THE HIP 



lutes part of the anterior boundary of the lesser pelvis. It is smooth, convex from 

 above downward, and affords origin to some fibers of the Obturator internus. 



The Inferior Ramus (ramus inferior oss. pubis; descending ramus) . The inferior 

 ramus is thin and flattened. It passes lateralward and downward from the medial 

 end of the superior ramus; it becomes narrower as it descends and joins with the 

 inferior ramus of the ischium below the obturator foramen. Its anterior surface 

 is rough, for the origin of muscles the Gracilis along its medial border, a portion 

 of the Obturator externus where it enters into the formation of the obturator 

 foramen, and between these two, the Adductores brevis and magnus, the former 

 being the more medial. The posterior surface is smooth, and gives origin to the 

 Obturator internus, and, close to the medial margin, to the Constrictor urethrse. 

 The medial border is thick, rough, and everted, especially in females. It presents 

 two ridges, separated by an intervening space. The ridges extend downward, and 

 are continuous with similar ridges on the inferior ramus of the ischium; to the 

 external is attached the fascia of Colles, and to the internal the inferior fascia of 

 the urogenital diaphragm. The lateral border is thin and sharp, forms part of the 

 circumference of the obturator foramen, and gives attachment to the obturator 

 membrane. 



The Acetabulum (cotyloid cavity). The acetabulum is a deep, cup-shaped, hemi- 

 spherical depression, directed downward, lateralward, and forward. It is formed 

 medially by the pubis, above by the ilium, laterally and below by the ischium; 

 a little less than two-fifths is contributed by the ilium, a little more than two- 

 lifths by the ischium, and the remaining fifth by the pubis. It is bounded by a 

 prominent uneven rim, which is thick and strong above, and serves for the attach- 

 ment of the glenoidal labrum (cotyloid ligament), which contracts its orifice, and 

 deepens the surface for articulation. It presents below a deep notch, the acetabular 

 notch, which is continuous with a circular non-articular depression, the acetabular 

 ::ossa, at the bottom of the cavity: this depression is perforated by numerous 

 apertures, and lodges a mass of fat. The notch is converted into a foramen by 

 :he transverse ligament; through the foramen nutrient vessels and nerves enter 

 che joint; the margins of the notch serve for the attachment of the ligamentum 

 ceres. The rest of the acetabulum is formed by a curved articular surface, the 

 lunate surface, for articulation with the head of the femur. 



The Obturator Foramen (foramen obturatum; thyroid foramen). The obturator 

 foramen is a large aperture, situated between the ischium and pubis. In the male 

 it is large and of an oval form, its longest diameter slanting obliquely from before 

 backward ; in the female it is smaller, and more triangular. It is bounded by a 

 thin, uneven margin, to which a strong membrane is attached, and presents, 

 superiorly, a deep groove, the obturator groove, which runs from the pelvis obliquely 

 medialward and downward. This groove is converted into a canal by a ligamentous 

 band, a specialized part of the obturator membrane, attached to two tubercles: 

 one, the posterior obturator tubercle, on the medial border of the ischium, just in 

 front of the acetabular notch; the other, the anterior obturator tubercle, on the 

 obturator crest of the superior ramus of the pubis. Through the canal the 

 obturator vessels and nerve pass out of the pelvis. 



Structure. The thicker parts of the bone consist of cancellous tissue, enclosed between two 

 layers of compact tissue; the thinner parts, as at the bottom of the acetabulum and center of 

 the iliac fossa, are usually semitransparent, and composed entirely of compact tissue. 



Ossification (Fig. 237). The hip bone is ossified from eight centers: three primary one each 

 for the ilium, ischium, and pubis; and five secondary one each for the crest of the ilium, the 

 anterior inferior spine (said to occur more frequently in the male than in the female), the tuberosity 

 of the ischium, the pubic symphysis (more frequent in the female than in the male), and one or 

 more for the Y-shaped piece at the bottom of the acetabulum. The centers appear in the follow- 

 ing order: in the lower part of the ilium, immediately above the greater sciatic notch, about 

 the eighth or ninth week of fetal life; in the superior ramus of the ischium, about the third month; 



