Larson Maddy R., Ryan Weston
University of California, Davis School of Medicine
University of California Davis
The word obturator comes from the Latin word obturo, which means “to stop or block up.” This adequately illustrates the location of the obturator muscles since they cover the opening of the obturator foramen. Both the obturator externus and obturator internus are bilateral-triangular shaped muscles. Generally, they originate from the obturator membrane and pelvic bone and attach to the greater trochanter of the femur. They are both considered a part of the muscle group that externally rotates the hip along with gemellus superior and inferior, piriformis, and quadratus femoris. See Pelvic Region Anatomy. The main functions of the obturator internus are to externally rotate the femur when the hip is extended and abduct the femur when the hip is flexed. Additionally, the obturator internus plays a vital role in stabilizing the femoral head in the acetabulum. As a result, this muscle can be injured or weakened by posterior dislocations of the hip since the bone is driven back into the obturator internus and gluteal muscles. Similar to the obturator internus, the primary function of the obturator externus is to externally rotate the hip. It can assist with this movement when the hip is in either the neutral or flexed position. It has also been shown that this muscle can assist with the adduction of the flexed hip. Due to their function and location, they both can be damaged in sporting activities involving kicking, tackling, and falling. Sprains to these muscles are rare, but when they do occur, young male athletes are most often affected.
闭孔肌这个词来源于拉丁语obturo,意思是“阻止或堵塞”。这充分说明了闭孔肌的位置,因为它们覆盖了闭孔。闭孔外肌和闭孔内肌都是双侧三角形肌肉。一般来说,它们起源于闭孔膜和骨盆骨,附着于股骨大转子。它们都被认为是与上、下孖肌、梨状肌和股方肌一起使髋关节外旋的肌群的一部分。见骨盆区域解剖。闭孔内肌的主要功能是在髋关节伸展时使股骨外旋,在髋关节屈曲时使股骨外展。此外,闭孔内肌在稳定股骨头于髋臼中起着至关重要的作用。因此,由于骨头被向后挤入闭孔内肌和臀肌,该肌肉可能会因髋关节后脱位而受伤或减弱。与闭孔内肌类似,闭孔外肌的主要功能是使髋关节外旋。当髋关节处于中立或屈曲位置时,它可以协助这种运动。研究还表明,该肌肉可以协助屈曲髋关节的内收。由于它们的功能和位置,在涉及踢、擒抱和摔倒的体育活动中,它们都可能受损。这些肌肉的扭伤很少见,但一旦发生,年轻男性运动员最常受到影响。