Lower extremity movements Flashcards
Quads movement
All: extend the knee
Rectus femoris: flexes the hip
Quads insertion
I: tibial tuberosity (via patellar ligament)
Rectus femoris origin
AIIS
Vastus medialis origin
medial lip of linea aspera
Vastus lateralis origin
lateral lip of linea aspera, gluteal tuberosity and greater trochanter
Vastus intermedius origin
anterior and lateral shaft of the femur
biceps femoris movements
flexes the knee, ER the flexed knee
posteriorly tilts the pelvis
long head: extends the hip and assists to ER the hip
biceps femoris o/i
O:
- long head: ischial tuberosity
- short head: lateral lip of linea aspera
I: head of the fibula
Semitendinosus movements
Flexes the knee, IR the flexed knee
Extends and assists to IR the hip
Posteriorly tilts the pelvis
Semitendinosus o/i
O: ischial tuberosity
I: proximal, medial shaft of the tibia at pes anserinus tendon
Semimembranosus movements
Flexes and IR the knee
Extends and IR the hip
Posteriorly tilts the pelvis
Semimembranosus o/i
O: ischial tuberosity
I: posterior aspect of the medal condyle of the tibia
Gluteus maximus movements
All fibers: extend, ER and abd the hip
Lower fibers: Adduct the hip
Gluteus maximus o/i
O: coccyx, edge of sacrum, posterior iliac crest, and SI ligaments
I: ITB (upper fibers) and gluteal tuberosity (lower fibers)
Gluteal medius movements
All fibers: abduct the hip
Anterior fibers: flex and IR the hip
Posterior fibers: extend and ER the hip
Gluteal medius o/i
O: gluteal surface of ilium, between post and anterior gluteal lines, just below iliac crest
I: lateral aspect of greater trochanter
Gluteus minimus movements
abduct, IR and flex the hip
Gluteus minimus o/i
O: gluteal surface of ilium between anterior and inferior gluteal lines
I: anterior aspect of greater trochanter
Adductor magnus movements
adduct and IR the hip
posterior fibers: extend the hip
Adductor magnus o/i
O: inferior pubic ramus, ramus of ischium and ischial tuberosity
I: medial lip of linea aspera and adductor tubercle
Adductor Longus movements
adduct and IR the hip
Adductor Longus o/i
O: pubic tubercle
I: medial lip of linea aspera
Adductor brevis movements
adduct and IR the hip
Adductor brevis o/i
O: inferior pubic ramus
I: pectinal line and medial lip of linea aspera
Pectineus movements
adduct and IR the hip
Pectineus o/i
O: superior pubic ramus
I: pectinal line of femur
Gracilis movements
adduct and IR the hip
Flex and IR the knee
Gracilis o/i
O: inferior pubic ramus
I: proximal, medial shaft of the tibia at pes anserinus tendon
TFL movements
Flexes, IR and abducts the hip
TFL o/i
O: iliac crest, posterior to ASIS
I: ITB
sartorius movements
Flexes, ER, and abducts the hip (tailor position/figure 4)
Flexes and IR the flexed knee
sartorius o/i
O: ASIS
I: proximal, medial shaft of the tibia at pes anserinus tendon
Piriformis movements
ER and abduct (when flexed) the hip
Piriformis o/i
O: anterior surface of sacrum
I: superior aspect of greater trochanter
Quadratus femoris movements
ER the hip
Quadratus femoris o/i
O: lateral border of ischial tuberosity
I: intertrochanteric crest, between greater and lesser trochanters
Obturator internus movements
ER the hip
Obturator internus o/i
O: obturator membrane and inferior surface of of obturator foramen
I: medial surface of greater trochanter
Obturator externus movements
ER the hip
Obturator externus o/i
O: remi of pubis and ischium, obturator membrane
I: trochanteric fossa of femur
Gemellus superior movements
ER the hip
Gemellus superior o/i
O: ischial spine
I: medial surface of greater trochanter
Gemellus inferior movements
ER the hip
Gemellus inferior o/i
O: ischial tuberosity
I: medial surface of the greater trochanter
Psoas major movements
with the origin fixed: flexes and ER the hip
with the insertion fixed: flexes the trunk and anteriorly tilts the pelvis
unilaterally: assists to laterally flex the lumbar spine
Psoas major o/i
O: bodies and TP of lumbar vertebrae
I: lesser trochanter
Iliacus movements
with origin fixed: flex and ER the hip
with insertion fixed: flex the trunk and ant tilt the pelvis
Iliacus o/i
O: iliac fossa
I: lesser trochanter
Gastrocnemius movements
flexes the knee
PF the ankle
Gastrocnemius o/i
O: medial and lateral heads to posterior surfaces of femoral condyles
I: calcaneus via calcaneal (achilles) tendon
Soleus movements
PF the ankle
Soleus o/i
O: solid line; proximal, posterior surface of tibia and posterior aspect of fibula
I: calcaneus via achilles tendon
Plantaris movements
short belly but longest tendon in the body
weak PF of the ankle
weak knee flexion
Plantaris o/i
O: lateral supracondylar line of femur
I: calcaneus via achilles tendon
Popliteus movements
although a weak knee flexor, it is vital in “unlocking” the joint from an extended position
(aka “the key which unlocks the knee”)
flexes and IR the flexed knee
Popliteus o/i
O: lateral femoral condyle
I: proximal, posterior aspect of the tibia
Peroneus longus movements
evert the foot
assists to PF the ankle
Peroneus longus o/i
O: head of fibula and proximal 2/3 of lateral fibula
I: base of the 1st MT and medial cuneiform
Peroneus brevis movements
everts the foot
assists to PF the ankle
Peroneus brevis o/i
O: distal 2/3 of lateral fibula
I: tuberosity of the 5th MT
Tibialis anterior movements
inverts the foot
DF the ankle
Tibialis anterior o/i
O: lateral condyle of tibia; proximal, lateral surface of tibia and interosseous membrane
I: medial cuneiform and base of the 1st MT
Extensor digitorum longus movements
extends toes 2-5 (MTP & IP)
DF the ankle
evert the foot
Extensor digitorum longus o/i
O: lateral condyle of tibia; proximal, anterior shaft of fibula and interosseous membrane
I: middle and distal phalanges of toes 2-5
Extensor hallucis longus movements
extends the 1st toe (MTP and IP)
DF the ankle
invert the foot
Extensor hallucis longus o/i
O: middle, anterior surface of fibula and interosseous membrane
I: distal phalanx of 1st toe
Tibialis posterior movements
invert the foot
PF the ankle
Tibialis posterior o/i
O: proximal, posterior shafts of tibia and fibula; and interosseous membrane
I: all 5 tarsal bones and bases of MTs 2-4
Flexor digitorum longus movements
flexes toes 2-5 (MTP and IP)
weak PF
inverts the foot
Flexor digitorum longus o/i
O: middle, posterior surface of tibia
I: distal phalanges of toes 2-5
Flexor hallucis longus movements
flexes the 1st toe (MTP and IP)
weak ankle PF
inverts the foot
Flexor hallucis longus o/i
O: middle half of posterior fibula
I: distal phalanx of 1st toe
Extensor digitorum brevis movements
extends toes 2-4 (MTP and IP)
Extensor digitorum brevis o/i
O: dorsal surface of calcaneus
I: toes 2-4 via extensor digitorum longus tendons
Flexor digitorum brevis movements
flex middle phalanges of toes 2-5 (PIPs)
Flexor digitorum brevis o/i
O: medial process of calcaneus and plantar aponeurosis
I: middle phalanges of toes 2-5
Abductor hallucis movements
abducts 1st toe (MTP)
assists to flex 1st toe (MTP)
Abductor hallucis o/i
O: medial process of calcaneus and plantar aponeurosis
I: proximal phalanx of 1st toe (medial surface) and medial sesamoid bone
Abductor digiti minimi movements
flexes the 5th toe
assists to abduct 5th toe (MTP)
Abductor digiti minimi o/i
O: lateral process of calcaneus and plantar aponeurosis
I: proximal phalanx of 5th toe (lateral surface)
Extensor hallucis brevis movements
extends the 1st toe (MTP)
Extensor hallucis brevis o/i
O: dorsal surface of calcaneus
I: proximal phalanx of 1st toe
Flexor hallucis brevis movements
flex the 1st toe (MTP)
Flexor hallucis brevis o/i
O: plantar surfaces of cuboid and lateral cuneiform
I: medial and lateral surfaces of base of proximal phalanx of 1st toe
Adductor hallucis movements
adducts the 1st toe
assists to maintain transverse arch of the foot
assist to flex the 1st toe
Adductor hallucis o/i
O:
- oblique head: bases of 2nd-4th MT
- transverse head: plantar ligament of 3rd-5th MTP joints
I: lateral surface of base of proximal phalanx of 1st toe
Flexor digiti minimi brevis movements
flex the 5th toe (MTP)
Flexor digiti minimi brevis o/i
O: base of 5th MT
I: base of proximal phalanx of 5th toe
Quadratus plantae movements
assist flexor digitorum longus to flex toes 2-5
Quadratus plantae o/i
O: medial and lateral sides of plantar surface of calcaneus
I: posterior, lateral aspect of flexor digitorum longus tendon
Plantar interossei of the foot movements
adducts and flexes toes 3-5 (MTP)
Plantar interossei of the foot o/i
O: medial surfaces of 3-5 MTs
I: medial surfaces of proximal phalanges of toes 3-5
Dorsal interssei of the foot movements
abducts and flexes toes 2-4 (MTP)
Dorsal interssei of the foot o/i
O: adjacent surfaces of all MT
I:
- 1st: medial surface of proximal phalanx of 2nd toe
- 2-4: lateral surfaces of proximal phalanges of toes 2-4
Lumbricals of the foot movements
flex the proximal phalanges of toes 2-5 (MTP)
extend middle and distal phalanges of toes 2-5 (IP)
Lumbricals of the foot o/i
O: tendons of flexor digitorum longus
I: bases of proximal phalanges of toes 2-5 and extensor digitorum longs tendons (on dorsal surface of toes)