Adductor muscles of the hip

Last updated
Adductor muscles of the hip
Anterior Hip Muscles 2.PNG
The adductors and nearby muscles
Details
Origin Pubis
Insertion Femur and tibia
Nerve Obturator nerve
Actions Adduction of hip
Anatomical terms of muscle

The adductor muscles of the hip are a group of muscles mostly used for bringing the thighs together (called adduction).

Contents

Structure

The adductor group is made up of:

The adductors originate on the pubis and ischium bones and insert mainly on the medial posterior surface of the femur.

Muscle Origin Insertion innervation [2]
Adductor brevis Inferior pubic ramus Medial ridge of linea aspera Obturator nerve (L2-L4)
Adductor longus Front side of the pubic bone under the pubic tubercle Medial ridge of linea aspera Obturator nerve (L2-L4)
Adductor magnus Inferior pubic ramus and ischial tuberosity Medial ridge of linea aspera and the adductor tubercle Obturator nerve and tibial nerve (L2-L5)
Adductor minimus Inferior pubic ramus Medial ridge of linea aspera Obturator nerve (L2) [3]
Pectineus Pectineal line (pubis) Pectineal line Femoral nerve and sometimes the obturator nerve (L2-L4)
Gracilis Inferior pubic ramus Pes anserinus on the tibia Obturator nerve (L2-L3)
Obturator externus Lateral surface of obturator membrane and the ischiopubic ramus Trochanteric fossa Posterior branch of obturator nerve (L5-S2)

Nerve supply

The pectineus is the only adductor muscle that is innervated by the femoral nerve. The other adductor muscles are innervated by the obturator nerve [1] with the exception of a small part of the adductor magnus which is innervated by the tibial nerve. [4]

Variation

In 33% of people a supernumerary muscle is found between the adductor brevis and adductor minimus. When present, this muscle originates from the upper part of the inferior ramus of the pubis from where it runs downwards and laterally. In half of cases, it inserts into the anterior surface of the insertion aponeurosis of the adductor minimus. In the remaining cases, it is either inserted into the upper part of the pectineal line or the posterior part of the lesser trochanter. While similar to its neighbouring adductors, it is formed by separation from the superficial layer of the obturator externus, and is thus not ontogenetically related to the adductors. [5]

Clinical significance

Tenotomy

So-called adductor tenotomy (cutting the origin tendons of the adductor muscles of the thigh) and obturator neurectomy (cutting the anterior branch of the obturator nerve) are sometimes performed on children with cerebral palsy. These children often have hypertonia of the adductor muscles, making abduction difficult, obstructing normal hip development, and putting them at risk of hip luxation.[ citation needed ]

Related Research Articles

Human leg

The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh and even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower limb extending from the knee to the ankle, also known as the crus. Legs are used for standing, and all forms of locomotion including recreational such as dancing, and constitute a significant portion of a person's mass. Female legs generally have greater hip anteversion and tibiofemoral angles, but shorter femur and tibial lengths than those in males.

Thigh Area between the pelvis and the knee; upper leg

In human anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb.

Pectineus muscle Adductor of the thigh

The pectineus muscle is a flat, quadrangular muscle, situated at the anterior (front) part of the upper and medial (inner) aspect of the thigh. The pectineus muscle is the most anterior adductor of the hip. The muscle does adduct and laterally rotate the thigh but its primary function is hip flexion.

Groin

In human anatomy, the groin is the junctional area between the abdomen and the thigh on either side of the pubic bone. This is also known as the medial compartment of the thigh that consists of the adductor muscles of the hip or the groin muscles. A pulled groin muscle usually refers to a painful injury sustained by straining the hip adductor muscles.

Hip

In vertebrate anatomy, hip refers to either an anatomical region or a joint.

External obturator muscle One of six small hip muscles in the lateral rotator group

The external obturator muscle, obturator externus muscle is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis.

Adductor brevis muscle Muscle in the thigh situated immediately behind the pectineus and adductor longus

The adductor brevis is a muscle in the thigh situated immediately deep to the pectineus and adductor longus. It belongs to the adductor muscle group. The main function of the adductor brevis is to pull the thigh medially. The adductor brevis and the rest of the adductor muscle group is also used to stabilize left to right movements of the trunk, when standing on both feet, or to balance when standing on a moving surface. The adductor muscle group is used pressing the thighs together to ride a horse, and kicking with the inside of the foot in soccer or swimming. Last, they contribute to flexion of the thigh when running or against resistance.

Adductor longus muscle Skeletal muscle located in the thigh

In the human body, the adductor longus is a skeletal muscle located in the thigh. One of the adductor muscles of the hip, its main function is to adduct the thigh and it is innervated by the obturator nerve. It forms the medial wall of the femoral triangle.

Adductor magnus muscle Muscle in the thigh

The adductor magnus is a large triangular muscle, situated on the medial side of the thigh.

Iliopsoas Joined psoas and the iliacus muscles.

The iliopsoas refers to the joined psoas and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name iliopsoas. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip.

Muscles of the hip Causes movement in the hip.

In human anatomy, the muscles of the hip joint are those muscles that cause movement in the hip. Most modern anatomists define 17 of these muscles, although some additional muscles may sometimes be considered. These are often divided into four groups according to their orientation around the hip joint: the gluteal group; the lateral rotator group; the adductor group; and the iliopsoas group.

Lateral rotator group A group of six small muscles of the hip

The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint. It consists of the following muscles: Piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus.

Abductor digiti minimi muscle of foot Muscle which lies along the lateral (outer) border of the foot

The abductor digiti minimi is a muscle which lies along the lateral (outer) border of the foot, and is in relation by its medial margin with the lateral plantar artery, vein and nerves.

Lumbar plexus

The lumbar plexus is a web of nerves in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.

Obturator nerve

The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small.

Pubis (bone)

In vertebrates, the pubic bone is the most forward-facing of the three main bones making up the pelvis. The left and right pubic bones are each made up of three sections, a superior ramus, inferior ramus, and a body.

Third metatarsal bone

The third metatarsal bone is a long bone in the foot. It is the second longest metatarsal. The longest being the second metatarsal. The third metatarsal is analogous to the third metacarpal bone in the hand

Medial compartment of thigh One of the fascial compartments of the thigh

The medial compartment of thigh is one of the fascial compartments of the thigh and contains the hip adductor muscles and the gracilis muscle.

The anterior branch of the obturator nerve is a branch of the obturator nerve found in the pelvis and leg.

Adductor minimus muscle Small and flat skeletal muscle in the thigh

In human anatomy, the adductor minimus is a small and flat skeletal muscle in the thigh which constitutes the upper, lateral part of the adductor magnus muscle.

References

  1. 1 2 Platzer, Werner (2004), " Color Atlas of Human Anatomy, Vol. 1, Locomotor System , Thieme, 5th ed, p 240
  2. Bojsen-Møller, Finn; Simonsen, Erik B.; Tranum-Jensen, Jørgen (2001). Bevægeapparatets anatomi[Anatomy of the Locomotive Apparatus] (in Danish) (12th ed.). pp. 364–367. ISBN   978-87-628-0307-7.
  3. "Adductor minimus". AnatomyExpert. Archived from the original on April 25, 2013. Retrieved April 30, 2013.
  4. Bojsen-Møller, Finn; Simonsen, Erik B.; Tranum-Jensen, Jørgen (2001). Bevægeapparatets anatomi[Anatomy of the Locomotive Apparatus] (in Danish) (12th ed.). p. 266. ISBN   978-87-628-0307-7.
  5. Nakamura E, Masumi S, Miura M, Kato S, Miyauchi R (August 1992). "A supernumerary muscle between the adductors brevis and minimus in humans". Okajimas Folia Anat Jpn. Okajimas Folia Anat Jpn. 1992 Aug;69(2-3):89-98. 69 (2–3): 89–98. PMID   1436954.