Muscles and actions on the

hip joint

Dr. Vereczki Viktória

Semmelweis Egyetem
Anatómiai, Szövet- és Fejlődéstani Intézet
2017. október 19. 12:25 EMI 1-8
 THE HIP JOINT

• acetabulofemoral joint
• classified as an ‘enarthrodial’ (ball and socket)
• Acetabulum is formed by the three bones of the pelvis
(ischium, pubis, ilium)
• It provides a deep socket for the femoral head
• Like the glenoid labrum, there is an acetabular labrum
increasing the depth of the socket.
 Ízesülő felszínek
Ball:

head femur (hyalin cart)

Socket :

acetabulum, facies lunata (hyalin cart.)

Additional component

acetabular labrum (fibrous cart.)

•Like the glenoid labrum, there is an acetabular labrum increasing the depth of the socket.
COMPONENTS
COMPONENTS 2.
COMPONENTS 3.
COMPONENTS 4.
 Movements:
-neutral position: slightly flected, external rotated, abducted position
during an inflamation in that joint we have the same position.

-anteversion (flexio) 120º

-retroversion (extensio) 12º
-abduction 45º
-adduction 15º
-external rotation 45º
-internal rotation 35º
 Hip joint

Type:
classified as an ‘enarthrodial’ (ball and
socket) (art. cotolitica)

Ligaments:
- iliofemoral (350 kp)
- pubofemoral
- ischiofemoral

- zona orbicularis
- round ligament (ligamentum capitis )
Inner hip muscles:
-psoas major
-iliacus
(-psoas minor)
ILIOPSOAS MUSCLE
• Three muscles:
Iliacus
• Origin
• iliac fossa
• Insertion
• Lesser trochanter of the femur

Psoas Major and Minor

• Origin
• Transverse processes of L1-5
• Insertion
• Minor: pectineal line
• Major: lesser trochanter
• Action
• Hip flexion
Outer hip muscles,
I. Superficial layer:
-gluteus maximus et medius et
minimus
-tensor fasciae latae
GLUTEUS MAXIMUS MUSCLE
• Origin
• Posterior gluteal line of ilium
• Posterior iliac crest
• Lateral / posterior aspect of sacrum and cocyx
• Insertion
• iliotibial band and gluteal line of femur
• Action
• Hip extension
• External rotation
GLUTEUS MEDIUS MUSCLE
• Origin
• Lateral surface of the ilium
• Insertion
• Superior and lateral surface of the greater trochanter
• Action
• Abduction
• External rotation (posterior fibers)
• Internal rotation (anterior fibers)
GLUTEUS MINIMUS MUSCLE
• Origin
• Lateral surface of the ilium
• Insertion
• Superior/lateral surface of the greater trochanter
• Action
• Abduction about the hip
• Internal rotation
Outer hip muscles
I. Deep layer
-gluteus minimus
-piriformis (for. ischiadicum majus!)
-hiatus supra et infra piriformis
-gemellus superior
-obturator internus
-gemellus inferior
-quadtratus femoris
Flexors:
-sartorius
-quadriceps femoris /rectus
femoris
Adductors:
-adductor magnus & longus &
brevis & minimus
-pectineus
-obturator externus

-gracillis
PECTINEUS MUSCLE
• Origin
• Superior ramus of pubis
• Insertion
• pectineal line of femur
• Action
• Hip flexion
• adduction
ADDUCTOR LONGUS MUSCLE
• Origin
– Anterior pubis
• Insertion
– Middle third of the linea aspera
• Action
– Adduction
– external rotation
ADDUCTOR BREVIS MUSCLE
• Origin
– inferior ramus of the pubis
• Insertion
– pectineal line of the femur
– upper 1/3 of the linea aspera
• Action
– Adduction about the hip
ADDUCTOR MAGNUS MUSCLE
Origin
• inferior ramus of the pubis
• Insertion
• Whole length of the linea aspera
• Medial supracondylar ridge of femur
• adductor tubercle of femur
• Action
• Adduction
• External rotation
Extensors:
-semitendinosus
-semimembranosus
-biceps femoris caput longum
 MOVEMENTS AND MUSCLES 2.
• Hip flexors • Hip abductors
– iliopsoas (iliacus, psoas • gluteus medius
major and minor)
• gluteus minimus
– pectineus
– • tensor fasciae latae
rectus femoris
– sartorius
– gracilis • Hip adductors
– tensor fasciae latae
• adductor brevis
– rectus femoris
• adductor longus
• adductor magnus
• Hip extensors • gracilis
– gluteus maximus • pectineus
– biceps femoris
– semitendinosus
– semimembranosus
 MOVEMENTS AND MUSCLES 3.

• Hip Internal Rotators

• Gluteus medius
• Gluteus minimus
• Semimembranosus
• Semitendinosus

• Hip External Rotators

• Adductor magnus
• Adductor longus Gluteus maximus
• Gluteus medius Sartorius
• Biceps femoris
MUSCLE ATTACHMENTS
HIP DISLOCATION

http://www.youtube.com/watch?v=MTJK9tdSsQY&feature=related
ARTHROPLASTY