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Questions and Answers
Which muscle in the pelvis helps rotate the thigh laterally?
Which muscle in the pelvis helps rotate the thigh laterally?
What is the function of the Levator ani muscle in the pelvic cavity?
What is the function of the Levator ani muscle in the pelvic cavity?
Which muscle is an accessory to the tendon of the Obturator internus?
Which muscle is an accessory to the tendon of the Obturator internus?
What is the attachment point for the Gemellus superior muscle?
What is the attachment point for the Gemellus superior muscle?
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Which muscle contracts during orgasm and controls urine flow?
Which muscle contracts during orgasm and controls urine flow?
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What does the Levator ani muscle unite with to form the floor of the pelvic cavity?
What does the Levator ani muscle unite with to form the floor of the pelvic cavity?
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Which pelvic structure has a wider pubic arch in females?
Which pelvic structure has a wider pubic arch in females?
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What marks the lateral boundary of the pelvic outlet along with the ischial spine?
What marks the lateral boundary of the pelvic outlet along with the ischial spine?
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Which muscle attaches to the ischial spine?
Which muscle attaches to the ischial spine?
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What muscle covers the ischial tuberosity in an upright posture?
What muscle covers the ischial tuberosity in an upright posture?
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Which ligament attaches to the ischial spine?
Which ligament attaches to the ischial spine?
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What structures bound the greater sciatic foramen?
What structures bound the greater sciatic foramen?
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Which of the following is NOT a function of the pelvis?
Which of the following is NOT a function of the pelvis?
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Which structure is formed by the fusion of ilium, ischium, and pubis bones?
Which structure is formed by the fusion of ilium, ischium, and pubis bones?
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Which part of the pelvis includes structures like the sacral promontory and the pubic symphysis?
Which part of the pelvis includes structures like the sacral promontory and the pubic symphysis?
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Which of the following is NOT part of the pelvic girdle?
Which of the following is NOT part of the pelvic girdle?
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What is the main role of the pelvic floor muscles?
What is the main role of the pelvic floor muscles?
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Which part of the pelvis is referred to as the greater pelvis?
Which part of the pelvis is referred to as the greater pelvis?
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Study Notes
Gemellus Muscles
- The Gemelli are two small muscles in the pelvis that function as accessories to the tendon of the obturator internus.
- Gemellus superior arises from the outer surface of the ischial spine and blends with the upper part of the tendon of the obturator internus.
- Gemellus inferior arises from the ischial tuberosity and blends with the lower part of the tendon of the obturator internus.
- Both muscles help rotate the thigh laterally.
Levator Ani Muscle
- The levator ani is a broad, thin muscle situated on the side of the pelvis.
- It is attached to the inner surface of the side of the lesser pelvis and unites with its fellow of the opposite side to form the greater part of the floor of the pelvic cavity.
- It supports the viscera in the pelvic cavity and surrounds the various structures that pass through it.
- It helps maintain urinary and fecal continence.
Pelvic Floor
- The pelvic floor is made up of several muscles, including the levator ani, which is divided into three parts: iliococcygeus muscle, pubococcygeus muscle.
- The pubococcygeus muscle controls urine flow and contracts during orgasm.
Pelvis Functions
- The pelvis serves several functions, including:
- Transferring weight from the upper axial skeleton to the lower appendicular components of the skeleton, especially during movement.
- Providing attachment for a number of muscles and ligaments used in locomotion.
- Containing and protecting the abdominopelvic and pelvic viscera.
Pelvis Structure
- The pelvis is composed of three bones: ilium, ischium, and pubis, which fuse together during growth and development.
- The ilium is the largest of the three bones, with the iliac crest, ASIS, PSIS, and sciatic notch.
- The ischium is the strongest of the three bones, with the ischial spine, ischial tuberosity, and ischial ramus.
- The pubis includes the inferior ramus, pubic tubercle, superior ramus/pubic crest, and pubic symphysis (PS).
Bony Pelvis
- The bony pelvis has three parts: the ilium, ischium, and pubis.
- The anterior view of the pelvis includes the ischiopubic rami, obturator foramen, anterior superior iliac spine, iliac crest, iliac fossa, ischial spine, pubic tubercle, pubic crest, pubic symphysis, and sacro-iliac joint.
Characteristic Differences in Pelvic Structure
- Female pelvis:
- Smoother and lighter
- Wider pubic arch (subpubic) angle
- Flared iliac wings
- Enlarged pelvic outlet
- Less curvature of the sacrum/coccyx
- Male pelvis:
- Stronger and heavier
- Narrower pubic arch (subpubic) angle
- Iliac wings less flared
- Designed for strength and speed
Ischial Tuberosity and Ischial Spine
- The ischial tuberosity is a large swelling on the posterior surface of the ischium.
- It marks the lateral boundary of the pelvic outlet, along with the ischial spine.
- The gluteus maximus muscle covers the ischial tuberosity in the upright posture, but leaves it free in the seated position.
- The ischial spine is a triangular eminence that extends backward from the posterior border of the body of the ischium.
- The coccygeus muscles, levator ani, and pelvic fascia attach to the ischial spine.
Greater Sciatic Foramen
- The greater sciatic foramen is a major foramen of the pelvis, bounded by the greater sciatic notch, sacrotuberous ligament, sacrospinous ligament, and anterior sacroiliac ligament.
- The piriformis muscle exits through the greater sciatic foramen.
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Description
Test your knowledge about the pelvic muscles Gemellus superior and Gemellus inferior, including their origins, functions, and insertions. Learn more about how these muscles work as accessories to the tendon of the obturator internus.