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Piriformis

Musculus piriformis

Piriformis

The piriformis is the most superior of the six deep lateral rotators of the hip; it externally rotates the extended hip and abducts the flexed hip while stabilizing the joint. The sciatic nerve typically runs just beneath it, so tightness or spasm can produce piriformis syndrome with buttock and posterior-leg pain. For athletes it matters for rotational hip control and is addressed through mobility and deep-rotator activation work.

Actions
Hip external rotation (extended hip), Hip abduction (flexed hip), Hip joint stabilization
Origin
Anterior surface of the sacrum (S2-S4) and margin of the greater sciatic notch
Insertion
Superior border of the greater trochanter of the femur
Innervation
Nerve to piriformis (L5-S2)
Blood supply
Superior and inferior gluteal arteries, internal pudendal and lateral sacral arteries
Antagonists Tensor Fasciae Latae

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