Hip Muscle Origins and Insertions
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Transcript of Hip Muscle Origins and Insertions
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7/31/2019 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