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Three types of FAI are recognized (see title image). The first involves an excess of bone along the upper surface of the femoral head, known as a cam deformity (abbreviation for camshaft, which the shape of the femoral head and neck resembles). The second is due to an excess of growth of the upper lip of the acetabular cup and is known as a ...
The anterior surface of the neck is perforated by numerous vascular foramina. Along the upper part of the line of junction of the anterior surface with the head is a shallow groove, best marked in elderly subjects; this groove lodges the orbicular fibers of the capsule of the hip joint.
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 intertrochanteric crest is a prominent smooth bony ridge upon the posterior surface of the femur at the junction of the neck and the shaft of the femur; [1] together with the intertrochanteric line on the anterior side of the head, the intertrochanteric crest marks the transition between the femoral neck and shaft.
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]
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]
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The anterior longitudinal approach: the probe is aligned along the long axis of the femoral neck. The needle is introduced from an anteroinferior approach and is passed into the anterior joint recess at the femoral head-neck junction. Anterolateral approach, here shown as a transverse image. The needle will rest on the femoral head (arrow).