lower extremity - muscles Flashcards
what are the hip flexor muscles?
- iliacus
- psoas major & minor
- tensor fasica lata
- sartorius
- rectus femoris
- adductor brevis & magnus
- pectineus
what three muscles are part of the iliopsoas?
- iliacus
- psoas major
- psoas minor
origins of iliacus
- superior 2/3 of iliac fossa
- iliac crest
- sacral ala
- anterior sacroiliac ligament
insertion of iliacus
lesser trochanter
action of iliacus
hip flexion
origins of psoas major
T12-L5:
- transverse processes
- vertebral bodies
- invertebral discs
insertionof of psoas major
lesser trochanter
actions of of psoas major
- fixation point: trunk & lower extremity
- hip flexion
- aids in lordosis
origin of psoas minor
T12-L1 vertebral bodies
insertion of psoas minor
pectineal line of pubis
actions of psoas minor
- weak trunk flexion
- posterior pelvic tilt
origins of tensor fascia lata
- anterior superior iliac spine
- iliac crest (anterior)
insertions of tensor fascia lata
- iliotibial band
- tibial Gerdy’s tubercle
actions of tensor fascia lata
- abduction
- internal rotation
- hip flexion
- maintains knee extension
origin of sartorius
anterior superior iliac spine
insertion of sartorius
superior aspect of medial proximal aspect of tibia (underneath medial condyle)
actions of sartorius
- external hip rotation
- hip abduction
- hip & knee flexion
- internal knee rotation
origin of rectus femoris
anterior superior iliac spine
insertion of rectus femoris
tibial tuberosity via patellar ligament
actions of rectus femoris
- hip flexion
- knee extension
what are the hip extensor muscles?
- gluteus maximius
- hamstring muscles
origins of gluteus maximus
- ilium behind posterior gluteal line
- dorsal aspect of sacrum & coccyx
- sacrotuberous ligament
insertion of gluteus maximis
iliotibial band
actions of gluteus maximis
- hip extension
- hip abduction
- external hip rotation
what are the hamstring muscles?
- biceps femoris
- semimembranosus
- semitendinosus
origins of biceps femoris
long head: - ischial tuberosity short head: - linea aspera - supracondylar line
insertion of biceps femoris
lateral side of fibular head
actions of biceps femoris
- hip extension
- external hip & knee rotation
- knee flexion
origin of semimembranosus & semitendinosus
ischial tuberosity
insertion of semimembranosus
posterior aspect of medial condyle of tibia
actions of semimembranosus
- hip extension
- internal hip rotation
- knee flexion
insertion of semitendinosus
superior & medial aspect of tibia (just inferior to medial condyle)
actions of semitendinosus
- hip extension
- internal hip & knee rotation
- knee flexion
what are the hip abductor muscles?
- gluteus maximus, medius & minimus
- tensor fascia lata
- sartorius
origin of gluteus medius
ilium between anterior & posterior gluteal lines
insertion of gluteus medius
lateral aspect of greater trochanter
actions of gluteus medius & gluteus minimus
- hip abduction
- internal hip rotation
- pelvic stability
origin of gluteus minimus
- ilium between anterior & inferior gluteal lines
insertion of gluteus minimus
anterior aspect of greater trochanter
what are the hip adductor muscles?
- adductor brevis, magnus, & longus
- pectineus
- gracilis
origins of adductor brevis
- body of pubis
- inferior branch of pubis
insertions of adductor brevis
- pectineal line of linea aspera
- proximal aspect of linea aspera
actions of adductor brevis & adductor longus
- hip adduction
- hip flexion
- internal hip rotation
origins of adductor magnus
- inferior branch of pubis
- inferior branch of ischium
insertions of adductor magnus
- gluteal tuberosity
- linea aspera
- supracondylar line of femur
origin of adductor longus
body of pubis
insertion of adductor longus
middle 1/3 of linea aspera
actions of adductor longus
- hip adduction
- internal hip rotation
origin of pectineus
superior branch of pubis
insertion of pectineus
pectineal line of femur
actions of pectineus
- hip adduction
- hip flexion
origins of gracilis
- body of pubis
- inferior branch of pubis
insertion of gracilis
superior aspect of medial side of tibia
actions of gracilis
- hip adduction
- internal hip & knee rotation
- assists in knee flexion
what is the trendenlenburg sign in the pelvis?
- lowering of the contralateral side of the pelvis when in unipodal stance
- weak abductor muscles on the stance side
origins of piriformis
- anterior surface of sacrum
- sacrotuberous ligament
insertion of piriformis
superior aspect of greater trochanter
actions of piriformis & obturator internus
- external hip rotation
- hip abduction
origin of obturator internus
internal aspect of obturator membrane
insertion of obturator internus
medial aspect of greater trochanter
origin of quadratus femoris
lateral aspect of ischial tuberosity
insertion of quadratus femoris
intertrochanteric crest
actions of quadratus femoris, superior gemellus, & inferior gemellus
external rotation
origin of superior gemellus
lateral aspect of ischiatic spine
insertion of superior & inferior gemellus
medial aspect of greater trochanter
origin of inferior gemellus
ischial tuberosity
origin of obturator externus
external aspect of obturator foramen
insertion of obturator externus
trochanteric fossa
actions of obturator externus
- external hip rotation
- hip abduction
origins of popliteus
- lateral aspect of lateral condyle of femur
- lateral meniscus
insertion of popliteus
posterior aspect of tibia above soleal line
actions of popliteus
- internal knee rotation when knee is in flexion
- unlocks the knee
- an accessory in knee flexion
origins of gastrocnemius
lateral head:
- lateral aspect of lateral condyle of femur
medial head:
- popliteal surface above medial condyle of femur
insertion of popliteus
posterior aspect of calcaneus via Achilles’ tendon
actions of popliteus
- knee flexion
- plantar flexion in ankle
origin of plantaris
inferior aspect of lateral supracondylar line of femur
insertion of plantaris & soleus
posterior aspect of calcaneus via Achilles’ tendon
action of plantaris
weak assistance to gastrocnemius muscle
origin of vastus intermedius
anterolateral aspect of femoral shaft
origin of vastus lateralis
- greater trochanter
- lateral lip of linea aspera
origin of vastus medialis
- intertrochanteric line
- lateral lip of linea aspera
insertion of vastus lateralis, intermedius, & medialis
tibial tuberosityvia patellar ligament
action of vastus lateralis, intermedius, & medialis
knee extension
origins of tibialis anterior
- anterolateral aspect of lateral tibial condyle
- interosseus membrane
insertions of tibialis anterior
- medial cuneiform
- 1st metatarsal
actions of tibialis anterior
- ankle dorsiflexion
- ankle inversion
origins of extensor hallucis longus
- anterior aspect of fibula
- interosseous membrane
insertion of extensor hallucis longus
dorsal aspect of P1 of the hallux (big toe)
actions of extensor hallucis longus
- ankle dorsiflexion
- ankle inversion
- hallux (big toe) extension
origins of extensor digitorum longus
- lateral tibial condyle
- anterior proximal 3/4 of interosseous membrane
- anterior proximal 3/4 of fibula
insertion of extensor digitorum longus
dorsal aspect of P2 & P3 of toes 2-5
actions of extensor digitorum longus
- ankle dorsiflexion
- ankle eversion
- extension in toes 2-5
origins of fibularis longus
- head of fibula
- proximal 2/3 of fibula
insertion of fibularis longus
plantar aspect of 1st metatarsal
actions of fibularis longus & brevis
- ankle eversion
- accessory in ankle plantar flexion
origin of fibularis brevis
distal 2/3 of lateral aspect of fibula
insertion of fibularis brevis
tuberosity of 5th metatarsal
origins of fibularis tertius
- distal 1/3 of anterior aspect of fibula
- anterior surface of interosseous membrane
insertion of fibularis tertius
dorsal aspect of base of 5th metatarsal
actions of fibularis tertius
- ankle eversion
- ankle dorsiflexion
origins of soleus
- posterior aspect of head of fibula & proximal 1/4
- soleal line of tibia
action of soleus
ankle plantar flexion
origin of tibialis posterior
posterior aspect of tibia underneath the soleal line
insertions of tibialis posterior
- navicular tuberosity
- cuneiform bones
- cuboid bone
- base of 2nd-4th metatarsals
actions of tibialis posterior
- ankle plantar flexion
- ankle inversion
origin of flexor digitorum longus
posteromedial aspect of tibia underneath the soleal line
insertion of flexor digitorum longus
plantar aspect of P3 in toes 2-5
actions of flexor digitorum longus
- ankle plantar flexion
- ankle inversion
- toe flexion
origins of flexor hallucis longus
- posterior 2/3 of fibula
- posterior 2/3 of interosseous membrane
insertion of flexor hallucis longus
plantar aspect of P2 of hallux
actions of flexor hallucis longus
- ankle plantar flexion
- ankle inversion
- hallux flexion
origins of extensor digitorum brevis & extensor hallucis brevis
- superior aspect of calcaneum
- extensor retinaculum
insertion of extensor digitorum brevis
tendons of extensor digitorum longus
action of extensor digitorum brevis
toe extension
insertion of extensor hallucis brevis
dorsal aspect of P1 base in hallux
action of extensor hallucis brevis
extension in hallux
origin of dorsal interossei
1st-5th metatarsals
insertion of dorsal interossei
P1 in 2nd-4th toes
actions of dorsal interossei
- toe extension
- abduction of 2nd-4th toes
origins of abductor digiti minimi, abductor hallucis, & flexor digitorum brevis
- plantar aspect of calcaneum
- plantar aponeurosis
insertion of abductor digiti minimi
lateral aspect base of P1 5th toe
actions of abductor digiti minimi
abduction of 5th toe
insertion of abductor hallucis
medial aspect of P1 base of big toe
actions of abductor hallucis
bie toe abduction
insertion of flexor digitorum brevis
either side of P2 in 2nd-5th toes
action of flexor digitorum brevis
toe flexion
origin of quadratus plantae
plantar aspect of calcaneus
insertion of quadratus plantae
tendons of flexor digitorum longus
action of quadratus plantae
toe flexion
origin of lumbricals
tendons of flexor digitorum longus
insertion of lumbricals
tendons of extensor digitorum longus
action of lumbricals
2nd-5th toe extension
origins of adductor hallucis
oblique head:
- base of 2nd-4th metatarsals
transverse head:
- metarsopholangeal ligament of toes 3-5
insertion of adductor hallucis
lateral aspect of P1 base of hallux
action of adductor hallucis
big toe adduction
origin of flexor hallucis brevis
- plantar aspect of cuboid
- plantar aspect of lateral cuneiform
insertion of flexor hallucis brevis
either side of P1 base in hallux
action of flexor hallucis brevis
big toe flexion
origin of flexor digiti minimi
base of 5th metatarsal
insertion of flexor digiti minimi
either side of P1 base in 2nd-5th toes
action of flexor digiti minimi
toe flexion
origin of plantar interossei
base & medial aspect of 3rd-5th metatarsals
insertion of plantar interossei
medial asepct of P1 base in 3rd-5th toes
actions of plantar interossei
- adduction in 3rd-5th toes
- toe extension