Hip Muscles Attachments, Actions, Innervations Flashcards
Psoas Major
Attachments
1) lateral aspect bodies of T12-L5,
transverse processes of L1-L5 and
intervertebral discs
2) lesser trochanter
Psoas Major
Actions
flexion of hip
Psoas Major
Innervation
ventral rami of L1, L2, L3
L1 & L2 are main suppliers
Iliacus Muscle
Attachments
1) Iliac Crest,
Iliac fossa,
ala of sacrum
anterior sacroiliac ligaments
2) lesser trochanter
Iliacus
Actions
- hip flexion, stabilisation of hip joint
* iliopsoas is active in quiet standing (resists hyperextension when standing)
Iliacus
Innervation
femoral nerve
L2, L3
(L2 main supplier)
Psoas Minor
Attachment
1) Lateral aspect bodies of T12-L1
and intervertebral disc
2). pecten and iliopubic
eminence
Psoas Minor
Action
Stabilisation of the thigh at the hip
Psoas Minor
Innervation
Ventral Rami of L1 and L2
What percentage of people don’t have a Psoas Minor?
40%
Gluteus Maximus
Attachments
1) Posterior ilium,
dorsal surface of sacrum and
coccyx,
sacrotuberous ligament
2) gluteal tuberosity and iliotibial tract (lateral condyle of tibia)
Gluteus Maximus
Action
Extension and lateral rotation of the thigh at the hip
Gluteus Maximus
Innervation
Inferior Gluteal Nerve
L5, S1, S2 (S1 & S2 main suppliers)
Gluteus Medius
Attachment
1) External iliac surface between anterior and posterior gluteal lines
2) lateral surface of greater trochanter
Gluteus Medius
Action
Abduct and medially rotates thigh
maintains stability of pelvis during gait
Gluteus Medius
Innervation
Superior gluteal nerve
L5, S1 (L5 main supplier)
Gluteus Minimus
Attachment
1) External iliac surface between anterior and inferior gluteal lines
2) Anterior aspect of greater trochanter
Gluteus Minimus
Action
Abducts and medially rotates thigh
Maintain stability of pelvis during gait
Gluteus Minimus
Innervation
Superior Gluteal Nerve
L5, S1 (L5 main supplier)
Tensor Fascia Lata
Attachment
1) ASIS and anterior iliac crest
2) Iliotibial tract (lateral condyle of tibia)
Tensor Fascia Lata
Action
Abducts and medially rotates thigh
flexes thigh
Tensor Fascia Lata
Innervation
Superior Gluteal Nerve
L5, S1 (L5 main supplier)
Piriformis
Attachment
1) Anterior sacral surface and sacrotuberous ligament
2) Superior border of greater trochanter
Piriformis
Action
Laterally rotates extended thigh
abducts flexed thigh
maintains apposition of the femoral head and acetabulum
Piriformis
Innervation
Anterior Rami
S1, S2 (S1 main supplier)
Obturator Internus
Attachment
1) Internal surface of obturator foramen & membrane
2) medial surface of greater trochanter
Obturator Internus
Action
laterally rotates extended thigh
abducts flexed femur
maintains apposition of head of femur and acetabulum
Obturator Internus
Innervation
nerve to obturator internus
L5, S1 (S1 main supplier)
Gemellus Superior
Attachments
1) Ischial Spine
2) Medial surface of greater trochanter
Gemellus Superior
Action
Laterally rotates extended thigh
abducts flexed thigh
maintains apposition of head of femur and acetabulum
Gemellus Superior
Innervation
Nerve to obturator internus
L5, S1 (S1 main supplier)
Gemellus Inferior
Attachments
1) Ischial Tuberosity
2) Medial surface of greater trochanter
Gemellus Inferior
Action
Laterally rotates extended thigh
abducts flexed thigh
maintains apposition of head of femur and acetabulum
Gemellus Inferior
Innervation
Nerve to quadrates femoris
L5, S1
Obturator Externus
Attachements
1) Margins of obturator foramen and membrane
2) trochanteric fossa
Obturator Externus
Action
Laterally rotates and adducts thigh
maintains apposition of head of femur and acetabulum
Obturator Externus
Innervation
Obturator nerve
L3, L4 (L4 main supplier)
Quadratus Femoris
Attachment
1) Lateral Border of ischial tuberosity
2) Quadrate tubercle (intertrochanteric crest)
Quadratus Femoris
Action
Laterally rotates thigh
Maintains apposition of the head of the femur and acetabulum
Quadratus Femoris
Innervation
Nerve to quadratus femoris
L5, S1