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# Sartorius

The sartorius is a long strap muscle crossing the thigh from the hip to the inner knee, the longest in the body; it helps bend both joints.

Official name: Sartorius muscle

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## What it is

A long strap muscle crossing the front of the thigh from the hip to the inner knee.

## What it does

Helps bend the hip and knee.

## Key points

- Longest muscle in the body; it crosses both the hip and the knee, so it acts on both
- Lateral border of the femoral triangle above; roof of the adductor canal in the middle third of the thigh
- Most anterior of the three pes anserinus tendons on the upper medial tibia: sartorius, gracilis, [semitendinosus](https://durgical.com/en/anatomy/semitendinosus-muscle/)

## Key facts

**Origin**
Anterior superior iliac spine

**Insertion**
Upper medial surface of tibia (pes anserinus)

**Action**
Flexes, abducts and laterally rotates hip; flexes knee

**Nerve**
Femoral nerve (L2–L3)

**Blood supply**
[Femoral artery](https://durgical.com/en/anatomy/femoral-artery/) (muscular branches)

## Relations

**Course**
From the anterior superior iliac [spine](https://durgical.com/en/anatomy/region/spine/) it spirals down and medially across the front of the thigh, passes behind the medial femoral condyle and turns forward onto the upper medial [tibia](https://durgical.com/en/anatomy/tibia/)

**Deep**
Upper third: iliopsoas, [pectineus](https://durgical.com/en/anatomy/pectineus-muscle/) and the [femoral nerve](https://durgical.com/en/anatomy/femoral-nerve/) branches; middle third: the adductor canal with the femoral vessels, the [saphenous nerve](https://durgical.com/en/anatomy/saphenous-nerve/) and the nerve to [vastus medialis](https://durgical.com/en/anatomy/vastus-medialis-muscle/)

**Medial**
[Adductor longus](https://durgical.com/en/anatomy/adductor-longus/), which meets it at the apex of the femoral triangle

**Lateral**
At its origin, the [tensor fasciae latae](https://durgical.com/en/anatomy/tensor-fasciae-latae/): the two diverge from the ASIS in an inverted V, with the [rectus femoris](https://durgical.com/en/anatomy/rectus-femoris-muscle/) emerging between them

**Superficial**
[Fascia lata](https://durgical.com/en/anatomy/fascia-lata/) and [skin](https://durgical.com/en/anatomy/skin/); at the medial knee the saphenous nerve becomes subcutaneous between its tendon and the [gracilis](https://durgical.com/en/anatomy/gracilis-muscle/)

## How to find it

Seated, with the heel of one foot slid up the opposite shin (hip flexed, abducted and laterally rotated, knee bent), the muscle stands out as a strap running from the ASIS down and inward across the thigh.

## Examination

- Manual muscle test: the examiner resists the heel-up-the-opposite-shin movement; weakness points to the femoral nerve (L2–L3)

## On imaging

Ultrasound and axial MRI show it as a thin strap crossing the front of the thigh from lateral to medial; in the mid-thigh it lies over the femoral vessels and saphenous nerve, the window for an adductor canal block. In adolescent athletes, an AP pelvic radiograph may show an avulsed fragment of the ASIS after a sprint or kick. MRI shows strains and pes anserinus bursitis.

## Clinical notes

- Avulsion of the ASIS apophysis in adolescent sprinters and footballers, from a sudden sartorius pull
- The [lateral femoral cutaneous nerve](https://durgical.com/en/anatomy/lateral-femoral-cutaneous-nerve/) passes close to its origin, medial to the ASIS; compression there causes meralgia paresthetica
- Key landmark for exposing the femoral vessels and for the adductor canal (saphenous) nerve block used after knee surgery
- Can be turned medially as a muscle flap to cover exposed femoral vessels or a groin graft

## Development

Comes from the dorsal muscle mass of the limb bud, which explains why a muscle on the inner thigh is supplied by the femoral nerve and not by the [obturator nerve](https://durgical.com/en/anatomy/obturator-nerve/).

## Memory aid

Pes anserinus from front to back: "Say Grace before Tea" (Sartorius, Gracilis, semiTendinosus).

## Related conditions

- [Meralgia paresthetica](https://durgical.com/en/conditions/meralgia-paresthetica/)

## Test yourself

Think of the answer, then tap the question to see it.

## What are the attachments of the sartorius?

From the anterior superior iliac spine to the upper medial surface of the tibia (pes anserinus); it is the longest muscle in the body and crosses hip and knee.

## Which borders and roofs does the sartorius form in the thigh?

The lateral border of the femoral triangle above, and the roof of the adductor canal in the middle third of the thigh.

## What is the order of the pes anserinus tendons from front to back?

Sartorius, gracilis, semitendinosus («Say Grace before Tea»); the sartorius is the most anterior.

## Which nerve supplies the sartorius, and how is the muscle tested?

The femoral nerve (L2–L3); the examiner resists the heel-up-the-opposite-shin movement (hip flexion, abduction and lateral rotation with the knee bent).

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
musculus sartorius TA2 2610

**Official Spanish (DeCS)**
Músculo sartorio

**English (TA2)**
Sartorius muscle

## Related

- [Femoral nerve](https://durgical.com/en/anatomy/femoral-nerve/)
- [Femoral artery](https://durgical.com/en/anatomy/femoral-artery/)
- [Sartorius tendon](https://durgical.com/en/anatomy/tendon-of-sartorius/)
- [Femur](https://durgical.com/en/anatomy/femur/)
- [Hip bone](https://durgical.com/en/anatomy/hip-bone/)

Sources: Terminologia Anatomica (TA2); [Anatomy, Bony Pelvis and Lower Limb: Thigh Sartorius Muscle](https://www.ncbi.nlm.nih.gov/books/NBK532889/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/sartorius-muscle/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/sartorius-muscle/
