Proximal Femur
Orthopaedic Anatomy
By
Gehad Samir Ibrahim Bedda
Assistant lecturer
Orthopaedic department –Menoufia university
Anterior
Posterior
Anatomical Orthopaedic
important points
Capsule inserts on IT line
anteriorly,
but at midcervical level
posteriorly.
Posterior
Anterior
Capsule inserts on IT line anteriorly,
but at midcervical level posteriorly.
Proximal Femur Vasculature
Related
Biomechanics
The proximal fragment is
abducted by the gluteus
mediusand minimus.
Flexed by the iliopsoas.
Externally rotated by short
external rotators.
The distal fragment is
adducted and shortened by
the adductors and gracilis.
Mechanical
axis
Anatomical
axes
Orthopaedic
Radiographic
Anatomy
Garden alignment index
APview:anglebetweenthemedialshaftandthecentralaxisofthemedial
compressivetrabeculaebetween160and180⁰.Anangleof<160⁰indicates
varus,whereasanangleof>180⁰indicatesexcessivevalgus.
Lateralview:angulationapproximately180⁰anddeviationof>20⁰indicates
excessiveanteversionorretroversion.
Please,
REMEMBER
THIS
The proximal fragment is
abducted by the gluteus
mediusand minimus.
Flexed by the iliopsoas.
Externally rotated by short
external rotators.
The distal fragment is
adducted and shortened by
the adductors and gracilis.