Ischial spine
Capsule of hip-joint (distended). Posterior aspect. (Spine of ischium labeled at upper left.)
Left hip-joint, opened by removing the floor of the acetabulum from within the pelvis. (Spine of ischium labeled at center left.)
LatinSpina ischiadica
Spina ischiaca
Spina ischialis
Anatomical terms of bone

The ischial spine is part of the posterior border of the body of the ischium bone of the pelvis. It is a thin and pointed triangular eminence, more or less elongated in different subjects.


Part Attachment
external surface gemellus superior muscle[1]
internal surface coccygeus muscle,[2] levator ani muscle, pelvic fascia
pointed extremity sacrospinous ligament

The pudendal nerve travels close to the ischial spine.[3]

Clinical significance

The ischial spine can serve as a landmark in pudendal anesthesia, as the pudendal nerve lies close to the ischial spine.[3][4]

Additional images


Public domain This article incorporates text in the public domain from page 235 of the 20th edition of Gray's Anatomy (1918)

  1. ^ Chaitow, Leon; DeLany, Judith (2011-01-01), Chaitow, Leon; DeLany, Judith (eds.), "Chapter 12 - The hip", Clinical Application of Neuromuscular Techniques, Volume 2 (Second Edition), Oxford: Churchill Livingstone, pp. 391–445, doi:10.1016/b978-0-443-06815-7.00012-7, ISBN 978-0-443-06815-7, retrieved 2021-02-19
  2. ^ Bharucha, ADIL E.; Klingele, CHRISTOPHER J. (2005-01-01), Dyck, Peter J.; Thomas, P. K. (eds.), "Chapter 13 - Autonomic and Somatic Systems to the Anorectum and Pelvic Floor", Peripheral Neuropathy (Fourth Edition), Philadelphia: W.B. Saunders, pp. 279–298, doi:10.1016/b978-0-7216-9491-7.50016-8, ISBN 978-0-7216-9491-7, retrieved 2021-02-19
  3. ^ a b Christo, Paul J.; Hobelmann, Greg (2009-01-01), Smith, HOWARD S. (ed.), "Chapter 29 - PELVIC PAIN", Current Therapy in Pain, Philadelphia: W.B. Saunders, pp. 216–227, doi:10.1016/b978-1-4160-4836-7.00029-8, ISBN 978-1-4160-4836-7, retrieved 2021-02-19
  4. ^ "Clinical Case - Perineum & External Genitalia". Archived from the original on 2011-07-17. Retrieved 2009-05-27.