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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 superior pubic ramus is a part of the pubic bone which forms a portion of the obturator foramen. It extends from the body to the median plane where it articulates with its fellow of the opposite side. It is conveniently described in two portions: a medial flattened part and a narrow lateral prismoid portion. The inferior pubic ramus is thin ...
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.
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.
Inferior pubic ramus and ischial tuberosity: Medial ridge of linea aspera and the adductor tubercle: Obturator nerve and tibial nerve (L2-L5) Adductor minimus: Inferior pubic ramus: Medial ridge of linea aspera: Obturator nerve [3] Pectineus: Pectineal line (pubis) Pectineal line: Femoral nerve and sometimes the obturator nerve (L2-L4) Gracilis ...
[1] [2] It is attached to the inferior pubic ramus and ischium, and at the side to the inner surface of the hip bone below and behind the pelvic brim. [1] It reaches from the upper part of the greater sciatic foramen above and behind to the obturator foramen below and in front. [1] It also arises from the pelvic surface of the obturator ...
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.