| Bone: Iliac crest | |
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| Pelvic girdle. | |
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| Overview of Ilium as largest bone of the pelvis. | |
| Latin | crista iliaca |
| Gray's | subject #57 234 |
The crest of the ilium (or iliac crest) is the superior border of the wing of ilium and the superolateral margin of the greater pelvis.
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Anatomy
The iliac crest stretches posteriorly from the anterior superior iliac spine (ASIS) to the posterior superior iliac spine (PSIS). Behind the ASIS, it divides into an outer and inner lip separated by the intermediate zone. The outer lip bulges laterally into the iliac tubercle. [1] Palpable in its entire length, the crest is convex superiorly but is sinuously curved, being concave inward in front, concave outward behind. [2]
It is thinner at the center than at the extremities.
Muscles
To the external lip are attached the Tensor fasciae latae, Obliquus externus abdominis, and Latissimus dorsi, and along its whole length the fascia lata; to the intermediate line the Obliquus internus abdominis. To the internal lip, the iliac fascia, the Transversus abdominis, Quadratus lumborum, Sacrospinalis, and Iliacus.
- Abdominal external oblique muscle
- Abdominal internal oblique muscle
- Transversus abdominis muscle
- Quadratus lumborum muscle
- Erector spinae
- Iliocostalis pars lumborum
- Longissimus pars thoracis[3]
- Latissimus dorsi
- Tensor fasciae latae
- Iliacus muscle
Embryology
The iliac crest is derived from endochondral bone.
Clinical significance
The iliac crest has a large amount of red bone marrow, and thus it is the site of bone marrow harvests (from both sides) to collect the stem cells used in bone marrow transplantation. The top of the iliac crests also marks the level of the fourth lumbar vertebral body (L4), above or below which lumbar puncture may be performed.
Additional images
 Muscles connecting the upper extremity to the vertebral column. Left iliac crest is labeled in red. |
 Plan of ossification of the hip bone. |
 The Obliquus internus abdominis. |
 Muscles of the iliac and anterior femoral regions. |
 The relations of the kidneys from behind. |
 Iliac crest labeled at center right. |
See also
Notes
References
- Bogduk, Nikolai; Endres, Stephen M. (2005). Clinical anatomy of the lumbar spine and sacrum (4th ed.). Elsevier Health Sciences. p. 106. ISBN 0443101191. http://books.google.com/books?id=UYC_NpoFfAsC&pg=PA106.
- Palastanga, Nigel; Field, Derek; Soames, Roger (2006). Anatomy and Human Movement: Structure and Function. Elsevier Health Sciences. ISBN 0750688149. http://books.google.com/books?id=rRtPExr9Hz8C&pg=PA334.
- Platzer, Werner (2004). Color Atlas of Human Anatomy, Vol. 1: Locomotor System (5th ed.). Thieme. ISBN 3-13-533305-1.
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated.
External links
- SUNY Figs 13:02-01 - "Superficial muscles of the gluteal region and posterior thigh."
- SUNY Labs 35:os-0104 - "Anterior Abdominal Wall: Osteology and Surface Anatomy "
- Atlas of anatomy at UMich back_bone30 - "The Back, Posterior View" (#4)
- Diagram at emedx.com
- Diagram at nih.gov
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