Piriformis

Musculus piriformis

MuscularDeep musclesPelvisLeft and right

View left in 3D View right in 3D

What it is
Pear-shaped muscle arising from the front (pelvic) surface of the sacrum; it leaves the pelvis through the greater sciatic foramen and inserts on the upper border of the greater trochanter.
Function
Laterally rotates the extended hip, abducts the flexed hip and helps hold the femoral head in the acetabulum.
Size
About 12 cm long, 3-4 cm wide at its origin.
Clinical note
Landmark of the buttock: vessels and nerves are described as above or below it. The sciatic nerve passes beneath it (or through it in ~10-15 % of people) - the anatomical basis of "piriformis syndrome".