”ﻗﺎﻟوا ﺳﺑﺣﺎﻧك ﻻ ﻋﻠم ﻟﻧﺎ إﻻ ﻣﺎ ﻋﻠﻣﺗﻧﺎ إﻧك أﻧت
اﻟﻌﻠﯾم اﻟﺣﻛﯾم“ ﺳورة اﻟﺑﻘرة آﯾﺔ )(32
By:
Dr. Ayman Ahmed Khanfour
Professor of Anatomy & Embryology
Master degree in Obstetrics & Gynecology - MRCOG
Faculty of Medicine - Alexandria University
What are the muscles of the adductor (medial)
compartment of the thigh?
1. Adductor longus
2. Adductor brevis
3. Adductor magnus
4. Gracilis
Adductor Longus and Adductor Brevis
Origin Insertion Actions
1. - Front of the body of the - Into the middle (Both act on the hip
Adductor longus pubis just below the third of the linea joint)
pubic tubercle. aspera of the femur. - Adduction.
(strong rounded tendon)
2. - Into lower part of a line
Adductor brevis - Front of the body of the extending from lesser
(deep to adductor pubis and inferior pubic trochanter to the linea
longus ramus. aspera.
(deep to pectineus and (behind insertion of pectineus
adductor longus) and adductor longus).
(Adduction)
(Act on hip joint)
(Actions of Adductor longus and brevis & Animation “GIF”)
(Muscles of the adductor compartment)
(Adductor longus muscle)
Adductor Magnus
Origin Insertion Actions
3. Adductor magnus - It arises by two heads: - It has two sites:
a. Pubic part (acts on the hip joint)
(largest and deepest a. Pubic part a. Pubic part
- Arises from the inferior
muscle) - Into the medial - Adduction.
pubic ramus and ischial
supracondylar line, - Flexion.
ramus (conjoined rami).
linea aspera
b. Ischial part b. Ischial part
- Arises from the lateral b. Ischial part
- Into the adductor - Extension of the
part of the lower tubercle of the femur.
triangular area of the hip joint.
ischial tuberosity.
(Adduction) (Extension)
(Act on hip joint)
(Actions of Adductor magnus & Animation “GIF”)
(Adductor magnus muscle)
Gracilis
Origin Insertion Actions
4. - Pubic arch. - Into the upper part (acts on the hip and
Gracilis (its medial margin) of the medial knee joints)
(the most medial and surface of the shaft - Adduction of the
superficial muscle) of the tibia. thigh.
(just behind sartorius) - Flexion of the
(SGS) knee joint.
(Adduction) (Flexion) (Medial rotation)
(Act on hip joint) (Act on knee joint)
(Actions of Gracilis & Animation “GIF”)
(Muscles of the adductor compartment)
Does the adductor muscles produce medial or
lateral rotation of the thigh?
The action of rotation produced by adductor longus on
the hip joint depends on the ‘position’ of the hip joint:
a. If the hip joint is flexed, it produces medial rotation (as it lies
in front of the plane of hip joint).
b. If the hip joint is extended, it produces lateral rotation (as it
lies behind the plane of hip joint).
Summary about the attachments and actions:
Origin Insertion Actions
1. - Front of the body of the - Into the middle third of the (acts on the hip joint)
Adductor pubis just below the linea aspera of the femur. - Adduction.
longus pubic tubercle. - Flexion.
(strong rounded tendon) - Lateral rotation.
2. Adductor - Front of the body of the - Into the lower part of a line (acts on the hip joint)
brevis pubis and inferior pubic ramus. extending from the lesser - Adduction.
(deep to (deep to pectineus and adductor trochanter to the linea - Flexion.
longus) aspera. - Lateral rotation.
adductor longus
3. Adductor - It arises by two heads: - It has two sites: (acts on the hip joint)
magnus a. Pubic part a. Pubic part a. Pubic part
(largest and - Arises from the inferior - Into the medial - Adduction.
pubic ramus and ischial supracondylar line, linea - Flexion.
deepest ramus (conjoined rami). aspera - Lateral rotation.
muscle) b. Ischial part b. Ischial part b. Ischial part
- Arises from the lateral - Into the adductor - Extension of the
part of the lower tubercle of the femur. hip joint.
triangular area of the
ischial tuberosity.
4. - Pubic arch. - Into the upper part (acts on the hip and
Gracilis (its medial margin) of the medial surface of the knee joints)
(the most medial shaft - Adduction of the thigh.
and superficial of the tibia. - Flexion of the knee joint.
muscle) (just behind sartorius) (SGS)
Summary about the attachments and actions:
Summary about the action of the muscles of the medial
compartment of the thigh:
Hip
- Medial Adductor longus
rotation Adductor brevis Hip
Adductor magnus - Adduction
(pubic part)
Knee
- Flexion Gracilis
(Muscles of the adductor compartment)
Nerve supply:
- Adductor longus, adductor brevis, and gracilis: Supplied by the anterior
division of the obturator nerve.
- Adductor magnus:
a. Pubic part: Supplied by the posterior division of the obturator nerve.
b. Ischial part: Supplied by the medial popliteal nerve (medial division of sciatic nerve).
Common numbers:
L 2,3,4
Ventral rami
Obturator Femoral
nerve nerve
Anterior divisions Posterior divisions
Course
Origin Branches
(L., 2, 3,4 – Ant. division of vent. rami)
It passes through the A. Ant. division:
obturator canal.
A. Muscular:
- Adductor longus
In the obturator canal, - Adductor brevis
it divides into: - Gracilis
a. Ant. division B. Cutaneous:
(Ant. to adductor brevis)
- Skin of e middle 1/3 of
b. Post. division med. aspect of thigh.
(Post. to adductor brevis) B. Articular:
- Hip joint
D. Post. division:
A. Muscular:
- Obturator externus
- Adductor magnus
B. Articular:
- Knee joint
Injury of Obturator Nerve
Weakness in adduction of the hip joint.
Adduction is not lost completely due to the weak adduction
effect of pectineus muscle.
Loss of cutaneous sensation on middle of medial aspect of thigh.
Definition
It is a fascial intermuscular tunnel in the antero-medial
part of the middle 1/3 of the thigh.
Beginning and Termination
Beginning: At the apex of the femoral triangle
Termination: At the opening in the adductor magnus (adductor opening).
Boundaries
It is triangular in cross section.
a. Roof (anteromedial wall) formed by: Sartorius (lying on the fascial roof).
b. Floor (posterior wall) formed by:
- Adductor longus (above ). - Adductor magnus (below ).
c. Anterolateral wall formed by: Vastus medialis.
(Boundaries of the adductor canal)
Contents
1. Femoral artery
2. Femoral vein
3. Saphenous nerve
4. Nerve to vastus
medialis
5. Descending
genicular artery
For Contact:
Dr. Ayman Ahmed Khanfour
[email protected]
Dr. Ayman Khanfour
Dr-Ayman Ahmed Khanfour
Dr. Ayman Anatomy Discussion
