Reference > Anatomy of the Human Body > Page 476
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Henry Gray (1825–1861).  Anatomy of the Human Body.  1918.
 
  The Tensor fasciæ latæ (Tensor fasciæ femoris) arises from the anterior part of the outer lip of the iliac crest; from the outer surface of the anterior superior iliac spine, and part of the outer border of the notch below it, between the Glutæus medius and Sartorius; and from the deep surface of the fascia lata. It is inserted between the two layers of the iliotibial band of the fascia lata about the junction of the middle and upper thirds of the thigh.
  The Piriformis is a flat muscle, pyramidal in shape, lying almost parallel with the posterior margin of the Glutæus medius. It is situated partly within the pelvis against its posterior wall, and partly at the back of the hip-joint. It arises from the front of the sacrum by three fleshy digitations, attached to the portions of bone between the first, second, third, and fourth anterior sacral foramina, and to the grooves leading from the foramina: a few fibers also arise from the margin of the greater sciatic foramen, and from the anterior surface of the sacrotuberous ligament. The muscle passes out of the pelvis through the greater sciatic foramen, the upper part of which it fills, and is inserted by a rounded tendon into the upper border of the greater trochanter behind, but often partly blended with, the common tendon of the Obturator internus and Gemelli.

Variations.—It is frequently pierced by the common peroneal nerve and thus divided more or less into two parts. It may be united with the Glutæus medius, or send fibers to the Glutæus minimus or receive fibers from the Gemellus superior. It may have only one or two sacral attachments or be inserted in to the capsule of the hip-joint. It may be absent.


FIG. 435– The obturator membrane. (See enlarged image)


Obturator Membrane (Fig. 435).—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

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