Knee and Below attchments and innervations Flashcards

1
Q

Vastus Intermedius (Action)

A

Knee Extension

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1
Q

Biceps Femoris (Action)

A

Knee Flexion

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1
Q

Biceps Femoris (PA and DA)

A

PA- ischial tuberosity DA- fibular head; lat condyle of tibia and fascia of lateral leg

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1
Q

Semimembranosus (Action)

A

Knee Flexion

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1
Q

Extensor Hallucis Longus (Innervation)

A

Deep Peroneal

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1
Q

Extensor Hallucis Longus (PA and DA)

A

PA- middle of fibula and interosseous membrane DA- dorsal base of distal phalanx of great toe

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1
Q

Peroneus Tertius (Action)

A

eversion at the subtalar joint, ankle dorsiflexion

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2
Q

Gracilis (Action)

A

Hip Adduction, Hip Flexion, Knee Flexion and adduction (?)

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2
Q

Gracilis (PA and DA)

A

PA- inferior pubic ramus and lower body of pubis DA- proximal medial surface of tibia: part of the pes anserinus

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2
Q

Gastrocnemius (spinal level)

A

S1-S2

(tibial nerve)

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4
Q

Tibialis Anterior (Innervation)

A

Deep Peroneal N

(L4-S1)

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5
Q

Flexor Hallucis Longus (Innervation)

A

Tibial N

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5
Q

Peroneus Brevis (Innervation)

A

Superficial Peroneal N (L4-S1)

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5
Q

Abductor Digiti Minimi (PA and DA)

A

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

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6
Q

Tibialis Anterior (Action)

A

dorsiflexion of ankle and supination of foot (subtalar joint)

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7
Q

TFL (Action)

A

Hip Abduction/ IR

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7
Q

flexor digiti minimi brevis (spinal level)

A

Tibial S1-S2

(lateral plantar nerve)

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8
Q

Sartorius (PA and DA)

A

PA- ASIS DA- prox med surface of the tibia; pes anserinus

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8
Q

Gastrocnemius (Innervation)

A

Tibial N

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8
Q

Soleus (Action)

A

plantarflexion of ankle

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9
Q

Gastrocnemius (Action)

A

plantarflexion of ankle; knee flexion

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9
Q

peroneus longus (spinal level)

A

L4-S1

(superficial peroneal nerve)

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10
Q

Lateral Plantar Nerve: Spinal Levels

A

Tibial S1-S2 for the following intrinsic foot muscles:

  1. Quadratus Plantae
  2. Digits 3-5 Lumbricals
  3. Interossei (plantar & dorsal)
  4. Adductor hallucis
  5. Flexor digiti minimi brevis
  6. Abductor digiti minimi
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11
Q

Semitendinosus (Innervation)

A

Tibial part of Sciatic N

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12
Q

Extensor hallucis longus (spinal level)

A

L4-S1

(deep peroneal nerve)

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13
Q

tibialis anterior (spinal level)

A

L4-S1

(deep peroneal nerve)

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14
Q

Flexor Hallucis Brevis (PA and DA)

A

PA- plantar surface of cuboid and lateral cuneiform DA- sides of the base of the proximal phalanx

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15
Q

Flexor Hallucis Brevis (Action)

A

flexes hallux

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17
Q

Semitendinosus’ (Action)

A

knee flexion

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17
Q

Flexor Digiti Minimi Brevis (Innervation)

A

lateral plantar N

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18
Q

Popliteus (PA and DA)

A

PA- lateral aspect of the lateral femoral epicondyle and posterior capsule DA- posterior surface of the proximal tibia superior to the soleal line

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18
Q

Flexor Digitorum (Longus) (Innervation)

A

Tibial N

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18
Q

Extensor digitorum longus (spinal level)

A

L4-S1 (deep paroneal N)

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19
Q

Flexor Digitorum (Longus) (PA and DA)

A

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

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20
Q

Extensor Digitorum Brevis (Action)

A

Extends 2nd -5th MTP and IPs

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22
Q

Semitendinosus (PA and DA)

A

PA- iscchial tuberosity DA- posterior medial tibia: pes anserinus

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22
Q

Flexor Hallucis Longus (Action)

A

flexion of great toe, plantarflexion/supination of ankle

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23
Q

Gracilis (Innervation)

A

Obturator N

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23
Q

Peroneus Tertius (PA and DA)

A

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

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23
Q

Deep Perneal Nerve: Spinal Levels

A

L4-S1 for the anterior compartment muscles:

  1. Tibialis anterior
  2. extensor hallicis longus
  3. extensor digitorum longus
  4. Peroneus tertius

L5-S1 for muscles on dorsum of foot:

  1. Extensor digitorum brevis
  2. extensor hallucis brevis
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25
Q

Lumbricals (PA and DA)

A

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)

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26
Q

Vastus Lateralis (PA and DA)

A

PA- intertrochanteric line, greater trochanter, gluteal tuberosity, linea aspera DA- patella, via patellar ligament to tibial tuberosity

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27
Q

Flexor Hallucis Brevis (Innervation)

A

medial plantar N

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29
Q

Soleus (PA and DA)

A

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

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30
Q

Vastus Intermedius (PA and DA)

A

PA- upper 2/3 femoral shaft, anterior surface DA- patella, via patellar ligament to tibial tuberosity

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31
Q

Plantaris (PA and DA)

A

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

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32
Q

quadratus plantae (spinal level)

A

Tibial S1-S2

(lateral plantar nerve)

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33
Q

flexor digitorum brevis (spinal level)

A

Tibial S1-S2

(medial plantar nerve)

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35
Q

Peroneus Longus (PA and DA)

A

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

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37
Q

Tibialis Posterior (PA and DA)

A

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

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39
Q

Lumbricals (Innervations)

A

to the second toe- medial plantar N third to fifth toe- lateral plantar N

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41
Q

Quadratus Plantae (PA and DA)

A

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)

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42
Q

lumbricals (spinal level

A

Tibial S1-S2

(medial plantar nerve for digit 2, lateral plantar nerve for digits 3-5)

43
Q

Vastus Lateralis (innervation)

A

Femoral N

44
Q

Adductor Hallucis (Action)

A

adducts hallux

45
Q

Quadratus Plantae (Action)

A

Corrects direction of pull for FDL (flexor digitorum longus)

46
Q

Sartorius (Actions)

A

Hip Flexor/ ER, Knee Flexor/ IR

47
Q

Vastus Lateralis (action)

A

Knee Ext

48
Q

Popliteus (spinal level)

A

L4-S1

(tibial nerve)

49
Q

Flexor Digiti Minimi Brevis (Action)

A

flexes 5th digit

50
Q

Soleus (spinal level)

A

L5-S2

(tibial nerve)

51
Q

Extensor digitorum brevis (spinal level)

A

L5-S1

(deep peroneal nerve)

53
Q

Rectus Femoris (Action)

A

Hip Flexor/ Knee Extensor

53
Q

Tibialis Posterior (Innervation)

A

Tibial N

54
Q

Extensor Hallucis Longus (Action)

A

MP/IP extension of great toe, ankle dorsiflexion/Supination

55
Q

Adductor Hallucis (PA and DA)

A

PA- plantar surface of the metatarsals (Book- Oblique head: planter aspect of the base of the second through fourth metatarsal and the fibrous sheath of the fibularis longus tendon; Transverse head- plantar aspect of the ligaments of that support the metarsophalangeal joints of the third through fifth toes) DA- lateral side base of the 1st proximal phalanx (Book- both heads converge to insert on the lateral base of the proximal phalanx of the greater toe along with the lateral tendon of the FHB)

56
Q

Vastus Medialis (innervation)

A

Femoral N

57
Q

Extensor Digitorum Longus (Innervation)

A

Deep Peroneal

57
Q

Peroneus Tertius (spinal level)

A

L4-S1

(deep peroneal nerve)

58
Q

Peroneus Longus (Innervation)

A

Superficial Peroneal N

60
Q

Abductor Hallucis (Action)

A

abducts hallux

61
Q

Semimembranosus (Innervation)

A

Tibial part of Sciatic N

61
Q

abductor digiti minimi (spinal level)

A

Tibial S1-S2

(lateral plantar nerve)

63
Q

Abductor Digiti Minimi (Innervation)

A

lateral plantar N

64
Q

Flexor Digiti Minimi Brevis (PA and DA)

A

PA- 5th metatarsal (Book- plantar surface of the base of the fifth metatarsal bone and fibrous sheath of the fibularis longus tendon) DA- sides of the base of the 5th phalanx (Book- lateral surface of the base of the proximal phalanx of the fifth toe blending with the tendon of the abductor digiti minimi)

66
Q

Vastus Intermedius (Innervation)

A

Femoral N

67
Q

Plantaris (Innervation)

A

Tibial N

69
Q

Peroneus Tertius (Innervation)

A

Deep Peroneal N

70
Q

Flexor Hallucis Longus (PA and DA)

A

PA- distal 2/3 of posterior surface of fibula, intermuscular septa, & interosseus membrane. DA- plantar surface of the base of the distal phalanx of the great toe

71
Q

flexor hallucis brevis (spinal level)

A

Tibial L5-S1

(medial plantar nerve)

72
Q

Peroneus Brevis (Action)

A

eversion (pronation) of foot - subtalar joint, PF ankle

73
Q

Rectus Femoris (Innervation)

A

Femoral N

74
Q

Extensor Hallucis Brevis (PA and DA)

A

PA- superior/ lateral surface of calcaneus of calcaneus, talocalcaneal ligament DA- base of proximal phalanges of digit 1

75
Q

Peroneus brevis (spinal level)

A

L4-S1

(superficial peroneal nerve)

77
Q

Biceps Femoris (Innervation)

A

Tibial part of Sciatic N

78
Q

Tibialis Posterior (Action)

A

plantarflexion of ankle and supination at subtalar joint

79
Q

Interossei (Dorsal and Plantar) (PA and DA)

A

PA- adjacent metatarsals DA- sides and bases of proximal phalanx of same digit

82
Q

Extensor Digitorum Longus (Action)

A

toe extension (MP/PIP/DIP ext digits 2-5), ankle dorsiflexion

82
Q

Adductor Hallucis (Innervation)

A

Lateral plantar N (Tibial S1-S2)

83
Q

Abductor Hallucis (PA and DA)

A

PA- medial calcaneus (Book- flexor rectinaculum, medial process of calcaneus and planter fascia) DA- medial side base of the 1st proximal phalanx

84
Q

Superficial Peroneal Nerve: Spinal Levels

A

L4-S1 for the lateral compartment muscles:

  • Peroneus longus
  • Peroneus brevis
85
Q

interossei, plantar & dorsal (spinal level)

A

Tibial S1-S2

(lateral plantar nerve)

87
Q

Gastrocnemius (PA and DA)

A

PA- posterior surface of medial and lateral femoral condyles for medial and lateral heads DA- calcaneal (achilles) tendon to calcaneal tuberosity

88
Q

Extensor hallucis brevis (spinal level)

A

L5-S1

(deep peroneal nerve)

89
Q

abductor hallucis (spinal level)

A

Tibial L4-S1

(medial plantar nerve)

91
Q

Vastus Medialis (PA and DA)

A

PA- intertrochanteric line, supracondylar line, linea aspera DA- patella, via patellar ligament to tibial tuberosity

93
Q

Quadratus Plantae (Innervation)

A

lateral plantar N

95
Q

Peroneus Longus (Action)

A

eversion (pronation) of foot - subtalar joint, transverse tarsal joint; PF ankle

96
Q

Abductor Hallucis (Innervation)

A

medial plantar N

97
Q

Flexor Digitorum Brevis (Innervation)

A

medial plantar N

98
Q

TFL (PA and DA)

A

PA- iliac crest anterior to ASIS DA- proximal 1/3 of IT band

99
Q

Extensor Digitorum Brevis (Innervation)

A

deep peroneal N

100
Q

Extensor Digitorum Longus (PA and DA)

A

PA- lateral condyle of tibia, proximal 2/3 medial fibula, interosseous membrane DA- 4 tendons that attach to the proximal base of the dorsal surface of the middle and distal phalanges via the dorsal digital expansion

101
Q

plantaris (spinal level)

A

L4-S1

(tibial nerve)

102
Q

Soleus (Innervation)

A

Tibial N

103
Q

Popliteus (Innervation)

A

Tibial N

105
Q

TFL (Innervation)

A

Superior Gluteal N

106
Q

Plantaris (Action)

A

plantarflexion of ankle

107
Q

Flexor Digitorum Brevis (Action)

A

Flexion of 2nd-5th ATP and PIP

108
Q

Tibial Nerve: Spinal Levels

A

L4-S1 for the following muscles:

  1. Popliteus
  2. Plantaris
  3. Tibialis posterior

L5-S2 for the following muscles:

  1. Soleus
  2. Flexor digitorum longus
  3. flexor hallicis longus

S1-S2 for the following muscles:

  1. Gastrocnemius
109
Q

Interossei (Dorsal and Plantar) (Innervation)

A

lateral plantar N

110
Q

Flexor Digitorum (Longus) (Action)

A

Flex MP/IP’s digits 2-5 plantarflex/ supinate ankle

111
Q

adductor hallucis (spinal level)

A

Tibial S1-S2

(lateral plantar nerve)

112
Q

Flexor Digitorum Brevis (PA and DA)

A

PA- medial and lateral calcaneal tubercles and plantar aponeurosis (Book-central part of the plantar fascia) DA- side of the middle phalanges (Book- each of the four tendons split and inserts on the sides of the plantar aspect of the base of the middle phalanx of the lesser toes)

113
Q

Medial Planter Nerve: Spinal Levels

A

Tibial L4-S1 for the following intrinsic foot muscles:

  1. Abductor hallucis

Tibial L5-S1 for the following intrinsic foot muscles:

  1. Flexor hallucis brevis

Tibial S1-S2 for the following intrinsic foot muscles:

  1. Flexor digitorum brevis
  2. Digit 2 Lumbrical
116
Q

Lumbricals (Actions)

A

flexion MTP, extends planges, digits 2-5

117
Q

Peroneus Brevis (PA and DA)

A

PA- distal 2/3 of lateral surface of fibula DA- styloid process of 5th metatarsal

118
Q

Sartorius (Innervation)

A

Femoral N

119
Q

Extensor Digitorum Brevis (PA and DA)

A

PA- superior/ lateral surface of calcaneus (just proximal to the calcaneocuboid joint) DA- base of proximal phalanges of digit 2-5

120
Q

flexor hallucis longus (spinal level)

A

L5-S2

(tibial nerve)

121
Q

Extensor Hallucis Brevis (Action)

A

extends 1st MTP

122
Q

Extensor Hallucis Brevis (Innervation)

A

deep peroneal

123
Q

tibialis posterior (spinal level)

A

L4-S1

(tibial nerve)

124
Q

Tibialis Anterior (PA and DA)

A

PA- lateral condyle and proximal 2/3 of lateral surface of tibia and interosseous membrane DA- base of the first metatarsal and medial and plantar surface of the medial cuneiform

125
Q

flexor digitorum longus (spinal level)

A

L5-S2

(tibial nerve)

126
Q

Vastus Medialis (action)

A

knee extension

127
Q

Abductor Digiti Minimi (Action)

A

abducts 5th digits

128
Q

Interossei (Dorsal and Plantar) (Actions)

A

Dorsal- abduct of digits 3-5 Plantar- adducts

129
Q

Popliteus (Action)

A

knee flexion and internal rotation (unlocking of the knee)

130
Q

Semimembranosus (PA and DA)

A

PA- ischial tuberosity DA- medial meniscus, MCL, posterior medial tibia, OPL, popliteus

131
Q

Rectus Femoris (PA and DA)

A

PA- AIIS DA- patella, via patellar ligament to tibial tuberosity