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Long bone boneThigh, between hip and knee

Femur

The femur is the longest, strongest, and heaviest bone in the human body. Located in the thigh, it extends from the hip to the knee and supports the weight of the body during standing and locomotion.

Key Features

1
Head - articulates with acetabulum, has fovea for ligamentum teres
2
Neck - common fracture site, angle ~125° with shaft
3
Greater trochanter - lateral, attachment for gluteal muscles
4
Lesser trochanter - medial, attachment for iliopsoas
5
Intertrochanteric line (anterior) and crest (posterior)
6
Linea aspera - posterior ridge for muscle attachments
7
Medial and lateral condyles - articulate with tibia
8
Medial and lateral epicondyles - above condyles
9
Intercondylar fossa - between condyles posteriorly
10
Patellar surface - anterior, articulates with patella

Articulations

  • Hip joint (head with acetabulum) - ball and socket
  • Knee joint (condyles with tibia) - hinge/modified hinge
  • Patellofemoral joint (patellar surface with patella)

Muscle Attachments

Greater trochanter: gluteus medius, gluteus minimus, piriformisLesser trochanter: iliopsoasLinea aspera: adductors, vastus medialis, vastus lateralis, short head of biceps femorisLateral condyle: lateral head of gastrocnemiusMedial condyle: medial head of gastrocnemius

Clinical Relevance

Femoral neck fractures are common in elderly with osteoporosis and can compromise blood supply to femoral head (avascular necrosis). Hip replacement surgery replaces the head and acetabulum. The femoral artery lies anterior to the hip joint.

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Femur FAQs

Common questions about this bone

The femur is designed to support body weight and withstand forces up to 30 times body weight during activities like running. Its tubular shape and thick cortical bone provide maximum strength with minimum weight.

A femoral neck fracture occurs between the femoral head and trochanters. It is common in elderly patients with osteoporosis after falls and can disrupt blood supply to the femoral head, potentially causing avascular necrosis.

Numerous muscles attach to the femur including gluteal muscles (greater trochanter), iliopsoas (lesser trochanter), quadriceps (shaft and condyles), adductors (linea aspera), and gastrocnemius (condyles).

The linea aspera is a prominent ridge on the posterior femur that serves as an attachment site for many thigh muscles including the adductors, vastus medialis, vastus lateralis, and short head of biceps femoris.

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