The pelvis is either the lower part of the trunk of the human body between the abdomen and the thighs or the skeleton embedded in it. The pelvic region of the trunk includes the bony pelvis, the pelvic cavity, the pelvic floor, below the pelvic cavity, the perineum, below the pelvic floor; the pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs, they are attached to the sacrum posteriorly, connected to each other anteriorly, joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and consists of the reproductive organs and the rectum, while the pelvic floor at the base of the cavity assists in supporting the organs of the abdomen. In mammals, the bony pelvis has a gap in the middle larger in females than in males, their young pass through this gap.
The pelvic region of the trunk is the lower part of the trunk, between the thighs. It includes several structures: the bony pelvis, the pelvic cavity, the pelvic floor, the perineum; the bony pelvis is the part of the skeleton embedded in the pelvic region of the trunk. It is subdivided into the pelvic spine; the pelvic girdle is composed of the appendicular hip bones oriented in a ring, connects the pelvic region of the spine to the lower limbs. The pelvic spine consists of the coccyx; the pelvic cavity defined as a small part of the space enclosed by the bony pelvis, delimited by the pelvic brim above and the pelvic floor below. Each hip bone consists of 3 sections, ilium and pubis. During childhood, these sections are separate bones, joined by the triradiate cartilage. During puberty, they fuse together to form a single bone; the pelvic cavity is a body cavity, bounded by the bones of the pelvis and which contains reproductive organs and the rectum. A distinction is made between the lesser or true pelvis inferior to the terminal line, the greater or false pelvis above it.
The pelvic inlet or superior pelvic aperture, which leads into the lesser pelvis, is bordered by the promontory, the arcuate line of ilium, the iliopubic eminence, the pecten of the pubis, the upper part of the pubic symphysis. The pelvic outlet or inferior pelvic aperture is the region between the subpubic angle or pubic arch, the ischial tuberosities and the coccyx. Ligaments: obturator membrane, inguinal ligament Alternatively, the pelvis is divided into three planes: the inlet and outlet; the pelvic floor has two inherently conflicting functions: One is to close the pelvic and abdominal cavities and bear the load of the visceral organs. To achieve both these tasks, the pelvic floor is composed of several overlapping sheets of muscles and connective tissues; the pelvic diaphragm is composed of the coccygeus muscle. These arise between the symphysis and the ischial spine and converge on the coccyx and the anococcygeal ligament which spans between the tip of the coccyx and the anal hiatus; this leaves a slit for the urogenital openings.
Because of the width of the genital aperture, wider in females, a second closing mechanism is required. The urogenital diaphragm consists of the deep transverse perineal which arises from the inferior ischial and pubic rami and extends to the urogential hiatus; the urogenital diaphragm is reinforced posteriorly by the superficial transverse perineal. The external anal and urethral sphincters close the urethra; the former is surrounded by the bulbospongiosus which narrows the vaginal introitus in females and surrounds the corpus spongiosum in males. Ischiocavernosus clitoridis. Modern humans are to a large extent characterized by large brains; because the pelvis is vital to both locomotion and childbirth, natural selection has been confronted by two conflicting demands: a wide birth canal and locomotion efficiency, a conflict referred to as the "obstetrical dilemma". The female pelvis, or gynecoid pelvis, has evolved to its maximum width for childbirth—a wider pelvis would make women unable to walk.
In contrast, human male pelvises are not constrained by the need to give birth and therefore are more optimized for bipedal locomotion. The principal differences between male and female true and false pelvis include: The female pelvis is larger and broader than the male pelvis, taller and more compact; the female inlet is oval in shape, while the male sacral promontory projects further. The sides of the male pelvis converge from the inlet to the outlet, whereas the sides of the female pelvis are wider apart; the angle between
The gluteus maximus is the main extensor muscle of the hip. It is the largest and most superficial of the three gluteal muscles and makes up a large portion of the shape and appearance of each side of the hips, its thick fleshy mass, in a quadrilateral shape, forms the prominence of the buttocks. Its large size is one of the most characteristic features of the muscular system in humans, connected as it is with the power of maintaining the trunk in the erect posture. Other primates can not sustain standing erectly; the muscle is remarkably coarse in function and structure, being made up of muscle fascicles lying parallel with one another, collected together into larger bundles separated by fibrous septa. It arises from the posterior gluteal line of the inner upper ilium, a pelvic bone, the portion of the bone including the crest of the ilium above and behind it; the fibers are lateralward. Three bursae are found in relation with the deep surface of this muscle: One of these, of large size, separates it from the greater trochanter.
When the gluteus maximus takes its fixed point from the pelvis, it extends the acetabulofemoral joint and brings the bent thigh into a line with the body. Taking its fixed point from below, it acts upon the pelvis, supporting it and the trunk upon the head of the femur, its most powerful action is to cause the body to regain the erect position after stooping, by drawing the pelvis backward, being assisted in this action by the biceps femoris, semitendinosus and adductor magnus. The gluteus maximus is a tensor of the fascia lata, by its connection with the iliotibial band steadies the femur on the articular surfaces of the tibia during standing, when the extensor muscles are relaxed; the lower part of the muscle acts as an adductor and external rotator of the limb. The upper fibers act as abductors of the hip joints; the gluteus maximus is involved from running to weight-lifting. A number of exercises focus on the gluteus maximus as well as other muscles of the upper leg. Hip thrusts Glute bridge Quadruped hip extensions Kettlebell swings Squats and variations like split squats, pistol squats and wide-stance lunges Deadlift Reverse hyperextension Four-way hip extensions Glute-ham raise Functional assessment can be useful in assessing injuries to the gluteus maximus and surrounding muscles.
These tests include: 30 Second Chair to Stand testThis test measures a participant's ability to stand up from a seated position as many times as possible in a thirty-second period of time. Testing the number of times a person can stand up in a thirty-second period helps assess strength, flexibility and endurance, which can help determine how far along a person is in rehabilitation, or how much work is still to be done. Passive piriformis stretch; the piriformis test measures flexibility of the gluteus maximus. This requires a trained professional and is based on the angle of external and internal rotation in relation to normal range of motion without injury or impingement. In other primates, gluteus maximus consists of ischiofemoralis, a small muscle that corresponds to the human gluteus maximus and originates from the ilium and the sacroiliac ligament, gluteus maximus proprius, a large muscle that extends from the ischial tuberosity to a more distant insertion on the femur. In adapting to bipedal gait, reorganization of the attachment of the muscle as well as the moment arm was required.
Table of muscles of the human body Coccyx This article incorporates text in the public domain from page 474 of the 20th edition of Gray's Anatomy Anatomy photo:13:st-0403 at the SUNY Downstate Medical Center Cross section image: pelvis/pelvis-female-17—Plastination Laboratory at the Medical University of Vienna Cross section image: pelvis/pelvis-e12-15—Plastination Laboratory at the Medical University of Vienna Cross section image: pembody/body18b—Plastination Laboratory at the Medical University of Vienna Muscles/GluteusMaximus at exrx.net
Supernumerary body part
Supernumerary body parts are most a congenital disorder involving the growth of an additional part of the body and a deviation from the body plan. Body parts may be visible or hidden away, such as internal organs. Many additional body parts form by the same process as conjoined twins: the zygote begins to split but fails to separate; this condition may be a symptom of repeated occurrences of continuous inbreeding in a genetic line. Specific types of additional body parts include: Accessory breast – one or more additional breasts Accessory spleen – one or more additional spleens Cervical rib – an additional rib Diphallia – having two penes/penises Hermaphroditism – having male and female sex organs Hyperdontia – additional teeth Pelvic digit – a bony growth in the soft tissue of the pelvic region Polycephaly – an extra head Polydactyly – additional fingers or toes Polymelia — an extra arm or leg Polyorchidism – having three or more testicles Supernumerary bones – these additional bones are common in the feet, are mistaken for fractures on x-rays.
Supernumerary kidney – a third kidney Supernumerary musculature – presence of extra muscles such as additional heads of the biceps brachii, or coracobrachialis muscle variants Supernumerary nipples – an additional nipple Supernumerary phantom limbs – where the brain acts as though a limb were there, but it is not Syndactyly – webbing between the fingers or toes Uterus didelphys – two vaginal canals and/or uteri Vestigial structures are anatomical structures of organisms in a species which are considered to have lost much or all of their original function through evolution. These body parts can be classed as additional to the required functioning of the body. In human anatomy the vermiform appendix is sometimes classed as a vestigial remnant. Prosthesis is an artificial extension that replaces a body part, cybernetics is the study of computer technology in relation to organisms which can include replacement or additional body parts. Body integrity identity disorder is a psychiatric disorder in which a person thinks that they have one or more additional limbs than they should, despite having two arms and two legs.
People with this condition wish to amputate what they see as additional body parts. A phantom limb is the sensation. A supernumerary phantom limb is the sensation of having an extra limb or body part despite no such limb existing, it is an uncommon syndrome due to some kind of brain injuries in the somatosensory cortex or in some parts of the right hemisphere of the brain due to a stroke in the brain. A chimera is an animal or plant that has two or more different populations of genetically distinct cells that originated in different zygotes that have merged. A mosaic is a genetic anomaly similar in nature and effects to a chimera: genetically different populations of cells within one organism, originated from some propagated mutation of a single cell rather than from outside sources. In Hindu mythology, additional limbs and heads are considered a sign of power. In Greek mythology, the goddess of fertility, was sometimes represented as having numerous breasts; this was notable in the cult of Artemis celebrated in the ancient city of Ephesus, in modern Turkey.
In Japanese mythology, the god of the sea and storms, Susanoo, is sometimes depicted as having a third arm. In Hungarian mythology, having six fingers on a hand is held to be the sign of innate supernatural power. In the Bible, Goliath has brothers who have six toes. Triple deities Polydactyl cat Supernumerary Bones of the Foot
The lesser trochanter of the femur is a conical eminence, which varies in size in different subjects. It projects from the lower and back part of the base of the femur neck. From its apex three well-marked borders extend: two of these are above a medial continuous with the lower border of the femur neck a lateral with the intertrochanteric crest the inferior border is continuous with the middle division of the linea asperaThe summit of the trochanter is rough, gives insertion to the tendon of the Psoas major and the Iliacus, it can be involved in an avulsion fracture. Greater trochanter Third trochanter This article incorporates text in the public domain from page 245 of the 20th edition of Gray's Anatomy Anatomy figure: 13:01-11 at Human Anatomy Online, SUNY Downstate Medical Center lljoints at The Anatomy Lesson by Wesley Norman
The gluteal muscles are a group of three muscles which make up the buttocks: the gluteus maximus, gluteus medius and gluteus minimus. The three muscles insert on the femur; the functions of the muscles include extension, external rotation and internal rotation of the hip joint. The gluteus maximus is the most superficial of the three gluteal muscles, it makes up a large portion of the appearance of the hips. It is a narrow and thick fleshy mass of a quadrilateral shape, forms the prominence of the nates; the gluteus medius is a broad, radiating muscle, situated on the outer surface of the pelvis. It lies profound to the gluteus maximus and its posterior third is covered by the gluteus maximus, its anterior two-thirds by the gluteal aponeurosis, which separates it from the superficial fascia and integument; the gluteus minimus is the smallest of the three gluteal muscles and is situated beneath the gluteus medius. The bulk of the gluteal muscle mass contributes only to shape of the buttocks; the other major contributing factor is that of the panniculus adiposus of the buttocks, well developed in this area, gives the buttock its characteristic rounded shape.
The gluteal muscle bulk and tone can be improved with exercise. However, it is predominantly the disposition of the overlying panniculus adiposus which may cause sagging in this region of the body. Exercise in general which can contribute to fat loss can lead to reduction of mass in subcutaneal fat storage locations on the body which includes the panniculus, so for leaner and more active individuals, the glutes will more predominantly contribute to the shape than someone less active with a fattier composition; the degree of body fat stored in various locations such as the panniculus is dictated by genetic and hormonal profiles. The gluteus maximus arises from the posterior gluteal line of the inner upper ilium, the rough portion of bone including the crest above and behind it; the fibers are lateralward. Its action is to extend and to laterally rotate the hip, to extend the trunk; the gluteus medius muscle originates on the outer surface of the ilium between the iliac crest and the posterior gluteal line above, the anterior gluteal line below.
The fibers of the muscle converge into a strong flattened tendon that inserts on the lateral surface of the greater trochanter. More the muscle's tendon inserts into an oblique ridge that runs downward and forward on the lateral surface of the greater trochanter; the gluteus minimus is fan-shaped, arising from the outer surface of the ilium, between the anterior and inferior gluteal lines, behind, from the margin of the greater sciatic notch. The fibers converge to the deep surface of a radiated aponeurosis, this ends in a tendon, inserted into an impression on the anterior border of the greater trochanter, gives an expansion to the capsule of the hip joint; the functions of muscles includes extension, lateral rotation and medial rotation of the hip joint. The gluteus maximus supports the extended knee through the iliotibial tract. Sitting for long periods can lead to the gluteal muscles atrophying through constant pressure and disuse; this may be associated with lower back pain, difficulty with some movements that require the gluteal muscles, such as rising from the seated position, climbing stairs.
Any exercise that works and/or stretches the buttocks is suitable, for example lunges, hip thrusts, climbing stairs, bicycling, squats, arabesque and various specific exercises for the bottom. Weight training exercises which are known to strengthen the gluteal muscles include the squat, leg press, any other movements involving external hip rotation and hip extension. Gluteal crease McMinn, RMH Last applied. London: Churchill Livingstone. ISBN 0-443-04662-X 8b; the Muscles and Fasciæ of the Thigh Bartleby.com, Henry Gray, Anatomy of the Human Body, 1918
Lateral rotator group
The lateral rotator group is a group of six small muscles of the hip which all externally 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, except the obturator externus muscle, innervated by the lumbar plexus. 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 performing this action. Other muscles that contribute to lateral rotation of the hip include: Gluteus maximus muscle Gluteus medius muscle and gluteus minimus muscle when the hip is extended Psoas major muscle Psoas minor muscle Sartorius muscle Hip anatomy Glutealregion at The Anatomy Lesson by Wesley Norman
Skeletal muscle is one of three major muscle types, the others being cardiac muscle and smooth muscle. It is a form of striated muscle tissue, under the voluntary control of the somatic nervous system. Most skeletal muscles are attached to bones by bundles of collagen fibers known as tendons. A skeletal muscle refers to multiple bundles of cells joined together called muscle fibers; the fibers and muscles are surrounded by connective tissue layers called fasciae. Muscle fibers, or muscle cells, are formed from the fusion of developmental myoblasts in a process known as myogenesis. Muscle fibers have more than one nucleus, they have multiple mitochondria to meet energy needs. Muscle fibers are in turn composed of myofibrils; the myofibrils are composed of actin and myosin filaments, repeated in units called sarcomeres, which are the basic functional units of the muscle fiber. The sarcomere is responsible for the striated appearance of skeletal muscle and forms the basic machinery necessary for muscle contraction.
Connective tissue is present in all muscles as fascia. Enclosing each muscle is a layer of connective tissue known as the epimysium. Muscle fibers are the individual contractile units within a muscle. A single muscle such as the biceps brachii contains many muscle fibers. Another group of cells, the myosatellite cells are found between the basement membrane and the sarcolemma of muscle fibers; these cells are quiescent but can be activated by exercise or pathology to provide additional myonuclei for muscle growth or repair. DevelopmentIndividual muscle fibers are formed during development from the fusion of several undifferentiated immature cells known as myoblasts into long, multi-nucleated cells. Differentiation into this state is completed before birth with the cells continuing to grow in size thereafter. MicroanatomySkeletal muscle exhibits a distinctive banding pattern when viewed under the microscope due to the arrangement of cytoskeletal elements in the cytoplasm of the muscle fibers; the principal cytoplasmic proteins are myosin and actin which are arranged in a repeating unit called a sarcomere.
The interaction of myosin and actin is responsible for muscle contraction. Every single organelle and macromolecule of a muscle fiber is arranged to ensure form meets function; the cell membrane is called the sarcolemma with the cytoplasm known as the sarcoplasm. In the sarcoplasm are the myofibrils; the myofibrils are long protein bundles about 1 micrometer in diameter each containing myofilaments. Pressed against the inside of the sarcolemma are the unusual flattened myonuclei. Between the myofibrils are the mitochondria. While the muscle fiber does not have smooth endoplasmic cisternae, it contains a sarcoplasmic reticulum; the sarcoplasmic reticulum surrounds the myofibrils and holds a reserve of the calcium ions needed to cause a muscle contraction. Periodically, it has dilated end sacs known as terminal cisternae; these cross the muscle fiber from one side to the other. In between two terminal cisternae is a tubular infolding called a transverse tubule. T tubules are the pathways for action potentials to signal the sarcoplasmic reticulum to release calcium, causing a muscle contraction.
Together, two terminal cisternae and a transverse tubule form a triad. Muscle architecture refers to the arrangement of muscle fibers relative to the axis of force generation of the muscle; this axis is a hypothetical line from the muscle's origin to insertion. For some longitudinal muscles, such as the biceps brachii, this is a simple concept. For others, such as the rectus femoris or deltoid muscle, it becomes more complicated. While the muscle fibers of a fascicle lie parallel to one another, the fascicles themselves can vary in their relationship to one another and to their tendons; the different fiber arrangements produce broad categories of skeletal muscle architectures including longitudinal, unipennate and multipennate. Because of these different architectures, the tension a muscle can create between its tendons varies by more than its size and fiber-type makeup. Longitudinal architectureThe fascicles of longitudinally arranged, parallel, or fusiform muscles run parallel to the axis of force generation, thus these muscles on a whole function to a single, large muscle fiber.
Variations exist, the different terms are used more specifically. For instance, fusiform refers to a longitudinal architecture with a widened muscle belly, while parallel may refer to a more ribbon-shaped longitudinal architecture. A less common example would be a circular muscle such as the orbicularis oculi, in which the fibers are longitudinally arranged, but create a circle from origin to insertion. Unipennate architectureThe fibers in unipennate muscles are all oriented at the same angle relative to the axis of force generation; this angle reduces the effective force of any individual fiber, as it is pulling off-axis. However, because of this angle, more fibers can be packed into the same muscle volume, increasing the Physiological cross-sectional area; this effect is known as fiber packing, and—in terms of force generation—it more than overcomes the efficiency loss of the off-axis orientation. The trade-off comes in the total excursion. Overall muscle shortening speed is reduced compared to fiber shortening speed, as is the total distance of shortening.
All of these effects scale with pennation angle.