Human Anatomy — all lessons

The hip complex

The acetabulofemoral joint, its stabilising ligaments and labrum, the major hip muscle groups, and how hip anatomy shapes squatting, hinging, running and single-leg control.

Intermediate Evidence: Strong evidence 3 min read Reviewed 2026-10-31 Status: draft

Learning objectives

  • Describe the bony and soft-tissue structures of the hip
  • Identify the main hip muscles by action
  • Explain how individual hip morphology influences squat depth and stance
  • Relate hip abductor function to single-leg control

Before this lesson

Why this matters

The hip produces much of the power in sprinting, jumping and lifting, and controls the pelvis in every single-leg activity. Its anatomy also varies a lot between people — which is why one “correct” squat stance does not exist.

Fundamental concepts

The hip (acetabulofemoral) joint is a ball-and-socket joint between the femoral head and the acetabulum of the pelvis, deepened by the fibrocartilaginous labrum. A thick capsule is reinforced by three ligaments: iliofemoral (strongest; limits extension), pubofemoral (limits abduction and extension) and ischiofemoral (limits internal rotation and extension) [neumann2017].

Muscles by action

ActionMain muscles
FlexionIliopsoas, rectus femoris, sartorius, tensor fasciae latae
ExtensionGluteus maximus, hamstrings, adductor magnus (posterior part)
AbductionGluteus medius, gluteus minimus, TFL
AdductionAdductor longus, brevis, magnus; gracilis; pectineus
External rotationDeep six rotators (piriformis etc.), gluteus maximus
Internal rotationAnterior gluteus medius/minimus, TFL (weaker overall)

Many hip muscles change action with hip position — for example, piriformis is an external rotator near neutral but contributes to internal rotation when the hip is deeply flexed [neumann2010].

Single-leg control

In single-leg stance, body weight tends to drop the pelvis on the unsupported side. The stance-side abductors (gluteus medius and minimus) prevent this. Weakness or poor control produces a pelvic drop (Trendelenburg pattern), often seen in running, stair descent and step-downs.

Individual anatomy

Acetabular depth and orientation, femoral neck-shaft angle and femoral torsion (anteversion) vary widely. These differences influence comfortable squat depth, stance width and toe angle. Pinching at the front of the hip at depth may reflect bony contact rather than “tight muscles” in some people.

Practical application

Common mistakes and misconceptions

Case study

A client reports pinching at the front of the hip below parallel. Toe-out of 20° and a slightly wider stance remove the symptom while maintaining depth. The trainer records the change and monitors; persistent symptoms would prompt referral to rule out structural hip pathology.

Further learning: video lessons

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Knowledge check

Knowledge check · 0/5

1. The strongest ligament of the hip, resisting extension, is the…

Answer B. The Y-shaped iliofemoral ligament limits hip extension.

2. A Trendelenburg sign (pelvis dropping on the unsupported side in single-leg stance) suggests weakness of…

Answer B. The stance-side abductors hold the pelvis level.

3. The primary hip flexor is…

Answer B. Iliopsoas (iliacus + psoas major), assisted by rectus femoris, sartorius and TFL.

4. Why might two clients need different squat stance widths?

Answer B. Bony morphology varies; stance and toe-out can be adjusted to find comfortable depth.

5. The acetabular labrum…

Answer A. The fibrocartilaginous labrum deepens the socket and contributes to a fluid seal.

Short-answer & application questions

  1. Explain the role of the hip abductors during running.
  2. Why might adductor magnus be considered an important hip extensor in a deep squat?
  3. Describe how you would individualise squat stance for a client with pinching at the front of the hip at depth.

Key takeaways

  • The hip is a deep ball-and-socket joint, stabilised by the labrum, a strong capsule and the iliofemoral, pubofemoral and ischiofemoral ligaments.
  • Gluteus maximus is the main hip extensor; gluteus medius and minimus stabilise the pelvis in single-leg stance.
  • Hip socket orientation and femoral neck angles vary widely, so optimal squat stance and depth vary between people.
  • Many hip muscles change their action depending on hip position.

Connected topics

References

  1. Neumann DA (2010). Kinesiology of the hip: a focus on muscular actions. Journal of Orthopaedic & Sports Physical Therapy, 40(2):82–94. doi:10.2519/jospt.2010.3025 Narrative review check pending
  2. Neumann DA (2017). Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation (3rd ed.). Elsevier. Textbook check pending

Educational content only — not medical advice. Consult a qualified clinician for diagnosis or treatment.