The femoral neck (also femur neck or neck of the femur ) is a flattened pyramidal process of bone , connecting the femoral head with the femoral shaft , and forming with the latter a wide angle opening medialward.
61-519: NOF may refer to: Medicine [ edit ] Neck of femur , a flattened pyramidal process of bone Non-ossifying Fibroma Organisations [ edit ] National Fascist Community ( Národní Obec Fašistická ), a Czechoslovakian Fascist movement Norsk Ornitlogisk Forening, Norwegian name of the Norwegian Ornithological Society NOF (radio station) ,
122-400: A hemiarthroplasty , replacing the broken part of the bone with a metal implant. In elderly patients who are medically well and still active, a total hip replacement may be indicated. [REDACTED] This article incorporates text in the public domain from page 243 of the 20th edition of Gray's Anatomy (1918) Pelvis The pelvis ( pl. : pelves or pelvises ) is
183-490: A 1920s U.S. Navy radio station in Anacostia, D.C. Other [ edit ] NetObjects Fusion , a web design tool Nitrosyl fluoride Nomane language , by ISO 639 code No Ordinary Family , a one-hour sci-fi comedy-drama TV series on ABC See also [ edit ] Noph (disambiguation) . Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with
244-400: A better support. The obturators have their origins on either sides of the obturator foramen and are inserted into the trochanteric fossa on the femur. Quadratus arises on the ischial tuberosity and is inserted into the intertrochanteric crest . The superior and inferior gemelli , arising from the ischial spine and ischial tuberosity respectively, can be thought of as marginal heads of
305-451: A common insertion on the lesser trochanter of the femur. Of these, only iliacus is attached to the pelvis (the iliac fossa ). However, psoas passes through the pelvis and because it acts on two joints, it is topographically classified as a posterior abdominal muscle but functionally as a hip muscle. Iliopsoas flexes and externally rotates the hip joints, while unilateral contraction bends the trunk laterally and bilateral contraction raises
366-464: A fall or minor trauma in someone with weakened osteoporotic bone. Most hip fractures in people with normal bone are the result of high-energy trauma such as car accidents , falling from heights, or sports injuries. For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake
427-403: A gentle curve from the axis of the body of the bone. In the adult, the neck forms an angle of about 125° with the body, but this varies in inverse proportion to the development of the pelvis and the stature. The angle decreases during the period of growth, but after full growth has been attained it does not usually undergo any change, even in old age; it varies considerably in different persons of
488-409: A natural birth would be possible, a practice today limited to cases where a specific problem is suspected or following a caesarean delivery. William Edgar Caldwell and Howard Carmen Moloy studied collections of skeletal pelves and thousands of stereoscopic radiograms and finally recognized three types of female pelves plus the masculine type. In 1933 and 1934 they published their typology, including
549-403: A pair of important pelvic openings. The iliolumbar ligament is a strong ligament which connects the tip of the transverse process of the fifth lumbar vertebra to the posterior part of the inner lip of the iliac crest. It can be thought of as the lower border of the thoracolumbar fascia and is occasionally accompanied by a smaller ligamentous band passing between the fourth lumbar vertebra and
610-476: A proximal which radiates into the iliotibial tract and a distal which inserts into the gluteal tuberosity on the posterior side of the femoral shaft. It is primarily an extensor and lateral rotator of the hip joint, but, because of its bipartite insertion, it can both adduct and abduct the hip. Medius and minimus arise on the external surface of the ilium and are both inserted into the greater trochanter. Their anterior fibers are medial rotators and flexors while
671-454: A ring, and connects the pelvic region of the spine to the lower limbs. The pelvic spine consists of the sacrum and coccyx . The pelvic skeleton is formed posteriorly (in the area of the back), by the sacrum and the coccyx and laterally and anteriorly (forward and to the sides), by a pair of hip bones . Each hip bone consists of three sections: ilium , ischium , and pubis . During childhood, these sections are separate bones, joined by
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#1732776706767732-421: Is an extension of the anterior longitudinal ligament (ALL) that run down the anterior side of the vertebral bodies . Its irregular fibers blend with the periosteum . The posterior sacrococcygeal ligament has a deep and a superficial part, the former is a flat band corresponding to the posterior longitudinal ligament (PLL) and the latter corresponds to the ligamenta flava . Several other ligaments complete
793-404: Is attached to it about 1 cm above the intertrochanteric crest . The superior border is short and thick, and ends laterally at the greater trochanter ; its surface is perforated by large foramina. The inferior border, long and narrow, curves a little backward, to end at the lesser trochanter. The angle is widest in infancy, and becomes lessened during growth, so that at puberty it forms
854-426: Is flattened from before backward, contracted in the middle, and broader laterally than medially. The vertical diameter of the lateral half is increased by the obliquity of the lower edge, which slopes downward to join the body at the level of the lesser trochanter , so that it measures one-third more than the antero-posterior diameter. The medial half is smaller and of a more circular shape. The anterior surface of
915-406: Is formed by the iliac bone; the anterior side stretches from the acetabulum up to the anterior superior iliac spine ; the posterior side reaches from the top of the acetabulum to the sacroiliac joint ; and the third side is formed by the palpable iliac crest . The lower ring, formed by the rami of the pubic and ischial bones , supports the acetabulum and is twisted 80–90 degrees in relation to
976-426: Is still made of cartilage (but there may be a small piece of bone in the great trochanter of the femur); this makes it difficult to detect congenital hip dislocation by X-raying . "In terms of comparative anatomy the human scapula represents two bones that have become fused together; the (dorsal) scapula proper and the (ventral) coracoid. The epiphyseal line across the glenoid cavity is the line of fusion. They are
1037-425: Is strengthened by the ventral , interosseous , and dorsal sacroiliac ligaments . The most important accessory ligaments of the sacroiliac joint are the sacrospinous and sacrotuberous ligaments which stabilize the hip bone on the sacrum and prevent the promonotory from tilting forward. Additionally, these two ligaments transform the greater and lesser sciatic notches into the greater and lesser foramina ,
1098-408: Is thus the only of the four acting on two joints. The posterior thigh muscles have their origins on the inferior ischial ramus , with the exception of the short head of the biceps femoris . The semitendinosus and semimembranosus are inserted on the tibia on the medial side of the knee, while biceps femoris is inserted on the fibula , on the knee's lateral side. In later stages of pregnancy
1159-443: Is to close the pelvic and abdominal cavities and bear the load of the visceral organs; the other is to control the openings of the rectum and urogenital organs that pierce the pelvic floor and make it weaker. To achieve both these tasks, the pelvic floor is composed of several overlapping sheets of muscles and connective tissues. The pelvic diaphragm is composed of the levator ani and the coccygeus muscle . These arise between
1220-526: Is to produce abdominal pressure in order to constrict the abdominal cavity and pull the diaphragm upward. There are two muscles in the deep or posterior group. Quadratus lumborum arises from the posterior part of the iliac crest and extends to the rib XII and lumbar vertebrae I–IV. It unilaterally bends the trunk to the side and bilaterally pulls the 12th rib down and assists in expiration. The iliopsoas consists of psoas major (and occasionally psoas minor ) and iliacus , muscles with separate origins but
1281-573: The corpora cavernosa penis and clitoridis . Modern humans are to a large extent characterized by bipedal locomotion and large brains . Because the pelvis is vital to both locomotion and childbirth, natural selection has been confronted by two conflicting demands: a wide birth canal and locomotion efficiency, a conflict referred to as the " obstetrical dilemma ". The female pelvis, or gynecoid pelvis , has evolved to its maximum width for childbirth—a wider pelvis would make women unable to walk. In contrast, human male pelvises are not constrained by
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#17327767067671342-418: The fetus 's head aligns inside the pelvis. Also joints of bones soften due to the effect of pregnancy hormones. These factors may cause pelvic joint pain ( symphysis pubis dysfunction or SPD). As the end of pregnancy approaches, the ligaments of the sacroiliac joint loosen, letting the pelvis outlet widen somewhat; this is easily noticeable in the cow . During childbirth (unless by Cesarean section )
1403-400: The foramen of the last sacral nerve . The inferior parts of latissimus dorsi , one of the muscles of the upper limb, arises from the posterior third of the iliac crest. Its action on the shoulder joint are internal rotation, adduction, and retroversion. It also contributes to respiration (i.e. coughing). When the arm is adducted, latissimus dorsi can pull it backward and medially until
1464-420: The iliac fossa to join psoas at the iliopubic eminence to form the iliopsoas which is inserted into the lesser trochanter. The iliopsoas is the most powerful hip flexor. The posterior group includes the gluteus maximus , gluteus medius , and gluteus minimus . Maximus has a wide origin stretching from the posterior part of the iliac crest and along the sacrum and coccyx, and has two separate insertions:
1525-440: The inferior ischial and pubic rami and extends to the urogenital hiatus. The urogenital diaphragm is reinforced posteriorly by the superficial transverse perineal . The external anal and urethral sphincters close the anus and the urethra. The former is surrounded by the bulbospongiosus which narrows the vaginal introitus in females and surrounds the corpus spongiosum in males. Ischiocavernosus squeezes blood into
1586-444: The pubic symphysis by a fibrous cartilage covered by a hyaline cartilage , the interpubic disk, within which a non-synovial cavity might be present. Two ligaments, the superior and inferior pubic ligaments , reinforce the symphysis. Both sacroiliac joints , formed between the auricular surfaces of the sacrum and the two hip bones. are amphiarthroses , almost immobile joints enclosed by very taut joint capsules. This capsule
1647-403: The sternum down to the pubic crest . At the lower end of the rectus abdominis, the pyramidalis tenses the linea alba . The lateral superficial muscles, the transversus and external and internal oblique muscles, originate on the rib cage and on the pelvis (iliac crest and inguinal ligament ) and are attached to the anterior and posterior layers of the sheath of the rectus. Flexing
1708-433: The symphysis and the ischial spine and converge on the coccyx and the anococcygeal ligament which spans between the tip of the coccyx and the anal hiatus . This leaves a slit for the anal and urogenital openings. Because of the width of the genital aperture, which is wider in females, a second closing mechanism is required. The urogenital diaphragm consists mainly of the deep transverse perineal which arises from
1769-443: The triradiate cartilage . During puberty, they fuse together to form a single bone. The pelvic cavity is a body cavity that is bounded by the bones of the pelvis and which primarily contains reproductive organs and the rectum . A distinction is made between the lesser or true pelvis inferior to the terminal line , and the greater or false pelvis above it. The pelvic inlet or superior pelvic aperture, which leads into
1830-479: The Greek names since then frequently quoted in various handbooks: Gynaecoid ( gyne , woman), anthropoid ( anthropos , human being), platypelloid ( platys , flat), and android ( aner , man). However, Caldwell and Moloy then complicated this simple fourfold scheme by dividing the pelvic inlet into posterior and anterior segments. They named a pelvis according to the anterior segment and affixed another type according to
1891-400: The articular processes of the two bones. In addition to these ligaments the joint is strengthened by the iliolumbar and lateral lumbosacral ligaments. The iliolumbar ligament passes between the tip of the transverse process of the fifth lumbar vertebra and the posterior part of the iliac crest. The lateral lumbosacral ligament, partly continuous with the iliolumbar ligament, passes down from
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1952-554: The axial skeleton to the lower appendicular skeleton when standing and walking, and providing attachments for and withstanding the forces of the powerful muscles of locomotion and posture. Compared to the shoulder girdle, the pelvic girdle is thus strong and rigid. Its secondary functions are to contain and protect the pelvic and abdominopelvic viscera (inferior parts of the urinary tracts, internal reproductive organs), providing attachment for external reproductive organs and associated muscles and membranes. The pelvic girdle consists of
2013-441: The back of the hand covers the buttocks. In a longitudinal osteofibrous canal on either side of the spine there is a group of muscles called the erector spinae which is subdivided into a lateral superficial and a medial deep tract. In the lateral tract, the iliocostalis lumborum and longissimus thoracis originates on the back of the sacrum and the posterior part of the iliac crest. Contracting these muscles bilaterally extends
2074-432: The counterparts of the ilium and ischium of the pelvic girdle." There is preliminary evidence that the pelvis continues to widen over the course of a lifetime. The skeleton of the pelvis is a basin-shaped ring of bones connecting the vertebral column to the femora. It is then connected to two hip bones. Its primary functions are to bear the weight of the upper body when sitting and standing, transferring that weight from
2135-428: The exception of gracilis , inserted along the femoral shaft. Together with sartorius and semitendinosus , gracilis reaches beyond the knee to their common insertion on the tibia . The anterior thigh muscles form the quadriceps which is inserted on the patella with a common tendon. Three of the four muscles have their origins on the femur, while rectus femoris arises from the anterior inferior iliac spine and
2196-406: The femur into the acetabulum and flexes, medially rotates, and abducts the hip. The ventral hip muscles are important in the control of the body's balance. The internal and external obturator muscles together with the quadratus femoris are lateral rotators of the hip. Together they are stronger than the medial rotators and therefore the feet point outward in the normal position to achieve
2257-489: The fetus passes through the maternal pelvic opening . Hip fractures often affect the elderly and occur more often in females; this is frequently due to osteoporosis . There are also different types of pelvic fracture , often resulting from traffic accidents . Pelvic pain can affect anybody and has a variety of causes, including bowel adhesions , irritable bowel syndrome , interstitial cystitis , and endometriosis in women. There are many anatomical variations of
2318-594: The human body posture and is adjusted at the hips. It is also one of the rare things that can be measured at the assessment of the posture. A simple method of measurement was described by the British orthopedist Philip Willes and is performed by using an inclinometer . The lumbosacral joint , between the sacrum and the last lumbar vertebra , has, like all vertebral joints, an intervertebral disc , anterior and posterior ligaments , ligamenta flava , interspinous and supraspinous ligaments , and synovial joints between
2379-415: The iliac crest. The lateral lumbosacral ligament is partly continuous with the iliolumbar ligament. It passes between the transverse process of the fifth vertebra to the ala of the sacrum where it intermingle with the anterior sacroiliac ligament. The joint between the sacrum and the coccyx, the sacrococcygeal symphysis , is strengthened by a series of ligaments. The anterior sacrococcygeal ligament
2440-491: The lesser pelvis, is bordered by the promontory , the arcuate line of ilium , the iliopubic eminence , the pecten of the pubis , and the upper part of the pubic symphysis . The pelvic outlet or inferior pelvic aperture is the region between the subpubic angle or pubic arch , the ischial tuberosities and the coccyx . Alternatively, the pelvis is divided into three planes: the inlet, midplane, and outlet. The pelvic floor has two inherently conflicting functions: One
2501-400: The ligaments considerably limit the range of motions. The three extracapsular ligaments of the hip joint —the iliofemoral , ischiofemoral , and pubofemoral ligaments —form a twisting mechanism encircling the neck of the femur . When sitting, with the hip joint flexed, these ligaments become lax permitting a high degree of mobility in the joint. When standing, with the hip joint extended,
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2562-415: The ligaments get twisted around the femoral neck, pushing the head of the femur firmly into the acetabulum , thus stabilizing the joint. The zona orbicularis assists in maintaining the contact in the joint by acting like a buttonhole on the femoral head. The intracapsular ligament, the ligamentum teres , transmits blood vessels that nourish the femoral head. The two hip bones are joined anteriorly at
2623-416: The lower border of the transverse process of the fifth vertebra to the ala of the sacrum. The movements possible in the lumbosacral joint are flexion and extension, a small amount of lateral flexion (from 7 degrees in childhood to 1 degree in adults), but no axial rotation. Between ages 2–13 the joint is responsible for as much as 75% (about 18 degrees) of flexion and extension in the lumbar spine. From age 35
2684-411: The lower part of an anatomical trunk , between the abdomen and the thighs (sometimes also called pelvic region ), together with its embedded skeleton (sometimes also called bony pelvis or pelvic skeleton ). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor , below the pelvic cavity, and the perineum , below
2745-400: The medial tract, the multifidi originates on the sacrum . The muscles of the abdominal wall are subdivided into a superficial and a deep group. The superficial group is subdivided into a lateral and a medial group. In the medial superficial group, on both sides of the centre of the abdominal wall (the linea alba ), the rectus abdominis stretches from the cartilages of ribs V-VII and
2806-409: The neck is perforated by numerous vascular foramina . Along the upper part of the line of junction of the anterior surface with the head is a shallow groove, best marked in elderly subjects; this groove lodges the orbicular fibers of the capsule of the hip joint . The posterior surface is smooth, and is broader and more concave than the anterior: the posterior part of the capsule of the hip-joint
2867-399: The need to give birth and therefore are more optimized for bipedal locomotion. The principal differences between male and female true and false pelvis include: Each side of the pelvis is formed as cartilage, which ossifies as three main bones which stay separate through childhood: ilium , ischium , pubis . At birth the whole of the hip joint (the acetabulum area and the top of the femur)
2928-407: The obturator internus, and their main function is to assist this muscle. The muscles of the thigh can be subdivided into adductors (medial group), extensors (anterior group), and flexors (posterior group). The extensors and flexors act on the knee joint, while the adductors mainly act on the hip joint. The thigh adductors have their origins on the inferior ramus of the pubic bone and are, with
2989-420: The pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs and the rectum , while the pelvic floor at the base of the cavity assists in supporting the organs of the abdomen. In mammals, the bony pelvis has a gap in the middle, significantly larger in females than in males. Their offspring pass through this gap when they are born . The pelvic region of
3050-417: The pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones . The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints . The gap enclosed by the bony pelvis, called
3111-427: The pelvis is wide. In addition to projecting upward and medialward from the body of the femur, the neck also projects somewhat forward; the amount of this forward projection is extremely variable, but on an average is from 12° to 14°. A fracture of the femoral neck is classified as a type of hip fracture . It is often due to osteoporosis ; in the vast majority of cases, a hip fracture is a fragility fracture due to
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#17327767067673172-448: The pelvis. In the female the pelvis can be of a much larger size than normal, known as a giant pelvis or pelvis justo major , or it can be much smaller, known as a reduced pelvis or pelvis justo minor. Other variations include an android pelvis, a pelvis of the normal male shape in a female, which can prove problematic in childbirth . Throughout the 20th century pelvimetric measurements were made on pregnant women to determine whether
3233-408: The posterior fibers are lateral rotators and extensors. The piriformis has its origin on the ventral side of the sacrum and is inserted on the greater trochanter. It abducts and laterally rotates the hip in the upright posture and assists in extension of the thigh. The tensor fasciae latae arises on the anterior superior iliac spine and inserts into the iliotibial tract. It presses the head of
3294-409: The same age. Coxa vara is a deformity of the hip , whereby the angle between the head and the shaft of the femur is reduced to less than 120 degrees. Its opposite is coxa valga . In the female , in consequence of the increased width of the pelvis, the neck of the femur forms more nearly a right angle with the body than it does in the male . It is smaller in short than in long bones, and when
3355-433: The spine and unilaterally contraction bends the spine to the same side. The medial tract has a "straight" ( interspinales , intertransversarii , and spinalis ) and an "oblique" ( multifidus and semispinalis ) component, both of which stretch between vertebral processes; the former acts similar to the muscles of the lateral tract, while the latter function unilaterally as spine extensors and bilaterally as spine rotators. In
3416-425: The superior ring. An alternative approach is to consider the pelvis part of an integrated mechanical system based on the tensegrity icosahedron as an infinite element. Such a system is able to withstand omnidirectional forces—ranging from weight-bearing to childbearing—and, as a low energy requiring system, is favoured by natural selection . The pelvic inclination angle is the single most important element of
3477-447: The title NOF . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=NOF&oldid=1179822920 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages Neck of femur The neck
3538-422: The trunk (bending forward) is essentially a movement of the rectus muscles, while lateral flexion (bending sideways) is achieved by contracting the obliques together with the quadratus lumborum and intrinsic back muscles. Lateral rotation (rotating either the trunk or the pelvis sideways) is achieved by contracting the internal oblique on one side and the external oblique on the other. The transversus' main function
3599-434: The trunk from the supine position . The muscles of the hip are divided into a dorsal and a ventral group. The dorsal hip muscles are either inserted into the region of the lesser trochanter (anterior or inner group) or the greater trochanter (posterior or outer group). Anteriorly, the psoas major (and occasionally psoas minor ) originates along the spine between the rib cage and pelvis. The iliacus originates on
3660-466: The trunk is the lower part of the trunk , between the abdomen and the thighs . It includes several structures: the bony pelvis, the pelvic cavity, the pelvic floor, and the perineum. The bony pelvis (pelvic skeleton) is the part of the skeleton embedded in the pelvic region of the trunk. It is subdivided into the pelvic girdle and the pelvic spine. The pelvic girdle is composed of the appendicular hip bones ( ilium , ischium , and pubis ) oriented in
3721-435: The two hip bones. The hip bones are connected to each other anteriorly at the pubic symphysis , and posteriorly to the sacrum at the sacroiliac joints to form the pelvic ring. The ring is very stable and allows very little mobility, a prerequisite for transmitting loads from the trunk to the lower limbs. As a mechanical structure the pelvis may be thought of as four roughly triangular and twisted rings. Each superior ring
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