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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 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.
The gluteal muscles include the gluteus maximus, gluteus medius, gluteus minimus, and tensor fasciae latae.They cover the lateral surface of the ilium.The gluteus maximus, which forms most of the muscle of the buttocks, originates primarily on the ilium and sacrum and inserts on the gluteal tuberosity of the femur as well as the iliotibial tract, a tract of strong fibrous tissue that runs ...
Secondly, its contraction causes ipsilateral rotation and side-bending. It acts with the external oblique muscle of the opposite side to achieve this torsional movement of the trunk. For example, the right internal oblique and the left external oblique contract as the torso flexes and rotates to bring the left shoulder towards the right hip.
The external oblique functions to pull the chest downwards and compress the abdominal cavity, which increases the intra-abdominal pressure as in a Valsalva maneuver.It also performs ipsilateral (same side) side-bending and contralateral (opposite side) rotation: the right external oblique would side-bend to the right and rotate to the left, and vice versa.
It provides attachment for the inguinal ligament, the sartorius muscle, [1] [4] and the tensor fasciae latae muscle. [2] [3] A variety of structures lie close to the anterior superior iliac spine, including the subcostal nerve, [5] the femoral artery (which passes between it and the pubic symphysis), [4] and the iliohypogastric nerve. [6]
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral (front and side) abdominal wall, deep to (layered below) the internal oblique muscle.
The internal intercostal muscles (intercostales interni) are a group of skeletal muscles located between the ribs.They are eleven in number on either side. They commence anteriorly at the sternum, in the intercostal spaces between the cartilages of the true ribs, and at the anterior extremities of the cartilages of the false ribs, and extend backward as far as the angles of the ribs, hence ...