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    Greater Sciatic Foramen

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    Yusri Arif
    The greater sciatic foramen is bounded anteriorly by the greater sciatic notch, posteriorly by the sacrotuberous ligament, superiorly by the anterior sacroiliac ligament, and inferiorly by the sacrospinous ligament and ischial spine. It contains the piriformis muscle, superior gluteal nerve and vessels above the piriformis, and the inferior gluteal nerve, sciatic nerve, pudendal nerve and vessels below the piriformis.

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    Greater Sciatic Foramen

    Uploaded by

    Yusri Arif
    991 views2 pages
    The greater sciatic foramen is bounded anteriorly by the greater sciatic notch, posteriorly by the sacrotuberous ligament, superiorly by the anterior sacroiliac ligament, and inferiorly by the sacrospinous ligament and ischial spine. It contains the piriformis muscle, superior gluteal nerve and vessels above the piriformis, and the inferior gluteal nerve, sciatic nerve, pudendal nerve and vessels below the piriformis.

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    The greater sciatic foramen is bounded anteriorly by the greater sciatic notch, posteriorly by the sacrotuberous ligament, superiorly by the anterior sacroiliac ligament, and inferiorly by the sacrospinous ligament and ischial spine. It contains the piriformis muscle, superior gluteal nerve and vessels above the piriformis, and the inferior gluteal nerve, sciatic nerve, pudendal nerve and vessels below the piriformis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    991 views2 pages

    Greater Sciatic Foramen

    Uploaded by

    Yusri Arif
    The greater sciatic foramen is bounded anteriorly by the greater sciatic notch, posteriorly by the sacrotuberous ligament, superiorly by the anterior sacroiliac ligament, and inferiorly by the sacrospinous ligament and ischial spine. It contains the piriformis muscle, superior gluteal nerve and vessels above the piriformis, and the inferior gluteal nerve, sciatic nerve, pudendal nerve and vessels below the piriformis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Greater Sciatic Foramen

    Boundaries
     Anterior: Greater sciatic notch
     Posterior: Sacrotuberous ligament
     Superior: Anterior sacroiliac ligament
     Inferior: Sacrospinous ligament & ischial spine

    Contents
    1. Piriformis muscle
    a. Takes origin from front of middle 3 sacral segments
    b. Passes through the foramen to be inserted into tip of greater
    trochanter of femur
    2. Above piriformis
    a. Superior gluteal nerve (L4,5, S1)
    i. Branch from sacral plexus appears above the piriformis
    ii. Divides into
    1. Ascending branch to supply gluteus medius
    2. Descending branch tp supply gluteus maximus & tensor
    fascia lata
    b. Superior gluteal artery
    i. Largest terminal branch of posterior division of internal iliac
    artery
    ii. Divides into
    1. Superficial branch to supply gluteus maximus
    2. Deep branch to supply gluteus medius, gluteus minimus &
    tensor fascia lata
    c. Superior gluteal vein
    i. Terminates into internal iliac vein
    3. Below piriformis
    a. Inferior gluteal nerve (L5, S1, 2)
    i. Branch of sacral plexus to supply gluteus maximus
    b. Inferior gluteal artery
    i. Branch from anterior division on internal iliac artery
    ii. Shares in cruciate anastomosis
    iii. Supplies sciatic nerve & gluteus maximus
    c. Inferior gluteal vein
    i. Ends in internal iliac vein
    d. Sciatic nerve
    i. Descends of the back of ischium & back of the thigh
    e. Nerve to quadratus femoris
    i. Branch from sacral plexus
    ii. Descends deep to sciatic nerve to supply inferior gemillus and
    quadratus femoris
    f. Posterior cutaneous nerve of thigh
    i. Branch of sacral plexus
    ii. Descends superficial to sciatic nerve
    iii. Continues on the back of thigh down to upper part of back of leg
    g. Nerve to obturator internus
    i. Branch of sacral plexus
    ii. Turns around ischial spine to enter the lesser sciatic foramen and
    supplies superior gemellus & obturator internus
    h. Internal pudendal artery
    i. Branch of internal iliac artery
    ii. Curves around tip if ischial spine to enter the lesser sciatic
    foramen
    i. Pudendal nerve
    i. Turns around sacrospinous ligament medial to the internal
    pudendal artery to enter the lesser sciatic foramen

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