Ischium
Os ischii
Also known as: ischial tuberosity, sitting bone, ischial spine
The posteroinferior part of the hip bone, comprising a body and a ramus. Its ischial tuberosity bears the body’s weight when sitting.
Overview
The body of the ischium forms the posteroinferior part of the acetabulum. On its posterior border projects the triangular ischial spine, which separates the greater sciatic notch above from the lesser sciatic notch below and anchors the sacrospinous ligament and coccygeus. Below the lesser notch lies the large, rough ischial tuberosity — the "sitting bone" — which gives origin to the hamstrings (semimembranosus, semitendinosus, long head of biceps femoris) and the ischial part of adductor magnus, and attachment to the sacrotuberous ligament. The ischial ramus passes forward to fuse with the inferior pubic ramus, forming the ischiopubic ramus that bounds the obturator foramen and the pubic arch and gives attachment to the crura of the penis/clitoris and the perineal membrane.
- Location
Posteroinferior hip bone; palpable in the buttock when sitting.
Parts & subdivisions
- BodyPosteroinferior acetabulum.
- Ischial spineSacrospinous ligament; pudendal nerve crosses behind it — landmark for pudendal nerve block.
- Hamstring origin; sacrotuberous ligament; bears weight in sitting.
- Ischial ramusJoins the inferior pubic ramus (ischiopubic ramus).
- Lesser sciatic notchObturator internus tendon passes through.
Anatomy
- Articulations
Fused with ilium and pubis.
- Ossification
Primary centre ≈4 months fetal; secondary centre for the ischial tuberosity at puberty (fuses ≈20–25 years).
Function
- Supports the body weight when sitting
- Origin of the hamstrings and adductor magnus
- Forms part of the acetabulum and pelvic outlet
Clinical significance
Pudendal nerve block
Local anaesthetic is injected transvaginally near the ischial spine, where the pudendal nerve crosses the sacrospinous ligament, to anaesthetise the perineum during childbirth.
Ischial bursitis and pressure sores
Prolonged sitting irritates the ischial bursa ("weaver’s bottom"); in immobile patients ischial pressure ulcers develop.
Compiled from standard anatomy and physiology references — see the Skeletal System sources. For education only; not medical advice.