Hip Muscle Origins and Insertions

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    Hip Muscles

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    Anterior Muscles

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    SartoriusO

    ASIS

    I Proximal anteromedial

    aspect of tibial condyle

    N

    FemoralF

    Hip FLx, ABD, ER

    Knee Flx & medial rotation

    Can palpateof ASIS but

    difficult to

    palpate in

    medium toheavy

    legged

    persons

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    Rectus FemorisO

    AIIS

    Groove above acetabularrim

    I

    Tibial tuberosity

    N Femoral

    F

    Knee EXT & Hip FLX

    Any place overanterior thigh

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    Tensor Fascia LataO

    Iliac creast just posterior toASIS

    Outer surface of ASIS

    I

    IT band and then into theknee via Gerdys tubercle

    N Superior Gluteal

    F

    Hip Flx, ABD, IR

    Assist with knee Flx

    Slightly in

    front ofgreater

    trochanter

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    Psoas MajorO Transverse processes T12-L5

    Sides of bodies T12-L5

    Intervertebral Disks T12-L5

    I

    Lesser trochanter of femur

    N

    Lumbar Plexus (L1-L4)F

    Hip Flex & ER

    May assist with hip ADD

    Trunk flex when insertion

    is fixed (increasinglordosis

    Cannot bepalpated

    unless rectus

    abdominus

    is relaxed

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    IliacusO

    Superior 2/3 of iliac fossa

    Internal lip of iliac crest

    Ililumbar and

    sacroiliac ligaments

    I

    Lesser trochanter

    N Femoral

    F

    Hip Flx & ER

    Assist with Hip ADD

    Cannot be

    palpated

    unless rectus

    abdominus is

    relaxed

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    Lateral Muscles

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    Gluteus MediusO

    External surface of iliumbetween anterior &

    posterior gluteal lines

    I

    greater trochanter

    N

    Superior GlutealF

    Hip ABD,

    Anterior fibers IR & Flx

    Posterior fibers -- ER and

    EXT

    Slightly infront and

    above the

    greater

    trochanter

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    Gluteus MinimusO

    External surface of iliumbetween anterior and

    inferior linesMargins of greater sciaticnotch

    I

    Greater trochanter

    N

    Superior Gluteal

    F

    Hip ABD, IR & Flx

    Cannot

    be

    palpated

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    Posterior Muscles

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    Gluteus MaximusO

    Posterior gluteal line of ilium

    Posterior surface of lower sacrum

    Coccyx

    Sacrotuberous ligament

    I

    IT band and gluteal tuberosity

    N Inferior Gluteal

    F

    Hip EXT & ER

    Upper fibers Hip ABD

    Lower Fibers Hip ADD

    Wide area

    on

    posterior

    pelvis

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    SemimembranosusO

    Ishial tuberosity

    I Posteromedial apsect ofmedial tibial condyle

    Medial meniscus

    N

    Sciatic (tibial branch)F

    Knee FLX

    IR of tibia at knee

    Assists with hip EXT

    Largely covered

    by other

    muscles, can

    palpate tendon

    on

    posteromedialaspect of tibia

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    Biceps FemorisO

    Long Head

    Ishial tuberosity

    Distal part of sacrotuberous lig

    Short HeadLower half of linea asperas laterallip

    I

    Lateral aspect of fibular head

    Lateral tibial condyleN

    Long Head Sciatic (tibial)

    Short Head Sciatic (Peroneal)

    F

    Knee FLX & ER, Hip EXTPosterolateral side of distalknee

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    Deep Hip Rotators

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    PiriformisO

    Anterior sacrum

    Posterior portions of ishium

    Obturator foramen

    I

    Superior and posterportions of greatertrochanter

    N

    Sacral (L5-S2)

    F

    Hip ER

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    Gemellus SuperiorO

    Anterior sacrum

    Posterior portions of ishium

    Obturator foramen

    I

    Superior and posterportions of greatertrochanter

    N

    Sacral (L5-S2)

    F

    Hip ER

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    Obturator InternusO

    Anterior sacrum

    Posterior portions of ishium

    Obturator foramen

    I

    Superior and posterportions of greatertrochanter

    N

    Sacral (L4-L5, S1-S2)

    F

    Hip ER

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    Gemellus InferiorO

    Anterior sacrum

    Posterior portions of ishium

    Obturator foramen

    I

    Superior and posterportions of greatertrochanter

    N

    Sacral (L4-L5, S1-S2)

    F

    Hip ER

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    Obturator ExternusO

    Anterior sacrum

    Posterior portions of ishium

    Obturator foramen

    I

    Superior and posterportions of greatertrochanter

    N

    Obturator

    F

    Hip ER

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    Quadratus FemorisO

    Anterior sacrum

    Posterior portions of ishium

    Obturator foramen

    I

    Superior and posterportions of greatertrochanter

    N

    Sacral (L4 -S1)

    F

    Hip ER

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    Medial Muscles

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    PectineusO

    Superior ramus of

    pubisI

    Pectineal line of femur

    N

    Femoral

    F

    Hip ADD

    Angle

    between the

    pubic bone

    and femur

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    Adductor BrevisO

    Body & Inferior pubicramus

    I Distal 2/3 of pectineal line

    Proximal of medial lip oflinea aspera

    N Obturator

    F

    Hip ADD

    Cannot be

    palpated

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    Adductor LongusO

    Anterior pubis just below

    its crest

    I

    Middle 1/3 of medial lip of

    linea aspera

    N

    Obturator

    F

    Hip ADD

    Just below

    pubic bone on

    medial side

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    Adductor MagnusO

    Inferior pubic ramus

    Ishium ramus

    Ishial tuberosity

    I Line aspera

    Adductor tubercle

    Medial supracondylar line

    N

    Anterior Portion --Obturator

    Posterior Portion Sciatic (Tibial)

    F

    Hip ADD

    Anterior Portion Hip FlxPos erior Por ion Hi EXT

    Posteromedial

    surface of

    thigh

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    GracilisO

    Inferior pubic symphysis

    Medial margin of inferior

    pubic ramus

    I

    Medial surface of proximaltibia

    N Obturator

    F

    Hip ADD

    Assist knee Flx & IR

    Medial side of

    thigh 2-3

    inches below

    pubic bone