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anatomy

Femur

The thigh bone - the longest and strongest bone in the body. The lower end of the femur forms the upper part of the knee joint.

Extended Definition

The femur (thigh bone) extends from the hip to the knee. Its lower end, called the femoral condyles, forms the upper half of the knee joint and is covered with articular cartilage.

Knee Joint Anatomy

The femur meets two bones at the knee:

  • Tibia - The main weight-bearing connection (tibiofemoral joint)
  • Patella - The kneecap glides over a groove in the femur (patellofemoral joint)

Osteoarthritis Location

Knee OA is classified by which femoral surface is affected:

  • Medial compartment - Inner side of femur (most common)
  • Lateral compartment - Outer side of femur
  • Patellofemoral - Front groove where patella tracks
  • Tricompartmental - All three areas affected

Clinical Significance

The condition of the femoral cartilage—visible on X-ray as “joint space”—is a key measure of OA severity. Hyaluronic acid injections add cushioning between the femur and tibia, reducing bone-on-bone contact.

Related Terms

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