Hip Joint Muscles: Flexion, Extension, Abduction, Adduction
Hip Flexion
Muscles: Pectineus, iliopsoas, sartorius, tensor fascia lata.
Pectineus
- Origin: Pubic branch of the ileum
- Insertion: Femur
- Function: Flexion, abduction, and external rotation
Iliopsoas
- Origin: Psoas – 12th thoracic vertebra to the 5th lumbar vertebra; Iliac fossa – iliacus
- Insertion: Lesser trochanter
- Function:
- With trunk fixed and legs mobile: flexion, adduction, and external rotation
- With legs and trunk fixed:
- Pelvic anteversion
- Trunk flexion
Sartorius
- Origin: Iliac spine
- Insertion: Medial aspect of the internal tibial plateau
- Function:
- Hip flexion, abduction, and external rotation
- Knee flexor and internal rotator
Tensor Fascia Lata
- Origin: Outer edge of the iliac spine
- Insertion: Lateral tibial plateau
- Function:
- Hip flexor and abductor
- Pelvic stabilizer
Hip Extension
Muscles: Biceps femoris, gluteus maximus, semimembranosus, semitendinosus
Biceps Femoris
- Origin:
- Short head: Distal third of the linea aspera
- Long head: Ischial tuberosity
- Insertion: Head of the fibula
- Function:
- Short head: Flexor and external rotator of the knee
- Long head: Hip extensor, flexor, and external rotator of the knee
Gluteus Maximus
- Origin: External iliac fossa, posterior sacrum and coccyx, sacroiliac ligaments, deep fibers originate in the fascia separating the gluteus medius
- Insertion: Linea aspera; many fibers end in the fascia lata
- Function:
- Upper fibers: Abductor
- Lower fibers: Adductor
- All fibers: Extensor and external rotator
Semimembranosus
- Origin: Ischial tuberosity
- Insertion: Medial aspect of the tibial plateau
- Function: Hip extensor, knee flexor, and internal rotator of the knee
Semitendinosus
- Origin: Ischial tuberosity
- Insertion: Medial aspect of the tibia, near the gracilis and sartorius insertions
- Function: Hip extensor, knee flexor, and internal rotator of the knee
Hip Abduction
Muscles: Gluteus medius, gluteus minimus
Gluteus Medius
- Origin: Middle of the external iliac fossa and iliac crest
- Function:
- With feet fixed: Stabilizing contraction of the pelvis
- Tonic form: Maintaining balance of the pelvis
- Concentric: Opposite hip rises
- Eccentric: Acts on the same side of the hip
Gluteus Minimus
- Origin: Anterior aspect of the external iliac fossa
- Insertion: Tip of the greater trochanter
- Function: Flexor and internal rotator (most important); inferior fibers are extensors and external rotators
Abductors dominate the action when balancing the pelvis.
Hip Adduction
Muscles: Quadratus femoris, obturator externus, obturator internus
Quadratus Femoris
- Origin: Ischiopubic ramus
- Insertion: Posterior aspect of the greater trochanter
- Function: Adductor and external rotator of the hip
Obturator Externus
- Origin: Outer rim of the obturator foramen
- Insertion: Tip of the greater trochanter
- Function: External rotator; reinforces the joint capsule
Obturator Internus
- Origin: Inner rim of the obturator foramen
- Insertion: Tip of the greater trochanter
- Function: External rotator of the hip