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The Piriformis is a member of the Deep Lateral Rotator Group (also known as the Deep 6), composed of the following six muscles (from superior to inferior):
- Piriformis
- Superior gemellus
- Obturator internus
- Inferior gemellus
- Obturator externus
- Quadratus femoris
ATTACHMENTS:
- The piriformis attaches from the sacrum to the greater trochanter of the femur.
- The proximal/medial attachment is onto the anterior surface of the sacrum.
ACTIONS:
- Laterally rotates the thigh at the hip joint.
- Medially rotates the thigh at the hip joint (if the thigh is first flexed approximately 60 degrees or more).
- Abducts the thigh at the hip joint.
- Horizontally abducts the thigh at the hip joint.
- Contralaterally rotates the pelvis at the hip joint.
NOTE: A tight piriformis can compress the sciatic nerve causing symptoms of sciatica. When this occurs, it is called piriformis syndrome.

The piriformis is one of the six muscles of the deep lateral rotator group. They are (from superior to inferior):