Anatomy of Hip

bone (Ilium)

Presented by Vishal bhatane

Guided by Dr. Shilpa R. Revale Madam.

 Hip bone
• Large irregular bone
• consists of three parts
1) ilium
2) pubis
3) ischium
Ilium
• upper expanded plate like part
• Lower part Of hip bone forms the
upper 2/5th of the acetabulum
• It has the following
1) Upper end is called Iliac crest
2) Lower end is smaller and fused
with pubis and Ischium at the
acetabulum
3) Three borders anterior, posterior and medial
4) Three surface- gluteal surface, iliac surface and Sacropelvic
surface
Iliac crest
• It is a broad convex ridge
forming upper end.
 Curvatures:
● a vertically convex upward,
● antero-posteriorly concave inwards
in Front
● concave outwards behind.
● Highest point is situated little behind
the midpoint of the creast.
● lies at the level of Interval between the
spines of Vertebrae.
 END :-
● There are Two ends.
● Anterior end called Anterior superior
iliac spine (ASIS).Prominent landmark
easily Felt in the living.
● Posterior end called posterior
superior Iliac Spine (PSIS). Its position
marked by a dimple 5cm.lateral of the
s2.
Morphological divisions
crest divided into two long ventral segment and short dorsal
segment.

ventral segment forms more than the anterior two-thirds of the

crest.
It has an outer lip, an inner lip, and an intermediate area.

The dorsal segment forms less than the posterior one- third of
the crest. It has a lateral and a medial slope separated by a
ridge.
Anterior Border of Ilium

• It starts at the ASIS and runs

downwards to the acetabulum.

• Upper part presents a notch,

• Its lower part shows elevated

area called the anterior inferior
iliac spine.

• The lower half of this spine is

large, triangular and rough.
Posterior Border of ilium
• It extends from the PSIS to the
upper end of the posterior border of
Ischium.
• A few centimetres below the PSIS
presents another prominence called
the posterior inferior iliac spine.
• posterior border marked by large
deep notch called the greater sciatic
notch.
Medial Border
• It extends on the inner or pelvic
surface of the ilium from the
iliac crest to the iliopubic
eminence.

• It separates the iliac fossa from

the sacropelvic surface.

• Its lower rounded part forms

the iliac parts of the arcuate
line or inlet of pelvis.
 Gluteal Surface
• outer surface of the ilium is convex in front and concave behind,
• It is divided into four areas by three gluteal lines.
anterior gluteal line
● longest, begins behind the ASIS, runs backwards and then downwards to end at
the middle of the upper border of the greater sciatic notch.

posterior gluteal line

● the shortest, begins in front of the PSIS, and runs downwards to end at upper
part of greater sciatic notch

inferior gluteal line

● most ill-defined, begins a little above and behind the anterior inferior spine, runs
backwards and downwards to end near the apex of the greater sciatic notch.
Iliac Fossa
Iliac fossa is the large concave
area on the inner surface of the
ilium, situated in front of its
medial border. It forms the lateral
wall of the false pelvis.
Sacropelvic Surface
● It is the uneven area on the inner surface of the ilium, situated behind its medial
border.
● subdivided into three parts;
iliac tuberosity
auricular surface
pelvic surface.
iliac tuberosity
is the upper, large, roughened area, lying just below the dorsal segment
of the iliac crest. It is raised in the middle and depressed both above and
below
auricular surface
is articular but pitted. It lies anteroinferior to the iliac tuberosity.
It articulates with the sacrum to form the sacroiliac joint.

pelvic surface
is smooth and lies anteroinferior to the auricular surface. It forms a part
of the lateral wall of the true pelvis. Along the upper border of the
greater sciatic notch, this surface is marked by the preauricular sulcus.
This sulcus is deeper in females than in males.
 MUSCLE ATTACHMENTS 0f ilium
● Anterior superior iliac spine gives origin to sartorius muscle
● outer lip provides
1)Origin to tensor fasciae latae and latissimus dorsi
2)Insertion to external oblique muscle in anterior two-thirds

● Inner lip provides

1)Origin to transversus abdominis in its anterior two-thirds and
2)Quadratus lumborum in its posterior one-third

● Intermediate area of the iliac crest gives origin to the internal oblique muscle in its
anterior

● Dorsal segment provides

1) Lateral slope gives origin to the gluteus maximus
2)medial slope gives origin to the erector spinae