The =symphysis pelvis= is formed by the junction of the two ossa coxarum
at the ventral median line. In the young subject the bones are united by
a layer of cartilage; in the adult the latter is gradually replaced by
bone, the process beginning in the pubic portion and extending backward.
The union is strengthened by white fibrous tissue above and below, and a
transverse band also covers the anterior border of the pubis (pecten).
No appreciable movement occurs even before synostosis takes place.
OBTURATOR MEMBRANE
This (Membrana obturatoria) is a thin layer of fibrous tissue which
covers the obturator foramen, leaving, however, a passage (Canalis
obturatorius) for the obturator vessels and nerve.
THE HIP JOINT
This joint (Articulatio coxæ) is an enarthrosis formed by the proximal
end of the femur and the acetabulum.
=Articular Surfaces.=—The head of the femur presents an almost
hemispherical articular surface, which is continued a short distance on
the upper surface of the neck. It is more extensive than the socket
which receives it. Internally it is cut into by a deep notch for the
attachment of the round and pubo-femoral ligaments. The acetabulum is a
typical cotyloid cavity. Its articular surface is somewhat crescentic,
being deeply cut into internally by the acetabular notch and fossa. It
is increased and deepened by a ring of fibro-cartilage, the =cotyloid
ligament= (Labrum glenoidale), which is attached to the bony margin;
that part of the ligament which crosses the notch is called the
=transverse ligament= (Fig. 456).
[Illustration:
FIG. 154.—PELVIC LIGAMENTS AND HIP JOINT.
_1_, Dorsal sacro-iliac ligament; _2_, lateral sacro-iliac ligament;
_3_, sacro-sciatic ligament; _4_, greater sciatic foramen; _5_,
lesser sciatic foramen; _6_, line of attachment of intermuscular
septum between biceps femoris and semitendinosus; _7_, capsule of
hip joint; _8_, rectus parvus or capsularis muscle; _9_, outer
tendon of origin of biceps femoris; _10_, internal, _11_, external,
angle of ilium; _12_, shaft of ilium; _13_, superior ischiatic
spine; _14_, pubis; _15_, tuber ischii; _16_, trochanter major;
_17_, semimembranosus; _18_, fifth lumbar spine; _19_, _20_, first
and second coccygeal vertebræ.
]
The =joint capsule= is roomy. It is attached around the margin of the
acetabulum and the neck of the femur. It is thickest externally.
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