Lower Extremity Flashcards
Iliacus
Origin: Superior two-thirds of the Iliac fossa, Iliac crest, Anterior sacroiliac and Iliolumbar ligaments, Ala of sacrum
Insertion: Tendon of the Psoas Major, Body of the Femur
Peripheral Nerve: Femoral Nerve
Nerve Root: L2-L3
Function: Flexion of the hip
Psoas Major
Origin: Sides of the vertebral bodies and corresponding IV discs of T12-L5 and transverse processes of L1-L5
Insertion: Lesser trochanter of the femur
Peripheral Nerve: N/A
Nerve Root: L2-L4
Function: Unilateral Action- Flexion of the hip
Bilateral Action- With the thigh fixed, the Psoas major flexes the trunk
Gluteus Maximus
Origin: Posterior gluteal line of the ilium, Iliac crest, Dorsum of the sacrum and coccyx, Sacrotuberous ligament
Insertion: Iliotibial tract, Gluteal tuberosity of the femur
Peripheral Nerve: Inferior gluteal nerve
Nerve Root: L5-S2
Function: Extension and lateral rotation of the hip
Gluteus Medius
Origin: Outer surface of the ilium between the anterior and posterior gluteal lines
Insertion: Greater trochanter of the femur
Peripheral Nerve: Superior gluteal nerve
Nerve Root: L4-S1
Function: Abduction and Medial rotation of the hip
Gluteus Minimus
Origin: Outer surface of the ilium between the anterior and inferior gluteal lines
Insertion: Greater trochanter of the femur
Peripheral Nerve: Superior gluteal nerve
Nerve Root: L4-S1
Function: Abduction and Medial rotation of the hip
Semitendinosus
Origin: Ischial tuberosity
Insertion: Proximal aspect of the medial surface of the tibia
Peripheral Nerve: Tibial portion of the sciatic nerve
Nerve Root: L5-S2
Function: Extension of the hip, Flexion and Medial rotation of the knee
Semimembranosus
Origin: Ischial tuberosity
Insertion: Medial condyle of the tibia
Peripheral Nerve: Tibial portion of the sciatic nerve
Nerve Root: L5-S2
Function: Extension of the hip, Flexion and Medial rotation of the knee
Biceps Femoris
Origin: Long Head- Ischial tuberosity
Short Head- Lateral lip of the linea aspera of the femur and the lateral intermuscular septum
Insertion: Lateral aspect of the head of the fibula
Peripheral Nerve: Long Head- Tibial portion of the sciatic nerve
Short Head- Peroneal portion of the sciatic nerve
Nerve Root: L5-S2
Function: Extension of the hip, Flexion and Lateral rotation of the knee
Tensor Fascia Lata
Origin: Anterior superior iliac spine, Anterior aspect of the outer lip of the iliac crest
Insertion: Iliotibial tract approximately one-third down the thigh
Peripheral Nerve: Superior gluteal nerve
Nerve Root: L4-S1
Function: Abduction, Flexion, and Medial rotation of the hip; Extension of the knee
Adductor Magnus
Origin: Inferior rami of the pubis and ischium, Ischial tuberosity
Insertion: A line from the greater trochanter to the linea aspera of the femur, Linea aspera of the femur, Adductor tubercle, Medial supracondylar line of the femur
Peripheral Nerve: Obturator and sciatic nerves
Nerve Root: L2-L4
Function: Adduction of the hip; Upper portion of the muscle assists in hip flexion, Lower portion assists in hip extension
Adductor Longus
Origin: Anterior aspect of the pubis
Insertion: Linea aspera along the middle third of the femur
Peripheral Nerve: Obturator nerve
Nerve Root: L2-L4
Function: Adduction and Flexion of the hip
Adductor Brevis
Origin: Inferior ramus of the pubis
Insertion: A line from the lesser trochanter to the linea aspera, Upper portion of the linea aspera
Peripheral Nerve: Obturator nerve
Nerve Root: L2-L4
Function: Adduction, Flexion, and Medial rotation of the hip
Pectineus
Origin: Pectineal line of the pubis
Insertion: A line from the lesser trochanter to the linea aspera
Peripheral Nerve: Femoral nerve
Nerve Root: L2-L4
Function: Aduction, Flexion, and Medial rotation of the hip
Gracilis
Origin: Body and ramus of the pubis
Insertion: Proximal aspect of the medial surface of the tibia
Peripheral Nerve: Obturator nerve
Nerve Root: L2-L3
Function: Adduction of the hip, Flexion, and Medial rotation of the knee
Piriformis
Origin: Anterior surface of the sacrum, sacrotuberous ligament
Insertion: Greater trochanter of the femur
Peripheral Nerve: N/A
Nerve Root: S1-S2
Function: Lateral rotation of the hip, Abduction of the flexed hip
Gemellus Superior
Origin: Ischial spine
Insertion: Greater trochanter of the femur
Peripheral Nerve: Nerve to the obturator internus
Nerve Root: L5-S2
Function: Lateral rotation of the hip, Abduction of the flexed hip