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Iliacus

Origin: Superior two-thirds of the internal surface of the iliac fossa, the inner lip of the iliac crest, the ventral surface of the sacroiliac and iliolumbar ligaments, and the upper surface of the lateral part of the sacrum.
Insertion: The lesser trochanter of the femur after being joined by the tendon of psoas major. The conjoined tendon passes under the inguinal ligament to enter the thigh
Action: Flexion of thigh at hip, assists in extension of the lumbar spine
Innervation: Femoral nerve (L2, 3)

Primary Actions:

1. Flexion of thigh at the hip

• Agonists: Psoas Major
• Antagonists: Gluteus maximus, Semitendinosus, Semimembranosus, Biceps Femoris (long head), Adductor magnus (posterior)

2. Flexion of the pelvis at the hip

• Agonists: Psoas Major
• Antagonists: Gluteus maximus, Semitendinosus, Semimembranosus, Biceps Femoris (long head), Adductor magnus (posterior)

Psoas Major

Origin: Anterior surfaces of the transverse processes of T12-L5 vertebrae, the upper two thirds of the iliacus
Insertion: The lesser trochanter of the femur
Action: Flexion of thigh at hip, assists in extension of the lumbar spine
Innervation: Lumbar plexus (L2 – L4)

Primary Actions:

1. Flexion of thigh at the hip

• Agonists: Iliacus
• Antagonists: Gluteus maximus, Semitendinosus, Semimembranosus, Biceps Femoris (long head), Adductor magnus (posterior)

2. Assists with extension of the lumbar spine

• Agonists: Iliocostalis lumborum, Longissimus thoracis
• Antagonists: Rectus Abdominis

3. Lateral Flexion of the spine when acting unilaterally

• Agonists: Iliocostalis lumborum, Longissimus thoracis, Quadratus lumborum, External and Internal Oblique
• Antagonists: Same as agonists but on the opposite side.

Psoas Minor

Origin: Bodies of T12 and L1 and intervening intervertebral discs
Insertion: Fascia over the psoas major and iliacus
Action: Flexion of thigh at hip, assists in extension of the lumbar spine
Innervation: Ventral primary rami of L1
Primary Actions: Because of its position and size the psoas minor is not a prime mover.

Secondary Actions:

1. Assists with flexion of the thigh at the hip

• Agonists: Psoas Major, Iliacus
• Antagonists: Gluteus maximus, Semitendinosus, Semimembranosus, Biceps Femoris (long head), Adductor magnus (posterior)

Satellite Trigger Points: Quadratus lumborum, Rectus abdominis,  Tensor fascia latae, Gluteus maximus, Gluteus medius, Gluteus minimus, Thoracolumbar paraspinals, Piriformis

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