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PELVIC BONES • Hip bone • Sacrum • coccyx 1 PELVIC MUSCLES piriformis obturator internus levator ani coccygeus Muscle Origin Insertion Action piriformis anterior surface of sacrum greater trochanter of femur laterally rotates and abducts thigh obturator internus the internal surface of the obturator membrane and margin of the obturator foramen greater trochante laterally rotates and abducts the thigh levator ani posterior surface of the body of the pubis, fascia of the obturator internus m., ischial spine perineal body, anococcygeal body and coccyx elevates the pelvic floor coccygeus ischial spine side of the coccyx and lower sacrum elevates the pelvic floor • Levator ani is the main muscle of the pelvic floor. It forms a funnel-shaped diaphragm in the pelvis between the lateral hip walls, the pubis anteriorly and the coccyx posteriorly. It is traversed by different structures in each sex: • males: • • urethra • anal canal females: • urethra • vagina • anal canal • Often, levator ani is considered as several separate muscle parts: • pubovaginalis • iliococcygeus • pubococcygeus • puborectalis • However they have common features: • origin: from a tendinous arch between the pubis and ischial spine on the internal surface of the pelvis • insertion: • perineal body • external wall of anal canal • anococcygeal ligament • coccyx