Muscles Of The Hip
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In
human anatomy Human anatomy (gr. ἀνατομία, "dissection", from ἀνά, "up", and τέμνειν, "cut") is primarily the scientific study of the morphology of the human body. Anatomy is subdivided into gross anatomy and microscopic anatomy. Gross ...
, the muscles of the hip joint are those
muscle Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
s 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 lateral rotator group is a group of six small muscles of the hip which all Anatomical terms of motion#Rotation, externally (laterally) rotate the femur in the hip, hip joint. It consists of the following muscles: Piriformis muscle, piriformis, ...
; the adductor group; and the iliopsoas group.


Structure

The muscles of the hip consist of four main groups


Gluteal group

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 The buttocks (: buttock) are two rounded portions of the exterior anatomy of most mammals, located on the posterior of the pelvic region. In humans, the buttocks are located between the lower back and the perineum. They are composed of a lay ...
, originates primarily on the ilium and
sacrum The sacrum (: sacra or sacrums), in human anatomy, is a triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1S5) between ages 18 and 30. The sacrum situates at the upper, back part of the pelvic cavity, ...
and inserts on the gluteal tuberosity of the
femur The femur (; : femurs or femora ), or thigh bone is the only long bone, bone in the thigh — the region of the lower limb between the hip and the knee. In many quadrupeds, four-legged animals the femur is the upper bone of the hindleg. The Femo ...
as well as the iliotibial tract, a tract of strong
fibrous tissue Connective tissue is one of the four primary types of animal tissue, a group of cells that are similar in structure, along with epithelial tissue, muscle tissue, and nervous tissue. It develops mostly from the mesenchyme, derived from the mesode ...
that runs along the lateral
thigh In anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb. The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of bone tissu ...
to the
tibia The tibia (; : tibiae or tibias), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two Leg bones, bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outsi ...
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

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 brevi ...
,
adductor longus 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 Adduction, adduct the thigh and it is innervated by the obturator nerve. It forms the medial wall ...
,
adductor magnus The adductor magnus is a large triangular muscle, situated on the medial side of the thigh. It consists of two parts. The portion which arises from the ischiopubic ramus (a small part of the inferior ramus of the pubis, and the inferior ramu ...
, 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

The iliacus and
psoas major The psoas major ( or ; from ) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas. In other animals, this muscle is e ...
comprise the iliopsoas group. The psoas major is a large muscle that runs from the bodies and disc of the L1 to L5
vertebra Each vertebra (: vertebrae) is an irregular bone with a complex structure composed of bone and some hyaline cartilage, that make up the vertebral column or spine, of vertebrates. The proportions of the vertebrae differ according to their spina ...
e, joins with the iliacus via its
tendon A tendon or sinew is a tough band of fibrous connective tissue, dense fibrous connective tissue that connects skeletal muscle, muscle to bone. It sends the mechanical forces of muscle contraction to the skeletal system, while withstanding tensi ...
, and connects to the
lesser trochanter In human anatomy, the lesser trochanter is a conical, posteromedial, bony projection from the shaft of the femur. It serves as the principal insertion site of the iliopsoas muscle. Structure The lesser trochanter is a conical posteromedial p ...
of the femur. The iliacus originates on the
iliac fossa The iliac fossa is a large, smooth, concave surface on the internal surface of the Ilium (bone), ilium (part of the three fused bones making the hip bone). Structure The iliac fossa is bounded above by the iliac crest, and below by the Arcuate ...
of the ilium. Together these muscles are commonly referred to as the "iliopsoas".


Lateral rotator group

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 The acetabulum (; : acetabula), also called the cotyloid cavity, is a wikt:concave, concave surface of the pelvis. The femur head, head of the femur meets with the pelvis at the acetabulum, forming the Hip#Articulation, hip joint. Structure The ...
of the ilium and insert on or near the greater trochanter of the femur.


Other hip muscles

Additional muscles, such as the rectus femoris and the sartorius, can cause some movement in the hip joint. However these muscles primarily move the
knee In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the hu ...
, and are not generally classified as muscles of the hip. The
hamstring A hamstring () is any one of the three posterior thigh muscles in human anatomy between the hip and the knee: from medial to lateral, the semimembranosus, semitendinosus and biceps femoris. Etymology The word " ham" is derived from the Old ...
muscles, which originate mostly from the
ischial tuberosity The ischial tuberosity (or tuberosity of the ischium, tuber ischiadicum), also known colloquially as the sit bones or sitz bones, or as a pair the sitting bones, is a large posterior bony protuberance on the superior ramus of the ischium. It ...
inserting on the tibia/fibula, have a large moment assisting with hip extension.


Function

Movements of the hip occur because multiple muscles activate at once. Most muscles are also responsible for more than one type of movement. Movements of the hip are described in
anatomical terminology Anatomical terminology is a specialized system of terms used by anatomists, zoologists, and health professionals, such as doctors, surgeons, and pharmacists, to describe the structures and functions of the body. This terminology incorpor ...
using
anatomical terms of motion Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relativ ...
. The movement that brings the thighs close to the abdomen is called "flexion". When the legs open, such as in the lotus posture of
yoga Yoga (UK: , US: ; 'yoga' ; ) is a group of physical, mental, and spiritual practices or disciplines that originated with its own philosophy in ancient India, aimed at controlling body and mind to attain various salvation goals, as pra ...
, this is called "lateral rotation", with the opposite movement called "medial rotation". Hip abduction occurs when the femur moves outward to the side, as in taking the thighs apart. Hip
adduction Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relativ ...
occurs when the femur moves back to the midline. Many muscles contribute to these movements: * 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. * Medial rotation is performed by the gluteus medius and gluteus 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. Hip muscles also play a role in maintaining the standing posture. 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. 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.


References


Notes

* Calais-Germain, Blandine. "Anatomy of Movement", Eastland Press, 1993. * Martini, Frederic; Timmons, Michael; McKinnley, Michael. "Human Anatomy", 3rd Edition, Prentice-Hall, 2000. * Marieb, Elaine. "Essentials of Human Anatomy and Physiology", 6th Edition. Addison Wesley Longman, 2000. * Netter, Frank H. "Atlas of Human Anatomy", 2nd Edition, Icon Learning Systems, 2001. Muscular system {{Muscles of lower limb