Hip Muscles

Anterior Muscles

Sartorius
O
ASIS

Can palpate of ASIS but difficult to palpate in medium to heavy legged persons

I
Proximal anteromedial aspect of tibial condyle

N
Femoral

F
Hip FLx, ABD, ER Knee Flx & medial rotation

Rectus Femoris
O Any place over anterior thigh I
Tibial tuberosity AIIS Groove above acetabular rim

N
Femoral

F
Knee EXT & Hip FLX

Tensor Fascia Lata

O Slightly in front of greater trochanter
Iliac creast just posterior to ASIS Outer surface of ASIS

I
IT band and then into the knee via Gerdys tubercle

N
Superior Gluteal

F
Hip Flx, ABD, IR Assist with knee Flx

Psoas Major
O
Transverse processes T12L5 Sides of bodies T12-L5 Intervertebral Disks T12-L5

Cannot be palpated unless rectus abdominus is relaxed

I
Lesser trochanter of femur

N
Lumbar Plexus (L1-L4)

F
Hip Flex & ER May assist with hip ADD Trunk flex when insertion is fixed (increasing lordosis)

Iliacus
O
Superior 2/3 of iliac fossa Internal lip of iliac crest Ililumbar and sacroiliac ligaments

Cannot be palpated unless rectus abdominus is relaxed

I
Lesser trochanter

N
Femoral

F
Hip Flx & ER Assist with Hip ADD

Lateral Muscles

Gluteus Medius
O Slightly in front and above the greater trochanter
External surface of ilium between anterior & posterior gluteal lines

I
greater trochanter

N
Superior Gluteal

F
Hip ABD, Anterior fibers IR & Flx Posterior fibers -- ER and EXT

Gluteus Minimus
O Cannot be palpated
External surface of ilium between anterior and inferior lines Margins of greater sciatic notch

I
Greater trochanter

N
Superior Gluteal

F
Hip ABD, IR & Flx

Posterior Muscles

Gluteus Maximus
O Wide area on posterior pelvis
Posterior gluteal line of ilium Posterior surface of lower sacrum Coccyx Sacrotuberous ligament

I
IT band and gluteal tuberosity

N
Inferior Gluteal

F
Hip EXT & ER Upper fibers Hip ABD Lower Fibers Hip ADD

Semitendinosus
Near the knee on posteromedial side O
Ishial Tuberosity

I
Proximal medial surface of tibia

N
Sciatic (tibial)

F
Knee flexion IR of tibia Assists with hip EXT

Semimembranosus
O Largely covered by other muscles, can palpate tendon on posteromedial aspect of tibia
Ishial tuberosity

I
Posteromedial apsect of medial tibial condyle Medial meniscus

N
Sciatic (tibial branch)

F
Knee FLX IR of tibia at knee Assists with hip EXT

Biceps Femoris
O
Long Head
Ishial tuberosity Distal part of sacrotuberous lig

Short Head
Lower half of linea asperas lateral lip

I
Lateral aspect of fibular head Lateral tibial condyle

N
Long Head Sciatic (tibial) Short Head Sciatic (Peroneal)

Posterolateral side of distal knee

F
Knee FLX & ER, Hip EXT

Deep Hip Rotators

Piriformis
O
Anterior sacrum Posterior portions of ishium Obturator foramen

I
Superior and poster portions of greater trochanter

N
Sacral (L5-S2)

F
Hip ER

Gemellus Superior
O
Anterior sacrum Posterior portions of ishium Obturator foramen

I
Superior and poster portions of greater trochanter

N
Sacral (L5-S2)

F
Hip ER

Obturator Internus
O
Anterior sacrum Posterior portions of ishium Obturator foramen

I
Superior and poster portions of greater trochanter

N
Sacral (L4-L5, S1-S2)

F
Hip ER

Gemellus Inferior
O
Anterior sacrum Posterior portions of ishium Obturator foramen

I
Superior and poster portions of greater trochanter

N
Sacral (L4-L5, S1-S2)

F
Hip ER

Obturator Externus
O
Anterior sacrum Posterior portions of ishium Obturator foramen

I
Superior and poster portions of greater trochanter

N
Obturator

F
Hip ER

Quadratus Femoris
O
Anterior sacrum Posterior portions of ishium Obturator foramen

I
Superior and poster portions of greater trochanter

N
Sacral (L4 -S1)

F
Hip ER

Medial Muscles

Pectineus
Angle between the pubic bone and femur

O
Superior ramus of pubis

I
Pectineal line of femur

N
Femoral

F
Hip ADD

Adductor Brevis
Cannot be palpated O
Body & Inferior pubic ramus

I
Distal 2/3 of pectineal line Proximal of medial lip of linea aspera

N
Obturator

F
Hip ADD

Adductor Longus
Just below pubic bone on medial side O
Anterior pubis just below its crest

I
Middle 1/3 of medial lip of linea aspera

N
Obturator

F
Hip ADD

Adductor Magnus
O Posteromedial surface of thigh
Inferior pubic ramus Ishium ramus Ishial tuberosity

I
Line aspera Adductor tubercle Medial supracondylar line

N
Anterior Portion --Obturator Posterior Portion Sciatic (Tibial)

F
Hip ADD Anterior Portion Hip Flx Posterior Portion Hip EXT

Gracilis
O Medial side of thigh 2-3 inches below pubic bone
Inferior pubic symphysis Medial margin of inferior pubic ramus

I
Medial surface of proximal tibia

N
Obturator

F
Hip ADD Assist knee Flx & IR