Obturator Internus: Difference between revisions

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== Description  ==
== Description  ==
[[File:Obturator Internus.jpg|thumb|[https://www.flickr.com/photos/fickleandfreckled/6942401559/ Obturator internus]]]
[[File:Obturator Internus.jpg|thumb|[https://www.flickr.com/photos/fickleandfreckled/6942401559/ Obturator internus]]]
The obturator internus muscle of lateral wall of pelvis and found on the superior inner side of the obturator membrane.<ref>Ramirez PT, Frumovitz M, Abu-Rustum NR. [https://www.researchgate.net/publication/327946290_Abdominal_and_Pelvic_Anatomy Principles of Gynecologic Oncology Surgery E-Book.] Elsevier Health Sciences; 2018 Jul 1.(pp.3-49)</ref>
The obturator internus is the deep muscle of hip joint which is part of lateral wall of pelvis. It is found in the superior inner side of the obturator membrane.<ref name=":0">Ramirez PT, Frumovitz M, Abu-Rustum NR. [https://www.researchgate.net/publication/327946290_Abdominal_and_Pelvic_Anatomy Principles of Gynecologic Oncology Surgery E-Book.] Elsevier Health Sciences; 2018 Jul 1.(pp.3-49)</ref>
=== Origin ===
=== Origin ===
The obturator internus muscle originates from the inferior margin of the superior pubic ramus and from the pelvic surface of the obturator membrane.
The obturator internus muscle originates from the inferior margin of the superior pubic ramus and from the pelvic surface of the obturator membrane.<ref name=":0" />


=== Insertion  ===
=== Insertion  ===
Its tendon exits the pelvis through the lesser sciatic foramen to insert onto the greater trochanter of the femur 
Its tendon exits the pelvis through the lesser sciatic foramen to insert onto the greater trochanter of the femur.<ref name=":0" /> 


=== Nerve ===
=== Nerve ===
innervated by the obturator internus nerve (L5–S2).
This muscle is innervated by the obturator internus nerve (L5–S2), a branch of sacral plexus.<ref name=":0" />


=== Artery ===
=== Artery ===
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== Function ==
== Function ==
{{#ev:youtube|WqufrPruEMc}}<ref>Kenhub - Learn Human Anatomy. Obturator internus. Available from: https://www.youtube.com/watch?v=WqufrPruEMc [last assessed: 2019/12/30]</ref>  
{{#ev:youtube|WqufrPruEMc}}<ref>Kenhub - Learn Human Anatomy. Obturator internus. Available from: https://www.youtube.com/watch?v=WqufrPruEMc [last assessed: 2019/12/30]</ref>  
* laterally/ externally rotates the hip
# Laterally/ externally rotates the hip
* abduction of hip
# Abduction of hip
* hip joint stabilizer(only when torques are applied in the specific directions in which the muscle is active.)<ref>Hodges PW, McLean L, Hodder J. [https://espace.library.uq.edu.au/data/UQ_333863/UQ333863OA.pdf?Expires=1577700386&Key-Pair-Id=APKAJKNBJ4MJBJNC6NLQ&Signature=YrieB6qbXo7JbeZP~J~Lse~D3ZesTNOv4cDakEIz-~xWIdsqkBovmu4pKiv~1Vplf88cy6iH6WaRY9Qk1Djqi0Xzj5aqFXndZwmh5NAX3PpWHieEuzDYmXdPDQhFnJEupYlfCtP74bqIzLDd-UAyCJIlRZYnjbQ6RusFxNeAGpwt9j1jVN1Nfeh8GMeetUHfEgHBg7-GzQPxTLuYMGqYGEdvTrGboxwcWdxBBqpRTzkrXGYcXtKuu1Nvdy0TYHcMpojsrekIzp~okvNm9t08K-9aiYURVMCxPMH5YF~SUpgljefoVRsyetSndpXgZ3uYt07Wuihw0aijN1z6GjQN4w__ Insight into the function of the obturator internus muscle in humans: observations with development and validation of an electromyography recording technique. Journal of Electromyography and Kinesiology.] 2014 Aug 1;24(4):489-96.</ref>
# Hip joint stabilizer(only when torques are applied in the specific directions in which the muscle is active.)<ref>Hodges PW, McLean L, Hodder J. [https://espace.library.uq.edu.au/data/UQ_333863/UQ333863OA.pdf?Expires=1577700386&Key-Pair-Id=APKAJKNBJ4MJBJNC6NLQ&Signature=YrieB6qbXo7JbeZP~J~Lse~D3ZesTNOv4cDakEIz-~xWIdsqkBovmu4pKiv~1Vplf88cy6iH6WaRY9Qk1Djqi0Xzj5aqFXndZwmh5NAX3PpWHieEuzDYmXdPDQhFnJEupYlfCtP74bqIzLDd-UAyCJIlRZYnjbQ6RusFxNeAGpwt9j1jVN1Nfeh8GMeetUHfEgHBg7-GzQPxTLuYMGqYGEdvTrGboxwcWdxBBqpRTzkrXGYcXtKuu1Nvdy0TYHcMpojsrekIzp~okvNm9t08K-9aiYURVMCxPMH5YF~SUpgljefoVRsyetSndpXgZ3uYt07Wuihw0aijN1z6GjQN4w__ Insight into the function of the obturator internus muscle in humans: observations with development and validation of an electromyography recording technique. Journal of Electromyography and Kinesiology.] 2014 Aug 1;24(4):489-96.</ref>


== Clinical Relevance  ==
== Clinical Relevance  ==

Revision as of 14:47, 3 February 2020

Original Editor - Manisha Shrestha

Top Contributors - Manisha Shrestha and Kim Jackson


Description[edit | edit source]

The obturator internus is the deep muscle of hip joint which is part of lateral wall of pelvis. It is found in the superior inner side of the obturator membrane.[1]

Origin[edit | edit source]

The obturator internus muscle originates from the inferior margin of the superior pubic ramus and from the pelvic surface of the obturator membrane.[1]

Insertion[edit | edit source]

Its tendon exits the pelvis through the lesser sciatic foramen to insert onto the greater trochanter of the femur.[1] 

Nerve[edit | edit source]

This muscle is innervated by the obturator internus nerve (L5–S2), a branch of sacral plexus.[1]

Artery[edit | edit source]

Function[edit | edit source]

[2]

  1. Laterally/ externally rotates the hip
  2. Abduction of hip
  3. Hip joint stabilizer(only when torques are applied in the specific directions in which the muscle is active.)[3]

Clinical Relevance[edit | edit source]

[4]

[5]

Assessment[edit | edit source]

Treatment[edit | edit source]

Resources[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Ramirez PT, Frumovitz M, Abu-Rustum NR. Principles of Gynecologic Oncology Surgery E-Book. Elsevier Health Sciences; 2018 Jul 1.(pp.3-49)
  2. Kenhub - Learn Human Anatomy. Obturator internus. Available from: https://www.youtube.com/watch?v=WqufrPruEMc [last assessed: 2019/12/30]
  3. Hodges PW, McLean L, Hodder J. Insight into the function of the obturator internus muscle in humans: observations with development and validation of an electromyography recording technique. Journal of Electromyography and Kinesiology. 2014 Aug 1;24(4):489-96.
  4. Solomon LB, Lee YC, Callary SA, Beck M, Howie DW. Anatomy of piriformis, obturator internus and obturator externus: implications for the posterior surgical approach to the hip. The Journal of bone and joint surgery. British volume. 2010 Sep;92(9):1317-24.
  5. Byrne C, Alkhayat A, O'Neill P, Eustace S, Kavanagh E. Obturator internus muscle strains. Radiology Case Reports. 2017 Mar 1;12(1):130-2.