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The anterior superior iliac spine refers to the anterior extremity of the iliac crest of the pelvis. This is a key surface landmark, and easily palpated. It provides attachment for the inguinal ligament, the sartorius muscle, [1] [4] and the tensor fasciae latae muscle. [2] [3]
Laterally, the ligament attaches onto the posterior part of the inner lip of the iliac crest. [1] More precisely, its lateral attachment is by two main bands: [2] the superior band (which is one of the attachments of the quadratus lumborum muscle) attaches onto the iliac crest anterior to the sacroiliac joint.
The iliac crest has a large amount of red bone marrow, and thus it is the site of bone marrow harvests (from both sides) to collect the stem cells used in bone marrow transplantation. The iliac crest is also considered the best donor site for bone grafting when a large quantity of bone is needed.
The quadratus lumborum muscle originates by aponeurotic fibers into the iliolumbar ligament and the internal lip of the iliac crest for about 5 centimetres (2.0 in). It inserts from the lower border of the last rib for about half its length and by four small tendons from the apices of the transverse processes of the upper four lumbar vertebrae.
In open-chain exercises, as part of the iliopsoas, the iliacus is important for lifting (flexing) the femur forward (e.g. front scale).In closed-chain exercises, the iliopsoas bends the trunk forward and can lift the trunk from a lying posture (e.g. sit-ups, back scale) because the psoas major crosses several vertebral joints and the sacroiliac joint.
The gluteus maximus muscle arises from the posterior gluteal line of the inner upper ilium, and the rough portion of bone including the iliac crest, the fascia covering the gluteus medius (gluteal aponeurosis), as well as the sacrum, coccyx, the erector spinae (lumbodorsal fascia), the sacrotuberous ligament.
The iliac fascia (or Abernethy's fascia [citation needed]) is the fascia overlying the iliacus muscle. [1]Superiorly and laterally, the iliac fascia is attached to the inner aspect of the iliac crest; inferiorly and laterally, it extends into the thigh to unite with the femoral sheath; medially, it attaches to the periosteum of the ilium and iliopubic eminence near the linea terminalis, and ...
The inguinal ligament runs from the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh. There is some dispute over the attachments. [3] Structures that pass deep to the inguinal ligament include: