Upper extremity of femur

The upper extremity, proximal extremity or superior epiphysis of the femur is the part of the

femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with ...

closest to the

pelvic bone The hip bone (os coxae, innominate bone, pelvic bone or coxal bone) is a large flat bone, constricted in the center and expanded above and below. In some vertebrates (including humans before puberty) it is composed of three parts: the ilium, isch ...

and the trunk. It contains the following structures: *

Femoral head The femoral head (femur head or head of the femur) is the highest part of the thigh bone (femur). It is supported by the femoral neck. Structure The head is globular and forms rather more than a hemisphere, is directed upward, medialward, and a l ...

including the

fovea Fovea () (Latin for "pit"; plural foveae ) is a term in anatomy. It refers to a pit or depression in a structure. Human anatomy *Fovea centralis of the retina * Fovea buccalis or Dimple * Fovea of the femoral head * Trochlear fovea of the fr ...

Femur neck The femoral neck (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. Structure The neck is flattened from ...

Greater trochanter The greater trochanter of the femur is a large, irregular, quadrilateral eminence and a part of the skeletal system. It is directed lateral and medially and slightly posterior. In the adult it is about 2–4 cm lower than the femoral head.Stan ...

Lesser trochanter The lesser trochanter is a conical posteromedial bony projection of the femoral shaft. it serves as the principal insertion site of the iliopsoas muscle. Structure The lesser trochanter is a conical posteromedial projection of the shaft of the fe ...

Intertrochanteric line The intertrochanteric line (or ''spiral line of the femur''White (2005), p 256 ) is a line located on the anterior side of the proximal end of the femur. Structure The rough, variable ridge stretches between the lesser trochanter and the greater t ...

Intertrochanteric crest The intertrochanteric crest is a prominent bony ridge upon the posterior surface of the femur at the junction of the neck and the shaft of the femur. It extends between the greater trochanter superiorly, and the lesser trochanter inferiorly. Ana ...

Trochanteric fossa In mammals including humans, the medial surface of the greater trochanter has at its base a deep depression bounded posteriorly by the intertrochanteric crest, called the trochanteric fossa. This fossa is the point of insertion of four muscles. Mo ...

Linea quadrata A slight ridge is sometimes seen commencing about the middle of the intertrochanteric crest, and reaching vertically downward for about 5 cm. along the back part of the body: it is called the linea quadrata (or quadrate line), and gives attach ...

Quadrate tubercle The quadrate tubercle is a small tubercle found upon the upper part of the femur. It serves as a point of insertion of the quadratus femoris muscle, along with the intertrochanteric crest and the linea quadrata. Structure The quadrate tubercle ...

The head of femur, which articulates with the

acetabulum The acetabulum (), also called the cotyloid cavity, is a concave surface of the pelvis. The head of the femur meets with the pelvis at the acetabulum, forming the hip joint. Structure There are three bones of the ''os coxae'' (hip bone) that c ...

of the

, composes two-thirds of a

sphere A sphere () is a Geometry, geometrical object that is a solid geometry, three-dimensional analogue to a two-dimensional circle. A sphere is the Locus (mathematics), set of points that are all at the same distance from a given point in three ...

. It has a small groove or

, connected through the round ligament to the sides of the

acetabular notch The acetabular notch is a deep notch in the acetabulum of the hip bone. The acetabular notch is continuous with a circular non-articular depression, the acetabular fossa, at the bottom of the cavity: this depression is perforated by numerous aper ...

. The head of the femur is connected to the shaft through the

neck The neck is the part of the body on many vertebrates that connects the head with the torso. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In ...

or ''collum''. The neck is 4–5 cm. long and the diameter is smallest front to back and compressed at its middle. The collum forms an angle with the shaft in about 130 degrees. This angle is highly variant. In the

infant An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to ...

it is about 150 degrees and in

old age Old age refers to ages nearing or surpassing the life expectancy of human beings, and is thus the end of the human life cycle. Terms and euphemisms for people at this age include old people, the elderly (worldwide usage), OAPs (British usage ...

reduced to 120 degrees in average. An abnormal increase in the angle is known as

coxa valga Coxa valga is a deformity of the hip where the angle formed between the head and neck of the femur and its shaft is increased, usually above 135 degrees. The differential diagnosis includes neuromuscular disorders (i.e. cerebral palsy, spinal dy ...

and an abnormal reduction is called

coxa vara 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. This results in the leg being shortened and the development of a limp. It may be congenital and is commonly cau ...

. Both the head and neck of the femur is vastly embedded in the hip musculature and can not be directly

palpated Palpation is the process of using one's hands to check the body, especially while perceiving/diagnosing a disease or illness. Usually performed by a health care practitioner, it is the process of feeling an object in or on the body to determine ...

. In skinny people with the thigh laterally rotated the head of the femur can be felt deep as a resistance

profound {{Short pages monitor