
The human body is a complex structure, with muscles, bones, and joints working together to enable movement and stability. One such muscle that plays a crucial role in lower body movement is the adductor muscle, specifically in relation to the femur. Adductor muscles are responsible for moving the thigh or lower extremity closer to the body's central axis, a process known as adduction. This action helps in balancing and maintaining the alignment of the legs and hips. Located in the medial compartment of the thigh, or the inner thigh region, these muscles work in conjunction with other muscles and bones to enable a wide range of movements.
| Characteristics | Values |
|---|---|
| Muscle Type | Hip Adductors |
| Number of Muscles | 6 |
| Muscle Names | Gracilis, Pectineus, Adductor Longus, Adductor Brevis, Adductor Magnus, Adductor Minimus |
| Muscle Shape | Long, Strap-like (Gracilis) |
| Muscle Size | Small, Square (Pectineus) |
| Muscle Location | Superomedial Area of the Thigh (Pectineus) |
| Muscle Origin | Superior Pubic Ramus (Pectineus) |
| Muscle Insertion | Pectineal Line of the Femur (Pectineus) |
| Innervation | Obturator Nerve (Adductor Longus, Adductor Brevis) |
| Function | Adduction, Flexion, and Medial Rotation of the Thigh (Gracilis) |
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What You'll Learn

Pectineus
The pectineus muscle is a flat, quadrangular muscle found in the superomedial area of the thigh. It is the most superior hip adductor and is also one of the muscles located on the medial thigh. The muscle's primary action is hip flexion, but it also produces adduction and external rotation of the hip.
The pectineus muscle arises from the pectineal line of the pubis and, to a lesser extent, from the surface of the bone in front of it, between the iliopectineal eminence and pubic tubercle. The fibres pass downward, backward, and lateral, inserting into the pectineal line of the femur, which leads from the lesser trochanter to the linea aspera. The pectineus muscle is considered a composite muscle as it is innervated by the femoral nerve (L2 and L3) and, in some cases, by a branch of the obturator nerve called the accessory obturator nerve.
The pectineus muscle is one of the six hip adductor muscles, all of which are located in the adductor or medial compartment of the thigh. These muscles primarily adduct the thigh at the hip joint. The other hip adductor muscles are gracilis, adductor longus, adductor brevis, adductor magnus, and adductor minimus. The pectineus is the most anterior of these adductor muscles.
The pectineus muscle can be injured by overstretching, such as stretching the leg too far out to the side or front of the body. Injuries can also be caused by rapid movements like kicking or sprinting, changing directions too quickly while running, or even sitting with a leg crossed for too long. The most common symptom of an injured pectineus muscle is pain.
The pectineus muscle is also a postural muscle as it stabilises the pelvis and balances the trunk on the lower extremity during walking.
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Adductor longus
The adductor longus is a large, fan-shaped muscle located in the medial aspect of the thigh. It is one of the six hip adductor muscles, which are all located in the adductor or medial compartment of the thigh. The adductor longus is the most anterior in the group, situated most anteriorly and covering the middle part of the adductor magnus and the anterior part of the adductor brevis. It forms the medial border of the femoral triangle and adductor canal.
The adductor longus muscle originates from the anterior surface of the body of the pubis, inferior to the pubic crest and lateral to the pubic symphysis. It inserts onto the middle third of the medial lip of the linea aspera. This insertion point is between the insertion of the adductor magnus and the origin of the vastus medialis muscle, and inferior to the adductor brevis insertion. The adductor longus muscle lies in front of the adductor magnus, adductor brevis muscle, the anterior branch of the obturator nerve, and deep femoral vessels. The pectineus muscle is lateral to it, while the gracilis lies medially.
The adductor longus is supplied by the anterior division of the obturator nerve (L2-L4). The obturator nerve is a branch of the lumbar plexus, and it supplies sensation to the upper medial thigh. The blood supply to the adductor longus comes from two arteries: the deep femoral artery (a branch of the femoral artery) and the obturator artery (a branch of the internal iliac artery). The proximal part of the muscle is supplied by the medial circumflex artery (a branch of the deep femoral artery).
The primary function of the adductor longus is to adduct the thigh at the hip joint. It also plays a role in external/lateral rotation and flexion of the thigh. Along with the other hip adductors, it helps to stabilise the pelvis in a standing position and aids in balancing the body on the lower limb during walking. Adductor tendinopathy is a common cause of medial leg and groin pain, especially among athletes, and can become a career-threatening injury if not assessed early.
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Adductor brevis
The adductor brevis muscle originates from the anterior surface of the body of the pubis, with some fibres arising from the lateral surface of the inferior pubic ramus. From there, it widens into a triangular shape as it extends towards its insertion on the femur. Specifically, it inserts on the superior half of the medial lip of the linea aspera, located on the upper third of the femur.
The blood supply for the adductor brevis muscle primarily comes from the deep femoral artery (profunda femoris) and its branch, the artery for the adductors. Additionally, it can receive partial blood supply from the medial circumflex femoral and obturator artery. The venous blood from this region is drained by the deep femoral vein, which empties into the femoral vein.
The adductor brevis muscle is innervated by the obturator nerve, which arises from the lumbar plexus (specifically, the anterior branches of spinal nerves L2-L4). This muscle is a weak adductor of the thigh compared to other muscles in its group. Its main function is the adduction of the thigh, particularly when the thigh is flexed or during the gait cycle. Additionally, it contributes to the external rotation and flexion of the hip joint.
Injuries to the adductor brevis muscle can result in pain extending to the inguinal and knee region when the muscles are stretched or strained. Early assessment and treatment are crucial, especially for athletes, to prevent long-term career-threatening injuries. Treatment typically involves strengthening the muscles around the pelvis and core, along with incorporating stretches into the training routine.
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Adductor magnus
The adductor part of the Adductor Magnus originates from the outer surface of the inferior pubic ramus of the pubic bone and the ischial ramus. It can be further divided into two portions: the superior and inferior segments. The superior segment, which arises from the pubic ramus, is smaller and more horizontal. It inserts on the medial side of the gluteal tuberosity, medial to the gluteus maximus attachment. The inferior segment, which arises from the ischial ramus, is larger and extends laterally to insert on a broad aponeurosis on the linea aspera and the proximal portion of the femur's medial supracondylar line. The hamstring part of the Adductor Magnus originates from the ischial tuberosity and inserts on the adductor tubercle of the femur.
The Adductor Magnus has a large hip extensor muscle moment arm, making it a significant hip extensor. The hip extension moment arm length of this muscle changes with hip angle, and it is more effective as a hip extensor than either the hamstrings or gluteus maximus when the hip is flexed. Peak contractions of the Adductor Magnus occur in positions of hip flexion, such as full squats.
The Adductor Magnus plays a similar role to the deltoid muscle. One portion of the Adductor Magnus flexes the thigh and acts as a medial rotator, while the other extends the thigh and is a lateral rotator. Both portions of the muscle adduct the thigh. The anterior fibres that originate from the rami of pubis and ischium may assist in flexion, while the posterior fibres that arise from the ischial tuberosity may assist in extension.
Tight adductors, including the Adductor Magnus, can cause knee pain, especially in runners. The function of the adductor muscles is to pull the thighs together, rotate the upper leg inwards, and stabilize the hip.
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Gracilis
The gracilis muscle is a long, thin, flat muscle that is located in the medial (adductor) compartment of the thigh. It is the most superficial muscle in the medial compartment and the most medial muscle in the compartment. It is also the weakest of the adductor muscles.
The gracilis muscle is a hip adductor, and it is the only hip adductor that crosses and acts on two joints: the hip and the knee. It originates from the body and inferior ramus of the pubis, or the ischiopubic ramus of the pelvis, and inserts on the medial tibia at the pes anserinus. The pes anserinus is a conjoined tendon comprising the tendons of three different muscles: the gracilis, sartorius, and semitendinosus.
The gracilis muscle is innervated by the obturator nerve, which is a branch of the lumbar plexus, and it receives its vascular supply primarily from the 'artery to the adductors', a branch of the deep femoral artery. It also receives a small amount of blood supply from the medial circumflex femoral artery.
The gracilis muscle is responsible for several movements at the hip and knee joints. At the hip, it adducts and flexes the thigh. At the knee, it flexes the leg and medially (internally) rotates the tibia on the femur. These movements have important roles, such as helping to balance the trunk during walking.
The gracilis muscle is commonly used in reconstructive surgery, either as a pedicled flap or as a free microsurgical flap. It can be used in perineal and vaginal reconstruction, the treatment of fistulas, and the coverage of the neurovascular bundle after vascular surgery. It can also be transferred for the treatment of anal incontinence.
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Frequently asked questions
The hip adductors are the muscles in the medial compartment of the thigh. They are responsible for moving the thigh/lower extremity closer to the body's central axis.
The hip adductors consist of the adductor longus, adductor brevis, adductor magnus, gracilis, pectineus, obturator externus, gemelli (superior and inferior), and quadratus femoris.
The adductor longus is a large, flat muscle that originates from the pubis bone of the pelvis and attaches to the linea aspera of the femur. It is responsible for the adduction and medial rotation of the thigh.
The adductor magnus is the largest muscle in the medial compartment of the thigh. It has two parts: an adductor component and a hamstring component. The adductor component is responsible for adduction and flexion of the thigh, while the hamstring component is responsible for extension and adduction of the thigh.
The gracilis is a long, strap-like muscle that crosses both the hip and knee joints. It is responsible for adduction of the thigh at the hip and flexion of the leg at the knee.

































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