Psoas major muscle

From Wikipedia, the free encyclopedia
Jump to: navigation, search
Psoas major muscle
Psoas major muscle11.png
Position of psoas major (shown in red)
Anterior Hip Muscles 2.PNG
The psoas major and nearby muscles
Latin Musculus psoas major
Gray's p.467
Origin Transverse processes of T12-L5 and the lateral aspects of the discs between them
Insertion In the lesser trochanter of the femur
Artery lumbar branch of iliolumbar artery
Nerve Lumbar plexus via anterior branches of L1-L3 nerves
Actions Flexes and rotates laterally thigh
Antagonist Gluteus maximus
MeSH Psoas+Muscles
Anatomical terms of muscle

The psoas major (/ˈs.əs/ or /ˈs.æs/) is a long fusiform muscle located on the side of the lumbar region of the vertebral column and brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas.

Structure[edit]

The psoas major is divided into a superficial and deep part. The deep part originates from the transverse processes of lumbar vertebrae I-V. The superficial part originates from the lateral surfaces of the last thoracic vertebra, lumbar vertebrae I-IV, and from neighboring intervertebral discs. The lumbar plexus lies between the two layers.[1]

It is joined by the iliacus, psoas major forms the iliopsoas which is surrounded by the iliac fascia. The iliopsoas runs across the iliopubic eminence through the muscular lacuna to its insertion on the lesser trochanter of the femur. The iliopectineal bursa separates the tendon from the iliopsoas muscle from the external surface of the hip joint capsule at the level of the iliopubic eminence.[2] The iliac subtendinous bursa lies between the lesser trochanter and the attachment of the iliopsoas.[1]

Innervation[edit]

Innervation of the psoas major is through the anterior rami of L1 to L4.

Variation[edit]

In less than 50 percent of human subjects,[1] the psoas major is accompanied by the psoas minor.

In animals[edit]

In mice, it is mostly a fast-twitching, type II muscle,[3] while in human it combines slow and fast-twitching fibers.[4]

Function[edit]

As part of the iliopsoas, psoas major contributes to flexion and external rotation in the hip joint. On the lumbar spine, unilateral contraction bends the trunk laterally, while bilateral contraction raises the trunk from its supine position.[5]

It forms part of a group of muscles called the hip flexors, whose action is primarily to lift the upper leg towards the body when the body is fixed or to pull the body towards the leg when the leg is fixed.

For example, when doing a situp that brings the torso (including the lower back) away from the ground and towards the front of the leg, the hip flexors (including the iliopsoas) will flex the spine upon the pelvis.

Owing to the frontal attachment on the vertebrae, rotation of the spine will stretch the psoas.

Clinical significance[edit]

Tightness of the psoas can result in lower back pain by compressing the lumbar discs.[6]

See also[edit]

This article uses anatomical terminology; for an overview, see anatomical terminology.

Notes[edit]

This article incorporates text from a public domain edition of Gray's Anatomy.

  1. ^ a b c Platzer (2004), p 234
  2. ^ Bojsen-Møller, Finn; Simonsen, Erik B.; Tranum-Jensen, Jørgen (2001). Bevægeapparatets anatomi [Anatomy of the Locomotive Apparatus] (in Danish) (12th ed.). pp. 261–266. ISBN 978-87-628-0307-7. 
  3. ^ Nunes, MT; Bianco, AC; Migala, A; Agostini, B; Hasselbach, W (1985). "Thyroxine induced transformation in sarcoplasmic reticulum of rabbit soleus and psoas muscles". Zeitschrift fur Naturforschung. Section C: Biosciences 40 (9–10): 726–34. PMID 2934902. 
  4. ^ Arbanas, Juraj; Starcevic Klasan, Gordana; Nikolic, Marina; Jerkovic, Romana; Miljanovic, Ivo; Malnar, Daniela (2009). "Fibre type composition of the human psoas major muscle with regard to the level of its origin". Journal of Anatomy 215 (6): 636–41. doi:10.1111/j.1469-7580.2009.01155.x. PMID 19930517. 
  5. ^ Thieme Atlas of Anatomy (2006), p 422
  6. ^ Akuthota, et all(2008). p 40

References[edit]

Additional images[edit]

External links[edit]