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Sacrum
Iliac Crest
Dimple for Posterior
Superior Iliac Spine
Greater
Trochanter
Intergluteal
cleft
Gluteal Fold
Gluteal Sulcus
Supracristal Plane
Anterior Superior
Iliac Spine
Inguinal Ligament
*
*
Superior Pubic
Ramus
Inferior Pubic
Ramus
Pubic
Crest
Anterior
Posterior
Several strong ligaments, including the iliofemoral and Pubofemoral anteriorly
and the Ischiofemoral ,that spirals posterior, are arranged so that they “screw”
the femur head into the socket when a person stands upright.
Intertrochanteric
line
Iliofemoral Ligament: Strong Y-shaped ligament that supports front of
the hip joint. It connects the lower front iliac spine of the coxal bone to the
Intertrochanteric line extending between the greater and lesser Trochanters of
the femur. The iliofemoral ligament is the strongest ligament in the body.
Ischiofemoral Ligament: Consists of a
triangular band of strong fibers on the
POSTERIOR SIDE of the hip joint. Its fibers
connect from the Ischium at the point below
and behind the acetabulum to blend with the
circular fibers at the posterior end of the
joint capsule and attach at the
Intertrochanteric line of the femur.
http://gopokes.exblog.jp/i2/
Pubofemoral Ligament:
Attached to the Obturator crest and the Superior
Ramus of the Pubis and then blends with the capsule and with the deep surface
of the vertical band of the Iliofemoral Ligament and also attaches on the
Intertrochanteric line of the femur.
Runs from the sacrum to the
Ischial tuberosity.
http://depts.washington.edu/msatlas/hipligant.html
Inguinal Ligament: This
band runs from the Anterior
Superior Iliac Spine of the Ilium
to the Pubic Tubercle of the
Pubic bone
http://www.prohealthsys.com/anatomy/grays/myology/muscles_of_the_gluteal_region.php
Acetabular Labrum:
Ring of tough Fibrocartilage
attached to the rim of the
acetabulum.
Transverse Acetabular
Ligament: Consists of
strong, flattened fibers, which
cross the acetabular notch,
and prevent inferior
displacement of the head of
the femur
Ligament of the Head
(Ligamentum Teres):
www.studyblue.com
Helps to secure the head of
the femur in the acetabulum
and provides some of its
blood supply
Synovial Membrane: Lines the Fibrous layer as well as any
intracapsular bony surfaces not lined with articular cartilage. Where
the fibrous layer attaches to the femur, the synovial membrane
reflects proximally along the femoral neck to the edge of the femoral
head.
Fibrous Layer: Attaches proximally on the hip bone to the bony
rim of the acetabulum and the transverse acetabular ligament.
Distally, it attaches to the femoral neck only anteriorly at the
intertrochanteric line and the root of the greater trochanter.
Posteriorly, the fibrous layer has an arched border that crosses the
neck proximal to the Intertrochanteric crest but is not attached to
it.
Capsule: Encloses the hip
joint and attaches to the
Acetabular Labrum. Covers
approximately the proximal two
thirds of the neck of the femur
posteriorly.
Zona Orbicularis:
Deep fibers most marked
in the posterior part of
capsule, wind circularly
around the neck of the
femur.
http://healthpages.org/anatomy-function/hip-structure-function-common-problems/#common-problems-of-the-hip
Trocanteric Bursa: Separates the superior part of the
Gluteus Maximus form the Treater Trochanter of the femur.
Ischial Bursae: Separates the inferior part of the Gluteus
Maximus from the Ischial Tuberosity.
Gluteofemoral bursa: Separates the Iiotibial tract from
the superior part of the proximal attachment of the Vastus
Lateralis.
Inflammation or infection of the bursa called bursitis.
http://www.mendmyhip.com/hip-trochanteric-bursitis-pain/hip-trochanteric-bursitis-treatment.php
Psoas Major
Origin
Anterior &
lateral
surfaces of
T12-L5
Insertion
Lesser
trochanter
Action
Hip flexion
Innervation
L2-L3
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Iliacus
Origin
Anterior &
lateral
surfaces of
T12-L5
Insertion
Lesser
trochanter
Action
Hip flexion
Innervation
L2-L3
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Gluteus maximus
Origin
Posterior sacrum
& Ilium
Insertion
Posterior femur
distal to greater
trochanter
Action
Hip extension,
hyperextension,
lateral rotation
Innervation
Inferior gluteal
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Gluteus medius
Origin
Lateral ilium
Insertion
Greater
trochanter
Action
Hip
adduction
Innervation
Superior
gluteal
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Gluteus minimus
Origin
Lateral ilium
Insertion
Anterior
surface of
the greater
trochanter
Action
Hip
adduction &
medial
rotation
Innervation
Superior
gluteal
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Piriformis
Origin
Interal surface of
sacrum
Sacrotuberous
ligament
Insertion
Superior border
of greater
trochanter
Action
Lateral rotation,
abduction, helps
hold femur in
acetabulum
Innervation
L5, S1 & S2
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Tensor fascia latae
Origin
Anterior superior
iliac spine
Insertion
Lateral condyle of
tibia
Action
Combined hip
flexion &
abduction
Innervation
Superior gluteal
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Sartorius
(tailor's muscle)
Origin
Anterior superior
iliac spine
Insertion
Proximal medial
aspect of tibia
Action
Combined hip
flexion, abduction
& lateral rotation
Innervation
Femoral nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Adductor longus
Origin
Pubis
Insertion
Middle 1/3rd of
the linea aspera
Action
Hip adduction
Innervation
Obturator nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Adductor magnus
Origin
Ischium & Pubis
Insertion
Entire linea
aspera &
adductor tubercle
Action
Hip adduction
Innervation
Obturator nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Adductor Brevis
Origin
Pubis
Insertion
Pectineal
line and
proximal
linea aspera
Action
Hip
adduction
Innervation
Obturator
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Pectineus
Origin
Superior
ramus of
pubis
Insertion
Pectineal
line of femur
Action
Hip flexion
& adduction
Innervation
Femoral
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Gracilis
Origin
Pubis
Insertion
Anterior
medial
surface of
proximal
end of tibia
Action
Hip
adduction
Innervation
Obturator
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Biceps femoris (hamstrings)
Origin
Long head: Ischial
tuberosity
Short head: Lateral
lip of linea aspera
Insertion
Fibular head
Action
Long head: Extend
hip & flex knee
Short head: Flex
knee
Innervation
Long head: Sciatic
nerve
Short head:
Common peroneal
nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Semimembranosus
(hamstrings)
Origin
Ischial tuberosity
Insertion
Posterior surface of
medial condyle of
tibia
Action
Extend hip & flex
knee
Innervation
Sciatic nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Semitendinosus
(hamstrings)
Origin
Ischial tuberosity
Insertion
Anteromedial
surface of proimal
tibia
Action
Extend hip & flex
knee
Innervation
Sciatic nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Rectus femoris
Origin
Anterior inferior
iliac spine
Insertion
Tibial tuberosity
Action
Hip flexion & knee
extension
Innervation
Femoral nerve
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Sciatic Nerve
Insertion
Semimembranosus
Semitendinosus
Biceps femoris (long head)
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Superior Gluteal Nerve
Insertion
Gluteus Medius
Gluteus Minimus
TFL (Tensor fascia latae)
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Inferior Gluteal Nerve
Insertion
Gluteus Maximus
Gluteus Medius
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Femoral Nerve
Insertion:
Illiacus
Rectus Femoris
Sartorius
Pectineus
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Obturator Nerve
Insertion
Adductor Brevis
Adductor Longus
Adductor Magnus
Gracilis
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Common Peroneal Nerve
Insertion
Biceps femoris (short head)
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Superior Gluteal Artery
Insertion
Gluteus Maximus
Gluteus Medius
Gluteus Minimus
Piriformis
TFL
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Inferior Gluteal Artery
Insertion
Semimembranosus
Biceps femoris
Piriformis
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Obturator Artery
Insertion
Adductor Brevis
Adductor Longus
Adductor Magnus
Gracilis
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Lateral Circumflex Femoral Artery
Insertion
Rectus Femoris
Sartorius
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Medial Circumflex Femoral Artery
Insertion
Pectineus
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Deep Femoral (Profunda) Artery
Insertion
Adductor Brevis
Adductor Longus
Semitendinosus
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."
Reference:
Musculoskeletal Images are from the University of
Washington "Musculoskeletal Atlas: A Musculoskeletal
Atlas of the Human Body" by Carol Teitz, M.D. and
Dan Graney, Ph.D.
"Copyright 2003-2004 University of Washington. All rights reserved including all photographs and images. No re-use, re-distribution or commercial use
without prior written permission of the authors and the University of Washington."