| Bone: Superior pubic ramus | |
|---|---|
| Right hip bone. External surface. (Superior ramus of pubis labeled at center right.) | |
| Pelvis. Superior ramus is 4b. | |
| Latin | ramus superior ossis pubis |
| Gray's | subject #57 236 |
The superior pubic ramus is a part of the pubic bone which forms a portion of the obturator foramen.[1]
It extends from the body to the median plane where it articulates with its fellow of the opposite side. It is conveniently described in two portions, viz., a medial flattened part and a narrow lateral prismoid portion.
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The Medial Portion of the superior ramus, formerly described as the body of the pubis, is somewhat quadrilateral in shape, and presents for examination two surfaces and three borders.
The anterior surface is rough, directed downward and outward, and serves for the origin of various muscles. The Adductor longus arises from the upper and medial angle, immediately below the crest; lower down, the Obturator externus, the Adductor brevis, and the upper part of the Gracilis take origin.
The posterior surface, convex from above downward, concave from side to side, is smooth, and forms part of the anterior wall of the pelvis. It gives origin to the Levator ani and Obturator internus, and attachment to the puboprostatic ligaments and to a few muscular fibers prolonged from the bladder.
The upper border presents a prominent tubercle, the pubic tubercle (pubic spine), which projects forward; the inferior crus of the subcutaneous inguinal ring (external abdominal ring), and the inguinal ligament (Poupart’s ligament) are attached to it.
Passing upward and laterally from the pubic tubercle is a well-defined ridge, forming a part of the pectineal line which marks the brim of the lesser pelvis: to it are attached a portion of the inguinal falx (conjoined tendon of Obliquus internus and Transversus), the lacunar ligament (Gimbernat’s ligament), and the reflected inguinal ligament (triangular fascia).
Medial to the pubic tubercle is the crest, which extends from this process to the medial end of the bone. It affords attachment to the inguinal falx, and to the Rectus abdominis and Pyramidalis.
The point of junction of the crest with the medial border of the bone is called the angle; to it, as well as to the symphysis, the superior crus of the subcutaneous inguinal ring is attached.
The medial border is articular; it is oval, and is marked by eight or nine transverse ridges, or a series of nipple-like processes arranged in rows, separated by grooves; they serve for the attachment of a thin layer of cartilage, which intervenes between it and the interpubic fibrocartilaginous lamina.
The lateral border presents a sharp margin, the obturator crest, which forms part of the circumference of the obturator foramen and affords attachment to the obturator membrane.
The Lateral Portion of the ascending ramus has three surfaces: superior, inferior, and posterior.
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.
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