Adductor Brevis: Difference between revisions

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=== Origin ===
== Introduction ==
[[File:Adductor brevis.gif|frameless]][[File:Adductor magnus.png|frameless]]  
[[File:Adductor_brevis.gif|right|frameless]]
Lateral (outer) surface of inferior ramus of pubis.
The adductor brevis muscle a [[Hip Adductors|hip adductor muscle]], in the medial compartment of the thigh.


=== Insertion  ===
It lies:
Proximal portion of linea aspera.


=== Nerve ===
# Immediately deep to the [[Pectineus Muscle|pectineus]] and [[Adductor Longus|adductor longus]].<ref>Radiopedia Adductor Brevis Available: https://radiopaedia.org/articles/adductor-brevis-muscle<nowiki/>(accessed 20.1.2022)</ref>
The adductor brevis is innervated by both the anterior and posterior branches of the [[Obturator Nerve|obturator nerve]] (L3-4)<ref>Wikipedia [https://en.wikipedia.org/wiki/Adductor_brevis_muscle Adductor Brevis.] https://en.wikipedia.org/wiki/Adductor_brevis_muscle (last accessed 28.4.2019)</ref>
# In between the anterior and posterior divisions of the [[Obturator Nerve|obturator nerve]].<ref>Teach me Anatomy Available:https://teachmeanatomy.info/lower-limb/muscles/thigh/medial-compartment/ (accessed 20.1.2022)</ref>
[[File:Adductor_magnus.png|right|frameless]]


=== Artery ===
== Anatomy ==
Deep femoral artery
'''Attachments'''
 
Originates from the body of [[pubis]] and inferior pubic rami.
 
It attaches to the linea aspera on the posterior surface of the [[femur]], proximal to the adductor longus.
 
'''Actions''': Adduction of the thigh.
 
'''Innervation''': [[Obturator Nerve|Obturator nerve]] (L2-L4).


== Function ==
== Function ==
[[Hip]] adduction and Hip flexion. Whether it acts to rotate the femur laterally or medially is dependent on position.
[[Hip]] adduction and Hip flexion. Whether it acts to rotate the femur laterally or medially is dependent on position.


All adductor muscles in the thighs pull the legs toward the middle when walking, in order to maintain [[balance]]. Overall they play an important role in balancing the pelvis during standing and walking. This occurs in the closed chain activation. <ref name=":0">Kiel J, Kaiser K. [https://www.ncbi.nlm.nih.gov/books/NBK493166/ Adductor Strain]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493166/ (last accessed 28.4.2019)</ref>
All adductor muscles in the thighs pull the legs toward the middle when [[Walking - Muscles Used|walking]], in order to maintain [[balance]]. Overall they play an important role in balancing the pelvis during standing and walking. This occurs in the [[Closed Chain Exercise|closed chain activation]]. <ref name=":0">Kiel J, Kaiser K. [https://www.ncbi.nlm.nih.gov/books/NBK493166/ Adductor Strain]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493166/ (last accessed 28.4.2019)</ref>
[[File:Soccer player.jpg|right|frameless]]
[[File:Soccer player.jpg|right|frameless]]


== Clinical relevance- Adductor injury ==
== Clinical Relevance- Adductor injury ==
Adductor strain or injury to the adductor muscle group is a common cause of medial leg and groin pain, especially among athletes. It is a common among injury in such sports as eg iceskating, horse riding, soccer, football, karate, running. Sudden changes in direction cause a quick adduction against a large abduction force thereby stressing the tendon, most commonly at its origin. It is caused by a disproportional strain of the muscles, often in combination with a poor warm-up and a lack of stretching.
[[Adductor Tendinopathy]] is a common cause of medial leg and [[Groin Strain|groin pain]], especially among athletes. It is a common among injury in such sports as eg ice skating, horse riding, soccer, football, karate, running. Sudden changes in direction cause a quick adduction against a large abduction force thereby stressing the tendon, most commonly at its origin. It is caused by a disproportional strain of the muscles, often in combination with a poor warm-up and a lack of [[stretching]].


Risk factors- previous hip or groin injury as well as age, weak adductors, muscle fatigue, decreased range of motion, and inadequate stretching of the adductor muscle complex. Anatomical variances also play a role eg excessive pronation or leg-length discrepancy.  
* Risk factors- previous hip or groin injury as well as age, weak adductors, [[Muscle Fatigue|muscle fatigue]], decreased [[Range of Motion|range of motion]], and inadequate stretching of the adductor muscle complex. Anatomical variances also play a role eg excessive [[Foot Function Index (FFI)|pronation]] or [[Leg Length Discrepancy|leg-length discrepancy]].
 
* Symptoms - pain extending to the [[Inguinal Ligament|inguinal]] and [[knee]] region when stretching and straining the muscles.<ref name=":0" />
Symptoms - pain extending to the inguinal and [[knee]] region when stretching and straining the muscles.<ref name=":0" />


=== Treatment  ===
=== Treatment  ===
Adductor injuries are often overlooked. An early assessment is essential to prevent it becoming a career threatening injury for an athlete.
Adductor injuries are often overlooked. An early assessment is essential to prevent it becoming a career threatening injury for an athlete.


For a guide to Physiotherapy treatment and assessment see [[Groin strain|Groin Strain]][[Adductor Tendinopathy|Aanddductor Tendinopathy]]
* For a guide to Physiotherapy treatment and assessment see [[Groin Strain]]   [[Adductor Tendinopathy]]
 
* It is essential to do a thorough assessment of the pelvis and [[Core Strengthening|core]] as well as the thigh muscles. Designing a [[Strength Training|strengthening]] program to address which muscles are weak and which muscles are tight is vital. Treatment should include strengthening of the muscles around pelvis and core, along side  with stretches to be completed following all training sessions. <ref>Khandekar P. [http://www.sjosm.org/text.asp?2017/17/2/118/207576 Assessment and management of adductor strain.] Saudi J Sports Med 2017;17:118-20. Available from:  http://www.sjosm.org/text.asp?2017/17/2/118/207576 (last accessed 28.4.2019)</ref>
It is essential to do a thorough assessment of the pelvis and core as well as the thigh muscles. Designing a strengthening program to address which muscles are weak and which muscles are tight is vital. Treatment should include strengthening of the muscles around pelvis and core, along side  with stretches to be completed following all training sessions. <ref>Khandekar P. [http://www.sjosm.org/text.asp?2017/17/2/118/207576 Assessment and management of adductor strain.] Saudi J Sports Med 2017;17:118-20. Available from:  http://www.sjosm.org/text.asp?2017/17/2/118/207576 (last accessed 28.4.2019)</ref>


== Resources  ==
== Resources  ==

Latest revision as of 17:12, 20 January 2022

Original Editor - Lucinda hampton Top Contributors - Lucinda hampton and Kim Jackson

Original Editor -

Top Contributors - Lucinda hampton and Kim Jackson

Introduction[edit | edit source]

Adductor brevis.gif

The adductor brevis muscle a hip adductor muscle, in the medial compartment of the thigh.

It lies:

  1. Immediately deep to the pectineus and adductor longus.[1]
  2. In between the anterior and posterior divisions of the obturator nerve.[2]
Adductor magnus.png

Anatomy[edit | edit source]

Attachments

Originates from the body of pubis and inferior pubic rami.

It attaches to the linea aspera on the posterior surface of the femur, proximal to the adductor longus.

Actions: Adduction of the thigh.

Innervation: Obturator nerve (L2-L4).

Function[edit | edit source]

Hip adduction and Hip flexion. Whether it acts to rotate the femur laterally or medially is dependent on position.

All adductor muscles in the thighs pull the legs toward the middle when walking, in order to maintain balance. Overall they play an important role in balancing the pelvis during standing and walking. This occurs in the closed chain activation. [3]

Soccer player.jpg

Clinical Relevance- Adductor injury[edit | edit source]

Adductor Tendinopathy is a common cause of medial leg and groin pain, especially among athletes. It is a common among injury in such sports as eg ice skating, horse riding, soccer, football, karate, running. Sudden changes in direction cause a quick adduction against a large abduction force thereby stressing the tendon, most commonly at its origin. It is caused by a disproportional strain of the muscles, often in combination with a poor warm-up and a lack of stretching.

Treatment[edit | edit source]

Adductor injuries are often overlooked. An early assessment is essential to prevent it becoming a career threatening injury for an athlete.

  • For a guide to Physiotherapy treatment and assessment see Groin Strain Adductor Tendinopathy
  • It is essential to do a thorough assessment of the pelvis and core as well as the thigh muscles. Designing a strengthening program to address which muscles are weak and which muscles are tight is vital. Treatment should include strengthening of the muscles around pelvis and core, along side with stretches to be completed following all training sessions. [4]

Resources[edit | edit source]

  1. Radiopedia Adductor Brevis Available: https://radiopaedia.org/articles/adductor-brevis-muscle(accessed 20.1.2022)
  2. Teach me Anatomy Available:https://teachmeanatomy.info/lower-limb/muscles/thigh/medial-compartment/ (accessed 20.1.2022)
  3. 3.0 3.1 Kiel J, Kaiser K. Adductor Strain. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493166/ (last accessed 28.4.2019)
  4. Khandekar P. Assessment and management of adductor strain. Saudi J Sports Med 2017;17:118-20. Available from:  http://www.sjosm.org/text.asp?2017/17/2/118/207576 (last accessed 28.4.2019)