By means of perfusion studies, an analysis was made of the arterial
supply to the proximal end of the femur in 150 specimens from autopsied
fetuses and children, aged from twenty-six weeks of gestation to fourteen
years and eight months old. All died of diseases which did not involve the
hip joint. Two anastomotic rings were found: an extracapsular one formed by
the medial and lateral femoral circumflex arteries, and a subsynovial
intra-articular ring at the articular cartilage-neck junction. The
intra-articular rings in males were discontinuous more often than in
females. A three-plane analysis of totally-cleared specimens demonstrated
that the epiphyseal plate constituted an absolute barrier to blood flow
between the epiphysis and metaphysis in all but two of the 124 barium
sulphate-perfused specimens examined. A smaller number of ascending
cervical arteries crossed the anterior and medial surfaces of the mid-neck
in the specimens from three to ten-year-old white children than in those
from newborn to two-year-old white and black children. This finding may be
important for the etiology of Legg-Perthes disease. No differences with
respect to age, sex, or race were found in the arteries of the ligamentum
teres.