Skip to main content

Unfortunately we don't fully support your browser. If you have the option to, please upgrade to a newer version or use Mozilla Firefox, Microsoft Edge, Google Chrome, or Safari 14 or newer. If you are unable to, and need support, please send us your feedback.

Elsevier
Publish with us
Iliococcygeus Muscle
Muscular System

Iliococcygeus Muscle

Musculus iliococcygeus

Read more

Quick Facts

Origin: Ischial spine and tendinous arch of levator ani.

Insertion: Coccyx, iliococcygeal raphe, and anococcygeal ligament.

Action: Provides structural support to adjacent pelvic structures; fecal continence.

Innervation: Nerve to levator ani muscle (S3-S4).

Arterial Supply: Inferior gluteal, inferior vesical, and internal pudendal arteries.

Complete Anatomy
The world's most advanced 3D anatomy platform
Try it for Free

Origin

The iliococcygeus muscle originates from the:

- pelvic aspect of the ischial spine;

- posterior portion of the tendinous arch of levator ani.

Insertion

The fibers of the iliococcygeus muscle travel posteromedially, where:

- its superior fibers insert onto the anterolateral aspect of the coccyx;

- its inferior fibers insert onto the iliococcygeal raphe, which is the midline intersection between the inferior fibers of the left and right iliococcygeus muscles. This raphe blends with the anococcygeal ligament.

Key Features & Anatomical Relations

The iliococcygeus muscle is one of the three muscles that form the levator ani muscle, which itself forms a large part of the pelvic diaphragm. The iliococcygeus is a broad, flat skeletal muscle. It is located:

- medial to the ischium and ischioanal fossa;

- lateral to the urinary bladder, the rectum, and the pubococcygeus and puboanalis muscles.

Actions

As part of the pelvic diaphragm, the iliococcygeus muscle provides structural support to adjacent pelvic structures and elevates the pelvic floor. Its fibers are capable of maintaining a tonic contraction at rest, which relaxes during defecation (Standring, 2016).

List of Clinical Correlates

- Prolapse of pelvic viscera

- Urinary incontinence

- Fecal incontinence

References

Standring, S. (2016) Gray's Anatomy: The Anatomical Basis of Clinical Practice. Gray's Anatomy Series 41st edn.: Elsevier Limited.

Actions

As part of the pelvic diaphragm, the iliococcygeus muscle provides structural support to adjacent pelvic structures and elevates the pelvic floor. Its fibers are capable of maintaining a tonic contraction at rest, which relaxes during defecation (Standring, 2016).

Complete Anatomy

The world's most advanced 3D anatomy platform

Complete Anatomy