Ischium is a thick, rough-surfaced prominence below the lesser sciatic notch. This is the portion that supports weight while sitting (especially noticeable on a hard surface) and can be felt simply by sitting on the fingers. It serves as the origin for the inferior gemellus muscle and the hamstrings. The superior ramus is a partial origin for the internal obturator and the external obturator muscles. The inferior ramus serves partially as origin for part of the adductor magnus muscle and the gracilis muscle. The ischial ramus joins the inferior ramus of the pubis anteriorly and is the strongest of the hip
Ischium muscle. Above the spine is a large notch, the greater sciatic notch; Below the spine is a smaller notch, the lesser sciatic notch. The superior ramus of the ischium (descending ramus) projects downward and backward from the body and presents for examination three surfaces: external, internal, and posterior. The external surface is quadrilateral in shape. It is bounded above by a groove that lodges the tendon of the external obturator; below, it is continuous with the inferior ramus; in front it is limited by the posterior margin of the obturator foramen; behind, a prominent margin separates it from the posterior