Medial compartment of the thigh
- Muscle
- gracillis
- adductors longus
- adductor brevis
- adductor magnus
- obturator externus
- Nerve
- Vessels
- produnda femoris & obturator artery
- Action of all adductors
- Less important in prime movement of adduction than in synergic activities associated with posture & gait
Gracillis
- most superficial muscle
- Origin
- Edge of inferior pubic ramus & adjoining ischial ramus
- Insertion
- Upper part of medial surface of shaft of tibia just behind sartorius
- Nerve Supply
- Anterior division of obturator nerve
Adductor longus
- most superficial of 3 adductors
- upper border lies between the femoral & profunda femoris vessels
- Origin
- Circular area on body of pubis, in angle of pubic crest & symphysis
- Tendon is sometimes ossified (rider’s bone)
- Insertion
- Via apneurotic flat tendon into middle third of linea aspera of femur
- Nerve Supply
- Anterior division of obturator nerve
Adductor brevis
- Anterior division of obturator nerve passes downwards on its anterior surface & posterior division passes behind it
- Origin
- Body & inferior ramus of pubis, deep to pectineus & adductor longus
- Insertion
- Upper part of linea aspera immediately behind insertion of pectineus & adductor longus
- Nerve Supply
- Anterior division of obturator nerve
Adductor magnus
- Composite muscle formed by fusion of adductor & hamstring muscle masses, each with their own nerve supply
- Medial circumflex femoral artery passes between upper border of adductor magnus & lower border of quadratus femoris to reach the cruciate anastomosis
- Near the top of the medial supracondylar line, there is a gap in the muscle attachment through which the femoral vessels pass, changing to the popliteal vessels
- Along the linea aspera attachment there are 4 small openings, the lowest for the end of the profunda femoris vessels & the others for their perforating branches
- Origin & Insertion
- Hamstring
- Ischial tuberosity attaching to adductor tubercle of femur & medial supracondylar line
- Adductor
- Ischial tuberosity & ischiopubic ramus inserting progressively higher along the medial supracondylar line, the linea aspera, up to gluteal tuberosity
- Nerve Supply
- Hamstring
- Tibial part of sciatic nerve
- Adductor
- Posterior division of obturator (L2,3)
Obturator externus
- Origin
- Obturator membrane & anterior bony margin of obturator foramen
- muscle passes laterally & posteriorly beneath neck of femur where it narrows into a tendon that spirals in contact with the back of the femoral neck
- Insertion
- Medial surface of greater trochanter into a deep pit, the trochanteric fossa
- Nerve Supply
- Posterior division of obturator nerve
- Action
- With other short muscles around hip, stabilizes & supports the proximal part of limb
- Lateral rotator of femur
Obturator artery & nerve
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