Glutes, Thigh, Popliteal Fossa Flashcards
Tensor Fasciae Latae origin
Anterior part of iliac crest, iliac tubercle, ASIS, deep surface of fascia lata
Tensor Fasciae Latae insertion
Iliotibial tract of fascia lata
Tensor Fasciae Latae action
- Flexes, medically rotates and abducts thigh;
- tenses fascia lata;
- may assist in knee extension
Tensor Fasciae Latae innervation
Superior gluteal nerve (dorsal divisions of L4, L5, S1)
Gluteus maximus origin
External surface- Ala of ilium- posterior to posterior gluteal line
- iliac crest
- dorsal surface of sacrum, coccyx, & sacrotuberous ligament
Gluteus Maximus insertion
- Iliotibial tract (which inserts in lateral condyle of tibia)
- some on gluteal tuberosity of femu
Gluteus Maximus actions
- extends thigh (More in forced movements like climbing/running)
- assists in lateral rotation
- steadies thigh flexion (during sitting)
- extends pelvic when thigh fixed
Gluteus Maximus innervation
Inferior gluteal nerve (dorsal divisions of L4,
L5, S1)
Gluteus medius origin
- external surface of ilium
- between anterior and posterior gluteal lines
Gluteus medius insertion
Lateral surface of greater trochanter of femur
Gluteus medius action
- ABduction of thigh and medial rotation of thigh (anterior fibers)
- lateral rotation (posterior fibers)
- steadies pelvis (tilts) to same side during locomotion allowing opposite side foot to clear ground (fixing of femur and ABduction tilts the pelvis)
Gluteus medius innervation
Superior gluteal nerve (dorsal divisions of L4, L5, S1)
Gluteus minimus origin
- external surface of ilium
- between anterior and inferior gluteal lines
Gluteus minimus insertion
Anterior surface of greater trochanter of femur
Gluteus minimus action
- ABduction of thigh and medial rotation of thigh
- steadies pelvis like gluteus medius
Gluteus minimus innervation
Superior gluteal nerve (dorsal divisions of L4, L5, S1)
Piriformis origin
- anterior surface of sacrum (within the pelvis)
- superior margin of greater sciatic notch and sacrotuberous ligament
Piriformis insertion
Superior border of the greater trochanter
Piriformis action
- laterally rotates extended thigh
- ABducts flexed thigh
- assists in holding head of femur in acetabulum
Piriformis innervation
Dorsal division branches of ventral rami of S1 and S2
Obdurator Externus origin
- rami of pubis and ischium
- external surface of obturator membrane
Obturator externus insertion
Trochanteric fossa of femur
Obturator externus action
Laterally rotate extended thigh
Obturator externus innervation
Obturator nerve (L3, L4)
Gemellus superior origin
ischial spine
Gemellus inferior origin
Ischial tuberosity
Gemellus insertion
Medial surface of greater trochanter of femur (common tendon with obturator internus)
Generous action
Acts with obturator internus
Gemellus superior innervation
Nerve to obturator internus
Gemellus inferior innervation
Nerve to quadratus femoris
Quadratus femoris origin
Lateral border of ischial tuberosity, inferior to gemellus inferior
Quadratus femoris insertion
Quadrate tubercle on intertrochanteric crest and inferior to it
Quadratus femoris actiono
Laterally rotates thigh and steadies femoral head in acetabulum
Quadratus femoris innervation
Nerve to quadratus femoris (ventral divisions of L5-S1)
Psoas major origin
- TP of lumbar vertebrae
- sides of bodies T12-L5
Psoas major insertion
Strong tendon into lesser trochanter
Psoas major innervation
Lumbar plexus-ventral rami L1-3(4)
Iliacus origin
- iliacus-superior 2/3 of iliac fossa
- all of sacrum & anterior SI ligament
Iliacus insertion
- tendon of psoas
- lesser trochanter
- shaft of femur inferior to lesser trochanter
Iliopsoas action
- with vertebral column fixed with iliacus: iliacus flexes thigh
- with thigh fixed acting alone: lateral flexion of vertebral column
- acting inferiorly with other side and iliacus flexes the trunk
- balances trunk when sitting
Tensor fasciae Latae (anterior part of thigh) origin
- ASIS
- iliac crest to iliac tubercle
Tensor Fasciae Latae (anterior part of thigh) insertion
Iliotibial tract which attaches to lateral condyle of tibia
Tensor Fasciae Latae (anterior part of thigh) action
- abducts
- medically rotates and flexes hip
- keeps knee extended
- steadies trunk on thigh
Tensor Fasciae Latae (anterior part of thigh) innervation
Superior gluteal nerve L4-S1
Sartorius origin
- ASIS
- superior part of notch inferior
Sartorius insertion
Superior part of medial surface of tibia
Sartorius action
- flexes
- ABducts
- laterally rotates thigh at hip
- flexes knee
Sartorius innervation
Femoral nerve L2-4
Quadriceps femoris insertion
Base of patella & via patella ligament to tibial tuberosity
Rectus femoris origin
- AIIS
- groove superior to acetabulum
Vastus lateralis origin
- greater trochanter
- lateral lip of Linea aspera
Vastus intermedius origin
Anterior and lateral surfaces of body of femur
Vastus medialis origin
- intertrochanteric line
- medial lip of Linea aspera
- spiral line
Quadriceps femoris action
- extends leg at knee
- Rectus femoris also steadies hip joint and helps iliopsoas flex thigh
Quadriceps femoris innervation
Femoral nerve L2-4
Pectineus origin
Pectineal line of the pubis
Pectineus insertion
Pectineal line of the femur
Pectineus action
ADducts and flexes thigh at hip
Pectineus innervation
Femoral nerve L2-4 (may also receive obturator nerve also L2-4)
Adductor longus origin
Body of pubis inferior to pubic crest
Adductor longus insertion
Middle 1/3 of Linea aspera
Adductor longus action
ADducts thigh
Adductor longus innervation
Obturator nerve L2-4
Adductor brevis origin
Body and inferior ramus of pubic bone
Adductor brevis insertion
Pectineal line of femur and proximal part of Linea aspera
Adductor brevis action
ADducts thigh and aids in flexion
Adductor brevis innervation
Obturator nerve L2-4
Adductor magnus origin
ADductor part-inferior ramus of pubic bone, ramus of ischium
Hamstring part-ischial tuberosity
Adductor manus insertion
ADductor part-gluteal tuberosity, Linea aspera, medial supracondylar line
Hamstring part-ADductor tubercle of femur
Adductor Magnus action
ADductor part-ADducts and flexes thigh
Hamstring part-extends and ADducts thigh
Adductor magnus innervation
ADductor part-obturator nerve L2-4
Hamstring part-tibial portion of sciatic nerveL4(L5-S1)
Gracilis origin
Body and inferior ramus of pubic bone
Gracilis insertion
Superior part of medial surface of tibia
Gracilis action
- ADducts thigh
- flexes leg
- medial rotation of leg
Gracilis innervation
Obturator nerve L2-4
Obturator externus origin
- Rami of pubic bone and ischium
- external surface of obturator membrane
Obturator externus insertion
Trochanteric fossa of femur
Obturator externus action
- laterally rotates extended thigh
- steadies head of femur in acetabulum
Obturator externus innervation
Obturator nerve L3-4
Semitendinosus origin
Ischial tuberosity
Semitendinosus insertion
Medial surface of superior part of tibia
Semitendinosus action
- extend thigh
- flex leg and medically rotate
- when thigh and leg fixed, can extend trunk
Semitendinosus innervation
Tibial division of sciatic nerve L5-S2
Semimembranosus origin
Common origin on ischial tuberosity with semitendinosus and long head of biceps
Semimembranous insertion
- Posterior part of medial condyle of tibia
- Oblique popliteal ligament
Semimembranosus action
- extend thigh
- flex leg and medically rotate
- when thigh and leg fixed, can extend trunk
Semimembranosus innervation
Tibial division of sciatic nerve L5-S2
Biceps femoris long head origin
Ischial tuberosity
Biceps femoris short head origin
Lateral lip of Linea aspera and lateral supracondylar line
Biceps femoris insertion
- Lateral side of head of fibula
- Tendon is split by lateral collateral ligament
Biceps femoris action
- flexes leg and rotates it laterally
- extends thigh at beginning of walking
Biceps femoris long head innervation
Tibial division of sciatic nerve L5-S2
Biceps femoris short head innervation
Common peroneal division of sciatic nerve nerve L5-S2