External obturator muscle
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The external obturator muscle, obturator externus muscle (; OE) is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis. It is sometimes considered part of the medial compartment of thigh, and sometimes considered part of the
gluteal The gluteal muscles, often called glutes are a group of three muscles which make up the gluteal region commonly known as the buttocks: the gluteus maximus, gluteus medius and gluteus minimus. The three muscles originate from the ilium and sacr ...
region.


Structure

It arises from the margin of bone immediately around the medial side of the
obturator membrane The obturator membrane is a thin fibrous sheet, which almost completely closes the obturator foramen. Its fibers are arranged in interlacing bundles mainly transverse in direction; the uppermost bundle is attached to the obturator tubercles and ...
and surrounding bone, viz., from the
inferior pubic ramus In vertebrates, the pubic region ( la, pubis) is the most forward-facing (ventral and anterior) of the three main regions making up the coxal bone. The left and right pubic regions are each made up of three sections, a superior ramus, inferior ra ...
, and the ramus of the ischium; it also arises from the medial two-thirds of the outer surface of the
obturator membrane The obturator membrane is a thin fibrous sheet, which almost completely closes the obturator foramen. Its fibers are arranged in interlacing bundles mainly transverse in direction; the uppermost bundle is attached to the obturator tubercles and ...
, and from the tendinous arch which completes the canal for the passage of the obturator vessels and nerves. The fibers springing from the pubic arch extend on to the inner surface of the bone, where they obtain a narrow origin between the margin of the foramen and the attachment of the obturator membrane. The fibers converge and pass posterolateral and upward, and end in a tendon which runs across the back of the neck of the femur and lower part of the capsule of the hip joint and is inserted into the
trochanteric fossa In mammals including humans, the medial surface of the greater trochanter has at its base a deep depression bounded posteriorly by the intertrochanteric crest, called the trochanteric fossa. This fossa is the point of insertion of four muscles. Mo ...
of the femur.


Relations

The obturator vessels lie between the muscle and the obturator membrane; the anterior branch of the obturator nerve reaches the thigh by passing in front of the muscle, and the posterior branch by piercing it.


Variation

In 33% of people a
supernumerary Supernumerary means "exceeding the usual number". Supernumerary may also refer to: * Supernumerary actor, a performer in a film, television show, or stage production who has no role or purpose other than to appear in the background, more commonl ...
muscle is found between the
adductor brevis 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
minimus The Minimus books are a series of school textbooks, written by Barbara Bell, illustrated by Dr. Helen Forte, and published by the Cambridge University Press, designed to help children of primary school age to learn Latin. The books espouse some of ...
. While this muscle, when present, is similar to its neighbouring adductors, it is formed by separation from the superficial layer of the external obturator, and is thus not ontogenetically related to the adductor muscles of the hip. This muscle originates from the upper part of the
inferior pubic ramus In vertebrates, the pubic region ( la, pubis) is the most forward-facing (ventral and anterior) of the three main regions making up the coxal bone. The left and right pubic regions are each made up of three sections, a superior ramus, inferior ra ...
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 The lesser trochanter is a conical posteromedial bony projection of the femoral shaft. it serves as the principal insertion site of the iliopsoas muscle. Structure The lesser trochanter is a conical posteromedial projection of the shaft of the fe ...
. It has been demonstrated by the course of the posterior branch of obturator nerve that the obturator externus is divided into a superior
muscle fascicle A muscle fascicle is a bundle of skeletal muscle fibers surrounded by perimysium, a type of connective tissue. Structure Muscle cells are grouped into muscle fascicles by enveloping perimysium connective tissue. Fascicles are bundled togethe ...
and a main belly. The supernumerary muscle described above originates from the superior fascicle, while an anomalous fascicle — also derived from the external obturator  — originates from the main belly. The "original" external obturator, i.e. without these supernumerary muscular parts, actually occurs in only 20% of cases, and apparently the external obturator readily undergoes
ontogenetic Ontogeny (also ontogenesis) is the origination and development of an organism (both physical and psychological, e.g., moral development), usually from the time of fertilization of the egg to adult. The term can also be used to refer to the st ...
variations.


Function

The external obturator muscle acts as the lateral rotator of the hip joint. As a short muscle around the hip joint, it stabilizes the hip joint as a postural muscle. It also helps to abduct the hip joint when in flexion.


Additional images

File:Obturator externus.png, Muscles of the back of thigh, with insertion of obturator externus muscle labeled in purple File:Gray235.png, Right hip bone. External surface File:Gray344.png, Structures surrounding right hip-joint File:Gray433.png, Deep muscles of the medial femoral region File:Slide2gen.JPG, Obturator externus muscle.Deep dissection.Anterior view. File:Slide8A.JPG, Obturator externus muscle File:Slide1BIBI.JPG, Muscles of Thigh. Anterior views.


See also


References


External links

* * ()
PTCentral
{{Authority control Hip muscles Deep lateral rotators of the hip Hip lateral rotators Medial compartment of thigh Muscles of the lower limb