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The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint.It consists of the following muscles: piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus.
Located on the posterior side of the hip joint, it is a strong external rotator and adductor of the thigh, [2] but also acts to stabilize the femoral head in the acetabulum. The quadratus femoris is used in Meyer's muscle pedicle grafting to prevent avascular necrosis of femur head.
FABER or Patrick test - To identify if pain may come from the sacroiliac joint during flexion, abduction, and external rotation, the clinician externally rotates the hip while the patient lies supine. Then, downward pressure is applied to the medial knee stressing both the hip and sacroiliac joint. [1] [2] [4]
Muscles that help with balance need to be strengthened, or stretched to prevent a hip labrum tear. Exercises include strengthening the gluteus by abducting the hip whilst lying on the side with legs together. The top leg is raised keeping the knee and hip straight; especially effective where there is an anterior pelvic tilt. [11]
It arises from the margin of bone immediately around the medial side of the obturator membrane and surrounding bone, viz., from the inferior pubic ramus, and the ramus of the ischium; it also arises from the medial two-thirds of the outer surface of the obturator membrane, and from the tendinous arch which completes the canal for the passage of the obturator vessels and nerves.
of thigh/femur at hip [2] Gluteus maximus; Lateral rotator group. piriformis; gemellus superior; obturator internus; pectineus ; gemellus inferior; obturator externus; quadratus femoris; Sartorius; of leg at knee [3] Biceps femoris; of eyeball (motion is also called "extorsion" or excyclotorsion) [4] Inferior rectus muscle; Inferior oblique muscle
The gemelli muscles are the inferior gemellus muscle and the superior gemellus muscle, two small accessory fasciculi to the tendon of the internal obturator muscle.The gemelli muscles belong to the lateral rotator group of six muscles of the hip that rotate the femur in the hip joint.
This causes the femur to rotate and point the knee laterally. The lateral rotators also oppose medial rotation by the gluteus medius and gluteus minimus. When the hip is flexed to 90 degrees, piriformis abducts the femur at the hip and reverses primary function, internally rotating the hip when the hip is flexed at 90 degrees or more. [7]
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