Anterior Thigh/Gluteal Muscles POINA Flashcards
Pectineus Purposeful Action
Playing hackey sack, crossing legs
Pectineus Main Action
-Adduct and slightly flex hip
-Assist with ER
Pectineus Proximal Attachment
Superior ramus of pubis
Pectineus Distal Attachment
Pectineal line of femur inferior to lesser trochanter
Pectineus Innervation
-Femoral (L2-L3)
-May receive branch from obturator
Sartorious Purposeful Action
Sitting on floor, yoga, meditation
Sartorious Main Action
-Hip: Flexion, abduction, ER
-Knee: Flexion
-IR when knee is flexed
Sartorious Proximal Attachment
ASIS (superior part of notch inferior to it)
Sartorious Distal Attachment
Superior part of medial tibia (pes anserinus)
Sartorious Nerve
Femoral (L2-L3)
Gluteus Maximus Purposeful Action
Squatting, sit to stand, bed mobility
Gluteus Maximus Main Action
-Extend hip (from flexed)
-Assist in ER
-Flexes hip and assists in rising from a sitting position
Gluteus Maximus Proximal Attachment
-Ilium (posterior to posterior gluteal line)
-Dorsal sacrum and coccyx
-Sacrotuberous ligament
Gluteus Maximus Distal Attachment
-IT tract, which inserts onto anterolateral tibial tubercle
-Gluteal tuberosity (not most fibers)
Gluteus Maximus Nerve
Inferior Gluteal Nerve (L5-S2)
Gluteus Medius Purposeful Action
Smooth walking, standing on one leg to dress/shower
Gluteus Medius Main Action
-Hip abduction, IR
-Posterior fibers: ER
-Keeps pelvis level when ipsilateral limb is weight bearing and advance unsupported side during its swing phase (standing on one leg)
Gluteus Medius Proximal Attachment
External surface of ilium (between anterior and posterior gluteal lines)
Gluteus Medius Distal Attachment
Lateral surface of greater trochanter
Gluteus Medius Nerve
Superior Gluteal Nerve (L4-S1)
Gluteus Minimus Purposeful Action
Walking, standing on one leg to dress/shower
Gluteus Minimus Main Action
-Hip abduction, IR
-Keep pelvis level when ipsilateral limb is weight bearing and opposite side during swing phase (standing on one leg)
Gluteus Minimus Proximal Attachment
External surface of ilium between anterior and inferior gluteal lines
Gluteus Minimus Distal Attachment
Anterior surface of greater trochanter
Gluteus Minimus Nerve
Superior gluteal (L4-S1)
Tensor Fasciae Latae Purposeful Action
Running, single leg squatting
Tensor Fasciae Latae Main Action
-Hip IR and abduction
-Standing on one foot
Tensor Fasciae Latae Proximal Attachment
ASIS, anterior part of iliac crest
Tensor Fasciae Latae Distal Attachment
IT tract, which attaches to anterolateral tibial tubercle
Tensor Fasciae Latae Nerve
Superior Gluteal (L4-S1)
Piriformis Purposeful Action
Yoga, standing on one leg, making sciatic nerve mad
Piriformis Main Action
-ER extended hip joint
-Abduct hip joint when flexed
-Stabilize hip joint
Piriformis Proximal Attachment
Anterior sacrum, sacrotuberous ligament
Piriformis Distal Attachment
Superior border of greater trochanter
Piriformis Nerve
Branches of anterior rami of S1 and S2
Obturator Internus Purposeful Action
Walking, yoga
Obturator Internus Main Action
-ER extended hip joint, abduct hip joint
-Stabilize hip joint
Obturator Internus Proximal Attachment
Pelvic surface of obturator membrane and surrounding bones
Obturator Internus Distal Attachment
Medial surface of greater trochanter (trochanteric fossa) and femur
Obturator Internus Nerve
Nerve to obturator internus (L5-S1)
Superior and Inferior Gamelli Purposeful Action
Walk, standing on one leg, yoga
Superior and Inferior Gamelli Main Action
-ER extended hip joint, abduct hip joint when flexed
Superior and Inferior Gamelli Proximal Attachment
Superior: Ischial spine
Inferior: ischial tuberosity
Superior and Inferior Gamelli Distal Attachment
Medial surface of greater trochanter (trochanteric fossa)
Superior and Inferior Gamelli Nerve
-Superior: Nerve to obturator internus (L5-S1)
-Inferior: nerve to quadratus femoris (L5-S1)
Quadratus Femoris Purposeful Action
Walking, standing on one leg, stair ambulation
Quadratus Femoris Main Action
-ER
-Stabilize hip joint
Quadratus Femoris Proximal Attachment
Lateral border of ischial tuberosity
Quadratus Femoris Distal Attachment
Quadrate tubercle on intertrochanteric crest of femur and area inferior to it
Quadratus Femoris Nerve
Nerve to quadratus femoris (L5-S1)
Adductor Longus Purposeful Action
Kicking ball, yoga, getting in car
Adductor Longus Main Action
Adduct hip
Adductor Longus Proximal Attachment
Body of pubis, inferior to pubic crest
Adductor Longus Inferior Attachment
Middle third of linea aspera
Adductor Longus Nerve
Obturator nerve and branch of anterior division (L2-L4)
Adductor Brevis Purposeful Action
Kicking soccer ball, yoga, getting in car
Adductor Brevis Main Action
Adducts hip joint, flexes hip (a little)
Adductor Brevis Proximal Attachment
Body and inferior ramus of pubis
Adductor Brevis Distal Attachment
Pectineal line and proximal part of linea aspera
Adductor Brevis Nerve
Obturator nerve and branch of anterior division (L2-L4)
Adductor Magnus Purposeful Action
Kicking soccer ball, yoga, getting in car
Adductor Magnus Main Action
-Adducts hip joint
-Adductor part: flex hip
-Hamstring part: extend hip
Adductor Magnus Proximal Attachment
-Adductor: inferior ramus of pubis and ramus of ischium
-Hamstring: ischial tuberosity
Adductor Magnus Distal Attachment
-Adductor: gluteal tuberosity, linea aspera, medial supracondylar line
-Hamstring: adductor tubercle
Adductor Magnus Nerve
-Adductor nerve: obturator nerve (L2-L4) and branches of posterior division
-Hamstring part: tibial part of sciatic nerve (L4)
Gracilis Purposeful Action
Kicking soccer ball, yoga, getting in car
Gracilis Main Action
-Adducts hip
-Flexes knee
-IR flexed knee
Gracilis Proximal Attachment
Body and inferior ramus of pubis
Gracilis Distal Attachment
Superior part of medial tibia (pes anserinus)
Gracilis Nerve
Obturator nerve (L2-L3)
Obturator Externus Purposeful Action
Putting on shoes
Obturator Externus Main Action
-ER hip joint
-Stabilizes hip joint
Obturator Externus Proximal Attachment
Margins of obturator foramen and obturator membrane
Obturator Externus Distal Attachment
Trochanteric fossa of femur
Obturator Externus Nerve
Obturator nerve (L3-L4)