Manual Medicine Diagnostics

7.4 Zones of Irritation of the Sacrum and the Pelvis 7.22 7.23 7.24 2 / / Fig.7.25 Cross-section of the sacrum and hip bones at the level Fig. 7.26 Zone of irritation at the symphysis of the zone of irritation S1 (IZ) 1 Ramus of the pubis 1 Hip bone 2 Superior pubic ligament 2 Sacrum 3 Interpubic disk 3 Gluteus maximus m (superficial layer) 4 Arcuate ligament of the pubis 4 Gluteal fascia 5 Thoracolumbar fascia 229 Copyrighted Material

7 Zones of Irritation 7.5 Overview of Important Tendinoses and Zones of Irritation in the Lumbar-Pelvic Region (Fig. 7.27) Infero-Iateral quadrant of the transverse process and inferior margin of the rib from the tubercle to the angle Part of the longissimus Part of the longissimus lumborum m thoracis m Origin tendinoses at Iliolumbar ligament to costal the inner lip of the iliac process of L. crest Origin tendinoses of the Tip of the spinous gluteus medius m process of S, Zone of irritation of Anterior inferior iliac S, and S2 spine Posterior sacroiliac ligam ��,�\\\\;�»Lil&W( Posterior superior iliac (short) spine Iliac Tuberosity Jr-. ;if.•!l 1 \\' \\W\\\\\\\\\\ 11!I Origin tendinoses of the Interosseus sacroiliac gluteus maximus m (tibial ame portion) Auricular surface of sacrum Posterior inferior iliac Common insertion of spine the thoracolumbar and gluteal fasciae Iliotibial tract Sacral Cornu Transitional tendomyoses of the gluteus maximus m Sacrospinous (tibial portion) ligament Trochanter major Zones of irritation of the sacroiliac jOint Insertion tendinoses of the and vertebra Ls gluteus maximus m (femoral portion) Origin tendinoses of the gluteus maximus m (femoral portion) Fig. 7.27 (after Sutter and Oberli). 230 Copyrighted Material