Hip & Thigh Flashcards
Tibia & Fibula
Tibia is medial
Fibula is lateral
Carrying angle
Knee closer to midline: reduces resistance lever arm
Weight is mostly on medial side; medial condyle of femur is larger


Ligament btwn Tibia and Fibula?
Interosseous Ligament
(Site for muscle attachment)
ACL tear
(Anterior cruciate ligament)
Results from twisting bones of knee in opposite directions






Patella
Intramembranous bone, forms in tendon, rides in patellar groove of femur.
Purpose: increase effort lever arm of quadriceps

Mammalian limb rotation
- Evolutionary dorsal muscles are now anterior/lateral
- Evolutionary ventral muscles are now posterior/medial

Tensor fascia latae
Att: iliac blade, IT band, lateral condyle of tibia
Inn: lumbosacral plexus
Action: hip abduction, flexion, medial rotation
IT band syndrome
Common in runners, inflammation of IT band

Gluteus maximus
Att: Iliac blade, sacrum, coccyx, IT band
Inn: lumbosacral plexus
Action: Hip extension, lateral rotation

Gluteus medius & minimus
Att: iliac blade, greater trochanter of femur
Inn: lumosacral plexus
Action: hip abduction
Pelvis evolution?
Apes: tall, coronally oriented iliac blades
Humans: short, sagitally oriented iliac blades
Gluteus medius and minimus shift from extensors (apes) to abductors (humans)
Pelvic tilt stabilization (standing on 1 leg): which muscles?
Gluteus medius and minimus

Sartorius
Att: Anterior superior iliac spine, tibia
Inn: femoral nerve
Action: hip abduction, flexion, lateral rotation, knee flexion

Femoral nerve
Innervates sartorius, pectineus, and quadriceps group



Rectus femoris
Att: Anterior Ilium, tibial tuberosity
Inn: femoral nerve
Action: hip flexion, knee extension





All adduct, flex, and medially rotate hip
All originate from pubis
- Gracilis
- Adductor magnus, longus, brevis
- Pectineus

Obturator nerve
Innervates adductor group (except pectineus)

Pectineus
Att: pubis, shaft of femur
Inn: femoral nerve
Action: hip adduction, flexion, medial rotation

Gracilis
Inn: obturator nerve
Att: pubis
Action: hip adduction, flexion, medial rotation, knee flexion



Adductor magnus
Att: pubis, ischial tuberosity, linea aspira
Inn: obturator & tibial nerves
Action: hip adduction, flexion, medial rotation, extension



Piriformis
Att: sacrum, greater trochanter of femur (passes thru greater sciatic foramen)
Inn: lumbosacral plexus
Action: hip lateral rotation

Obturator internis
Att: internal surface of obturator foramen, greater trochanter (passes thru lesser sciatic foramen)
Inn: lumbosacral plexus
Action: hip lateral rotation

Obturator externis
Att: external surface of obturator foramen, greater trochanter
Inn: lumbosacral plexus
Action: hip lateral rotation

Superior and inferior gemellus
Att: Ischial spine (sup), Ischial tuberosity (inf), greater trochanter
Inn: lumbosacral plexus
Action: hip lateral rotation

Quadratus femoris
Att: ischial tuberosity, greater trochanter
Inn: lumbosacral plexus
Action: hip lateral rotation

Sciatic nerve
Innervates posterior thigh (hamstrings), shank, foot





Semitendinosus
Att: ischial tuberosity, tibia
Inn: tibial nerve
Action: hip extension, medial rotation, knee flexion

Semimembranosus
Att: ischial tuberosity, tibia
Inn: tibial nerve
Action: hip extension, medial rotation, knee flexion


Hip flexors?

Hip extensors?

Hip abductors?

Hip adductors?

Hip medial rotators?

Hip lateral rotators?
