Medial Compartment

Muscles of Medial compartment

Their Origin, Insertion, Nerve supply and
Actions.
Obturator nerve
Origin, Root value, Divisions &
 Branches (Cutaneous, Articular & Muscular)
3 compartments
of Thigh
Muscles of Medial compartment
Intrinsic:
Adductor Longus
Adductor Brevis
Adductor Magnus
Gracilis
Pectineus

Extrinsic:
Obturator externus (Functionally – Gluteal region)
Origin of Medial Compartment
of Thigh
Insertion of adductor muscles
Adductor Magnus
 Origin:
Adductor part: Inferior Rami of
Pubis
Hamstring part:??

 Insertion:
Linea aspera
Adductor tubercle

 Nerve Supply: obturator nerve and

tibial component of sciatic nerve

 Actions: Adduction with flexion

of thigh,
Extension of thigh(??)
Adductor Brevis
Origin: body of
pubis and
inferior pubic
rami

Insertion: linea
aspera

Nerve Supply:
L2-L4
 ADDUCTOR LONGUS

O: pubis
I: Linea aspera
Inn: Obturator nerve
Action: Adduction of thigh
Gracilis
 Origin: inferior rami of
the pubis

 Insertion: medial
surface of the tibia

 Nerve Supply: Obturator

nv.

 Actions: Adduction of
the thigh at the hip, and
flexion of the leg at the
knee.
Obturator Externus &
Adductor Magnus
Obturator and Accessory obturator
nerve from Lumbar Plexus
Obturator Nerve
Nerve of medial Compartment of thigh
Root value: Ant. divisions of ventral rami of L2, L3
& L4
Divisions: Anterior and Posterior
Branches:
Anterior > Pectineus, Longus, Brevis (if not from
Post. Div.), Gracilis, Hip Jt., Skin overlying adductor
canal.
Posterior > Brevis (if not from Ant. Div.), Obturator
externus, Add. Magnus. Also to capsule & cruciate
ligaments of knee jt. via Genicular br.
Testing the Adductor muscles
of thigh
Cutaneous Innervation of Lower limb
Adductor (Subsartorial or Hunter’s)
Canal
Definition John Hunter (1729-1793)

Extent

Shape

Boundaries

Contents

Applied aspect
 Location of
Adductor canal
Definition:
An intermuscular space situated in
the middle one third of medial side
of thigh

Extent:
From apex of Femoral triangle
Superiorly to tendinous opening
of Adductor magnus Inferiorly

Shape: Triangular in cross section

 Borders

Anteromedial:
Sartorius.

Lateral: Vastus
medialis.

Posterior: Adductor
longus and adductor
magnus.
 Adductor canal
Contents:
Femoral artery
(Muscular & Des.
genicular br.)
Femoral vein
Saphenous nerve
Nerve to
vastus
medialis
2 divisions of
obturator nerve.
 Clinical Anatomy

Adductor Canal Block

Adductor Canal Compression Syndrome

Obturator Artery