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Hip

In vertebrate anatomy, the hip, or coxa[1] (pl.: coxae) in medical terminology, refers to either an anatomical region or a joint on the outer (lateral) side of the pelvis.

For the cultural description of hip, see Buttocks.

The hip region is located lateral and anterior to the gluteal region, inferior to the iliac crest, and lateral to the obturator foramen, with muscle tendons and soft tissues overlying the greater trochanter of the femur.[2] In adults, the three pelvic bones (ilium, ischium and pubis) have fused into one hip bone, which forms the superomedial/deep wall of the hip region.


The hip joint, scientifically referred to as the acetabulofemoral joint (art. coxae), is the ball-and-socket joint between the pelvic acetabulum and the femoral head. Its primary function is to support the weight of the torso in both static (e.g. standing) and dynamic (e.g. walking or running) postures. The hip joints have very important roles in retaining balance, and for maintaining the pelvic inclination angle.


Pain of the hip may be the result of numerous causes, including nervous, osteoarthritic, infectious, traumatic, and genetic.

Structure[edit]

Region[edit]

The hip joint, also known as a ball and socket joint, is formed by the acetabulum of the pelvis and the femoral head, which is the top portion of the thigh bone (femur). It allows for a wide range of movement and stability in the lower body.[3]


The proximal femur is largely covered by muscles and, as a consequence, the greater trochanter is often the only palpable bony structure in the hip region.[4]

Clinical significance[edit]

A hip fracture is a break that occurs in the upper part of the femur.[31] Symptoms may include pain around the hip particularly with movement and shortening of the leg.[31] The hip joint can be replaced by a prosthesis in a hip replacement operation due to fractures or illnesses such as osteoarthritis. Hip pain can have multiple sources and can also be associated with lower back pain.


At the 2022 Consumer Electronics Show, a company named Safeware announced an airbag belt that is designed to prevent hip fractures among such uses as the elderly and hospital patients.[32]


Abnormal orientation of the acetabular socket as seen in hip dysplasia can lead to hip subluxation (partial dislocation), degeneration of the acetabular labrum. Excessive coverage of femoral head by the acetabulum can lead to pincer-type femoro-acetabular impingement (FAI).[5]

Hip joint. Lateral view.

Hip joint. Lateral view.

Hip joint. Lateral view.

Hip joint. Lateral view.

Muscles of Thigh. Anterior views.

Muscles of Thigh. Anterior views.

Illustration of Hip (Frontal view).

Illustration of Hip (Frontal view).

X-ray of the hip, with measurements used in X-ray of hip dysplasia in adults.[34]

X-ray of the hip, with measurements used in X-ray of hip dysplasia in adults.[34]

Belly dancer

Body shape

Bump (dance)

Femoral acetabular impingement

Hip dysplasia (human)

Hip examination

Obstetrical dilemma

Rump (animal)

Snapping hip syndrome

Waist–hip ratio

Clemente, Carmine D. (2006). . Lippincott Williams & Wilkins. ISBN 0-7817-6339-8.

Clemente's Anatomy Dissector

Diab, Mohammad (1999). . Taylor & Francis. ISBN 90-5702-597-3.

Lexicon of Orthopaedic Etymology

Faller, Adolf; Schuenke, Michael; Schuenke, Gabriele (2004). The Human Body: An Introduction to Structure and Function. Thieme.  3-13-129271-7.

ISBN

Field, Derek (2001). Anatomy: palpation and surface markings (3rd ed.). Elsevier Health Sciences.  0-7506-4618-7.

ISBN

. MediLexicon. Archived from the original on 2011-07-16. Retrieved 2009-06-04.

"Hip Region"

Palastanga, Nigel; Field, Derek; Soames, Roger (2006). (5th ed.). Elsevier Health Sciences. ISBN 0-7506-8814-9.

Anatomy and human movement: structure and function

Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System. Thieme. 2006.  978-1-58890-419-5.

ISBN

Hip Preservation Awareness, information and support for hip impingement, hip dysplasia, and related issues in young adults (12-adult)

Hip anatomy video

High-performance hips

Hip Pain ICD10