Muscles of the hip

From Wikipedia, the free encyclopedia - View original article

 
Jump to: navigation, search
Posterior view of several hip muscles
Anterior view of several hip muscles
Posterior view of Gluteus maximus and Gluteus medius

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.

Gluteal group[edit]

The gluteal muscles include the gluteus maximus, gluteus medius, gluteus minimus, and tensor fasciae latae. They cover the lateral surface of the ilium. The gluteus maximus, which forms most of the muscle of the buttocks, originates primarily on the ilium and sacrum and inserts on the gluteal tuberosity of the femur as well as the iliotibial tract, a tract of strong fibrous tissue that runs along the lateral thigh to the tibia and fibula. The gluteus medius and gluteus minimus originate anterior to the gluteus maximus on the ilium and both insert on the greater trochanter of the femur. The tensor fasciae latae shares its origin with the gluteus maximus at the ilium and also shares the insertion at the iliotibial tract.

Adductor group[edit]

The adductor brevis, adductor longus, adductor magnus, pectineus, and gracilis make up the adductor group. The adductors all originate on the pubis and insert on the medial, posterior surface of the femur, with the exception of the gracilis which inserts just below the medial condyle of the tibia.

Iliopsoas group[edit]

The iliacus and psoas major comprise the iliopsoas group. The psoas major is a large muscle that runs from the bodies and disc of the L1 to L5 vertebrae, joins with the iliacus via its tendon, and connects to the lesser trochanter of the femur. The iliacus originates on the iliac fossa of the ilium. Together these muscles are commonly referred to as the "iliopsoas".

Lateral rotator group[edit]

This group consists of the externus and internus obturators, the piriformis, the superior and inferior gemelli, and the quadratus femoris. These six originate at or below the acetabulum of the ilium and insert on or near the greater trochanter of the femur.

Movement of the hip joint[edit]

Flexion of the hip occurs when the angle between the torso and thigh is decreased. When this angle is increased extension occurs; beyond normal standing posture, the movement is called hip hyperextension. Hip rotation occurs when the femur moves along its longitudinal axis. When the anterior surface of the femur turns outward, this is lateral rotation of the hip. The movement of the anterior surface of the femur inward is medial rotation of the hip. Medial rotation of the hip is carried out by gluteus medius and gluteus minimus. Hip abduction occurs when the femur moves outward to the side, as in taking the thighs apart. Hip adduction occurs when the femur moves back to the midline.

Many of the hip muscles are responsible for more than one type of movement in the hip, as different areas of the muscle act on tendons in different ways.

The psoas is the primary hip flexor, assisted by the iliacus. The pectineus, the adductors longus, brevis, and magnus, as well as the tensor fasciae latae are also involved in flexion.

The gluteus maximus is the main hip extensor, but the inferior portion of the adductor magnus also plays a role.

The adductor group is responsible for hip adduction. Abduction primarily occurs via the gluteus medius as well as the gluteus minimus.

Medial rotation is performed by the glutaei medius and minimus, as well as the tensor fasciae latae and assisted by the adductors brevis and longus and the superior portion of the adductor magnus.

Each muscle of the lateral rotator group causes lateral rotation of the thigh. These muscles are aided by the gluteus maximus and the inferior portion of the adductor magnus.

Although hip muscles mentioned above have individual actions, some hip muscles are major contributors of sustaining one’s posture and allowing one to be in the normal, standing position. These muscles work in an integrated system with muscles of the shoulder, neck, core, lower leg, and supporting muscles of the spine, to provide the ability to stand with good posture.[1] These muscles include the gluteus medius and gluteus minimus which abduct the thigh, prevent swaying of hips, stabilize pelvic region while keeping hips level, and shift an individual’s weight in order to adjust body placement to increase one's overall body stability.[2]

Other hip muscles[edit]

Additional muscles, such as the rectus femoris and the sartorius, can cause some movement in the hip joint. However these muscles are concerned primarily with the movement of the knee, and are accordingly not generally classified as muscles of the hip.

The hamstring muscle group, which originates mostly from the ischial tuberosity inserting on the tibia/fibula, has a large moment assisting with hip extension.

Sources[edit]

References[edit]