The Hip Joint

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.

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. ).

The joint capsule is roomy. It is attached around the margin of the acetabulum and the neck of the femur. It is thickest externally.

The attachment on the femur is about 1 cm. from the margin of the articular surface, except above, where 2 to 3 cm. of the neck is intracapsular. A thin oblique band corresponding in direction with the rectus parvus muscle reinforces the antero-external part of the capsule; this appears to be the feeble homologue of the very strong ilio-femoral ligament of man. The capsule is very thin under the ilio-psoas, and is adherent to the muscle. Internally, its fibrous part is perforated by the pubo-femoral and round ligaments and the articular vessels.

The round ligament (Ligamentum teres) is a strong hand which is attached in the subpubic groove close to the acetabular notch, passes outward, and ends in the notch on the head of the femur (Fig. ).

The pubo-femoral ligament (Ligamentum accessorium) does not occur in the domestic animals other than the equidæ. It is a strong band detached from the prepubic tendon of the abdominal muscles (Fig. ). It is directed outward, backward, and upward, passes through the acetabular notch above the transverse ligament, and ends behind the round ligament in the notch on the head of the femur. The origin of the pectineus muscle is perforated by the ligament, which furnishes attachment to the greater part of the fibers of the muscle.

The synovial membrane is reflected over the intracapsular parts of these ligaments and covers the fossa acetabuli. A pouch also extends from the acetabular notch for a variable distance along the subpubic groove above the pubo-femoral ligament.

Movements.—This joint is capable of all the movements of a ball-and-socket joint, viz., flexion, extension, abduction, adduction, rotation, and circumduction. The greatest range of movement is displayed in flexion and extension. When standing at rest, the joint is partially flexed, the articular angle (in front) being about 100° to 115°. The other movements occur to a very limited extent in normal action.

Abduction appears to be checked by tension of the round ligament. The pubo-femoral ligament is tensed most promptly by inward rotation of the thigh.