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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.
sacrum, iliac crest, thoracolumbar fascia, spinous processes: The lower six or seven ribs: lateral sacral artery: posterior branch of spinal nerve: extends/flexes vertebral column: rectus abdominis: 2 1 iliocostalis thoracis Torso, Back, right/left sacrum, iliac crest, thoracolumbar fascia, spinous processes(the lower six ribs)
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 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:
Of these, the uppermost, situated at the junction of the crest and anterior border, is called the anterior superior iliac spine; its outer border gives attachment to the fascia lata, and the tensor fasciæ latæ, its inner border, to the iliacus; while its extremity affords attachment to the inguinal ligament and gives origin to the sartorius
Anteromedially and inferiorly to the AIIS is the iliopsoas groove, the passage for the iliopsoas muscle as it passes down to the lesser trochanter of the femur. A vague line, the inferior gluteal line, might run from the AIIS to the greater sciatic notch which delineates the inferior extent of the origin of gluteus minimus muscle. [1]
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