Sacrum Iliac Crest Dimple for Posterior Superior Iliac

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/i 2/ 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 T 12 -L 5 Insertion Lesser trochanter Action Hip flexion Innervation L 2 -L 3 "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 T 12 -L 5 Insertion Lesser trochanter Action Hip flexion Innervation L 2 -L 3 "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 L 5, S 1 & S 2 "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 1/3 rd 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. "