Tonic spasm of the levator ani, coccygeus
and piriformis muscle: relationship to coccygodynia and pain in the region of the hip and down the leg.
1) The ischioanal fossa is inferior to the pelvic diaphragm, which comprises the levator ani and coccygeus
The pelvic floor consists of several muscles, primarily the levator ani and coccygeus
The internal obturator muscle was elevated and sutured medially and laterally by coccygeus
and levator ani muscles using mattress pattern 1-0 polypropylene sutures followed by subcutanelous sutures using polygalactin 910.
4) Exposure and direct visualization of the sacrospinous ligament coccygeus
muscle complex require adequate dissection of the pararectal space, avoiding injury to the rectum.
Muscles of the Pelvic Floor Origin Insertion Pelvic Floor Muscle Coccygeus
Pelvic surface of Side of the coccyx and the ischial spine lower sacrum Levator ani (LA) Posterior surface Anococcygeal raphe of the body of the and coccyx pubis, arcus tendineus levator ani, ischial spine Layers of the Levator Ani Illiococcygeus Arcus tendineus Anococcygeal raphe (IC) levator ani, and and the coccyx the ischial spine (clinically called the levator plate) Pubococcygeus Posterior aspect Passes backward along (PC) of the superior the puborectalis muscle pubic ramis and inserts into the anococcygeal and the superior surface of the coccyx.
This diaphragm consists of the Levator Ani (LA) and coccygeus
muscles along with their superior and inferior investing layers of fasciae.
The pudendal nerve arises from sacral nerves S2-S4 and, after passing between the piriformis and coccygeus
muscles, leaves the pelvis through the distal part of the greater sciatic foramen.
If you palpate the ischial spines and continue to palpate medially and cephalad, you can usually palpate the coccygeus
muscle-sacrospinous ligament complex transperitoneally because a portion of the uterosacral ligament inserts into the sacrospinous ligament.
The relevant anatomy including the ischial spine, the sacrospinous ligament, the coccygeus
muscle, and the lateral side wall with White's line, is identified (Fig.
MUSCLE PRONUNCIATION brachii (biceps, triceps) bra'-ke-e (preferred) bra'-ke-i (accepted) cervicis (longissimus) ser'-ve-ses coccygeus
kak-sij'-e-es digiti minimi abductor) dij-et-e min'-e-me dorsi (latissimus) dor'-si interosseus dorsales in-ter-as'-e-es dor-sal'-es (preferred) sal', sal (accepted) genus (articularis) je'-nes (preferred) jen'-es (accepted) gracilis gras'-e-les hallucis (flexor .
It is comprised of the levator ani muscles and the coccygeus
muscles, as well as the surrounding fascia.