Adductor muscles of the hip

Adductor muscles of the hip
The adductors and nearby muscles
Structures surrounding right hip-joint. (Adductor muscles visible at upper right.)
Gray's subject #128 473
Origin pubis
Insertion    femur, tibia
Artery
Nerve obturator nerve
Actions adduction of hip

In human anatomy, the adductor muscles of the hip is a group of muscles of the thigh.

Contents

Muscles

The adductor group is made up of:

Origin and insertion

The adductors originate on the pubis and ischium bones. and insert on the medial, posterior surface of the femur.

Innervation

They are supplied by the obturator nerve.[1] except a small part of adductor magnus, that is innervated by tibial nerve.

Variation

In 33% of people a supernumerary muscle is found between the adductor brevis and minimus. When present, this muscle originates from the upper part of the inferior ramus of the pubis from where it runs downwards and laterally. In half of cases, it inserts into the anterior surface of the insertion aponeurosis of the adductor minimus. In the remaining cases, it is either inserted into the upper part of the pectineal line or the posterior part of the lesser trochanter. While similar to its neighbouring adductors, it is formed by separation from the superficial layer of the obturator externus, and is thus not ontogentically related to the adductors.[2]

Tenotomy

So called adductor tenotomy (cutting the origin tendons of the adductor muscles of the thigh) and obturator neurectomy (cutting the anterior branch of the obturator nerve) is sometimes performed on children with cerebral palsy. These children often have a hypertonia of the adductor muscles, making abduction difficult, obstructing normal hip development, and putting them at risk of hip luxation.

References

  1. ^ a b Platzer, Werner (2004), " Color Atlas of Human Anatomy, Vol. 1, Locomotor System, Thieme, 5th ed, p 240
  2. ^ Nakamura E, Masumi S, Miura M, Kato S, Miyauchi R.. A supernumerary muscle between the adductors brevis and minimus in humans.. Okajimas Folia Anat Jpn. 1992 Aug;69(2-3):89-98.. PMID 1436954.