1. Presentation Hip Joint By: Aaron White, Ashley Garbarino, Anna Mueller
Clinical Anatomy
Presentation
Hip Joint
By: Aaron White, Ashley Garbarino, Anna Mueller

3. Pelvic Girdle PSIS Illiac fossa ASIS Superior Ramus Pubic crest
Obturator Foramen
Inferior Ramus
Pubic arch

4. Os Coxae and Femur Greater sciatic notch Ischial spine
Lesser sciatic notch

6. Pectineal line
Femur
Linea aspera
Adductor
tubercle

7. Condyles and Epicondyles

8. Tibia Lateral epicondyle Medial epicondyle Tibial tuberosity
Anterior crest
Intercondylar eminence
Tibia
Medial malleolus

9. Hot guy!!! ASIS Tip of greater trochanter Supracristal line
Inguinal ligament

10. Even hotter!!! Illiac crest PSIS Sacrum Gluteus maximus Gluteal fold
(sulcus)
Intergluteal cleft

11. Cartilage: Articular Surfaces of hip joint
Acetabular labrum is a fiberocartilage rim
It enhances the depth of acetabulum

12. Ball and socket - synovial joint

13. Articular Capsule
Anterior view
Right hip joint
Fibrous layer: Attaches to rim of the acetabulum to neck of the femur
Synovial membrane: Lines the fibrous layer along with bony surfaces not lined with articular cartilage

14. Ligaments: Anterior view of right hip joint

15. Ligaments: Posterior view of right hip

16. Ligaments: Anterior view of right hip joint

17. Ligaments: Superior view of transverse cut

18. Ligaments: Right hip bone and femur

19. Ligaments:
Anterior view
Right hip bone
Inguinal ligament

20. Trochanteric Bursa & Ischial Bursa
Bursa: They are sac like structures filled with synovial fluid that cushion movement. Strategically situated to alleviate friction – between muscles and boney prominences.

21. Gluteofemoral Bursa

22. Sciatic nerve

23. Femoral nerve
(yellow)
Femoral artery
(red)
Femoral vein
(blue)

24. Superior gluteal nerve
Inferior gluteal nerve

25. Superior gluteal artery
Inferior gluteal artery

26. Common peroneal nerve

27. Obturator nerve

28. Obturator artery

29. Great saphenous vein

30. Deep femoral (profunda) artery

31. Profunda femoral vein

32. Lateral circumflex femoral artery
Medial circumflex femoral artery

33. Psoas Major

34. Psoas Major
Origin: Anterior and lateral surfaces of T12 through L5
T12 through L5

35. Psoas Major
Insertion: Lesser trochanter

36. Psoas Major Action: Hip flexion
Innervations & vascular supply: L2 and L3

37. Iliacus

38. Iliacus
Origin: Iliac fossa

39. Iliacus
Insertion: Lesser trochanter

40. Iliacus Action: Hip flexion
Innervations & vascular supply: Femoral nerve

41. Adductor Brevis

42. Adductor Brevis
Origin: Pubis

43. Adductor Brevis
Insertion: Pectineal line and proximal linea aspera

44. Adductor Brevis Action: Hip adduction
Innervations & vascular supply: Obturator nerve, Obturator artery, Deep femoral artery

45. Semimembranosus

46. Semimembranosus
Origin: Ischial tuberosity

47. Semimembranosus
Insertion: Posterior surface of medial condyle of tibia

48. Semimembranosus Action: Extend hip and flex knee
Innervations & vascular supply: sciatic nerve and inferior gluteal artery

49. Rectus Femoris

50. Rectus Femoris
Origin: Anterior inferior iliac spine

51. Rectus Femoris
Insertion: Tibial tuberosity

52. Rectus Femoris Action: Hip flexion and knee extension
Innervations & vascular supply: Femoral nerve,
Lateral circumflex femoral artery

53. Adductor Magnus

54. Adductor Magnus
Origin: Ischium and pubis

55. Adductor Magnus
Insertion: Entire linea aspera and adductor tubercle

56. Adductor Magnus Action: Hip adduction
Innervations & vascular supply: Obturator nerve and Obturator artery

57. Semitendinosus

58. Semitendinosus
Origin: Ischial tuberosity

59. Semitendinosus
Insertion: Anteromedial surface of proximal tibia

60. Semitendinosus Action: Extend hip and flex knee
Innervations & vascular supply: Sciatic nerve and Deep femoral

61. Sartorius

62. Sartorius
Origin: Anterior superior iliac spine

63. Sartorius
Insertion: Proximal medial aspect of tibia

64. Sartorius
Action: Combination of hip flexion, abduction, lateral rotation
Innervations & vascular supply: Femoral nerve and
Lateral circumflex femoral artery

65. Gracilis

66. Gracilis
Origin: Pubis

67. Gracilis
Insertion: Anterior medial surface of proximal end of tibia

68. Gracilis Action: Hip adduction
Innervations & vascular supply: Obturator nerve and Obturator artery

69. Biceps Femoris

70. Biceps Femoris Origin: Long head: Ischial tuberosity
Short head: Lateral lip of linea aspera

71. Biceps Femoris
Insertion: Fibular head

72. Biceps Femoris Action Long head: extend hip and flex knee
Short head: flex knee
Innervations & vascular supply:
Long head: Sciatic nerve
Short head: Common peroneal nerve and inerior gluteal artery

73. Pectineus

74. Pectineus
Origin: Superior ramus of pubis

75. Pectineus
Insertion: Pectineal line of femur

76. Pectineus Action: Hip flexion and adduction
Innervation and vascular supply: Femoral nerve,
Medial circumflex femoral artery

77. Gluteus Maximus

78. Gluteus Maximus
Origin: Posterior sacrum and ilium

79. Gluteus Maximus
Insertion: Posterior femur distal to greater trocanter

80. Gluteus Maximus
Action: Hip extension, hyperextension, lateral rotation
Innervations & vascular supply: Inferior gluteal nerve and
Superior gluteal artery

81. Gluteus Medius

82. Gluteus Medius
Origin: Lateral ilium

83. Gluteus Medius
Insertion: Greater Trochanter

84. Gluteus Medius Action: Hip abduction
Innervations & vascular supply: Superior gluteal nerve and
Superior gluteal artery

85. Adductor Longus

86. Adductor Longus
Origin: Pubis

87. Adductor Longus
Insertion: Medial 1/3 of the linea aspera

88. Adductor Longus Action: Hip adduction
Innervations & vascular supply: Obturator nerve, Obturator artery,
Deep femoral artery

89. Gluteus Minimus

90. Gluteus Minimus
Origin: Lateral ilium

91. Gluteus Minimus
Insertion: Anterior surface of the greater trochanter

92. Gluteus Minimus Action: Hip abduction, medial rotation
Innervations & vascular supply: Superior gluteal nerve and
Superior gluteal artery

93. Piriformis

94. Piriformis
Origin: Internal surface of sacrum, Sacrotuberous ligament

95. Piriformis
Insertion: Superior border of greater trochanter

96. Piriformis
Action: Lateral rotation, abduction, helps hold femur in aceatabulum
Innervations & vascular supply: L5, S1, and 2
Superior and inferior gluteal arteries

97. Sciatica
-Irritation of the sciatic nerve due to an injury.
-Pain radiates down the back of the leg. May be confused for a herniated disc.
-Piriformis muscle spasms and compresses against Sciatic nerve against the pelvis.
-MRI (neurography) to help diagnose Piriformis Syndrome.
-PT’s & PTA’s treatment is heat (cold if post-surgical), ultrasound, and massage as well as stretching exercises.

98. Botox
-Botox injection to paralyze the Piriformis muscle.
-Surgery is the last resort.

99. Tensor Fascia Latae

100. Tensor Fascia Latae
Origin: Anterior superior iliac spine

101. Tensor Fascia Latae
Insertion: Lateral condyle of tibia

102. Tensor Fascia Latae Action: Combined hip flexion and abduction
Innervations & vascular supply: Superior gluteal nerve,
Superior gluteal artery

103. ANTERIOR VIEW OF LEG
Psoas major
Illiacus

104. Posterior view of leg
Biceps femoris

105. Posterior view of leg
Semitendinosus
Semimembranosus

106. ANTERIOR VIEW OF LEG
Pectineus
Adductor brevis
Adductor longus
Rectus femoris
Sartorius

107. MEDIAL VIEW OF LEG
Gracilis
Sartorius
Adductor magnus

108. Gluteus minimus
Gluteus maximus
Gluteus medius
Piriformis

109. Tensor fascia
latae