The adductor muscles of the hip are a group of muscles mostly used for bringing the
thigh
In human anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb.
The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of bone ...
s together (called
adduction
Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative ...
).
Structure
The adductor group is made up of:
*
Adductor brevis
The adductor brevis is a muscle in the thigh situated immediately deep to the pectineus and adductor longus. It belongs to the adductor muscle group. The main function of the adductor brevis is to pull the thigh medially. The adductor brevis ...
*
Adductor longus
In the human body, the adductor longus is a skeletal muscle located in the thigh. One of the adductor muscles of the hip, its main function is to adduct the thigh and it is innervated by the obturator nerve. It forms the medial wall of the fem ...
*
Adductor magnus Adductor may refer to:
* One of the anatomical terms of motion
* Adductor muscle (disambiguation)
* Adductor canal
The adductor canal, also known as the subsartorial canal or Hunter’s canal, is an aponeurotic tunnel in the middle third of the th ...
*
Adductor minimus This is often considered to be a part of adductor magnus.
*
pectineus
*
gracilis
*
Obturator externus
The external obturator muscle, obturator externus muscle (; OE) is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis.
It is sometimes considered part of the medial compartment of thigh, and sometimes ...
[Platzer, Werner (2004), ]
Color Atlas of Human Anatomy, Vol. 1, Locomotor System
', Thieme, 5th ed, p 240 and are also part of the
medial compartment of thigh
The adductors originate on the
pubis and
bones and insert mainly on the medial posterior surface of the
femur
The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with ...
.
Nerve supply
The
pectineus is the only adductor muscle that is innervated by the
femoral nerve
The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee.
Structure
The femoral nerve is the major nerve supplying the anterior compartment of the thigh. It is the largest ...
. The other adductor muscles are innervated by the
obturator nerve
The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small.
Structure
The o ...
with the exception of a small part of the
adductor magnus Adductor may refer to:
* One of the anatomical terms of motion
* Adductor muscle (disambiguation)
* Adductor canal
The adductor canal, also known as the subsartorial canal or Hunter’s canal, is an aponeurotic tunnel in the middle third of the th ...
which is innervated by the
tibial nerve
The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.
Structure Popliteal fossa
The tibial nerve is the larger terminal branch of the sciatic nerve with root val ...
.
Variation
In 33% of people a
supernumerary
Supernumerary means "exceeding the usual number".
Supernumerary may also refer to:
* Supernumerary actor, a performer in a film, television show, or stage production who has no role or purpose other than to appear in the background, more commonl ...
muscle is found between the adductor brevis and adductor minimus. When present, this muscle originates from the upper part of the
inferior ramus of the pubis
In vertebrates, the pubic region ( la, pubis) is the most forward-facing (ventral and anterior) of the three main regions making up the coxal bone. The left and right pubic regions are each made up of three sections, a superior ramus, inferior ra ...
from where it runs downwards and laterally. In half of cases, it inserts into the anterior surface of the insertion
aponeurosis
An aponeurosis (; plural: ''aponeuroses'') is a type or a variant of the deep fascia, in the form of a sheet of pearly-white fibrous tissue that attaches sheet-like muscles needing a wide area of attachment. Their primary function is to join musc ...
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
The lesser trochanter is a conical posteromedial bony projection of the femoral shaft. it serves as the principal insertion site of the iliopsoas muscle.
Structure
The lesser trochanter is a conical posteromedial projection of the shaft of the fe ...
. While similar to its neighbouring adductors, it is formed by separation from the superficial layer of the
obturator externus
The external obturator muscle, obturator externus muscle (; OE) is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis.
It is sometimes considered part of the medial compartment of thigh, and sometimes ...
, and is thus not
ontogenetically related to the adductors.
Clinical significance
Tenotomy
So-called adductor
tenotomy
A tenotomy is a surgical act which involves the division of a tendon. It and related procedures are also referred to as tendon release, tendon lengthening, and heel-cord release.
When it involves the Achilles tendon, it is called "Achillotenotomy ...
(cutting the origin tendons of the adductor muscles of the thigh) and obturator
neurectomy
A neurectomy is a type of nerve block involving the severing or removal of a nerve. This surgery is performed in rare cases of severe chronic pain where no other treatments have been successful, and for other conditions such as vertigo, involuntary ...
(cutting the anterior branch of the
obturator nerve
The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small.
Structure
The o ...
) are sometimes performed on children with
cerebral palsy
Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, stiff muscles, weak muscles, and tremors. There may be problems with sensa ...
. These children often have
hypertonia
Hypertonia is a term sometimes used synonymously with spasticity and rigidity in the literature surrounding damage to the central nervous system, namely upper motor neuron lesions. Impaired ability of damaged motor neurons to regulate descending ...
of the adductor muscles, making
abduction difficult, obstructing normal hip development, and putting them at risk of
hip luxation.
References
{{Muscles of lower limb
Thigh muscles
Medial compartment of thigh
it:Muscoli adduttori dell'anca