Ischium Ischium The ischium () forms the lower and back part of the hip bone ("os coxae"). Situated below the ilium and behind the pubis, it is one of these three bones whose fusion creates the hip. The superior portion of this bone forms approximately one third of the acetabulum. The ischium is made up of three parts–the body, the superior ramus and the inferior ramus. The body contains a prominent spine, which serves as the origin for the superior gemellus muscle. The indentation inferior to the spine is the lesser sciatic notch. Continuing down the posterior side, the ischial tuberosity
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