Tensor fasciae latae

Tensor fasciae latae

  • Latin synonym: Musculus tensor fasciae latae
  • Synonym: Tensor fasciae latae muscle; Tensor of fascia lata
  • Related terms: Tensor of fascia lata

Definition

Antoine Micheau and Muhammad A. Javaid

Tensor fasciae latae

(muscle group: Superficial gluteal muscles)

Origin

Iliac crest

Insertion

Illiotibial tract

Blood supply

Primarily lateral circumflex femoral artery, Superior gluteal artery

Innervation

Superior gluteal nerve (L4, L5, S1)

Action

Thigh - flexion, medial rotation. Trunk stabilization.

The tensor fasciae latae (TFL) is a small, fusiform muscle located on the lateral aspect of the thigh, in the superior part of the anterior compartment. It acts as both a hip flexor and abductor and plays a major role in the stabilization of the hip and knee joints through tension of the iliotibial tract (IT band).

Origin

It arises from the outer lip of the iliac crest, extending from the anterior superior iliac spine to the tubercle of iliac crest.

Insertion

The muscle descends downward and slightly posteriorly to insert into the iliotibial tract (IT band), which continues to attach to the lateral condyle of the tibia.

Innervation

Superior gluteal nerve (L4 to S1 spinal nerve roots) — same as gluteus medius and minimus.

Functions

  • Contributes to hip flexion and abduction,

  • Works synergistically with the gluteus medius and minimus to stabilize the pelvis during walking.

  • Provides dynamic tension to the IT band, which supports both the lateral hip and lateral knee.

Clinical correlates

  • Tensor fasciae latae tightness: Common in runners and cyclists; contributes to iliotibial band syndrome (ITBS) with pain over the lateral knee.

  • Superior gluteal nerve injury: Weakness of TFL along with gluteus medius and minimus → pelvic instability and Trendelenburg gait.

References

Gallery