Hip and Knee Flashcards
Iliopsoas
Origin = inner surface of ilium
Iliacus = inner surface of ilium
Psoas major = lower borders of transverse processes of lumbar vertebrae 1-5
Insertion
Both = lesser trochanter of femur and shaft just below
Iliopsoas actions
hip flexion, anterior pelvic rotation, external rotation of hip
iliopsoas nerve
lumbar nerve and femoral nerve
pectineus
Origin = space 1-inch wide on front of pubis just above crest Insertion = rough line leading from lesser trochanter down to linea aspera
pectineus action
flexion, adduction, external rotation of hip, anterior pelvic rotation
pectineus nerve
femoral nerve
Rectus Femoris
Origin = AIIS and groove above acetabulum
Insertion = superior aspec of patella and patellar tendon to tibial tuberosity
rectus femoris action
hip flexion, knee extension, anterior pelvic rotation
rectus femoris nerve
femoral nerve
rectus femurs strong when
hip is flexed
Sartorius
Origin = ASIS and notch just below spine
Insertion = anterior medial surface of tibia just below condyle
Sartorius actions
flexion of hip and knee, external rotation of thigh as it flexes hip/knee, hip abduction, anterior pelvic rotation
sartorius nerve
femoral nerve
sartorius stronger when
knee is extended
Gluteus Maximus
Origin = posterior ¼ of crest of ilium, posterior surface of sacrum and coccyx near ilium Insertion = oblique ridge on lateral surface of greater trochanter, iliotibial band of fasciae latae
gluteus maximus action
Action = extension and external rotation of hip, posterior pelvic rotation, upper fibers help with hip abduction and lower fibers with hip adduction
Biceps Femoris
Origin
Long head = ischial tuberosity
Short head = lower half of linea aspera and lateral condylar ridge
Insertion
Lateral condyle of tibia and head of fibula
Biceps Femoris action
Actions: knee flexion, hip extension and external rotation, external rotation of flexed knee, posterior pelvic rotation
Biceps femoris nerve
long head:sciatic nerve - tibial division
short head: sciatic nerve - peroneal division
Semitendinosus
Origin = ischial tuberosity
Insertion = anterior medial surface of tibia
Semitendinosus action
Actions = knee flexion, hip extension and internal rotation, internal rotation of flexed knee, posterior pelvic rotation
semitendinosus nerve
sciatic nerve (tibial divison)
gluteus medius
Origin = lateral surface of ilium below frest
Insertion = posterior and middle surfaces of greater trochanter
gluteus medius actions
hip abduction, lateral pelvic rotation (ipsilateral)
anterior fibers
internal rotation, flexion of hip and anterior pelvic rotation
posterior fibres
external rotation, extension of hip, and posterior pelvic rotation
gluteus minimus
Origin = lateral surface of ilium below origin of gluteus medius Insertion = anterior surface of greater trochanter
gluteus minimus action
hip abduction, lateral pelvic rotation (ipsilateral), hip flexion, anterior pelvic rotation
tensor fasciae latae
Origin = anterior iliac crest, surface of ilium just below crest
Insertion = ¼ of way down thigh into iliotibial tract/band
tensor fasciae latae actions
hip flexion and abduction, anterior pelvic rotation, internally rotate hip as it flexes
Adductor Brevis
Origin = front of inferior pubic ramus
Insertion = lower 2/3 of pectineal line and upper half of linea aspera
adductor brevis actions
adduction, external rotation of hip, assists in flexion and anterior pelvic rotation
adductor brevis nerve
obturator nerve
adductor longus
Origin = anterior pubis just below crest
Insertion = middle 1/3 of linea aspera
adductor action
adduction of hip, assists in flexion, and anterior pelvic rotation
adductor nerve
obturator nerve
adductor magnus
Origin = edge of entire ramus of pubis and ischium, ischial tuberosity
Insertion = linea aspera, inner condyloid ridge, and adductor tubercle
adductor magnus action
adductrion, external rotation, extension of hip
adductor magnus nerve
obturator (anterior sciatic nerve (posterior)
Gracilis
Origin = anteromedial edge of descending ramus of pubis
Insertion = anterior medial surface of tibia just below condyle
gracilis action
adduction, internal rotation of hip, weak flexion and internal rotation of knee, weak flexion of hip
gracilis nerve
obturator nerve
Vastus lateralis
Origin = intertrochanteric line, anterior & inferior borders of greater trochanter, gluteal tuberosity, upper ½ of linea aspera
Insertion = lateral border of patella, patellar tendon to tibial tuberosity
vastus lateralis nerve
femoral nerve
vastus lateralis action
knee extension
vastus intermedius
Origin = upper 2/3 of anterior surface of femur
Insertion = upper border of patella and patellar tendon to tibial tuberosity
vastus intermedius nerve
femoral nerve
vastus intermedius action
knee extension
Vastus Medialis
Origin = whole length of linea aspera, medial condyloid ridge
Insertion = medial half of upper border of patella and patellar tendon to tibial tuberosity
vastus medialis nerve
femoral nerve
vastus medialis action
knee extension
popliteus
Origin = posterior surface of lateral condyle of femur Insertion = upper posterior medial surface of tibia
popliteus action
knee flexion, internal rotation of knee as flexes
popliteus nerve
tibial nerve
popliteus facts
only true flexor at the knee
posterolateral stabilizer
-hang from bar with knee flexed