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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.
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.
From its posterior border, there extends backward a thin and pointed triangular eminence, more or less elongated in different subjects, the ischial spine, origin of the gemellus superior muscle. Above the spine is a large notch, the greater sciatic notch ; Below the spine is a smaller notch, the lesser sciatic notch .
It is divisible into three portions: the body, the superior ramus, and the inferior ramus. The body forms approximately one-third of the acetabulum. The ischium forms a large swelling, the tuberosity of the ischium, also referred to colloquially as the "sit bone". When sitting, the weight is frequently placed upon the ischial tuberosity.
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.
ischial tuberosity [11] pes anserinus: inferior gluteal artery, perforating arteries: sciatic nerve [11] (tibial, L5, S1, S2) flexes knee, extends hip, medially rotates leg at knee [11] quadriceps femoris: 2 1 semimembranosus: Lower limb, Thigh, Posterior compartment/hamstring ischial tuberosity [11] medial surface of tibia [11] profunda ...
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It arises by tendinous fibers from the inner and forepart of the ischial tuberosity and, running medially, is inserted into the central tendinous point of the perineum (perineal body), joining in this situation with the muscle of the opposite side, with the external anal sphincter muscle behind, and with the bulbospongiosus muscle in front.