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The ischial tuberosity (or tuberosity of the ischium, tuber ischiadicum), also known colloquially as the sit bones or sitz bones, [1] or as a pair the sitting bones, [2] is a large posterior bony protuberance on the superior ramus of the ischium. It marks the lateral boundary of the pelvic outlet.
The superior ramus is a partial origin for the internal obturator and the external obturator muscles. The inferior ramus serves partially as origin for part of the adductor magnus muscle and the gracilis muscle. The inferior ischial ramus joins the inferior ramus of the pubis anteriorly and is the strongest of the hip (coxal) bones.
The ischiopubic ramus is a compound structure consisting of the following two structures: from the pubis, the bones inferior pubic ramus; from the ischium, the inferior ramus of the ischium; It forms the inferior border of the obturator foramen and serves as part of the origin for the obturator internus and externus muscles.
These terms are derived from tuber (Latin: swelling)., [8] as is also protuberance, which occasionally is synonymous with "tuberosity". A ramus (Latin: branch) refers to an extension of bone, [9] such as the ramus of the mandible in the jaw or superior pubic ramus. Ramus may also be used to refer to nerves, such as the ramus communicans.
Its oblique fibres descend laterally, converging to form a thick, narrow band that widens again below and is attached to the medial margin of the ischial tuberosity. It then spreads along the ischial ramus as the falciform process, whose concave edge blends with the fascial sheath of the internal pudendal vessels and pudendal nerve.
Similar calcification and ossification may be seen at peripheral entheseal sites, including the shoulder, iliac crest, ischial tuberosity, trochanters of the hip, tibial tuberosities, patellae, and bones of the hands and/or feet. [6] DISH can be a complicating factor when suffering from trauma involving the spine.
The ischial spine is part of the posterior border of the body of the ischium bone of the pelvis. It is a thin and pointed triangular eminence, more or less elongated in different subjects. It is a thin and pointed triangular eminence, more or less elongated in different subjects.
The lesser sciatic foramen is an opening between the pelvis and the back of the thigh. The foramen is formed by the sacrotuberous ligament which runs between the sacrum and the ischial tuberosity and the sacrospinous ligament which runs between the sacrum and the ischial spine.