Totenkopf (lit. "skull") is the German word for the skull and crossbones and death's head symbols. The "Totenkopf"-symbol is an old international symbol for death, danger or the dead, as well as piracy. It consists usually of the human skull with or without the mandible and often includes two crossed long-bones (femurs), most often depicted with the crossbones being behind some part of the skull. The grammatical translation of Totenkopf would be dead head, not death's head, which would be Todeskopf, but no such word is in use; on the other hand the word used to refer to the skull anatomically or medically is Schädel. Totenkopf applies to symbolic depictions of the human skull. Skull and bones is "Totenkopf mit Knochen" in German.