Sartorius and the cross-legged sitting position
The sartorius is the longest muscle in the body; it bends the hip and knee, moves the thigh away from the midline and turns it outwards, giving cross-legged sitting.
Remember
Cross-legged sitting combines hip flexion, abduction and lateral rotation (turning outwards) with knee flexion, and these are the actions of the sartorius.
Memory aid
picture a tailor sitting cross-legged with the hip bent, swung out and turned outwards, and the knee bent
Use the tailor's sitting position to recall the hip and knee movements together.
The sartorius is the longest muscle in the body. It is long and thin, and it runs obliquely (at a slant) across the front of the thigh. It is the most superficial muscle of the anterior compartment, the group of muscles at the front of the thigh, supplied by the femoral nerve.
It starts at the anterior superior iliac spine (the bony point at the front of the pelvis) and runs downwards and towards the midline to the upper medial tibia (the shin bone). Its tendon passes behind the inner side of the knee and joins the tendons of gracilis (a strap-like muscle on the inner thigh) and semitendinosus (a hamstring) at the pes anserinus, their shared attachment on the inner side of the upper shin bone.
Because it crosses both the hip and the knee, it acts at both joints. At the hip it flexes (bends the thigh forwards), abducts (moves the thigh away from the midline) and laterally rotates (turns the thigh outwards). At the knee it flexes. Those movements together produce the cross-legged sitting position. Each of these actions is individually weak, which makes the sartorius a synergist, meaning a helper that acts alongside stronger muscles. The name comes from the Latin sartor, meaning tailor, probably because tailors once sat cross-legged.
Other muscles each match only part of the pattern. Rectus femoris (the quadriceps muscle that crosses both the hip and the knee) bends the hip but straightens the knee. Gracilis flexes the knee but adducts the thigh. The hamstrings extend the hip.
Key facts
- Position
- the longest muscle in the body, running obliquely across the front of the thigh as the most superficial muscle of the anterior compartment
- Attachments
- the anterior superior iliac spine and the upper medial tibia
- Hip actions
- flexion, abduction and lateral rotation
- Knee action
- flexion
- Nerve supply
- the femoral nerve
- Shared attachment
- the pes anserinus, with gracilis and semitendinosus
Exam traps
- The hip movements here are right, but the knee is not: the sartorius flexes the knee, while knee extension is carried out by the quadriceps.
- The sartorius passes in front of the hip joint and so flexes the hip; extension comes from muscles behind the joint, mainly gluteus maximus and the hamstrings.
- Gracilis joins the sartorius at the pes anserinus, but it adducts the thigh and flexes the knee, so it cannot produce abduction and lateral rotation.
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