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Thigh and Pelvic Muscles
"Obstacles are those frightful things
you see when you take your eyes off
your goal."
- Henry Ford (1863-1947)
Ok Here’s a Joke…
Q. Why are fish easy to weigh?
A. They have their own scales.
Q. What did the fish say when it ran
into the concrete wall?
Dam!
Goals and Objectives
 To identify vast majority of leg and pelvic
muscles to class
 For students to be able to identify muscles or
know where they are at end of lesson
 For students to be able to understand
function of muscles in this powerpoint
 To be able to link body movements with
certain muscles for strength training, injury
recognition and for just better understanding
of human movement and function
Muscles of Anterior thigh.
Sartorius
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis Oblique (VMO)
Psoas Major/Minor
Iliacus
Anterior
and
medial
thigh.
Sartorius
QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
Sartorius
Origin Anterior superior iliac spine
Insertion Superior aspect of the
medial surface of the tibial shaft near
the tibial tuberosity
Action Flexes and laterally rotates the
hip joint and flexes the knee
Rectus Femoris
QuickTime™ and aTIFF (Uncompressed) decompare needed to see this picture
Rectus Femoris
Origin Straight head from anterior
inferior iliac spine; reflected head from
groove just above acetabulum
Insertion Base of patella to form the
more central portion of the quadriceps
femoris tendon
Action Hip Flexion and maybe some
Knee extension.
Vastus Lateralis
QuickTime™ and aTIFF (Uncompressed) decompresare needed to see this picture.
Note all Three
Quad muscles
Here.
Vastus Lateralis
 Origin Superior portion of intertrochanteric
line, anterior and inferior borders of greater
trochanter, superior portion of lateral lip of
linea aspera, and lateral portion of gluteal
tuberosity of femur
 Insertion Lateral base and border of patella;
also forms the lateral patellar retinaculum
and lateral side of quadriceps femoris
tendon
 Action Extends the knee
Vastus Intermedius
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Vastus Intermedius
Origin Superior 2/3 of anterior and
lateral surfaces of femur; also from
lateral intermuscular septum of thigh
Insertion Lateral border of patella;
also forms the deep portion of the
quadriceps tendon
Action Extends the knee
Vastus Medialis
(VMO)
QuickTime™ and aTIFF (Uncompressed) decomare needed to see this pictu
Note Oblique shape
Vastus Medialis (VMO)
Origin Inferior portion of
intertrochanteric line, spiral line, medial
lip of linea aspera, superior part of
medial supracondylar ridge of femur,
and medial intermuscular septum
Insertion Medial base and border of
patella; also forms the medial patellar
retinaculum and medial side of
quadriceps femoris tendon
Action Extends the knee
Psoas
Major/Minor
Psoas
Psoas Major/Minor
Origin Anterior surfaces and lower
borders of transverse processes of L1 -
L5 and bodies and discs of T12 - L5
Insertion Lesser trochanter
Action Flex the torso and thigh with
respect to each other
Iliacus
Origin Upper 2/3 of iliac fossa of ilium,
internal lip of iliac crest, lateral aspect
of sacrum, ventral sacroiliac ligament,
and lower portion of iliolumbar ligament
Insertion Lesser trochanter
Action Flex the torso and thigh with
respect to each other
Iliacus
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are needed to see this picture.
Iliacus
Take Two……..
 Why don't skeletons like parties?
 They have no body to dance with.
 Why didn't the skeleton cross the road?
 He didn't have the guts.
Anterior-Medial, to more
Medial
 Gracilis
 Adductor Brevis
 Adductor Magnus
 Adductor Longus
 Pectineus
Anterior Hip (Flexors / rotators)
– Psoas Major / Minor
– Iliopsoas
– Iliacus
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are needed to see this picture.
Deep medial / Medial muscles
Gracilis
Adductor Brevis
Adductor Magnus
Adductor Longus
Pectineus
Gracilis
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Pectineus--->
Gracilis---->
Gracilis
Origin Inferior margin of pubic
symphysis, inferior ramus of pubis, and
adjacent ramus of ischium
Insertion Medial surface of tibial shaft,
just posterior to sartorius
Action Flexes the knee, adducts the
thigh, and helps to medially rotate the
tibia on the femur
Adductor Brevis and Longus
QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
<---Brevis
Longus--->
Adductor Brevis and Longus
 Origin Anterior surface of body of pubis, just
lateral to pubic symphysis
 Insertion Middle third of linea aspera,
between the more medial adductor magnus
and brevis insertions and the more lateral
origin of the vastus medialis
 Action Adducts and flexes the thigh, and
helps to laterally rotate the hip joint
***what other muscle is similar???? Hint:
“LONG”
Adductor Magnus
QuickTime™ and aTIFF (Uncompressed) decompreare needed to see this picture.
Adductor Magnus
 Origin Inferior pubic ramus, ischial ramus,
and inferolateral area of ischial tuberosity
 Insertion Gluteal tuberosity of femur, medial
lip of linea aspera, medial supracondylar
ridge, and adductor tubercle
 Action Powerful thigh adductor; superior
horizontal fibers also help flex the thigh,
while vertical fibers help extend the thigh
QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
QuickTime™ and aTIFF (Uncompressed) decare needed to see this pic
magnus Brevis Longus
A
D
D
U
C
T
O
R
S
Pectineus
Origin-Pecten pubis and pectineal
surface of the pubis
Insertion-Pectineal line of femur
Action-Adducts the thigh and flexes the
hip joint
ADD of hip and Flex of hip
Pectineus
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are needed to see this picture.
Quick review
Quick Break…..
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are needed to see this picture.
Hum??
Lateral Muscles
IT-band (Iliotibial)
Tensor Fasciae Latae
IT-band (Iliotibial)
 iliotibial band is a longitudinal fibrous
reinforcement of the Fascia lata.
 It is attached to the midpoint of the
external lip of the Iliac crest and to the
lateral condyle of the tibia.
The part of the iliotibial band which lies
beneath the Tensor fasciæ latæ is
prolonged upward to join the lateral
part of the capsule of the hip-joint.
IT-band (Iliotibial)
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are needed to see this picture.
White Band
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Tensor
Fascia Lata
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are needed to see this picture.
Tensor Fascia Lata
Origin Anterior superior iliac spine,
outer lip of anterior iliac crest and
fascia lata
Insertion Iliotibial band
Action Helps stabilize and steady the
hip and knee joints by putting tension
on the iliotibial band of fascia
Posterior Muscles
 Gluteus maximus
 Gluteus medius
 Gluteus minimus
 Deeper “Butt” muscles;
Piriformis
Gamelius Superior and Inferior
Obturator Internus and Exturnus
Quadratus Femoris
Take two……….
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TIFF (Uncompressed) decompressor
are needed to see this picture.
Power House “The Glutes”
Gluteus Maximus
Gluteus Medius
Gluteus Minimus
Gluteus Maximus
 Origin-Posterior aspect of dorsal ilium
posterior to posterior gluteal line, posterior
superior iliac crest, posterior inferior aspect
of sacrum and coccyx, and sacrotuberous
ligament
 Insertion-Primarily in fascia lata at the
iliotibial band; also into the gluteal tuberosity
on posterior femoral surface
 Action-Major extensor of hip joint, assists in
laterally rotating the thigh; upper and middle
third section of the muscle are abductors
*Hip Extensor and ER of Hip
Gluteus Max
Gluteus Medius
Origin-Dorsal ilium inferior to iliac crest
Insertion-Lateral and superior surfaces
of greater trochanter
Action-Major abductor of thigh; anterior
fibers help to rotate hip medially;
posterior fibers help to rotate hip
laterally
*ABD of hip and IR of hip
Gluteus Med
Gluteus Minimus
Origin-Dorsal ilium between inferior
and anterior gluteal lines; also from
edge of greater sciatic notch
Insertion-Anterior surface of greater
trochanter
Action-Abducts and medially rotates
the hip joint
*ABD of hip and IR of hip
Gluteus Mini
Deep “Butt” Muscles
Inferior
Gemellus QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Inferior Gemellus
Origin Posterior portions of ischial
tuberosity and lateral obturator ring
Insertion Medial surface of greater
trochanter of femur, in common with
obturator internus
Action Rotates the thigh laterally; also
helps abduct the flexed thigh
Obturator Internus /
Externus
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TIFF (Uncompressed) decompressor
are needed to see this picture.QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Externus
Obturator internus
Origin Internal surface of obturator
membrane and posterior bony margins
of obturator foramen
Insertion Medial surface of greater
trochanter of femur, in common with
superior and inferior gemelli
Action Rotates the thigh laterally; also
helps abductabduct the thigh when it is flexed
Obturator Externus
Origin External surface of obturator
membrane and anterior bony margins
of obturator foramen
Insertion Posteromedial surface of
greater trochanter of femur
Action Rotates the thigh laterally; also
helps adductadduct thigh
Piriformis
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Piriformis
Origin Anterior surface of lateral
process of sacrum and gluteal surface
of ilium at the margin of the greater
sciatic notch
Insertion Superior border of greater
trochanter
Action Lateral rotator of the hip joint;
also helps abduct the hip if it is flexed
Quadratus Femoris
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TIFF (Uncompressed) decompressor
are needed to see this picture.
<--Here
Quadratus Femoris
Origin Lateral margin of obturator ring
above ischial tuberosity
Insertion Quadrate tubercle and
adjacent bone of intertrochanteric crest
of proximal posterior femur
Action Rotates the hip laterally; also
helps adduct the hip
Getting
cold…
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
“Hammies”
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TIFF (Uncompressed) decompressor
are needed to see this picture.
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Hamstrings
Semitendinosus
Semimembranosus
Biceps Femoris
Biceps Femoris
Biceps Femoris
QuickTime™ andTIFF (Uncompressed)are needed to see this
QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
Long Head
Short Head
Bicept femoris
Origin posterior portion of the ischial
tuberosity
Insertion Primarily on fibular head;
also on lateral collateral ligament and
lateral tibial condyle
Action Flexes the knee, and also
rotates the tibia laterally; long head
also extends the hip joint
Semitendinosus
Semitendinosus
Origin From common tendon with long
head of biceps femoris from superior
medial quadrant of the posterior
portion of the ischial tuberosity
Insertion Superior aspect of medial
portion of tibial shaft
Action Extends the thigh and flexes
the knee, and also rotates the tibia
medially, especially when the knee is
flexed
Semimembranosus
Semimembranosus
Origin Superior lateral quadrant of the
ischial tuberosity
Insertion Posterior surface of the
medial tibial condyle
Action Extends the thigh, flexes the
knee, and also rotates the tibia
medially, especially when the knee is
flexed
We… Are… Doneee….
Back to Work!!

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Thigh and hip muscles

  • 1. Thigh and Pelvic Muscles "Obstacles are those frightful things you see when you take your eyes off your goal." - Henry Ford (1863-1947)
  • 2. Ok Here’s a Joke… Q. Why are fish easy to weigh?
  • 3. A. They have their own scales.
  • 4. Q. What did the fish say when it ran into the concrete wall?
  • 6. Goals and Objectives  To identify vast majority of leg and pelvic muscles to class  For students to be able to identify muscles or know where they are at end of lesson  For students to be able to understand function of muscles in this powerpoint  To be able to link body movements with certain muscles for strength training, injury recognition and for just better understanding of human movement and function
  • 7. Muscles of Anterior thigh. Sartorius Rectus Femoris Vastus Lateralis Vastus Intermedius Vastus Medialis Oblique (VMO) Psoas Major/Minor Iliacus
  • 9. Sartorius QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
  • 10. Sartorius Origin Anterior superior iliac spine Insertion Superior aspect of the medial surface of the tibial shaft near the tibial tuberosity Action Flexes and laterally rotates the hip joint and flexes the knee
  • 11. Rectus Femoris QuickTime™ and aTIFF (Uncompressed) decompare needed to see this picture
  • 12. Rectus Femoris Origin Straight head from anterior inferior iliac spine; reflected head from groove just above acetabulum Insertion Base of patella to form the more central portion of the quadriceps femoris tendon Action Hip Flexion and maybe some Knee extension.
  • 13. Vastus Lateralis QuickTime™ and aTIFF (Uncompressed) decompresare needed to see this picture. Note all Three Quad muscles Here.
  • 14. Vastus Lateralis  Origin Superior portion of intertrochanteric line, anterior and inferior borders of greater trochanter, superior portion of lateral lip of linea aspera, and lateral portion of gluteal tuberosity of femur  Insertion Lateral base and border of patella; also forms the lateral patellar retinaculum and lateral side of quadriceps femoris tendon  Action Extends the knee
  • 15. Vastus Intermedius QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.
  • 16. Vastus Intermedius Origin Superior 2/3 of anterior and lateral surfaces of femur; also from lateral intermuscular septum of thigh Insertion Lateral border of patella; also forms the deep portion of the quadriceps tendon Action Extends the knee
  • 17. Vastus Medialis (VMO) QuickTime™ and aTIFF (Uncompressed) decomare needed to see this pictu Note Oblique shape
  • 18. Vastus Medialis (VMO) Origin Inferior portion of intertrochanteric line, spiral line, medial lip of linea aspera, superior part of medial supracondylar ridge of femur, and medial intermuscular septum Insertion Medial base and border of patella; also forms the medial patellar retinaculum and medial side of quadriceps femoris tendon Action Extends the knee
  • 20. Psoas Major/Minor Origin Anterior surfaces and lower borders of transverse processes of L1 - L5 and bodies and discs of T12 - L5 Insertion Lesser trochanter Action Flex the torso and thigh with respect to each other
  • 21. Iliacus Origin Upper 2/3 of iliac fossa of ilium, internal lip of iliac crest, lateral aspect of sacrum, ventral sacroiliac ligament, and lower portion of iliolumbar ligament Insertion Lesser trochanter Action Flex the torso and thigh with respect to each other
  • 22. Iliacus QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Iliacus
  • 23. Take Two……..  Why don't skeletons like parties?  They have no body to dance with.  Why didn't the skeleton cross the road?  He didn't have the guts.
  • 24. Anterior-Medial, to more Medial  Gracilis  Adductor Brevis  Adductor Magnus  Adductor Longus  Pectineus Anterior Hip (Flexors / rotators) – Psoas Major / Minor – Iliopsoas – Iliacus QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 25. Deep medial / Medial muscles Gracilis Adductor Brevis Adductor Magnus Adductor Longus Pectineus
  • 26. Gracilis QuickTime™ and aTIFF (Uncompressed) decompresare needed to see this picture. Pectineus---> Gracilis---->
  • 27. Gracilis Origin Inferior margin of pubic symphysis, inferior ramus of pubis, and adjacent ramus of ischium Insertion Medial surface of tibial shaft, just posterior to sartorius Action Flexes the knee, adducts the thigh, and helps to medially rotate the tibia on the femur
  • 28. Adductor Brevis and Longus QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture. QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture. <---Brevis Longus--->
  • 29. Adductor Brevis and Longus  Origin Anterior surface of body of pubis, just lateral to pubic symphysis  Insertion Middle third of linea aspera, between the more medial adductor magnus and brevis insertions and the more lateral origin of the vastus medialis  Action Adducts and flexes the thigh, and helps to laterally rotate the hip joint ***what other muscle is similar???? Hint: “LONG”
  • 30. Adductor Magnus QuickTime™ and aTIFF (Uncompressed) decompreare needed to see this picture.
  • 31. Adductor Magnus  Origin Inferior pubic ramus, ischial ramus, and inferolateral area of ischial tuberosity  Insertion Gluteal tuberosity of femur, medial lip of linea aspera, medial supracondylar ridge, and adductor tubercle  Action Powerful thigh adductor; superior horizontal fibers also help flex the thigh, while vertical fibers help extend the thigh
  • 32. QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture. QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture. QuickTime™ and aTIFF (Uncompressed) decare needed to see this pic magnus Brevis Longus A D D U C T O R S
  • 34. Origin-Pecten pubis and pectineal surface of the pubis Insertion-Pectineal line of femur Action-Adducts the thigh and flexes the hip joint ADD of hip and Flex of hip Pectineus
  • 35. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Quick review
  • 36. Quick Break….. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Hum??
  • 38. IT-band (Iliotibial)  iliotibial band is a longitudinal fibrous reinforcement of the Fascia lata.  It is attached to the midpoint of the external lip of the Iliac crest and to the lateral condyle of the tibia. The part of the iliotibial band which lies beneath the Tensor fasciæ latæ is prolonged upward to join the lateral part of the capsule of the hip-joint.
  • 39. IT-band (Iliotibial) QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. White Band
  • 40. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 41. Tensor Fascia Lata QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 42. Tensor Fascia Lata Origin Anterior superior iliac spine, outer lip of anterior iliac crest and fascia lata Insertion Iliotibial band Action Helps stabilize and steady the hip and knee joints by putting tension on the iliotibial band of fascia
  • 43. Posterior Muscles  Gluteus maximus  Gluteus medius  Gluteus minimus  Deeper “Butt” muscles; Piriformis Gamelius Superior and Inferior Obturator Internus and Exturnus Quadratus Femoris
  • 44. Take two………. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 45. Power House “The Glutes” Gluteus Maximus Gluteus Medius Gluteus Minimus
  • 47.  Origin-Posterior aspect of dorsal ilium posterior to posterior gluteal line, posterior superior iliac crest, posterior inferior aspect of sacrum and coccyx, and sacrotuberous ligament  Insertion-Primarily in fascia lata at the iliotibial band; also into the gluteal tuberosity on posterior femoral surface  Action-Major extensor of hip joint, assists in laterally rotating the thigh; upper and middle third section of the muscle are abductors *Hip Extensor and ER of Hip Gluteus Max
  • 49. Origin-Dorsal ilium inferior to iliac crest Insertion-Lateral and superior surfaces of greater trochanter Action-Major abductor of thigh; anterior fibers help to rotate hip medially; posterior fibers help to rotate hip laterally *ABD of hip and IR of hip Gluteus Med
  • 51. Origin-Dorsal ilium between inferior and anterior gluteal lines; also from edge of greater sciatic notch Insertion-Anterior surface of greater trochanter Action-Abducts and medially rotates the hip joint *ABD of hip and IR of hip Gluteus Mini
  • 53. Inferior Gemellus QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 54. Inferior Gemellus Origin Posterior portions of ischial tuberosity and lateral obturator ring Insertion Medial surface of greater trochanter of femur, in common with obturator internus Action Rotates the thigh laterally; also helps abduct the flexed thigh
  • 55. Obturator Internus / Externus QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. Externus
  • 56. Obturator internus Origin Internal surface of obturator membrane and posterior bony margins of obturator foramen Insertion Medial surface of greater trochanter of femur, in common with superior and inferior gemelli Action Rotates the thigh laterally; also helps abductabduct the thigh when it is flexed
  • 57. Obturator Externus Origin External surface of obturator membrane and anterior bony margins of obturator foramen Insertion Posteromedial surface of greater trochanter of femur Action Rotates the thigh laterally; also helps adductadduct thigh
  • 58. Piriformis QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 59. Piriformis Origin Anterior surface of lateral process of sacrum and gluteal surface of ilium at the margin of the greater sciatic notch Insertion Superior border of greater trochanter Action Lateral rotator of the hip joint; also helps abduct the hip if it is flexed
  • 60. Quadratus Femoris QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. <--Here
  • 61. Quadratus Femoris Origin Lateral margin of obturator ring above ischial tuberosity Insertion Quadrate tubercle and adjacent bone of intertrochanteric crest of proximal posterior femur Action Rotates the hip laterally; also helps adduct the hip
  • 62. Getting cold… QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 63. “Hammies” QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture. QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.
  • 66. Biceps Femoris QuickTime™ andTIFF (Uncompressed)are needed to see this QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture. Long Head Short Head
  • 67. Bicept femoris Origin posterior portion of the ischial tuberosity Insertion Primarily on fibular head; also on lateral collateral ligament and lateral tibial condyle Action Flexes the knee, and also rotates the tibia laterally; long head also extends the hip joint
  • 69. Semitendinosus Origin From common tendon with long head of biceps femoris from superior medial quadrant of the posterior portion of the ischial tuberosity Insertion Superior aspect of medial portion of tibial shaft Action Extends the thigh and flexes the knee, and also rotates the tibia medially, especially when the knee is flexed
  • 71. Semimembranosus Origin Superior lateral quadrant of the ischial tuberosity Insertion Posterior surface of the medial tibial condyle Action Extends the thigh, flexes the knee, and also rotates the tibia medially, especially when the knee is flexed

Editor's Notes

  1. InnervationFemoral nerve (L2, L3, L4)
  2. Innervation Muscular branches of femoral nerve (L2, L3, L4)
  3. Innervation Muscular branches of femoral nerve (L2, L3, L4)
  4. Innervation Muscular branches of femoral nerve (L2, L3, L4)
  5. InnervationMuscular branches of femoral nerve (L2, L3, L4)
  6. Innervation Direct fibers of L1 - L3 of lumbar plexus (L1, L2, L3)
  7. Innervation Muscular branch of femoral nerve (L1, L2, L3)
  8. Innervation Anterior division of obturator nerve (L2, L3)
  9. Innervation Anterior division of obturator nerve (L2, L3, L4)
  10. InnervationPosterior division of obturator nerve innervates most of the adductor magnus; vertical or hamstring portion innervated by tibial nerve (L2, L3, L4)
  11. InnervationSuperior gluteal nerve (L4, L5, S1) (L4, L5, S1)
  12. Inferior gluteal nerve (L5, S1, S2) (L5, S1, S2)
  13. Superior gluteal nerve (L4, L5, S1) (L4, L5, S1)
  14. Superior gluteal nerve (L4, L5, S1) (L4, L5, S1)
  15. InnervationNerve to the obturator internus and inferior gemellus -- a branch of the sacral plexus (L5, S1) (L5, S1)
  16. Innervation Nerve to the obturator internus and superior gemellus -- a branch of the sacral plexus (L5, S1) (L5, S1)
  17. InnervationPosterior division of obturator nerve innervates most of the adductor magnus; vertical or hamstring portion innervated by tibial nerve (L3, L4)
  18. InnervationPiriformis nerve (L5, S1, S2) (L5, S1, S2)
  19. Innervation Quadratus femoris branch of nerve to the quadratus femoris and inferior gemellus (L5, S1) (L5, S1)
  20. Innervation Tibial nerve (L5, S1, S2)
  21. InnervationTibial nerve (L5, S1, S2)
  22. Innervation Tibial nerve (L5, S1, S2)