Posterior Femur Bone
Linea Aspera
Greater Trochanter
Lesser Trochanter
Intertrochanteric Line
Neck
Head
Ilium
Ischium
Symphysis
Pubis
Ilium (innominate bone)
Ischium (innominate bone)
Pubis (innominate bone)
where the three pelvic bones meet
Acetabulum
Acetabular Labrum
deepens the socket
Iliac Crest
Anterior Superior Iliac Spine (ASIS)
Anterior Inferior Iliac Spine
Posterior Superior Iliac Spine
Posterior Inferior Iliac Spine
Ischial Tuberosity
What type of joint is the hip joint?
Ball and Socket joint
Motions of Hip Joint
Flexion/Extension, Abduction/Adduction, Internal/External rotation
Iliofemoral Ligament
O - AIIS
I - Intertrochanteric Line
Prevents hyperextension
Pubofemoral Ligament
O - Superior pubic ramus
I - Neck of femur
Prevents hyperabduction
Ischiofemoral Ligament
O - Posterior ischium
I - Greater trochanter
Prevents hyperabduction
Ligamentum Teres
small ligament that holds head of femur into acetabulum
Symphysis Pubis
Amphiarthrodial fibrous joint that allows for minimal movement; a fibrocartilaginous disk holding the left and right side together
Sacroiliac Joints
where the ilia articulate with the sacrum; contain diarthrodial synovial joints (very mobile)
Hip Movement
Flexion/Extension, Abduction/Adduction, Int/Ext Rotation
Pelvis Movement
Anterior/Posterior Rotation, L/R Lateral Rotation, L/R Transverse Pelvic Rotation
Thigh Musculature consists of
Anterior, Medial, Posterior
Muscles of the Anterior Compartment
Iliopsoas, Sartorius, Quadriceps, Tensor Fascia lata, Pectineus
Hip Flexors
Iliopsoas Muscels
Iliopsoas Muscles consist of
Iliacus, Psoas Major, Psoas Minor
Iliacus
O - Iliac Fossa
I - Lesser trochanter via “conjoint tendon”
A - Hip Flexion
N - Nerve roots L2-L4
Psoas Major
O - Anterior aspect of vertebrae T12 - L5
I - Lesser Trochanter via ”conjoint tendon”
A - Hip Flexion (assists w/ Trunk Function
N - Nerve roots L2 - L3
Psoas Minor
O - Vertebrae T12 - L1
I - Anterior Ilium
A - Trunk Flexion
N - L1 nerve root
Sartorius
O - ASIS
I - Anterior tibia via pes anserine tendon
A - Hip flexion, ABduction, Ext. Rotation (think crossing leg over knee)
N - Femoral n.
Rectus Femoris
O - AIIS
I - Patellar tuberosity via “patellar tendon”
A - Knee Extension & Hip Flexion
N - Femoral n.
Pectineus
O - Pubic Bone
I - Distal lesser Trochanter
A - Hip Flexion ADDuctor, Ext. Rotation
N - Femoral n.
Tensor Fascia Latae (TFL)
O - Anterior iliac crest
I - Iliotibial band (IT Band)
A - Hip Flexion
N - Superior Gluteal n.
Muscles of Posterior Compartment
Hamstring Muscles, Gluteus Maximus, External Rotators
Gluteus Maximus
O - Posterior Ilium; Sacrum
I - Greater Trochanter (some IT Band)
A - Hip Extension
N - Inferior gluteal n.
6 Deep External Rotators
Piriformis, Quadratus Femoris, Superior Gemellus, Inferior Gemellus, Obturator Internus, Obturator Externus
Medial Compartment
consists of ADDuctor Muscles: Gracilis, Adductor Magnus, Longus, and Brevis
Gracilis
O - Inferior pubic ramus
I - Anteromedial tibia via pes anserine tendon
A - Hip ADDuction, flexion
N - Obturator
Adductor Magnus
O - Pubic bone, ischium, ischial tuberosity
I - Linea aspera and adductor tubercle
A - ADDuction
N - Obturator n.
Adductor Longus
O - Pubic bone
I - Middle 1/3 of linea aspera
A - ADDuction
N - Obturator n.
Adductor Brevis
O - Pubic Bone
I - Proximal 1/3 of linea aspera
A - Adduction
N - Obturator
Lateral Hip consists of:
Gluteus Medius, Gluteus minimus, IT Band
Gluteus Medius
O - Lateral ilium
I - Greater Trochanter
A - Hip ABDuction
N - Superior gluteal n.
Gluteus Minimus
O - Iliac crest
I - Greater Trochanter
A - Hip ABDuction
N - Superior gluteal n.
IT Band
made up of connective tissue
O - TFL
I - Gertys Tubercle
Anterior Nerve
Femoral Nerve
Medial Nerve
Obturator Nerve
Posterior Nerve
Tibial nerve (Sciatic Nerve)
Factors Affecting Hip Muscles
weight bearing (provide power and stability) vs. non-weight bearing functions (provide speed)