E5267/Kaminoff/fig8.8b/417740/alw/pulled-r1
Vastus
lateralis
Psoas
major
Biceps
femoris
Sciatic
nerve
The 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-r2
E5267/Kaminoff/fig8.9b/417742/alw/pulled-r2
Piriformis
Sciatic nerve
Sacrotuberous
ligament (showing
continuity with the
attachment of
the hamstrings)
Piriformis
Sciatic nerve
Sacrotuberous
ligament (showing
continuity with the
attachment of
the hamstrings)
E5267/Kaminoff/fig8.9c/417743/alw/pulled-r2
E5267/Kaminoff/fig8.9d/417744/alw/pulled-r2
The 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 b
c d