E5267/Kaminoff/fig8.8b/417740/alw/pulled-r1Vastus
lateralisPsoas
majorBiceps
femorisSciatic
nerveThe following illustrations show the relationship
of the sciatic nerve to the piriformis muscle in:
- neutral hip position (fi gure a);
- external rotation and abduction, which actually
shorten the piriformis (fi gure b); - hip fl exion, which begins the lengthening of the
piriformis and other external rotators (fi gure c); - and hip flexion combined with adduction,
which puts the piriformis into maximal length,
along with the sciatic nerve (fi gure d).
Folded-forward variation.E5267/Kaminoff/fig8.9a/417741/alw/pulled-r2E5267/Kaminoff/fig8.9b/417742/alw/pulled-r2PiriformisSciatic nerveSacrotuberous
ligament (showing
continuity with the
attachment of
the hamstrings)PiriformisSciatic nerveSacrotuberous
ligament (showing
continuity with the
attachment of
the hamstrings)E5267/Kaminoff/fig8.9c/417743/alw/pulled-r2E5267/Kaminoff/fig8.9d/417744/alw/pulled-r2The hip joint, sciatic nerve, and piriformis muscle in four positions as they go into the
folded-forward pigeon variation: (a) neutral; (b) externally rotated and abducted; (c)
externally rotated, abducted, and fl exed; and (d) externally rotated, fl exed, and adducted.a bc d