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Toward a Better Understanding of Hip Adductor Function: Internal Rotation Capability Revealed by Anatomical and MRI
Kazuhiro Hirano1, Kazuo Kinoshita2, Atsushi Senoo3
1Department of Molecular Physiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
The hip adductor muscles, including the pectineus, adductor longus, and brevis, primarily contribute to internal rotation and coronal plane stability. Magnetic resonance imaging (MRI) T2 values confirm greater activation during internal rotation exercises.
Area of Science:
- Orthopedics
- Sports Medicine
- Anatomy
Background:
- The precise rotational function of hip adductor muscles remains incompletely understood.
- This study investigates the functional roles of pectineus, adductor longus, and adductor brevis muscles.
Purpose of the Study:
- To elucidate the rotational function and stabilizing contributions of the pectineus, adductor longus, and adductor brevis.
- To correlate anatomical findings with magnetic resonance imaging (MRI) T2 values to assess muscle activity.
Main Methods:
- Anatomical observation of hip adductor muscle arrangement in fixed specimens.
- MRI T2 value analysis in healthy adults during internal and external hip rotation movements.
- Assessment of muscle extension/shortening during passive hip rotations.
Main Results:
- Anatomical arrangement shows adductor muscles are nearly parallel to the gluteus minimus across the femoral neck.
- MRI T2 values significantly increased post-internal rotation compared to post-external rotation for pectineus, adductor longus, and brevis.
- Percent change in T2 values was significantly higher for internal rotation (pectineus: 6.38±1.35%, others: 4.84±1.31%) versus external rotation (pectineus: 1.35±0.71%, others: 1.31±0.68%).
Conclusions:
- Hip adductor muscle groups play a role in maintaining coronal plane joint stability.
- These muscles are significant contributors to internal rotation of the hip joint in a standing position.
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