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The neck is flattened from before backward, contracted in the middle, and broader laterally than medially. The vertical diameter of the lateral half is increased by the obliquity of the lower edge, which slopes downward to join the body at the level of the lesser trochanter, so that it measures one-third more than the antero-posterior diameter.
A femoral fracture that involves the femoral head, femoral neck or the shaft of the femur immediately below the lesser trochanter may be classified as a hip fracture, especially when associated with osteoporosis. Femur fractures can be managed in a pre-hospital setting with the use of a traction splint.
The zona orbicularis and proximal hip joint capsule are poorly understood. Recent studies seem to confirm that the proximal to middle part of the articular capsule, including the zona orbicularis, acts biomechanically as a locking ring wrapped around the femoral neck and thus is a key structure for hip stability in distraction.
In skinny people with the thigh laterally rotated the head of the femur can be felt deep as a resistance profound (deep) for the femoral artery. [1] In the transition area between the head and neck is quite rough due to attachment of muscles and the hip joint capsule. Here the two trochanters, greater and lesser trochanter, is found.
The lesser trochanter is a conical posteromedial projection of the shaft of the femur, projecting from the posteroinferior aspect of its junction with the femoral neck. [1] The summit and anterior surface of the lesser trochanter are rough, whereas its posterior surface is smooth. [1] From its apex three well-marked borders extend: [2]
Above, the linea aspera is prolonged by three ridges. The lateral ridge is very rough, and runs almost vertically upward to the base of the greater trochanter.It is termed the gluteal tuberosity, and gives attachment to part of the gluteus maximus: its upper part is often elongated into a roughened crest, on which a more or less well-marked, rounded tubercle, the third trochanter, is ...
The distal capsular attachment on the femur follows the shape of the irregular rim between the head and the neck. As a consequence, the capsule of the hip joint attaches in the region of the intertrochanteric line on the anterior side, but a finger away from the intertrochanteric crest on the posterior side of the head. [4]
It is coated with cartilage in the fresh state, except over an ovoid depression, the fovea capitis, which is situated a little below and behind the center of the femoral head, and gives attachment to the ligament of head of femur. The thickest region of the articular cartilage is at the centre of the femoral head, measuring up to 2.8 mm. [1]