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A fracture of the left iliac wing. 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. For example ...
Iliocostal friction syndrome, also known as costoiliac impingement syndrome, is a condition in which the costal margin comes in contact with the iliac crest.The condition presents as low back pain which may radiate to other surrounding areas as a result of irritated nerve, tendon, and muscle structures.
The arcuate line marks the border between the body (corpus) and the wing (ala) of the ilium, and, running inferior, anterior, and medial from the auricular surface to the area corresponding to the acetabulum, it also indicates where weight is transferred from the sacroiliac joint to the hip joint.
It is thinner at the center than at the extremities, and ends in the anterior and posterior superior iliac spines. The surface of the crest is broad, and divided into external and internal lips, and an intermediate line. About 5 cm behind the anterior superior iliac spine there is a prominent tubercle on the outer lip.
Bone marrow aspiration and trephine biopsy are usually performed on the back of the hipbone, or posterior iliac crest. An aspirate can also be obtained from the sternum (breastbone). For the sternal aspirate, the patient lies on their back, with a pillow under the shoulder to raise the chest.
The anterior gluteal line is the middle curved gluteal line on the hip bone. It is the longest of the three gluteal lines, begins at the iliac crest, about 4 cm. behind its anterior extremity, and, taking a curved direction downward and backward, ends at the upper part of the greater sciatic notch.
The iliac fossa is bounded above by the iliac crest, and below by the arcuate line. It is bordered in front and behind by the anterior and posterior borders of the ilium. The iliac fossa gives origin to the iliacus muscle. [1] The obturator nerve passes around the iliac fossa. [2] It is perforated at its inner part by a nutrient canal.
The margins of the inferior lumbar (Petit's) triangle are composed of the iliac crest inferiorly and the margins of two muscles – latissimus dorsi (posteriorly) and external abdominal oblique (anteriorly). The floor of the inferior lumbar triangle is the internal abdominal oblique muscle.
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