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Metacarpals and Phalanges

The fi ve digital rays of the hand consist of a series of four bones, except in the thumb where there are only three bones, that decrease in length from proximal to distal. Forming the skeleton of the palmar region of the hand are the stout metacarpal bones. Note their saddle-like bases and rounded heads. The anterior-posterior fl attened phalanges project into the proper portion of the fingers and thumb from the metacarpal bones.

9

9

9

 

 

 

6

9

5

7

6

9

5

8

6

5

Left phalanges

Anterior view, thumb to left

 

3

 

3

 

 

 

 

 

 

3

 

 

2

3

3

 

2

 

 

 

 

 

 

 

 

2

2

 

 

2

 

 

 

1

1

1

4

1

1

Left metacarpal bones, numbered I to V from lateral to medial

Anterior view, thumb to left

100

1

Base of metacarpal

5

Base of phalanx

2

Shaft or body of metacarpal

6

Shaft or body of phalanx

3

Head of metacarpal

7

Head of phalanx

4

Styloid process of third metacarpal

8

Trochlea of phalanx

 

 

9

Tuberosity of distal phalanx

6

5

8

7

6

5

7

6

5

Left phalanges

Posterior view, thumb to right

3

3

3

3

 

2

 

2

2

3

 

 

2

 

 

 

 

2

1

1

 

1

 

1

4

1

 

Left metacarpal bones, numbered I to V from lateral to medial

Posterior view, thumb to right

101

Pelvis - Female

The characteristic features of the female pelvis are related to the role of the female pelvis in childbirth. While there are numerous diagnostic features that help distinguish a female pelvis, some of

the most obvious are those that increase the diameter of the pelvic outlet. For example, note the wider pubic angle (1) and greater sciatic notch (2) of the female pelvis.

1

3

Female pelvis

Female pelvis

Anterior view, superior to top

Posterior view, superior to top

Female pelvis

 

Female pelvis

Superior view, anterior to bottom

Inferior view, anterior to bottom

2

Female pelvis

Lateral view, anterior to left

102

Pelvis - Male The male pelvis tends to have a more narrow profi le than the pelvis of the female. Compare the diameter of the outlet, the angle of the pubic arch, and the width of the

greater sciatic notch with those of the female pelvis. Also, note the stout, thick ishiopubic ramus (3) of the male compared to the slender ischiopubic ramus of the female pelvis.

1

3

Male pelvis

Male pelvis

Anterior view, superior to top

Posterior view, superior to top

Male pelvis

Male pelvis

Superior view, anterior to bottom

Inferior view, anterior to bottom

 

2

Male pelvis

Lateral view, anterior to left

103

Inferior Limb

Each inferior appendage consists of 31 bones. The broad base of the inferior limb is the pelvic girdle. This girdle is the strong fusion of three bones, the ilium, ischium, and pubis, to form the os coxae or

hip bone. The os coxae is fi rmly anchored to the sacrum via strong ligaments and a synovial joint. Distal to the girdle is the free part of the lower limb. The bony framework of the thigh is the femur with the sesamoid patella at its distal end. Distal to the femur, the tibia and fi bula form the skeleton of the crus or leg. The distalmost region of the inferior limb is the foot consisting of seven tarsal bones, fi ve metatarsal bones, and fourteen phalanges.

1

Os coxae or hip bone

 

 

2

Femur

1

1

3

Patella

 

 

 

4

Tibia

 

 

5

Fibula

 

 

6

Tarsal bones

 

 

7

Metatarsal bones

 

 

8

Phalanges

 

 

2

2

3

5

5

4

4

 

7

6

 

 

8

Left lower limb

Left lower limb

Anterior view, lateral to right

Posterior view, lateral to left

 

104

Os Coxae

Each os coxae forms from three separate bony elements that fuse during development at their site of union within the acetabulum. The three bony elements are the ilium, ischium, and pubis. This strong girdle of bone unites the inferior limb to the axial skeleton

and transfers the forces of locomotion from the inferior limb to the vertebral column. Each os coxae articulates with three bones — the femur, sacrum, and opposite os coxae. The photo on this page depicts the three bones of the os coxae — the ilium (green), the ischium (blue), and the pubis (red). Landmarks that are shared by the bones are depicted on this image. The following two pages show all the landmarks of the individual bones of the os coxae.

1 Acetabulum

2 Acetabular notch

3 Lunate surface

4 Ischiopubic ramus

5 Obturator foramen

6 Greater sciatic notch

3

1

6

2

5

4

Left os coxae showing individual bones

Lateral view, anterior to left

105

Os Coxae

1

Body of ilium

8

Inner lip of crest

15

Anterior gluteal line

 

Ilium

7

Intermediate zone of crest

14

Iliac fossa

 

2

Supra-acetabular groove

9

Tuberculum of crest

16

Posterior gluteal line

 

3

Ala or wing

10

Anterior superior iliac spine

17

Inferior gluteal line

 

4

Arcuate line

11

Anterior inferior iliac spine

18

Auricular surface

 

5

Iliac crest

12

Posterior superior iliac spine

19

Iliac tuberosity

 

6

Outer lip of crest

13

Posterior inferior iliac spine

 

 

5

3

19

8

7

 

6

 

14

10

 

 

11

5

 

 

4

 

1

 

 

 

3

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

15

 

28

29

 

 

 

16

 

 

 

 

 

26

 

 

 

 

 

33

 

 

 

 

 

25

 

 

 

 

 

32

 

 

 

12

 

21

 

 

 

 

 

 

Left os coxae

1

13

 

Anterior view, lateral to right

 

 

28

 

29

23

25

31

33

32

21

22

Left os coxae

Posterior view, lateral to right

106

Ischium

Pubis

30

Pecten pubis or pectineal line

20

Body of ischium

25

Body of pubis

31

Obturator groove

21

Ischial ramus

26

Pubic tubercle

32

Inferior pubic ramus

22

Ischial tuberosity

27

Symphysial surface

33

Obturator foramen

23

Ischial spine

28

Pubic crest

 

 

24

Lesser sciatic notch

29

Superior pubic ramus

 

 

 

5

 

 

 

3

 

 

 

9

 

 

 

15

 

 

 

 

16

 

10

 

 

 

 

17

12

 

 

 

13

 

 

1

 

 

 

2

 

 

 

 

5

 

 

 

3

 

 

20

23

 

 

 

 

 

 

24

 

26

25

19

10

 

33

14

 

 

 

32

 

 

 

22

18

 

 

21

 

 

12

 

 

 

 

 

 

 

11

 

Left os coxae

13

1

 

4

Lateral view, anterior to left

30

23

31 29

24 20

33

 

 

26

 

 

 

27

21

Left os coxae

Medial view, anterior to right

107