• Lies in the gutter between bodies and transverse processes of lumbar vertebrae
  • Origin:
    • Discs above the L5 Lumbar vertebrae (T12 – L5)
    • Adjoining vertebral bodies
    • Fibrous arches that span the concavities of the sides of the upper 4 vertebral bodies
    • Medial ends of all Lumbar Transverse processes
    • THUS, one continuous attachment from lower border of T12 to upper border of L5
  • Course:
    • Downwards along Pelvic Brim
    • Passes beneath Inguinal Ligament into Thigh
  • Insertion:
    • Lesser Trochanter of Femur
  • Relations:
    • Lumbar plexus embedded within muscle
    • Genitofemoral Nerve and Femoral Nerves emerges from the front of the muscle
    • Iliohypogastric, Ilioinguinal, Lateral Femoral Cutaneous, emerges from its lateral border
    • Obturator Nerve and Lumbosacral Trunk emerge from its medial border
    • 4 x Lumbar Arteries and veins pass backwards medial to the 4 arches and run laterally behind the muscle
    • External Vertebral Venous Plexus behind it (in front of Transverse Processes)
  • Psoas Fascia
    • Invests surface of the muscle
    • Attached to vertebral bodies, fibrous arches, and transverse processes
    • Attached to Iliopubic eminence as muscle extends along pelvic brim
    • NOT part of Lumbar Fascia
      • Lateral edge blends with the anterior layer of Lumbar Fascia overlying Quadratus Lumborum
  • Nerve Supply
    • L1, L2 and L3 – mainly L2
  • Actions:
    • Hip flexion
    • Lateral flexion of vertebra
    • Flexion of trunk