Pelvic Girdle: Pubis

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2–4 minutes

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The pubis is the most anterior of the three bones that are fused to form the coxal or hip bones.

Illustration contrasting medial and lateral views of the right coxal bone (hip bone). The medial view on the left reveals the obturator foramen. The lateral view on the right shows the acetabulum.
Right coxal bone illustration, medial and lateral views.
  • Superior pubic ramus
  • Inferior pubic ramus
  • Pubic crest
  • Obturator foramen
  • Acetabulum

Let’s start with all the bones of the pelvis put together.  This structure here can also be called the pelvic girdle indicating that it is a place where limbs attach.  Humans also have a pectoral girdle, which is really your scapula, clavicle, and part of the humerus

This structure that looks like a pad is the pubic symphysis.  This is an articulation or a joint, just like the hip’s ball and socket is a joint.  This is a fibrous joint, held together by that pad of fibrocartilage.  This pad stretches out of shape in childbirth and can have difficulty in finding the right position.  This can lead to pelvic floor issues which can then be complicated by the healing of a C-section incision.  However, you can see that the hip bones are also called the coxal bone. They are known as the os coxa. These bones come together at this pubic symphysis. 

Let’s do the easy stuff first. The big hole in the hip bone is called the obturator foramen. The big depression in the hip bone is what you might want to call the hip socket. Of course, it has a more complicated name: acetabulum. This word means vinegar cup. The acetabulum shows us something fascinating. The hip bone is actually three different bones fused together. These bones are the ilium, ischium, and the pubis or the pubic bone. These three bones come together at the acetabulum, giving it its strength. Of course, these pictures label these structures on the right side of the pelvis. However, the acetabulum and obturator foramen are bilateral. They are on both the right and the left.

Diagram showing lateral and medial views of the right coxal bone (hip bone). Anatomical features are labeled, including the superior pubic ramus, inferior pubic ramus, and pubic crest. Anterior and posterior orientations indicated. Image labeled as Hip lateral letter 5.
Right coxal bone: lateral and medial views with labeled parts (superior/inferior pubic ramus, pubic crest). Hip lateral letter 5.

There’s this little point right at the superior/medial edge of the pubic symphysis.  This is called the pubic crest.  The next two structures, called rami (singular ramus) are very difficult to identify, even when presented with a 3D bone. A ramus is simply defined as a branch or an arm. That is not helpful. More specifically, a ramus can sometimes represent an extension of the body, or main portion of a bone. Sometimes, ramus is used to define an extension of a body into a slope or an angle. I think of a ski slope that branches off a main slope and has a different angle. But, I want to stress again that these seemingly borderless structures are always difficult to identify for student. For the rami on the pubic bone, I consider them in relation to the pubic crest. The superior ramus extends from the pubic crest almost to the acetabulum. The inferior ramus extends from the pubic crest almost down to the ischial tuberosity (the flattened portion of the ischium).

An illustration of the human pelvis, viewed from the front, showing the bones and their anatomical relationships. Key features are labeled with green lines and text: the anterior superior iliac spine, the anterior inferior iliac spine, the pubic symphysis, and the pubic crest. The image focuses on the anterior portion of the pelvic girdle.
Anatomical view of the pelvis, highlighting the pubis, pubic crest, and pubic symphysis.
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An anterior view of a stylized pelvis, rendered in grey. The image focuses on the bony structures of the hip region and includes labels with green lines pointing to different anatomical features. Visible features include the iliac fossa, anterior inferior iliac spine, obturator foramen, and sacral foramina. Part of the head of one femur is also in view.
Anterior view of the pelvis, showing the iliac fossa, anterior inferior iliac spine, obturator foramen, and sacral foramina.
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