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Gemelli Muscles
The gemelli muscles are the inferior gemellus muscle and the superior gemellus muscle, two small accessory fasciculi to the tendon of the internal obturator muscle. The gemelli muscles belong to the lateral rotator group of six muscles of the hip that rotate the femur in the hip joint. Superior gemellus muscle The gemelli muscles are two small muscular fasciculi, accessories to the tendon of the internal obturator muscle which is received into a groove between them. The superior gemellus muscle is the higher placed gemellus muscle that arises from the outer (gluteal) surface of the ischial spine, and blends with the upper part of the tendon of the internal obturator. It is smaller than the inferior gemellus. In some people, the fibres of the gemellus superior extend further than average, and are prolonged onto the medial surface of the greater trochanter of the femur. The superior and inferior gemelli are supplied by the inferior gluteal artery. Nerve supply to the superior geme ...
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Internal Obturator Muscle
The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis. It exits the pelvic cavity through the lesser sciatic foramen. The internal obturator is situated partly within the lesser pelvis, and partly at the back of the hip-joint. It functions to help laterally rotate femur with hip extension and abduct femur with hip flexion, as well as to steady the femoral head in the acetabulum. Structure Origin The internal obturator muscle arises from the inner surface of the antero-lateral wall of the pelvis. It surrounds the obturator foramen. 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. It reaches from the upper part of the greater sciatic foramen above and behind to the obturator foramen below and in front. It also arises from the pelvic surface of the obturator membran ...
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Ischiopubic Ramus
The ischiopubic ramus is a compound structure consisting of the following two structures: * from the pubis, the 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. Also, most adductors originate at the ischiopubic ramus. The fascia of Colles The membranous layer of the superficial fascia of the perineum (Colles' fascia) is the deeper layer ( membranous layer) of the superficial perineal fascia. It is thin, aponeurotic in structure, and of considerable strength, serving to bind down th ... is attached to its margin. References External links * - "The Female Perineum" * * (, ) Bones of the pelvis {{musculoskeletal-stub ...
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Obturator Membrane
The obturator membrane is a thin fibrous sheet, which almost completely closes the obturator foramen. Its fibers are arranged in interlacing bundles mainly transverse in direction; the uppermost bundle is attached to the obturator tubercles and completes the obturator canal for the passage of the obturator vessels and nerve. The membrane is attached to the sharp margin of the obturator foramen except at its lower lateral angle, where it is fixed to the pelvic surface of the inferior ramus of the ischium The ischium () form ...
, i. e., within the margin. Both obturator muscles are connected with this membrane ...
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Lateral Rotator Group
The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint. It consists of the following muscles: piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus. All muscles in the lateral rotator group originate from the hip bone and insert on to the upper extremity of the femur. The muscles are innervated by the sacral plexus ( L4- S2), except the obturator externus muscle, which is innervated by the lumbar plexus. Individual muscles Other lateral rotators This group does not include all muscles which aid in lateral rotation of the hip joint: rather it is a collection of ones which are known for primarily performing this action. Other muscles that contribute to lateral rotation of the hip include: *Gluteus maximus muscle (lower fibres) *Gluteus medius muscle and gluteus minimus muscle when the hip is flexed (become medial rotators when hip is exte ...
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Femur
The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia (shinbone) and patella (kneecap), forming the knee joint. By most measures the two (left and right) femurs are the strongest bones of the body, and in humans, the largest and thickest. Structure The femur is the only bone in the upper leg. The two femurs converge medially toward the knees, where they articulate with the proximal ends of the tibiae. The angle of convergence of the femora is a major factor in determining the femoral-tibial angle. Human females have thicker pelvic bones, causing their femora to converge more than in males. In the condition ''genu valgum'' (knock knee) the femurs converge so much that the knees touch one another. The opposite extreme is ''genu varum'' (bow-leggedness). In the general populatio ...
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Gemellus Superior Muscle
The gemelli muscles are the inferior gemellus muscle and the superior gemellus muscle, two small accessory fasciculi to the tendon of the internal obturator muscle. The gemelli muscles belong to the lateral rotator group of six muscles of the hip that rotate the femur in the hip joint. Superior gemellus muscle The gemelli muscles are two small muscular fasciculi, accessories to the tendon of the internal obturator muscle which is received into a groove between them. The superior gemellus muscle is the higher placed gemellus muscle that arises from the outer (gluteal) surface of the ischial spine, and blends with the upper part of the tendon of the internal obturator. It is smaller than the inferior gemellus. In some people, the fibres of the gemellus superior extend further than average, and are prolonged onto the medial surface of the greater trochanter of the femur. The superior and inferior gemelli are supplied by the inferior gluteal artery. Nerve supply to the superior geme ...
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Muscle Fascicle
A muscle fascicle is a bundle of skeletal muscle fibers surrounded by perimysium, a type of connective tissue. Structure Muscle cells are grouped into muscle fascicles by enveloping perimysium connective tissue. Fascicles are bundled together by epimysium connective tissue. Muscle fascicles typically only contain one type of muscle cell (either type I fibres or type II fibres), but can contain a mixture of both types. Function In the heart specialized cardiac muscle cells transmit electrical impulses from the atrioventricular node (AV node) to the Purkinje fibers – fascicles, also referred to as bundle branches. These start as a single fascicle of fibers at the AV node called the bundle of His that then splits into three bundle branches: the right fascicular branch, left anterior fascicular branch, and left posterior fascicular branch. Clinical significance Myositis may cause thickening of the muscle fascicles. This may be detected with ultrasound scans. Muscle fasci ...
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Ischial Spine
The ischial spine is part of the posterior border of the body of the ischium bone of the pelvis. It is a thin and pointed triangular eminence, more or less elongated in different subjects. Structure The pudendal nerve travels close to the ischial spine. Clinical significance The ischial spine can serve as a landmark in pudendal anesthesia, as the pudendal nerve The pudendal nerve is the main nerve of the perineum. It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or fem ... lies close to the ischial spine. Additional images File:Sciatic notches.png, Right hip bone, external surface, showing the greater and lesser sciatic notches, separated by the ischial spine. File:Gray319.png, Articulations of pelvis. Anterior view. File:Slide3ADA.JPG, PELVIS. ANTERIOR VIEW. References External links * - "The Female Perineum: Osteology" * - "Th ...
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Greater Trochanter
The greater trochanter of the femur is a large, irregular, quadrilateral eminence and a part of the skeletal system. It is directed lateral and medially and slightly posterior. In the adult it is about 2–4 cm lower than the femoral head.Standring, Susan, editor. ''Gray’s Anatomy: The Anatomical Basis of Clinical Practice''. Forty-First edition, Elsevier Limited, 2016, p. 1327. Because the pelvic outlet in the female is larger than in the male, there is a greater distance between the greater trochanters in the female. It has two surfaces and four borders. It is a traction epiphysis. Surfaces The ''lateral surface'', quadrilateral in form, is broad, rough, convex, and marked by a diagonal impression, which extends from the postero-superior to the antero-inferior angle, and serves for the insertion of the tendon of the gluteus medius. Above the impression is a triangular surface, sometimes rough for part of the tendon of the same muscle, sometimes smooth for the interposi ...
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Inferior Gluteal Artery
The inferior gluteal artery (sciatic artery), the smaller of the two terminal branches of the anterior trunk of the internal iliac artery, is distributed chiefly to the buttock and back of the thigh. It passes down on the sacral plexus of nerves and the piriformis muscle, behind the internal pudendal artery. It passes through the lower part of the greater sciatic foramen. It escapes from the pelvis between piriformis muscle and coccygeus muscle. It then descends in the interval between the greater trochanter of the femur and tuberosity of the ischium. It is accompanied by the sciatic nerve and the posterior femoral cutaneous nerves, and covered by the gluteus maximus. It continues down the back of the thigh, supplying the skin, and anastomosing with branches of the perforating arteries. Additional images File:Gray544.png, The arteries of the gluteal and posterior femoral regions. File:Gray829.png, Dissection of side wall of pelvis showing sacral and pudendal plexuses. See a ...
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Ischial Tuberosity
The ischial tuberosity (or tuberosity of the ischium, tuber ischiadicum), also known colloquially as the sit bones or sitz bones, or as a pair the sitting bones, is a large swelling posteriorly on the superior ramus of the ischium. It marks the lateral boundary of the pelvic outlet. When sitting, the weight is frequently placed upon the ischial tuberosity. The gluteus maximus provides cover in the upright posture, but leaves it free in the seated position.Platzer (2004), p 236 The distance between a cyclist's ischial tuberosities is one of the factors in the choice of a bicycle saddle. Divisions The tuberosity is divided into two portions: a lower, rough, somewhat triangular part, and an upper, smooth, quadrilateral portion. * The ''lower portion'' is subdivided by a prominent longitudinal ridge, passing from base to apex, into two parts: ** The outer gives attachment to the adductor magnus ** The inner to the sacrotuberous ligament * The ''upper portion'' is subdivided into ...
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Lesser Sciatic Notch
Below the ischial spine is a small notch, the lesser sciatic notch; it is smooth, coated in the recent state with cartilage, the surface of which presents two or three ridges corresponding to the subdivisions of the tendon of the Obturator internus, which winds over it. It is converted into a foramen, the lesser sciatic foramen, by the sacrotuberous and sacrospinous ligament The sacrospinous ligament (small or anterior sacrosciatic ligament) is a thin, triangular ligament in the human pelvis. The base of the ligament is attached to the outer edge of the sacrum and coccyx, and the tip of the ligament attaches to the s ...s, and transmits the tendon of the Obturator internus, the nerve which supplies that muscle, and the internal pudendal (other), internal pudendal vessels and pudendal nerve. See also * Lesser sciatic foramen * Greater sciatic notch References External links

* - The Male Perineum and the Penis: Osteology" * - "The Male Pelvis: Hip Bone" {{Auth ...
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