Hip Pain
Benjamin Apichai in Chinese Medicine for Lower Body Pain, 2021
The muscles of the femoral adductor are composed of five muscles on the inner side of the femur. The superficial layer from the outside to the inside is the pectineus muscle, the adductor longus muscle, and the gracilis muscle. The deep side of the adductor longus muscle and the pectineus muscles are adductor brevis muscles, and the deep muscles of the muscles are the adductor magnus muscles, which are triangular.
The Mechanics of Gait
Verna Wright, Eric L. Radin in Mechanics of Human Joints, 2020
Hip extensor stability is also passive, with the vector passing posteriorly to the joint axis. At the end of stance, displacement of the body toward the other limb creates an abduction torque (coronal vector lateral to the joint). The response by the adductor longus muscle serves two purposes. Medially it restrains the abduction torque. In addition, the muscle’s flexor role protects the hip from excessive extension.
Comparison of hip extensor muscle activity including the adductor magnus during three prone hip extension exercises
Published in Physiotherapy Theory and Practice, 2019
Han-i Ko, Seung-yeon Jeon, Si-hyun Kim, Kyue-nam Park
Previous EMG studies have demonstrated the role of Amag as a hip extensor as well as hip adductor and internal rotator during functional activities such as the stance phase of the gait cycle, during sit-to-stand, climbing up stairs, and the down-stroke phase of cycling in concert with the hamstring (Benn et al., 2017; Green and Morris, 1970; Lyons et al., 1983; Saito, Watanabe, and Akima, 2015). A recent EMG study found that a higher degree of simulated weight-bearing in the supine position was associated with relatively greater EMG activity in the Amag relative to the adductor longus muscle, indicating the importance of the Amag as a hip extensor in the closed-kinetic chain (Hides et al., 2015). However, no EMG study has investigated activation of the Amag during clinical test such as PHE, in comparison with the Gmax and hamstrings, although several EMG studies have included Amag as a hip extensor during functional activity.
Management of a nonathlete with a traumatic groin strain and osteitis pubis using manual therapy and therapeutic exercise: A case report
Published in Physiotherapy Theory and Practice, 2020
Kyle Feldman, Carla Franck, Christine Schauerte
The patient received manual therapy and therapeutic exercise two times a week for three weeks (Table 2). Manual therapy intervention included soft tissue mobilization of the adductor longus muscle belly and hip internal rotators and lateral hip joint accessory mobilizations with a mobilization belt (MacDonald et al., 2006). Therapeutic exercise was prescribed to address the abdominal and hip weakness found on exam. Initial exercises included modified on elbows and knees planks, modified on elbows and knees side planks, bridges, and modified depth lunging. Cardiovascular training was added on the third visit using elliptical training beginning at 5 minutes to improve endurance for return to work. On visit five, exercises were progressed to elbow and foot planks in all directions, resisted side stepping, lateral lunging, and supine alternate arm to leg abdominal crunch. The patient reported a significant change in functional strength and mobility based on the LEFS improvement of 21 points, (from 46/80 to 67/80) (Binkley, Stratford, Lott, and Riddle, 1999) yet the pain level reported with the functional reassessment gas pedal test was unchanged.
Arthroscopic versus open, medial approach, surgical reduction for developmental dysplasia of the hip in patients under 18 months of age
Published in Acta Orthopaedica, 2019
Serda Duman, Yalkin Camurcu, Hakan Sofu, Hanifi Ucpunar, Deniz Akbulut, Timur Yildirim
Medial approach open reduction was performed through a transverse incision measuring 5 cm in length. After dissecting the adductor longus muscle, broad exposure of the surgical field was achieved with dissection of the pectineus muscle. Tenotomy of the iliopsoas was performed, and the joint capsule was incised. Subsequently, we excised the ligamentum teres, as well as the pulvinar tissue, followed by incision of the transverse acetabular ligament. The femoral head was then reduced into the acetabular cavity. Post-reduction stability was confirmed, and the surgical incision was sutured. A pelvipedal cast was applied in the human position of 100° flexion, < 50° of abduction, and < 10° of internal rotation.
Related Knowledge Centers
- ADDuctor Canal
- ADDuctor Magnus Muscle
- Linea Aspera
- Obturator Nerve
- Thigh
- Skeletal Muscle
- Body
- ADDuctor Muscles of The Hip
- Femoral Triangle
- ADDuctor Brevis Muscle