Knee and Below attchments and innervations Flashcards
Vastus Intermedius (Action)
Knee Extension
Biceps Femoris (Action)
Knee Flexion
Biceps Femoris (PA and DA)
PA- ischial tuberosity DA- fibular head; lat condyle of tibia and fascia of lateral leg
Semimembranosus (Action)
Knee Flexion
Extensor Hallucis Longus (Innervation)
Deep Peroneal
Extensor Hallucis Longus (PA and DA)
PA- middle of fibula and interosseous membrane DA- dorsal base of distal phalanx of great toe
Peroneus Tertius (Action)
eversion at the subtalar joint, ankle dorsiflexion
Gracilis (Action)
Hip Adduction, Hip Flexion, Knee Flexion and adduction (?)
Gracilis (PA and DA)
PA- inferior pubic ramus and lower body of pubis DA- proximal medial surface of tibia: part of the pes anserinus
Gastrocnemius (spinal level)
S1-S2
(tibial nerve)
Tibialis Anterior (Innervation)
Deep Peroneal N
(L4-S1)
Flexor Hallucis Longus (Innervation)
Tibial N
Peroneus Brevis (Innervation)
Superficial Peroneal N (L4-S1)
Abductor Digiti Minimi (PA and DA)
PA- 5th metatarsal (book- medial and lateral processes of the calcaneal tuberosity, plantar aponeurosis, and plantar surface of the base of the fifth metatarsal bone with flexor digiti minimi) DA- lateral aspect of 5th proximal phalanx
Tibialis Anterior (Action)
dorsiflexion of ankle and supination of foot (subtalar joint)
TFL (Action)
Hip Abduction/ IR
flexor digiti minimi brevis (spinal level)
Tibial S1-S2
(lateral plantar nerve)
Sartorius (PA and DA)
PA- ASIS DA- prox med surface of the tibia; pes anserinus
Gastrocnemius (Innervation)
Tibial N
Soleus (Action)
plantarflexion of ankle
Gastrocnemius (Action)
plantarflexion of ankle; knee flexion
peroneus longus (spinal level)
L4-S1
(superficial peroneal nerve)
Lateral Plantar Nerve: Spinal Levels
Tibial S1-S2 for the following intrinsic foot muscles:
- Quadratus Plantae
- Digits 3-5 Lumbricals
- Interossei (plantar & dorsal)
- Adductor hallucis
- Flexor digiti minimi brevis
- Abductor digiti minimi
Semitendinosus (Innervation)
Tibial part of Sciatic N
Extensor hallucis longus (spinal level)
L4-S1
(deep peroneal nerve)
tibialis anterior (spinal level)
L4-S1
(deep peroneal nerve)
Flexor Hallucis Brevis (PA and DA)
PA- plantar surface of cuboid and lateral cuneiform DA- sides of the base of the proximal phalanx
Flexor Hallucis Brevis (Action)
flexes hallux
Semitendinosus’ (Action)
knee flexion
Flexor Digiti Minimi Brevis (Innervation)
lateral plantar N
Popliteus (PA and DA)
PA- lateral aspect of the lateral femoral epicondyle and posterior capsule DA- posterior surface of the proximal tibia superior to the soleal line
Flexor Digitorum (Longus) (Innervation)
Tibial N
Extensor digitorum longus (spinal level)
L4-S1 (deep paroneal N)
Flexor Digitorum (Longus) (PA and DA)
PA- posterior surface of middle 1/3 of tibia medial to the proximal attachment of the tibialis posterior DA- 4 separate tendons to the base of the distal phalanx of the 4 lesser toes
Extensor Digitorum Brevis (Action)
Extends 2nd -5th MTP and IPs
Semitendinosus (PA and DA)
PA- iscchial tuberosity DA- posterior medial tibia: pes anserinus
Flexor Hallucis Longus (Action)
flexion of great toe, plantarflexion/supination of ankle
Gracilis (Innervation)
Obturator N
Peroneus Tertius (PA and DA)
PA- distal 1/3 of anterior** surface of the fibula and adjacent interosseous membrane **book says medial DA- dorsal surface of base of the fifth metatarsal
Deep Perneal Nerve: Spinal Levels
L4-S1 for the anterior compartment muscles:
- Tibialis anterior
- extensor hallicis longus
- extensor digitorum longus
- Peroneus tertius
L5-S1 for muscles on dorsum of foot:
- Extensor digitorum brevis
- extensor hallucis brevis
Lumbricals (PA and DA)
PA- from the FDL tendons DA- medial side of the proximal phalanx and dorsal digital expansions (Book- each muscle crosses the medial side of each metatarsophalangeal joint to insert into the dorsal digit expansion of the four lesser toes)
Vastus Lateralis (PA and DA)
PA- intertrochanteric line, greater trochanter, gluteal tuberosity, linea aspera DA- patella, via patellar ligament to tibial tuberosity
Flexor Hallucis Brevis (Innervation)
medial plantar N
Soleus (PA and DA)
PA- posterior surface of fibular head and proximal 1/3 of shaft and posterior side of the tibia near the soleal line DA- calcaneal (achilles) tendon to calcaneal tuberosity
Vastus Intermedius (PA and DA)
PA- upper 2/3 femoral shaft, anterior surface DA- patella, via patellar ligament to tibial tuberosity
Plantaris (PA and DA)
PA- inferior part of lateral supracondylar line of femur and oblique popliteal ligament of knee DA- medial aspect of Achilles tendon to insert on the calcaneal tuberosity
quadratus plantae (spinal level)
Tibial S1-S2
(lateral plantar nerve)
flexor digitorum brevis (spinal level)
Tibial S1-S2
(medial plantar nerve)
Peroneus Longus (PA and DA)
PA- lateral condyle of tibia, head, and proximal 2/3 of lateral surface of the fibula DA- lateral surface of the medial cuneiform and lateral side of the base of 1st metatarsal
Tibialis Posterior (PA and DA)
PA- proximal 2/3 of posterior surface of the tibia and fibula and adjacent interosseous membrane DA- navicular tuberosity and medial cuneiform. all tarsals except talus, base of 2nd-4th metatarsal bones
Lumbricals (Innervations)
to the second toe- medial plantar N third to fifth toe- lateral plantar N
Quadratus Plantae (PA and DA)
PA- long plantar ligament and calcaneus (Book- by two heads from the medial and lateral aspects of the plantar surface of the plantar surface of the calcaneus, distal to the calcaneal tuberosity) DA- tendons of the FDL (Book- lateral border)