Pelvic Girdle: Ischium

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2–3 minutes

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The ischium is one of the three bones that form the coxal or hip bones.  The ilium, ischium, and pubis are all fused together to form the coxal bones.

Illustration contrasting medial and lateral views of the right coxal bone (hip bone). The medial view on the left reveals the obturator foramen. The lateral view on the right shows the acetabulum.
Right coxal bone illustration, medial and lateral views.
  • Ischial tuberosity
  • Ischial spine
  • Ischial ramus
  • Lesser sciatic notch
  • Acetabulum
  • Obturator foramen


Let’s do the easy stuff first.  The big hole in the hip bone is called the obturator foramen.  The big depression in the hip bone is what you might want to call the hip socket. It has a more complicated name: acetabulum.  This word means vinegar cup.  The acetabulum shows us that the hip bone is actually three different bones. These bones are fused together: the ilium, ischium, and the pubis or the pubic bone.  These three bones come together at the acetabulum, giving it its strength. 

Have you ever had to sit on the floor or a hard chair? You might have felt like your butt bone hurts. This is the ischium portion of your hip bones. Like the pubic bone, the ischium is inferior to the ilium, however it is posterior instead of anterior. The ischium curves around the obturator foramen. The ischial ramus is on the inside of the curve. It is where the border of the ischium and pubis is located. From pictures, it can look as if the ischial tuberosity is directly opposite of the ischial ramus. However, it is slightly more superior on the ischium than the ramus.

I use the sciatic notches to help me determine if I am looking at the left or right bone. They also help me determine which direction is anterior. The lesser sciatic notch is located just below the ischial spine, a projection to which many pelvic floor muscles attach. Sometimes, students confuse the ischial spine with the pubic crest. This can be addressed by observing the greater sciatic notch. There is no notch of similar size on the anterior of the hip bones.

3D gray-scale illustration of a posterior view of the hip bones. Key structures are labeled with green lines, including the posterior superior iliac spine, posterior inferior iliac spine, greater sciatic notch, and ischial tuberosity. Part of the femur is visible on the left.
Posterior view of the hip bones labeled with structures like the ischial tuberosity and the posterior superior iliac spine
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A 3D diagram of the human ilium, viewed from a lateral perspective. Key anatomical features are labeled with green lines and text: the iliac crest (the upper border of the ilium), the anterior superior iliac spine, the greater sciatic notch, the lesser sciatic notch, and the ischial tuberosity. These labels point to their respective locations on the gray scale 3D anatomical model. The position of the femur is also present, as well as a bit of the spine. The context is educational, likely showing a user the location of anatomical features.
Ilium Anatomy: 3D diagram of the ilium, with labels for the iliac crest, sciatic notch, and ischial tuberosity.
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