Moradabad
What is proximal femur ?
• Upper portion of the femur is
called as proximal femur.
• The proximal femur consists of
four essential parts,
• Head
• Neck
• Greater trochanter
• Lesser trochanter
Pelvis
• The pelvis consists of four
bones
• Two hip bones
• One sacrum
• One coccyx
• The term pelvic girdle is
used in reference to the
complete pelvis. It also
consist of 4 bones.
Hip Bone
Each hip bone is composed of three
divisions: (1) ilium (2) ischium), (3) pubis.
The fusion occurs in the area of the
acetabulum.
The acetabulum is a deep, cup shaped
cavity that accepts the head of the femur
to form the hip joint.
• The ilium, the largest of the three
divisions, is located superior
• The ischium is inferior and posterior to
the acetabulum, whereas
• The pubis is inferior and anterior to the
acetabulum.
Ilium (pelvis)
• Each ilium is composed of a body and
an ala.
• The crest of the ilium is the superior
margin of the ala it extends from the
anterior superior iliac spine (ASIS) to the
posterior superior iliac spine (PSIS).
• In radiographic positioning, the
uppermost peak called as the iliac crest.
• Positioning landmarks
• The two important positioning landmarks
of these borders and projections are-
• the iliac crest and the ASIS
• Ischium (pelvis)
• The ischium is that part of the hip bone
that lies inferior and posterior to the
acetabulum.
• Each ischium is divided into a body and a
ramus.
• The rounded roughened area near the
junction of the lower body and the inferior
rami is a landmark called the ischial
tuberosity.
• Posterior to the acetabulum is a bony
projection termed the ischial spine.
• Directly superior to the ischial spine is a
deep notch termed the greater sciatic
notch.
• Inferior to the ischial spine is a smaller
notch termed the lesser sciatic notch.
• Pubis (pelvis)
• The body of the pubis is anterior and
inferior to the acetabulum and includes
the anteroinferior one-fifth of the
acetabulum.
• The body of each pubis is a superior
ramus. The two superior rami meet in
the midline to form an amphiarthrodial
joint, the symphysis pubis.
• The obturator foramen is a large
opening formed by the ramus and body
of each ischium and by the pubis.
• The obturator foramen is the largest
foramen in the human skeletal
system.
The Greater and Lesser Pelvis
• Greater pelvis (false pelvis) –
located superiorly, it provides
support of the lower abdominal
viscera (such as a ileum and
sigmoid colon). It has little
obstetric relevance.
• Lesser pelvis (true pelvis) –
located inferiorly. Within the
lesser pelvis reside the pelvic
cavity and pelvic viscera.
Pelvic Inlet
• The pelvic inlet marks the
boundary between the greater
pelvis and lesser pelvis. Its size is
defined by its edge, the pelvic
brim.
• The borders of the pelvic inlet:
• Posterior – sacral promontory
(the superior portion of the
sacrum) and sacral wings (ala).
• Lateral – arcuate line on the inner
surface of the ilium, and the
pectineal line on the superior
pubic ramus.
• Anterior – pubic symphysis.
Pelvic Outlet
• The pelvic outlet is located at the
end of the lesser pelvis, and the
beginning of the pelvic wall.
• Its borders are:
• Posterior: The tip of the coccyx
• Lateral: The ischial tuberosities and
the inferior margin of the
sacrotuberous ligament
• Anterior: The pubic arch (the inferior
border of the ischiopubic rami).
Thank you
Radiographic anatomy of femur and pelvic girdle

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Radiographic anatomy of femur and pelvic girdle

  • 1. Radiographic Anatomy of Proximal Femur and Pelvic Girdle Chandan Prasad Rajbhar Tutor College of Paramedical Sciences TMU, Moradabad
  • 2. What is proximal femur ? • Upper portion of the femur is called as proximal femur. • The proximal femur consists of four essential parts, • Head • Neck • Greater trochanter • Lesser trochanter
  • 3. Pelvis • The pelvis consists of four bones • Two hip bones • One sacrum • One coccyx • The term pelvic girdle is used in reference to the complete pelvis. It also consist of 4 bones.
  • 4. Hip Bone Each hip bone is composed of three divisions: (1) ilium (2) ischium), (3) pubis. The fusion occurs in the area of the acetabulum. The acetabulum is a deep, cup shaped cavity that accepts the head of the femur to form the hip joint. • The ilium, the largest of the three divisions, is located superior • The ischium is inferior and posterior to the acetabulum, whereas • The pubis is inferior and anterior to the acetabulum.
  • 5. Ilium (pelvis) • Each ilium is composed of a body and an ala. • The crest of the ilium is the superior margin of the ala it extends from the anterior superior iliac spine (ASIS) to the posterior superior iliac spine (PSIS). • In radiographic positioning, the uppermost peak called as the iliac crest. • Positioning landmarks • The two important positioning landmarks of these borders and projections are- • the iliac crest and the ASIS
  • 6. • Ischium (pelvis) • The ischium is that part of the hip bone that lies inferior and posterior to the acetabulum. • Each ischium is divided into a body and a ramus. • The rounded roughened area near the junction of the lower body and the inferior rami is a landmark called the ischial tuberosity. • Posterior to the acetabulum is a bony projection termed the ischial spine. • Directly superior to the ischial spine is a deep notch termed the greater sciatic notch. • Inferior to the ischial spine is a smaller notch termed the lesser sciatic notch.
  • 7. • Pubis (pelvis) • The body of the pubis is anterior and inferior to the acetabulum and includes the anteroinferior one-fifth of the acetabulum. • The body of each pubis is a superior ramus. The two superior rami meet in the midline to form an amphiarthrodial joint, the symphysis pubis. • The obturator foramen is a large opening formed by the ramus and body of each ischium and by the pubis. • The obturator foramen is the largest foramen in the human skeletal system.
  • 8. The Greater and Lesser Pelvis • Greater pelvis (false pelvis) – located superiorly, it provides support of the lower abdominal viscera (such as a ileum and sigmoid colon). It has little obstetric relevance. • Lesser pelvis (true pelvis) – located inferiorly. Within the lesser pelvis reside the pelvic cavity and pelvic viscera.
  • 9. Pelvic Inlet • The pelvic inlet marks the boundary between the greater pelvis and lesser pelvis. Its size is defined by its edge, the pelvic brim. • The borders of the pelvic inlet: • Posterior – sacral promontory (the superior portion of the sacrum) and sacral wings (ala). • Lateral – arcuate line on the inner surface of the ilium, and the pectineal line on the superior pubic ramus. • Anterior – pubic symphysis.
  • 10. Pelvic Outlet • The pelvic outlet is located at the end of the lesser pelvis, and the beginning of the pelvic wall. • Its borders are: • Posterior: The tip of the coccyx • Lateral: The ischial tuberosities and the inferior margin of the sacrotuberous ligament • Anterior: The pubic arch (the inferior border of the ischiopubic rami).