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The Hip Bone
(Os Coxae)
Hip Bone
Anterior View Anatomical Position
Hip Bone
The Hip Bone is a
composite of 3 bones
Pubis
The Hip Bone is a
composite of 3 bones
Pubis
Pubis
Ischium
The Hip Bone is a
composite of 3 bones
Pubis
Ischium
Pubis
Ischium
Ilium The Hip Bone is a
composite of 3 bones
Pubis
Ischium
Ilium
These three bones meet
within the Acetabulum
Acetabulum (Latin for Vinegar Cup)
Pubis
Ischium
Ilium
During development they are
separated from each other by
the Triradiate Cartilage
During development they are
separated from each other by
the Triradiate Cartilage
In the Acetabulum is a
horseshoe shaped facet
covered in life by articular
hyaline cartilage
It is one of the two articular
surfaces in the Hip Joint
The Pubis consists of
3 main sections and
has a number of
interesting features
The Pubis consists of
3 main sections and
has a number of
interesting features
Superior Ramus of Pubis
The Pubis consists of
3 main sections and
has a number of
interesting features
Body of Pubis
The Pubis consists of
3 main sections and
has a number of
interesting features
Inferior Ramus
of Pubis
The Pubis consists of
3 main sections and
has a number of
interesting features
Obturator Crest
Obturator Groove
Pubic Tubercle
provides attachment for
Inguinal Ligament
Pubic Tubercle
provides attachment for
Adductor Longus
The Inferior Pubic Ramus
joins with the
Ramus of the Ischium
Ischial Ramus
Inferior Pubic Ramus
Body of
Ischium
Body of Ischium
Ischial
Tuberosity
The Ischial Tuberosity is
the part of the Hip Bone
upon which the upper
body rests when a person
is seated
The Ischial Tuberosity is
the part of the Hip Bone
upon which the upper
body rests when a person
is seated
Hip Bone has been tilted
to demonstrate the
ischial tuberosity
Ischial Spine
Hip Bone has been tilted
to demonstrate the
ischial spine
The ‘Hole’ in the Hip Bone
is the
Obturator Foramen
The ‘Hole’ in the Hip Bone
is the
Obturator Foramen
Posterolateral view of the right Hip Bone
The Ilium also has a
number of interesting
features
It has an internal (or
medial) surface
The Ilium also has a
number of interesting
features
Posterolateral view of the Hip Bone
And a Gluteal or
Posterolateral surface
The Ilium also has a
number of interesting
features
Ilium
Body of the Ilium
Ala of Ilium
Iliac Crest
Iliac Crest
Runs from
Anterior Superior Iliac Spine
Iliac Crest
Runs from
Anterior Superior Iliac Spine
to the
Posterior Superior Iliac Spine
Iliac Crest
Below the
Posterior Superior Iliac Spine
is the
Posterior Inferior Iliac Spine
Iliac Crest
The Anterior Inferior Iliac Spine
is below the
Anterior Superior Iliac Spine
Posterolateral view of the Hip Bone
The Gluteal Surface of
the Ilium provides
attachment for the
Gluteal Muscles
Gluteus Maximus
The Medial Surface of the Ilium is divided into 2 parts
The Medial Surface of the Ilium is divided into 2 parts
Auricular Facet
The Medial Surface of the Ilium is divided into 2 parts
Auricular Facet
The Auricular Facet
Articulates with the
Sacrum at the
Sacroiliac Joint
The Auricular Facet
Articulates with the
Sacrum at the
Sacroiliac Joint
Iliac Fossa
The Iliac Fossa provides
attachment for
Iliacus
which inserts onto the Lesser
Trochanter of the Femur
Iliacus flexes the Hip Joint
Muscle Attachments
Postero-lateral View
Tensor Fasciae Latae
Originates from
•anterior superior iliac
spine
•outer lip of anterior
1/4th
of iliac crest
•fascia lata
Postero-lateral View
Tensor Fasciae Latae
Inserts via the
Iliotibial Tract (band)
onto
Gerdy’s Tubercle
on anterior aspect
of Lateral Tibial
Condyle
Originates from
•anterior superior iliac
spine
•outer lip of anterior
1/4th
of iliac crest
•fascia lata
Postero-lateral View
Sartorius
Originates from the
Anterior Superior
Iliac Spine
Postero-lateral View
Sartorius
Originates from the
Anterior Superior
Iliac Spine
Inserts onto the
medial aspect of
upper Tibia
Postero-lateral View
Sartorius
Originates from the
Anterior Superior
Iliac Spine
Inserts onto the
medial aspect of
upper Tibia
• Flexes, adducts
and laterally
rotates the hip
• Flexes the knee
Postero-lateral View
Gluteus Medius
Originates from outer surface of
Ilium between
Posterior and Anterior (middle)
Gluteal Lines
Postero-lateral View
Gluteus Medius
Inserts onto
lateral surface of
Greater Trochanter of
Femur
Originates from outer surface of
Ilium between
Posterior and Anterior (middle)
Gluteal Lines
Postero-lateral View
Gluteus Medius
Originates from outer surface of
Ilium between
Posterior and Anterior (middle)
Gluteal Lines
Inserts onto
lateral surface of
Greater Trochanter of
Femur
• Abducts thigh
• Medially rotates hip
Postero-lateral View
Gluteus Minimus
Originates from outer surface of
Ilium between
Inferior and Anterior (middle)
Gluteal lines
Postero-lateral View
Gluteus Minimus
Inserts onto
anterior surface of
Greater Trochanter
of Femur
Originates from outer surface of
Ilium between
Inferior and Anterior (middle)
Gluteal lines
Postero-lateral View
Gluteus Minimus
Inserts onto
anterior surface of
Greater Trochanter
of Femur
Abducts and
medially rotates the
hip joint
Originates from outer surface of
Ilium between
Inferior and Anterior (middle)
Gluteal lines
Postero-lateral View
Gluteus Maximus
Originates from
•Posterior aspect of dorsal ilium
posterior to posterior gluteal line
•posterior superior iliac crest
•posterior surface of sacrum and cocc
•sacrotuberous ligament
Postero-lateral View
Gluteus Maximus
Inserts onto
•Iliotibial band
•Gluteal Tuberosity posterior
Femur
Postero-lateral View
Gluteus Maximus
Inserts onto
•Iliotibial band
•Gluteal Tuberosity posterior
Femur
Extends and laterally rotates hip
Postero-lateral View
Piriformis
Originates from
•anterior surface of Sacrum
•gluteal surface of Ilium at the
margin of the greater sciatic
notch
Postero-lateral View
Piriformis
Originates from
•anterior surface of Sacrum
•gluteal surface of Ilium at the
margin of the greater sciatic
notch
Inserts onto
superior aspect
Greater Trochanter
of Femur
Postero-lateral View
Piriformis
Originates from
•anterior surface of Sacrum
•gluteal surface of Ilium at the
margin of the greater sciatic
notch
Inserts onto
superior aspect
Greater Trochanter
of Femur
Laterally rotates Hip Joint
Postero-lateral View
Superior Gemellus
Originates from a small area on the
outer surface of hip bone below
Ischial Spine
Postero-lateral View
Superior Gemellus
Originates from a small area on the
outer surface of hip bone below
Ischial Spine
Inserts onto the medial surface
of Greater Trochanter of Femur
Postero-lateral View
Superior Gemellus
Inserts onto the medial surface
of Greater Trochanter of Femur
Laterally
rotates the
Hip
Originates from a small area on the
outer surface of hip bone below
Ischial Spine
Postero-lateral View
Semitendinosus
Originates from supero-medial
quadrant on the posterior surface
of the Ischial Tuberosity
Postero-lateral View
Semitendinosus
Originates from supero-medial
quadrant on the posterior surface
of the Ischial Tuberosity
Inserts onto
superior aspect
medial Tibial shaft
behind Sartorius and
Gracilis
Postero-lateral View
Semitendinosus
Originates from superior medial
quadrant on the posterior surface
of the Ischial Tuberosity
Inserts onto
superior aspect
medial Tibial shaft
behind Sartorius and
Gracilis
• Extends Hip
• Flexes and medially
rotates the Knee
Postero-lateral View
Originates from superior medial
quadrant on the posterior surface
of the Ischial Tuberosity
Biceps Femoris
(long head)
Postero-lateral View
Originates from superior medial
quadrant on the posterior surface
of the Ischial Tuberosity
Inserts in common with
the short head onto
•Fibular head
•Lateral Collateral
Ligament of Knee
•Lateral Tibial Condyle
Biceps Femoris
(long head)
Postero-lateral View
Biceps Femoris
(long head)
Originates from superior medial
quadrant on the posterior surface
of the Ischial Tuberosity
Inserts in common with
the short head onto
•Fibular head
•Lateral Collateral
Ligament of Knee
•Lateral Tibial Condyle
• Flexes the Knee
• Rotates Tibia laterally
• Extends the Hip
Postero-lateral View
Semimembranosus
Originates from superior lateral
quadrant on the posterior surface
of the Ischial Tuberosity
Postero-lateral View
Semimembranosus
Originates from superior lateral
quadrant on the posterior surface
of the Ischial Tuberosity
Inserts onto
•Medial Tibial Condyle
•Fascia over Popliteus
•Oblique Popliteal
Ligament
Postero-lateral View
Semimembranosus
Originates from superior lateral
quadrant on the posterior surface
of the Ischial Tuberosity
• Extends Hip
• Flexes and medially
rotates Knee
Inserts onto
•Medial Tibial Condyle
•Fascia over Popliteus
•Oblique Popliteal
Ligament
Quadratus Femoris
Originates from lateral border of
Ischial Tuberosity
Inferior-lateral View
Quadratus Femoris
Originates from lateral border of
Ischial Tuberosity
Inferior-lateral View
Inserts onto
Quadrate tubercle on Intertrochanteric
Crest and adjacent area of posterior
Femur
Quadratus Femoris
Originates from lateral border of
Ischial Tuberosity
Laterally rotates hip
Inferior-lateral View
Inserts onto
Quadrate tubercle on Intertrochanteric
Crest and adjacent area of posterior
Femur
Adductor Magnus
Has two different functional components
Adductor portion originates from the
Inferior pubic ramus and ischial ramus
Hamstring portion originates from ischial
tuberosity
Inferior-lateral View
Adductor Magnus
Adductor portion originates from the
Inferior Pubic Ramus and Ischial Ramus
Hamstring portion originates from Ischial
Tuberosity
Adductor portion inserts
onto Linea Aspera
Hamstring portion inserts
onto the Adductor
Tubercle
Inferior-lateral View
Adductor Magnus
Adductor portion originates from the
Inferior Pubic Ramus and Ischial Ramus
Hamstring portion originates from Ischial
Tuberosity
Adductor portion inserts
onto Linea Aspera
Hamstring portion inserts
onto the Adductor
Tubercle
Adductor portion: adducts
and medially rotates Hip
Joint
Hamstring portion:
extends Hip JointInferior-lateral View
Adductor Brevis
Originates from Pubis
•Inferior ramus
•Body
Inferior-lateral View
Adductor Brevis
Originates from Pubis
•Inferior ramus
•Body
Inserts onto upper third
Linea Aspera of Femur
Inferior-lateral View
Adductor Brevis
Originates from Pubis
•Inferior ramus
•Body
Inserts onto upper third
Linea Aspera of Femur
Adducts and flexes Hip
Inferior-lateral View
Adductor Longus
Originates from anterior surface of
body of Pubis
Inferior-lateral View
Adductor Longus
Originates from anterior surface of
body of Pubis
Inserts onto Linea Aspera of
Femur
Inferior-lateral View
Adductor Longus
Originates from anterior surface of
body of Pubis
Inserts onto Linea Aspera of
Femur
Adducts, flexes and
medially rotates the Hip
Joint
Inferior-lateral View
Gracilis
Originates from
•Inferior ramus of pubis
•Ramus of ischium
Inferior-lateral View
Gracilis
Originates from
•Inferior ramus of pubis
•Ramus of ischium
Inserts onto medial
surface of upper Tibial
shaft
Inferior-lateral View
Gracilis
• Adducts Hip
• Flexes Knee
Medially rotates
Tibia on Femur
Inferior-lateral View
Originates from
•Inferior ramus of pubis
•Ramus of ischium
Inserts onto medial
surface of upper Tibial
shaft
Obturator Externus
Originates from
•Outer surface of Obturator Membrane
Posterior bony margins of Obturator
Foramen
Inferior-lateral View
Obturator Externus
Originates from
•Outer surface of Obturator Membrane
Posterior bony margins of Obturator
Foramen
Inserts onto Greater Trochanter of Femur
Inferior-lateral View
Obturator Externus
Originates from
•Outer surface of Obturator Membrane
Posterior bony margins of Obturator
Foramen
Inserts onto Greater Trochanter of Femur
Laterally rotates hip
Inferior-lateral View
Rectus Femoris
Straight head originates from
Anterior Inferior Iliac Spine
Inferior-lateral View
Rectus Femoris
Straight head originates from
Anterior Inferior Iliac Spine
Reflected head originates from Ilium
just above Acetabulum
Inferior-lateral View
Inferior-lateral View
Rectus Femoris
Straight head originates from
Anterior Inferior Iliac Spine
Reflected head originates from Ilium
just above Acetabulum
Inserts onto Patella to form
central portion of
Quadriceps Femoris
tendon
Rectus Femoris
Straight head originates from
Anterior Inferior Iliac Spine
Reflected head originates from Ilium
just above Acetabulum
Inserts onto Patella to form
central portion of
Quadriceps Femoris
tendon
Extends the knee
Inferior-lateral View
Iliacus
Originates from
•Upper 2/3 of Iliac Fossa of Ilium
•Lateral aspect of sacrum
Medial View right hip bone
Inserts onto Lesser
trochanter of Femur
Flexes and medially
rotates Hip
Muscle Summaries
Tensor Fasciae Latae
Origin Anterior superior iliac spine, outer
lip of anterior iliac crest and fascia
lata
Insertion Via the Iliotibial band onto Gerdy’s
tubercle on lateral tibial condyle
Action Assists gluteus maximus in
maintaining extended knee,
abducts hip
Nerve Supply Superior gluteal nerve (L4, L5, S1)
Blood Supply Superior gluteal and lateral
circumflex femoral artery
Anterior Thigh
Sartorius
Origin Anterior superior iliac spine
Insertion Superior aspect medial surface of
tibial shaft
Action Flexes, adducts and laterally
rotates the hip joint and flexes the
knee
Nerve Supply Anterior division of femoral nerve
(L3, L4)
Blood Supply Femoral artery
Anterior Thigh
Gluteus Medius
Origin Outer surface of ilium between
posterior and anterior gluteal
lines
Insertion Lateral and superior surfaces of
greater trochanter of femur
Action Abducts thigh; medially rotates
hip
Nerve Supply Superior gluteal nerve (L4, L5, S1)
Blood Supply Superior gluteal artery
Gluteal Region
Gluteus Minimus
Origin Outer surface of ilium between
inferior and anterior gluteal lines
Insertion Anterior surface of greater
trochanter of femur
Action Abducts and medially rotates the
hip joint
Nerve Supply Superior gluteal nerve (L4, L5, S1)
Blood Supply Superior gluteal artery
Gluteal Region
Gluteus Maximus
Origin Posterior aspect of dorsal
ilium posterior to posterior
gluteal line, posterior
superior iliac crest, lateral
sacrum and coccyx, and
sacrotuberous ligament
Insertion Iliotibial band; gluteal
tuberosity posterior femur
Action Extends and laterally rotates
hip
Nerve Supply Inferior gluteal nerve (L5, S1,
S2)
Blood Supply Inferior and superior gluteal
arteries
Gluteal Region
Piriformis
Origin Anterior surface of lateral
process of sacrum and gluteal
surface of ilium at the margin of
the greater sciatic notch
Insertion Superior aspect greater
trochanter of femur
Action Lateral rotator of the hip joint
Nerve Supply Anterior primary rami S1, S2
Blood Supply Superior and inferior gluteal
and internal pudendal arteries
Gluteal Region
Gluteal Region
Superior Gemellus
Origin Outer aspect of Ischium
Insertion Medial surface of greater
trochanter of femur, in
common with obturator
internus
Action Laterally rotates hip
Nerve Supply Nerve to the obturator
internus
Blood Supply Inferior gluteal artery
Semitendinosus
Origin Superior medial quadrant,
posterior surface ischial tuberosity
Insertion Superior aspect, medial tibial shaft
Action Extends hip, flexes and medially
rotates knee
Nerve Supply Tibial portion sciatic nerve (L5, S1)
Blood Supply Perforating branches of profunda
femoris artery, inferior gluteal
artery, superior muscular branches
of popliteal artery
Posterior thigh
Posterior Thigh
Biceps Femoris
Origin Long Head: Superior medial quadrant
of the posterior surface of the ischial
tuberosity
Short Head:Middle third linea aspera,
lateral supracondylar ridge of femur
Insertion Fibular head, lateral collateral
ligament, lateral tibial condyle
Action Flexes the knee, rotates tibia laterally,
extends the hip joint
Nerve Supply Long head: tibial portion of sciatic
nerve, Short head: common peroneal
portion of sciatic nerve (L5, S1)
Blood Supply Perforating branches of profunda
femoris artery, inferior gluteal artery,
superior muscular branches of
popliteal artery
Semimembranosus
Origin Superior lateral quadrant of
posterior surface ischial
tuberosity
Insertion Posterior surface of the medial
tibial condyle, fascia over
popliteus, oblique popliteal
ligament
Action Extends hip, flexes and medially
rotates the knee
Nerve Supply Tibial portion of sciatic nerve
(L5, S1)
Blood Supply Perforating branches of profunda
femoris artery, inferior gluteal
artery, and the superior muscular
branches of popliteal artery
Posterior thigh
Gluteal Region
Quadratus Femoris
Origin Lateral border ischial
tuberosity
Insertion Quadrate tubercle and
adjacent bone of
intertrochanteric crest of
posterior aspect femur
Action Laterally rotates hip
Nerve Supply Nerve to the quadratus
femoris
Blood Supply Medial circumflex femoral
artery, inferior gluteal artery,
obturator artery,
Anterior Thigh
Adductor Magnus
Origin Adductor portion: Inferior pubic
ramus, ischial ramus
Hamstring portion: ischial tuberosity
Insertion Adductor portion: Linea aspera
Hamstring portion: Medial
supracondylar ridge and adductor
tubercle
Action Adductor portion:adducts and
medially rotates hip
Hamstring portion: extends hip
Nerve Supply Adductor portion: Posterior division
of obturator nerve (L2-4)
Hamstring portion: tibial nerve
portion of sciatic nerve (L4-S3)
Blood Supply Medial circumflex femoral artery,
inferior gluteal artery, 1st - 4th
perforating arteries, obturator artery,
popliteal artery
Adductor Brevis
Origin Inferior ramus and body of pubis
Insertion Upper third linea aspera of femur
Action Adducts and flexes hip joint
Nerve Supply Anterior division obturator nerve
(L2, L3, L4)
Blood Supply Medial circumflex femoral branch
of femoral artery and obturator
artery
Anterior Thigh
Adductor Longus
Origin Anterior surface of body of pubis,
just lateral to pubic symphysis
Insertion Middle third of linea aspera,
between the more lateral adductor
magnus and brevis insertions and
the more medial origin of the
vastus medialis
Action Adducts, flexes and medially
rotates the hip joint
Nerve Supply Anterior division of obturator nerve
(L2, L3, L4)
Blood Supply Obturator artery and medial
circumflex femoral artery
Anterior Thigh
Gluteal Region
Obturator Externus
Origin Outer surface of obturator
membrane and posterior
bony margins of obturator
foramen
Insertion Trochanteric Fossa on medial
aspect greater trochanter of
femur
Action Laterally rotates hip
Nerve Supply Posterior division obturator
nerve L2,3,4
Blood Supply Internal pudendal and
superior and inferior gluteal
arteries
Anterior Thigh
Rectus Femoris
Origin Straight head: anterior inferior iliac
spine
Reflected head: ilium just above
acetabulum
Insertion Base of patella to form the more
central portion of the quadriceps
femoris tendon
Action Extends the knee
Nerve Supply Posterior division of femoral nerve
(L2, L3, L4)
Blood Supply Lateral circumflex femoral artery
Hip Flexors
Iliacus
Origin Upper 2/3 of iliac fossa of
ilium, lateral aspect of sacrum
Insertion Lesser trochanter of femur
Action Flexes and medially rotates hip
Nerve Supply Muscular branch of femoral
nerve (L2, L3)
Blood Supply Lumbar branch of iliolumbar
branch of internal iliac artery

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Slideshow: Hip Bone

  • 2. Hip Bone Anterior View Anatomical Position Hip Bone
  • 3. The Hip Bone is a composite of 3 bones
  • 4. Pubis The Hip Bone is a composite of 3 bones Pubis
  • 5. Pubis Ischium The Hip Bone is a composite of 3 bones Pubis Ischium
  • 6. Pubis Ischium Ilium The Hip Bone is a composite of 3 bones Pubis Ischium Ilium
  • 7. These three bones meet within the Acetabulum Acetabulum (Latin for Vinegar Cup) Pubis Ischium Ilium
  • 8. During development they are separated from each other by the Triradiate Cartilage
  • 9. During development they are separated from each other by the Triradiate Cartilage
  • 10. In the Acetabulum is a horseshoe shaped facet covered in life by articular hyaline cartilage It is one of the two articular surfaces in the Hip Joint
  • 11. The Pubis consists of 3 main sections and has a number of interesting features
  • 12. The Pubis consists of 3 main sections and has a number of interesting features Superior Ramus of Pubis
  • 13. The Pubis consists of 3 main sections and has a number of interesting features Body of Pubis
  • 14. The Pubis consists of 3 main sections and has a number of interesting features Inferior Ramus of Pubis
  • 15. The Pubis consists of 3 main sections and has a number of interesting features Obturator Crest Obturator Groove
  • 16. Pubic Tubercle provides attachment for Inguinal Ligament
  • 17. Pubic Tubercle provides attachment for Adductor Longus
  • 18. The Inferior Pubic Ramus joins with the Ramus of the Ischium Ischial Ramus Inferior Pubic Ramus
  • 20. Ischial Tuberosity The Ischial Tuberosity is the part of the Hip Bone upon which the upper body rests when a person is seated
  • 21. The Ischial Tuberosity is the part of the Hip Bone upon which the upper body rests when a person is seated Hip Bone has been tilted to demonstrate the ischial tuberosity
  • 22. Ischial Spine Hip Bone has been tilted to demonstrate the ischial spine
  • 23. The ‘Hole’ in the Hip Bone is the Obturator Foramen
  • 24. The ‘Hole’ in the Hip Bone is the Obturator Foramen
  • 25. Posterolateral view of the right Hip Bone The Ilium also has a number of interesting features
  • 26. It has an internal (or medial) surface The Ilium also has a number of interesting features
  • 27. Posterolateral view of the Hip Bone And a Gluteal or Posterolateral surface The Ilium also has a number of interesting features
  • 31. Iliac Crest Runs from Anterior Superior Iliac Spine
  • 32. Iliac Crest Runs from Anterior Superior Iliac Spine to the Posterior Superior Iliac Spine
  • 33. Iliac Crest Below the Posterior Superior Iliac Spine is the Posterior Inferior Iliac Spine
  • 34. Iliac Crest The Anterior Inferior Iliac Spine is below the Anterior Superior Iliac Spine
  • 35. Posterolateral view of the Hip Bone The Gluteal Surface of the Ilium provides attachment for the Gluteal Muscles
  • 37. The Medial Surface of the Ilium is divided into 2 parts
  • 38. The Medial Surface of the Ilium is divided into 2 parts Auricular Facet
  • 39. The Medial Surface of the Ilium is divided into 2 parts Auricular Facet
  • 40. The Auricular Facet Articulates with the Sacrum at the Sacroiliac Joint
  • 41. The Auricular Facet Articulates with the Sacrum at the Sacroiliac Joint
  • 43. The Iliac Fossa provides attachment for Iliacus which inserts onto the Lesser Trochanter of the Femur Iliacus flexes the Hip Joint
  • 45. Postero-lateral View Tensor Fasciae Latae Originates from •anterior superior iliac spine •outer lip of anterior 1/4th of iliac crest •fascia lata
  • 46. Postero-lateral View Tensor Fasciae Latae Inserts via the Iliotibial Tract (band) onto Gerdy’s Tubercle on anterior aspect of Lateral Tibial Condyle Originates from •anterior superior iliac spine •outer lip of anterior 1/4th of iliac crest •fascia lata
  • 47. Postero-lateral View Sartorius Originates from the Anterior Superior Iliac Spine
  • 48. Postero-lateral View Sartorius Originates from the Anterior Superior Iliac Spine Inserts onto the medial aspect of upper Tibia
  • 49. Postero-lateral View Sartorius Originates from the Anterior Superior Iliac Spine Inserts onto the medial aspect of upper Tibia • Flexes, adducts and laterally rotates the hip • Flexes the knee
  • 50. Postero-lateral View Gluteus Medius Originates from outer surface of Ilium between Posterior and Anterior (middle) Gluteal Lines
  • 51. Postero-lateral View Gluteus Medius Inserts onto lateral surface of Greater Trochanter of Femur Originates from outer surface of Ilium between Posterior and Anterior (middle) Gluteal Lines
  • 52. Postero-lateral View Gluteus Medius Originates from outer surface of Ilium between Posterior and Anterior (middle) Gluteal Lines Inserts onto lateral surface of Greater Trochanter of Femur • Abducts thigh • Medially rotates hip
  • 53. Postero-lateral View Gluteus Minimus Originates from outer surface of Ilium between Inferior and Anterior (middle) Gluteal lines
  • 54. Postero-lateral View Gluteus Minimus Inserts onto anterior surface of Greater Trochanter of Femur Originates from outer surface of Ilium between Inferior and Anterior (middle) Gluteal lines
  • 55. Postero-lateral View Gluteus Minimus Inserts onto anterior surface of Greater Trochanter of Femur Abducts and medially rotates the hip joint Originates from outer surface of Ilium between Inferior and Anterior (middle) Gluteal lines
  • 56. Postero-lateral View Gluteus Maximus Originates from •Posterior aspect of dorsal ilium posterior to posterior gluteal line •posterior superior iliac crest •posterior surface of sacrum and cocc •sacrotuberous ligament
  • 57. Postero-lateral View Gluteus Maximus Inserts onto •Iliotibial band •Gluteal Tuberosity posterior Femur
  • 58. Postero-lateral View Gluteus Maximus Inserts onto •Iliotibial band •Gluteal Tuberosity posterior Femur Extends and laterally rotates hip
  • 59. Postero-lateral View Piriformis Originates from •anterior surface of Sacrum •gluteal surface of Ilium at the margin of the greater sciatic notch
  • 60. Postero-lateral View Piriformis Originates from •anterior surface of Sacrum •gluteal surface of Ilium at the margin of the greater sciatic notch Inserts onto superior aspect Greater Trochanter of Femur
  • 61. Postero-lateral View Piriformis Originates from •anterior surface of Sacrum •gluteal surface of Ilium at the margin of the greater sciatic notch Inserts onto superior aspect Greater Trochanter of Femur Laterally rotates Hip Joint
  • 62. Postero-lateral View Superior Gemellus Originates from a small area on the outer surface of hip bone below Ischial Spine
  • 63. Postero-lateral View Superior Gemellus Originates from a small area on the outer surface of hip bone below Ischial Spine Inserts onto the medial surface of Greater Trochanter of Femur
  • 64. Postero-lateral View Superior Gemellus Inserts onto the medial surface of Greater Trochanter of Femur Laterally rotates the Hip Originates from a small area on the outer surface of hip bone below Ischial Spine
  • 65. Postero-lateral View Semitendinosus Originates from supero-medial quadrant on the posterior surface of the Ischial Tuberosity
  • 66. Postero-lateral View Semitendinosus Originates from supero-medial quadrant on the posterior surface of the Ischial Tuberosity Inserts onto superior aspect medial Tibial shaft behind Sartorius and Gracilis
  • 67. Postero-lateral View Semitendinosus Originates from superior medial quadrant on the posterior surface of the Ischial Tuberosity Inserts onto superior aspect medial Tibial shaft behind Sartorius and Gracilis • Extends Hip • Flexes and medially rotates the Knee
  • 68. Postero-lateral View Originates from superior medial quadrant on the posterior surface of the Ischial Tuberosity Biceps Femoris (long head)
  • 69. Postero-lateral View Originates from superior medial quadrant on the posterior surface of the Ischial Tuberosity Inserts in common with the short head onto •Fibular head •Lateral Collateral Ligament of Knee •Lateral Tibial Condyle Biceps Femoris (long head)
  • 70. Postero-lateral View Biceps Femoris (long head) Originates from superior medial quadrant on the posterior surface of the Ischial Tuberosity Inserts in common with the short head onto •Fibular head •Lateral Collateral Ligament of Knee •Lateral Tibial Condyle • Flexes the Knee • Rotates Tibia laterally • Extends the Hip
  • 71. Postero-lateral View Semimembranosus Originates from superior lateral quadrant on the posterior surface of the Ischial Tuberosity
  • 72. Postero-lateral View Semimembranosus Originates from superior lateral quadrant on the posterior surface of the Ischial Tuberosity Inserts onto •Medial Tibial Condyle •Fascia over Popliteus •Oblique Popliteal Ligament
  • 73. Postero-lateral View Semimembranosus Originates from superior lateral quadrant on the posterior surface of the Ischial Tuberosity • Extends Hip • Flexes and medially rotates Knee Inserts onto •Medial Tibial Condyle •Fascia over Popliteus •Oblique Popliteal Ligament
  • 74. Quadratus Femoris Originates from lateral border of Ischial Tuberosity Inferior-lateral View
  • 75. Quadratus Femoris Originates from lateral border of Ischial Tuberosity Inferior-lateral View Inserts onto Quadrate tubercle on Intertrochanteric Crest and adjacent area of posterior Femur
  • 76. Quadratus Femoris Originates from lateral border of Ischial Tuberosity Laterally rotates hip Inferior-lateral View Inserts onto Quadrate tubercle on Intertrochanteric Crest and adjacent area of posterior Femur
  • 77. Adductor Magnus Has two different functional components Adductor portion originates from the Inferior pubic ramus and ischial ramus Hamstring portion originates from ischial tuberosity Inferior-lateral View
  • 78. Adductor Magnus Adductor portion originates from the Inferior Pubic Ramus and Ischial Ramus Hamstring portion originates from Ischial Tuberosity Adductor portion inserts onto Linea Aspera Hamstring portion inserts onto the Adductor Tubercle Inferior-lateral View
  • 79. Adductor Magnus Adductor portion originates from the Inferior Pubic Ramus and Ischial Ramus Hamstring portion originates from Ischial Tuberosity Adductor portion inserts onto Linea Aspera Hamstring portion inserts onto the Adductor Tubercle Adductor portion: adducts and medially rotates Hip Joint Hamstring portion: extends Hip JointInferior-lateral View
  • 80. Adductor Brevis Originates from Pubis •Inferior ramus •Body Inferior-lateral View
  • 81. Adductor Brevis Originates from Pubis •Inferior ramus •Body Inserts onto upper third Linea Aspera of Femur Inferior-lateral View
  • 82. Adductor Brevis Originates from Pubis •Inferior ramus •Body Inserts onto upper third Linea Aspera of Femur Adducts and flexes Hip Inferior-lateral View
  • 83. Adductor Longus Originates from anterior surface of body of Pubis Inferior-lateral View
  • 84. Adductor Longus Originates from anterior surface of body of Pubis Inserts onto Linea Aspera of Femur Inferior-lateral View
  • 85. Adductor Longus Originates from anterior surface of body of Pubis Inserts onto Linea Aspera of Femur Adducts, flexes and medially rotates the Hip Joint Inferior-lateral View
  • 86. Gracilis Originates from •Inferior ramus of pubis •Ramus of ischium Inferior-lateral View
  • 87. Gracilis Originates from •Inferior ramus of pubis •Ramus of ischium Inserts onto medial surface of upper Tibial shaft Inferior-lateral View
  • 88. Gracilis • Adducts Hip • Flexes Knee Medially rotates Tibia on Femur Inferior-lateral View Originates from •Inferior ramus of pubis •Ramus of ischium Inserts onto medial surface of upper Tibial shaft
  • 89. Obturator Externus Originates from •Outer surface of Obturator Membrane Posterior bony margins of Obturator Foramen Inferior-lateral View
  • 90. Obturator Externus Originates from •Outer surface of Obturator Membrane Posterior bony margins of Obturator Foramen Inserts onto Greater Trochanter of Femur Inferior-lateral View
  • 91. Obturator Externus Originates from •Outer surface of Obturator Membrane Posterior bony margins of Obturator Foramen Inserts onto Greater Trochanter of Femur Laterally rotates hip Inferior-lateral View
  • 92. Rectus Femoris Straight head originates from Anterior Inferior Iliac Spine Inferior-lateral View
  • 93. Rectus Femoris Straight head originates from Anterior Inferior Iliac Spine Reflected head originates from Ilium just above Acetabulum Inferior-lateral View
  • 94. Inferior-lateral View Rectus Femoris Straight head originates from Anterior Inferior Iliac Spine Reflected head originates from Ilium just above Acetabulum Inserts onto Patella to form central portion of Quadriceps Femoris tendon
  • 95. Rectus Femoris Straight head originates from Anterior Inferior Iliac Spine Reflected head originates from Ilium just above Acetabulum Inserts onto Patella to form central portion of Quadriceps Femoris tendon Extends the knee Inferior-lateral View
  • 96. Iliacus Originates from •Upper 2/3 of Iliac Fossa of Ilium •Lateral aspect of sacrum Medial View right hip bone Inserts onto Lesser trochanter of Femur Flexes and medially rotates Hip
  • 98. Tensor Fasciae Latae Origin Anterior superior iliac spine, outer lip of anterior iliac crest and fascia lata Insertion Via the Iliotibial band onto Gerdy’s tubercle on lateral tibial condyle Action Assists gluteus maximus in maintaining extended knee, abducts hip Nerve Supply Superior gluteal nerve (L4, L5, S1) Blood Supply Superior gluteal and lateral circumflex femoral artery Anterior Thigh
  • 99. Sartorius Origin Anterior superior iliac spine Insertion Superior aspect medial surface of tibial shaft Action Flexes, adducts and laterally rotates the hip joint and flexes the knee Nerve Supply Anterior division of femoral nerve (L3, L4) Blood Supply Femoral artery Anterior Thigh
  • 100. Gluteus Medius Origin Outer surface of ilium between posterior and anterior gluteal lines Insertion Lateral and superior surfaces of greater trochanter of femur Action Abducts thigh; medially rotates hip Nerve Supply Superior gluteal nerve (L4, L5, S1) Blood Supply Superior gluteal artery Gluteal Region
  • 101. Gluteus Minimus Origin Outer surface of ilium between inferior and anterior gluteal lines Insertion Anterior surface of greater trochanter of femur Action Abducts and medially rotates the hip joint Nerve Supply Superior gluteal nerve (L4, L5, S1) Blood Supply Superior gluteal artery Gluteal Region
  • 102. Gluteus Maximus Origin Posterior aspect of dorsal ilium posterior to posterior gluteal line, posterior superior iliac crest, lateral sacrum and coccyx, and sacrotuberous ligament Insertion Iliotibial band; gluteal tuberosity posterior femur Action Extends and laterally rotates hip Nerve Supply Inferior gluteal nerve (L5, S1, S2) Blood Supply Inferior and superior gluteal arteries Gluteal Region
  • 103. Piriformis Origin Anterior surface of lateral process of sacrum and gluteal surface of ilium at the margin of the greater sciatic notch Insertion Superior aspect greater trochanter of femur Action Lateral rotator of the hip joint Nerve Supply Anterior primary rami S1, S2 Blood Supply Superior and inferior gluteal and internal pudendal arteries Gluteal Region
  • 104. Gluteal Region Superior Gemellus Origin Outer aspect of Ischium Insertion Medial surface of greater trochanter of femur, in common with obturator internus Action Laterally rotates hip Nerve Supply Nerve to the obturator internus Blood Supply Inferior gluteal artery
  • 105. Semitendinosus Origin Superior medial quadrant, posterior surface ischial tuberosity Insertion Superior aspect, medial tibial shaft Action Extends hip, flexes and medially rotates knee Nerve Supply Tibial portion sciatic nerve (L5, S1) Blood Supply Perforating branches of profunda femoris artery, inferior gluteal artery, superior muscular branches of popliteal artery Posterior thigh
  • 106. Posterior Thigh Biceps Femoris Origin Long Head: Superior medial quadrant of the posterior surface of the ischial tuberosity Short Head:Middle third linea aspera, lateral supracondylar ridge of femur Insertion Fibular head, lateral collateral ligament, lateral tibial condyle Action Flexes the knee, rotates tibia laterally, extends the hip joint Nerve Supply Long head: tibial portion of sciatic nerve, Short head: common peroneal portion of sciatic nerve (L5, S1) Blood Supply Perforating branches of profunda femoris artery, inferior gluteal artery, superior muscular branches of popliteal artery
  • 107. Semimembranosus Origin Superior lateral quadrant of posterior surface ischial tuberosity Insertion Posterior surface of the medial tibial condyle, fascia over popliteus, oblique popliteal ligament Action Extends hip, flexes and medially rotates the knee Nerve Supply Tibial portion of sciatic nerve (L5, S1) Blood Supply Perforating branches of profunda femoris artery, inferior gluteal artery, and the superior muscular branches of popliteal artery Posterior thigh
  • 108. Gluteal Region Quadratus Femoris Origin Lateral border ischial tuberosity Insertion Quadrate tubercle and adjacent bone of intertrochanteric crest of posterior aspect femur Action Laterally rotates hip Nerve Supply Nerve to the quadratus femoris Blood Supply Medial circumflex femoral artery, inferior gluteal artery, obturator artery,
  • 109. Anterior Thigh Adductor Magnus Origin Adductor portion: Inferior pubic ramus, ischial ramus Hamstring portion: ischial tuberosity Insertion Adductor portion: Linea aspera Hamstring portion: Medial supracondylar ridge and adductor tubercle Action Adductor portion:adducts and medially rotates hip Hamstring portion: extends hip Nerve Supply Adductor portion: Posterior division of obturator nerve (L2-4) Hamstring portion: tibial nerve portion of sciatic nerve (L4-S3) Blood Supply Medial circumflex femoral artery, inferior gluteal artery, 1st - 4th perforating arteries, obturator artery, popliteal artery
  • 110. Adductor Brevis Origin Inferior ramus and body of pubis Insertion Upper third linea aspera of femur Action Adducts and flexes hip joint Nerve Supply Anterior division obturator nerve (L2, L3, L4) Blood Supply Medial circumflex femoral branch of femoral artery and obturator artery Anterior Thigh
  • 111. Adductor Longus Origin Anterior surface of body of pubis, just lateral to pubic symphysis Insertion Middle third of linea aspera, between the more lateral adductor magnus and brevis insertions and the more medial origin of the vastus medialis Action Adducts, flexes and medially rotates the hip joint Nerve Supply Anterior division of obturator nerve (L2, L3, L4) Blood Supply Obturator artery and medial circumflex femoral artery Anterior Thigh
  • 112. Gluteal Region Obturator Externus Origin Outer surface of obturator membrane and posterior bony margins of obturator foramen Insertion Trochanteric Fossa on medial aspect greater trochanter of femur Action Laterally rotates hip Nerve Supply Posterior division obturator nerve L2,3,4 Blood Supply Internal pudendal and superior and inferior gluteal arteries
  • 113. Anterior Thigh Rectus Femoris Origin Straight head: anterior inferior iliac spine Reflected head: ilium just above acetabulum Insertion Base of patella to form the more central portion of the quadriceps femoris tendon Action Extends the knee Nerve Supply Posterior division of femoral nerve (L2, L3, L4) Blood Supply Lateral circumflex femoral artery
  • 114. Hip Flexors Iliacus Origin Upper 2/3 of iliac fossa of ilium, lateral aspect of sacrum Insertion Lesser trochanter of femur Action Flexes and medially rotates hip Nerve Supply Muscular branch of femoral nerve (L2, L3) Blood Supply Lumbar branch of iliolumbar branch of internal iliac artery