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Topic: Anterior superior iliac spine

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	Surgery Exposure Hip
		The tensor fascia lata is retracted anteriorly and the gluteus maximus posteriorly (Fig.
		The femoral insertion of the gluteus maximus on the gluteal tuberosity is identified and the incision in the fascia lata is extended approximately one finger’s breadth anterior to that insertion.
		The adductor brevis is innervated by the anterior branch and the adductor magnus is innervated by the sciatic nerve.
	www.aboutjoints.com /physicianinfo/topics/surgeryexposure/hip/surgeryexposurehip.htm (7751 words)

	CHAPTER 25: ABDOMINAL WALLS
		The inguinal ligament is in the groin and extends from the anterior superior iliac spine to the pubic tubercle.
		Its inferior edge extends from the anterior superior iliac spine to the pubic tubercle and is known as the inguinal ligament.
		The anterior sheath is comprised of the aponeurosis of the external oblique and an anterior layer of the aponeurosis of internal oblique; the posterior sheath of the posterior layer of the internal oblique and the aponeurosis of the transversus abdominis muscle.
	www.dartmouth.edu /~humananatomy/part_5/chapter_25.html (3408 words)

	XII. Surface Anatomy and Surface Markings. 14. Surface Markings of the Lower Extremity. Gray, Henry. 1918. Anatomy of ...
		—The anterior superior iliac spine is at the level of the sacral promontory—the posterior at the level of the spinous process of the second sacral vertebra.
		The surface markings of the posterior inferior iliac spine and the ischial spine are both situated in a line which joins the posterior superior iliac spine to the outer part of the ischial tuberosity; the posterior inferior spine is 5 cm.
		A second line is drawn from the posterior superior iliac spine to the outer part of the ischial tuberosity; the junction of its lower with its middle third marks the point of emergence of the inferior gluteal and internal pudendal arteries from the lower part of the greater sciatic
	www.bartleby.com /107/292.html (1281 words)

	XII. Surface Anatomy and Surface Markings. 8. Surface Markings of the Abdomen. Gray, Henry. 1918. Anatomy of the Human ...
		Below, the main landmarks are the symphysis pubis and the pubic crest and tubercle, the anterior superior iliac spine, and the iliac crest.
		—The line of the iliac colon is from the end of the descending colon to the left lateral line at the level of the anterior superior iliac spine.
		Of the larger branches of the abdominal aorta, the celiac artery is 4 cm., the superior mesenteric 2 cm.
	www.bartleby.com /107/286.html (2267 words)

	Chapter 12: THE BONES OF THE LOWER LIMB
		The anterior extent of the iliac crest is the anterior superior iliac spine, to which the inguinal ligament is attached, and the posterior extent is the posterior superior iliac spine.
		Inferior to the anterior inferior spine and anterior to the acetabulum, the junction of the ilium and pubis forms a diffuse swelling, the iliopubic eminence.
		The superior border of the patella is the base of the triangle, and lateral and medial borders descend to converge at the apex.
	www.dartmouth.edu /~humananatomy/part_3/chapter_12.html (6163 words)

	Abdomen Terms
		Superior epigastric artery anastomoses with inferior epigastric, anterior* branches of subcostal arteries, and anterior and collateral branches of posterior intercostals.
		Gluteal arteries- The superior gluteal artery is a branch of the posterior division of the internal iliac artery, it leaves the pelvis through the greater sciatic foramen superior to piriformis muscle and serves the gluteal muscles in the buttock.
		The inferior gluteal artery is a branch of the anterior division of the internal iliac artery, it leaves the pelvis through the inferior part of the greater sciatic foramen, goes inferior to piriformis muscle and serves the muscles and skin of the inferior buttock and posterior thigh.
	umed.med.utah.edu /ms1/anatomy/study/ab_defined.html (8056 words)

	SPINE DOCTOR - Surgery
		Anterior iliac crest bone grafts are used for anterior interbody fusion of the cervical, thoracic, or lumbosacral spine.
		The superior gluteal nerve innervates the gluteus medius and minimus, and the inferior gluteal nerve innervates the gluteus maximus.
		The superior gluteal artery is adjacent to the bony rim.
	www.spine-dr.com /site/surgery/s_bone_grafts.html (11137 words)

	Somasimple Fascial Entrapments of Nerves
		The distances from the medial branch of the superior cluneal nerve to the posterior superior iliac crest and the midline were 64.7 +/- 5.3 mm and 81.0 +/- 9.2 mm, respectively.
		The distances between the level of the iliac crest and perforating points of the superior cluneal nerve on the thoracolumbar fascia were 5.8 +/- 1.8 mm inferiorly for the medial branch, 2.2 +/- 1.8 mm superiorly for the intermediate branch, and 12.0 +/- 4.4 mm superiorly for the lateral branch, respectively.
		The iliac insertion of the iliolumbar ligament is inaccessible to palpation, being shielded by the iliac crest.
	www.somasimple.com /fascial_entrapments.htm (3277 words)

	Pelvis
		The anterior superior iliac spine and pubic tubercle are in the same vertical plane.
		With one exception, the arteries of the pelvis are branches of the internal iliac artery.
		The nerves of the pelvis are derived from the:
	mywebpages.comcast.net /wnor/pelvis.htm (2000 words)

	Dorlands Medical Dictionary
		ili´aca poste´rior infe´rior [TA] posterior inferior iliac spine: a blunt bony projection from the posterior border of the ilium, corresponding to the posterior lower extremity of the facies auricularis and the posterior upper extremity of the incisura ischiadica major.
		ischia´lis spine of ischium: a strong process of bone projecting backward and medialward from the posterior border of the ischium, on a level with the lower border of the acetabulum and serving to separate the major and minor ischiadic notches.
		nasa´lis ante´rior maxil´lae [TA] anterior nasal spine of maxilla: the sharp anterosuperior projection at the anterior extremity of the nasal crest of the maxilla.
	www.mercksource.com /pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszSzcommonzSzdorlandszSzdorlandzSzdmd_s_18zPzhtm (3034 words)

	Hip Dissection (Site not responding. Last check: 2007-11-07)
		The sartorious is attached to the anterior superior iliac spine and distally to the superior part of the medial surface of the tibia.
		The superior parallel border runs from the posterior superior iliac spine to pass superior to the greater trochanter.
		The fibrous capsule is reinforced anteriorly by the strong iliofemoral ligament which attaches to the anterior inferior liiac spine and acetabular rim proximally and th the intertrochanteric line distally.
	www.bms.ed.ac.uk /services/webspace/ssm/hipdiss.htm (547 words)

	The lower limb
		a superior horizontal group, draining the subcutaneous tissues of the anterior abdominal wall inferior to the umbilicus, of the penis and scrotum, or the vulva and distal part of the vagina, the gluteal region, the perineum and distal part of the anal canal.
		The branches of the anterior tibial artery are the:
		is attached superiorly to the anterior inferior iliac spine and to the acetabular margin.
	www.indstate.edu /thcme/duong/lower.html (6340 words)

	sBMJ \| Picture Quiz: Know your anatomy--the femoral triangle
		The femoral artery lies at the midinguinal point, which is midway between the pubic symphysis and anterior superior iliac spine and is the inferior extremity of the midclavicular line.
		The inguinal ligament is the upturning of the aponeurosis of the external oblique and attaches from the anterior superior iliac spine to the pubic tubercle.
		The pubic symphysis is a secondary cartilaginous joint between the bodies of the pubic bones, and the pubic tubercle is a small bony projection on the upper surface of the body of the pubis (fig 2).
	www.studentbmj.com /issues/03/09/education/318.php (745 words)

	Ilioinguinal approach
		Dissect the iliacus muscle subperiosteally from the iliac crest, elevating it from the internal iliac fossa as far medially as the anterior aspect of the sacroiliac joint and distally to the iliopectineal eminence.
		The nutrient foramen of the posterior and inferior part of the iliac fossa is located 1 to 2 cm from the sacroiliac joint and the pelvic brim.
		A second penrose is passed from the middle window to the midline opening of the linea albae containing the external iliac vessels, contents of the inguinal canal medial to the iliopsoas, and the affected side rectus abdominus.
	www.rcsed.ac.uk /fellows/lvanrensburg/classification/approaches/ilioinguinal_approach.htm (1096 words)

	Feely's Abridged Osteopathic Dictionary \| -I-
		Inferior innominate: (iliac) shear: a somatic dysfunction (qv) in which the anterior superior iliac spine (ASIS) and posterior superior iliac spines (PSIS) are inferior to the contralateral landmarks;the ilium (innominate pelvic bone) moves more freely in an inferior direction and is restricted in superior motion.
		Posterior:(background) innominate (iliac) rotation: a somatic dysfunction is which the anterior superior iliac spine (ASIS) are posterior and superior to the contralateral landmarks; the ilium moves more fully in a posterior direction and is restricted in an anterior inferior motion.
		Superior innominate (iliac) shear: a somatic dysfunction in which the anterior superior iliac spine (ASIS) and posterior superior iliac spines (PSIS) are superior to the contralateral landmarks; the ilium (innominate pelvic bone) moves more freely in a superior direction and is restricted in inferior motion.
	www.drfeely.com /doctors/osteo_dict_i.htm (450 words)

	Book Excerpt - Clinical Applications of Human Anatomy: A Laboratory Guide
		Mark this border of the anterior abdominal wall on both sides with a line extending from the xiphoid process to the inferior margin of the 11th rib in the midaxillary line.
		Mark this border of the ilium with a line extending from the iliac crest in the midaxillary line to the anterior superior iliac spine on both sides.
		Palpate the inguinal ligament from its superolateral attachment on the anterior superior iliac spine to its inferomedial attachment on the pubic tubercle.
	www.slackbooks.com /excerpts/45988/45988.asp (606 words)

	Unit V
		Anterior Superior Iliac Spine (ASIS) – this is the most anterior portion of the ilium; it is a small, sharp bony prominence.
		Posterior Superior Iliac Spine (PSIS) – this is the posterior bony prominence of the ilium.
		The anterior sacroiliac ligaments are located on the anterior surface and attach from the ilium to the sacrum.
	www.courses.vcu.edu /DANC291-003/unit_5.htm (3233 words)

	Anatomy Tables - Anterior & Medial Thigh
		ridge on superior surface of the superior pubic ramus
		ridge on the superior border of the superior ramus
		anterior and posterior divisions of the obturator nerve lie on the anterior and posterior surfaces of adductor brevis
	www.med.umich.edu /lrc/coursepages/M1/anatomy/html/musculoskeletal_system/thigh_tables.html (1769 words)

	[No title] (Site not responding. Last check: 2007-11-07)
		Know the significance of the following in terms of attachments and relationships of the inguinal ligament and external genitalia: ischiopubic ramus (for attachment of the crura and UG diaphragm) pubic tubercle (medial attachment of inguinal ligament) anterior superior iliac spine (lateral attachment of inguinal ligament) The inguinal ligament is not a true ligament.
		The inguinal canal is an oblique passage through the anterior abdominal wall which connects the extra peritoneal space of the abdomen to either the scrotum or the labia majora.
		It is triangularly shaped with two of it's vertices being the ischial spines and the third being the pubic symphysis.
	www.med.unc.edu /wms/firstaid/ga3_pelvis1-98.doc (2788 words)

	The Hip
		Inferior to the posterior interior iliac spine is the greater sciatic notch.
		The gluteus arises from the posterior aspect of the iliac crest, the sacrum, the coccyx, and the sacrotuberous ligament.
		The rectus abdominus is the anterior muscle of the abdominal wall, rising from the middle ribs, passing down the abdomen and narrowing as it insert onto the pubis.
	topcondition.com /members/hip.htm (2184 words)

	Meralgia Paresthetica \| Brad McKechnie, DC, DACAN
		The nerve may be angulated or compressed against a sharp edge of fascia as it pierces the iliac fascia prior to exiting the pelvis beneath the inguinal ligament.
		The nerve may be compressed as it crosses the iliac crest or may be compressed within the substance of the sartorius muscle or tensor fascia lata muscle.
		Numerous factors may contribute to mechanical damage of the lateral femoral cutaneous nerve as it exits under the inguinal ligament, such as obesity, constricting garments or girdles, direct pressure on the thigh in the region of the nerve, postural alterations, or increased demands placed on the abdominal muscles secondary to pregnancy or marching.
	www.chiroweb.com /archives/10/17/01.html (678 words)

	PELVIS FRACTURES IN SPORTS
		The localisations were Ischial Tuberosity (IT) 109 cases, Anterior Inferior Iliac Spine (AIIS) 45 cases, Anterior Superior Iliac Spine (ASIS) 39 cases, Superior Corner of Pubic Symphysis (SCPS) 7 cases and Iliac Crest (IC) 3 cases.
		Avulsion fractures of apophyses and spines of the pelvis are usually considered uncommon injuries, seen almost exclusively in adolescent athletes mainly as a result of the sudden, forceful or unbalanced contraction of the attached musculo-tendinous unit, while the subject is engaged in a sporting event such as kicking a ball, running or jumping.
		The purpose of this study was to ascertain the prevalence, location and sports distribution of avulsion fractures of the pelvis demonstrated radiographically in a numerous sample of symptomatic elite athletic population.
	www.sportmedicina.com /pelvisfractures.htm (1550 words)

	Arthritis Research Campaign \| Anterior Knee Pain (Site not responding. Last check: 2007-11-07)
		The majority of anterior knee pain is seen in adolescents, before skeletal maturity, and in young adults, after skeletal maturity, and could be said to be biomechanical in nature.
		A line drawn from the anterior superior iliac spine to the centre of the patella and a line drawn from the centre of the patella to the tibial tubercle form the Q angle.
		Anterior knee pain is a benign condition and the majority of cases have a good long-term outcome, but most patients have persistence of some pain.
	www.arc.org.uk /about_arth/med_reports/series5/ho/6524/6524.htm (2462 words)

	Extended Iliofemoral Approach
		Incision starts at the posterior superior iliac spine, proceeds around the iliac crest to the anterior superior iliac spine and then continues anterolaterally down the thigh.
		The internal iliac fossa could be exposed by releasing the abdominal muscles from the iliac crest.
		Access to the anterior column could be obtained by releasing sartorius and the inguinal ligament from the anterior superior iliac spine and the direct head of rectus from the anterior inferior iliac spine.
	www.rcsed.ac.uk /fellows/lvanrensburg/classification/approaches/iliofemoral_approach.htm (529 words)

	SHOULDER AND PELVIC GIRDLE
		The exterior border of the scapula is usually not visible as it is crossed by several muscles that move the arm.
		Important construction points on the scapula are: the interior border and inferior angle which are usually visible and the spine of the scapula.
		the iliac crest - this is subcutaneous almost all the way along the anterior crest in the male living figure and about 2/3 of the way on the female.
	home.comcast.net /~barbbranham/shoulder.htm (858 words)

	New York School Of Regional Anesthesia - Sciatic Nerve Block (Anterior Approach)
		The roots of the lumbosacral plexus form on the anterior surface of the sacrum and are assembled into the sciatic nerve on the anterior surface of the piriformis muscle.
		The muscular branches of the sciatic nerve are distributed to the biceps femoris, semitendinosus, semimembranosus, and to the ischial head of the adductor magnus; the branches of the latter two arise by a common trunk.
		The shaded areas indicate the cutaneous distribution of anesthesia with the anterior approach to the block of the sciatic nerve.
	www.nysora.com /techniques/advanced/sciatic-ant/sciatic-ant.html (2527 words)

	Bonetumor.org - The Web's Most Comprehensive Bone Tumor Resource
		On the left side of the pelvis, there is a palpable mass just inside the anterior superior iliac spine that is mildly tender.
		There is an abnormality in the left hemipelvis with a intraosseous and extra osseous mass arising from the ileum, with abnormal signal in the ileum from the anterior superior iliac spine all the way down to the supra-acetabular area at the top of the hip joint.
		There is a soft tissue mass both on the inside and on the outside of the pelvis, it measures at least eight or 10 cm in maximum dimension.
	www.bonetumor.org /COM/caseMay2004bis.htm (437 words)

	Untitled Document
		Note the inguinal ligament between the anterior, superior iliac spine and the pubic tubercle.
		One (direct head) is on the anterior inferior iliac spine; the other (indirect head) is on the superior lip of the acetabulum.
		Draw a line from the posterior superior iliac spine to the greater trochanter.
	info.med.yale.edu /surgery/anatomy/VisibleHumanLessonPlans/HipSurgeryNerveBlock.htm (634 words)

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