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7.7C: Pubis

  • Page ID
    7499
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    The pubis is the lowest and most anterior portion of the hip bones of the pelvis.

     

    LEARNING OBJECTIVES

     

    Describe the pubic bone

     

    KEY TAKEAWAYS

    Key Points

     

    • The most anterior portion of the pubis, the pubic symphysis, is where the two hip bones of the pelvis are fused together.
    • The pubis has a body, a superior ramus, and an inferior ramus.
    • The body of the pubis contributes to the lunate surface and acetabular fossa in the acetabulum.

     

    Key Terms

     

    • pubic symphysis: A cartilaginous joint between the two bones of the pubis.

    The pubic bone forms the anterior region of the pelvis and contributes to the acetabulum, which articulates with the femoral head to form the hip joint.

    The pubic bone is covered by a layer of fat that is covered by the mons pubis. The two pubic bones joint anteriorly through the pubic symphysis, a cartilaginous joint.

    The pubic bone articulates with the ilium and the ischium on each hip. The internal surface forms the wall of the lesser pelvis and is the point of origin for a portion of the obturator internus muscle. The pubic bone is divisible into a body, a superior ramus, and an inferior ramus.

    The Body of the Pubic Bone

    This is a color illustration of the body of a pubic bone. It identifies the sacrum, ilium, ischium, pubis body, superior ramus, inferior ramus, pubic symphisis, acetabulum, obturator foramen, coccyx, and linea terminalis.

     

    Body of pubic bone: (1) sacrum, (2) ilium, (3) ischium, (4) pubis: 4a-body; 4b-superior ramus; 4c-inferior ramus, (5) pubic symphisis, (6) acetabulum, (7) obturator foramen, (8) coccyx, (red dotted line) linea terminalis.

    The body of the pubis is a wide, strong, medial, and flat portion of the pubic bone that unites with the pubic symphisis.

    The rough superior edge of the corpus, known as the pubic crest, ends laterally in the pubic tubercle. This tubercle, found roughly 3 cm from the pubic symphysis, is a distinctive feature on the lower part of the abdominal wall and is useful when attempting to localize the superficial inguinal ring and the femoral canal of the inguinal canal.

    Its internal surface enters into the formation of the wall of the lesser pelvis and gives origin to a portion of the obturator internus muscle.

    Superior Pubic Ramus

    The superior pubic ramus is one third of the pubic bone. It forms a portion of the obturator foramen and extends from the body to the median plane where it articulates with its counterpart from the opposite side. It is described in two portions, which are a medial flattened part and a narrow lateral prismoid portion.

    Inferior Pubic Ramus

    The inferior pubic ramus is a thin and flat bone that makes up one third of the pubis. It passes laterally and downward from the medial end of the superior ramus, and becomes narrower as it descends and joins with the inferior ramus of the ischium below the obturator foramen.