Lower Extremity: Muscles Flashcards
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Rectus Femoris
O: straight head: AIIS; reflected head: on rim, superior to acetabulum
I: blends into common quadriceps tendon and inserts on tibia tuberosity by way of patellar tendon
A: flexion of the hip, extension of the knee
N: femoral nerve (L2-4)
Sartorius
O: ASIS & notch inferior to ASIS
I: Pes anserine (middle & most superior) on the superior medial aspect of the anterior surface of the tibia
A: flexion of the hip, abduction of the hip, external rotation of the hip, flexion of the knee, internal rotation of tibia (when hip/knee are flexed)
N: femoral nerve (L2-4)
Vastus Lateralis
O: proximal 1/2 of intertrochanteric line; anterior, inferior border of greater trochanter; lateral lip of gluteal tuberosity; lateral lip of linea aspera; lateral intermuscular septum
I: common quadriceps tendon to tibia tuberosity
A: extension of the knee
N: femoral nerve (L2-4)
Vastus Intermedius
O: proximal 2/3 of anterior and lateral shaft of femur; distal 1/2 of linea aspera (as it approaches the lateral lip)
I: quadriceps tendon to tibial tuberosity by way of patellar ligament
A: extension of the knee
N: fermoral nerve (L2-4)
Vastus Medialis
O: distal 1/2 of intertrochanteric line; approaches medial lip of linea aspera; proximal 1/2 of medial supracondylar ridge; tendons of adductor longus + magnus; medial intermuscular septum
I: blends into quadriceps tendon to tibial tuberosity by way of patellar ligament
A: extension of knee
N: femoral nerve (L2-4)
Psoas Major
O: anterior aspect of vertebral bodies T12-L5; intervertebral disks of T12 thru L4; anterior aspect of the transverse processes of T12-L5
I: lesser trochanter of femur
A: flexion of hip, external rotation of hip, flexion of lumbar spine (bilateral contraction), side bend vertebral column (unilat contraction with foot fixed)
N: anterior rami of L1-4
Psoas Minor
O: bodies of T12 and L1
I: arcuate line; iliac fascia
A: flexion of trunk
N: anterior rami of L1-2
Iliacus
O: superior 2/3 of iliac fossa; iliolumbar, lumbosacral and anterior sacroiliac ligaments; anterior and lateral aspect of the ala of sacrum
I: lesser trochanter of femur
A: flexion of hip, external rotation of hip, flexion of trunk
N: femoral nerve (L2-4)
Piriformis
O: anterior surface of sacrum between pelvic foramina; anterior aspect of sacroiliac joint
I: superior aspect of the greater trochanter
A: external rotation of the hip, abduction of the hip (when hip is flexed), stabilizes femoral head into acetabulum
N: nerve to piriformis (S1-2)
Obturator Externus
O: superior & inferior pubic ramus
I: superior aspect of trochanteric fossa
A: external rotation of hip, abduction of hip (when hip is flexed), stabilizes head of femur to acetabulum
N: posterior branch of obturator nerve (L2-4)
Obturator Internus
O: obturator membrane & posterior surface of superior and inferior pubic ramus
I: superior greater trochanter (lies inferior to piriformis insertion)
A: external rotation of hip, abduction of hip (when hip is flexed), stabilizes head of femur to acetabulum
N: nerve to obturator internus (L5, S1-2)
Gemellus Superior
O: posterior aspect of ischial spine
I: superior aspect of greater trochanter (just inferior to piriformis)
A: external rotation of hip, abduction of hip (when hip flexed), stabilized head of femur to acetabulum
N: nerve to obturator internur (L5, S1-2)
Gemellus Inferior
O: superior & posterior aspect of ischial tuberosity
I: superior aspect of greater trochanter (just inferior to piriformis)
A: external rotation of hip, abduction of hip (when hip flexed), stabilizes head of femur to acetabulum
N: nerve to quadratus femoris (L4-5, S1)
Quadratus Femoris
O: lateral border of ischial tuberosity
I: quadrate tubercle of femur (in intertrochanteric crest)
A: external rotation of hip, abduction of hip (when hip flexed)
N: nerve to quadratus femoris (L4-5, S1)
Gluteus Maximus
O: on ilium, posterior to posterior gluteal line; upper half of sacrotuberous ligament; posterior part of sacrum & coccyx
I: superficial: iliotibial tract; deep: gluteal tuberosity
A: hip extension and external rotation (all fibers), hip abduction (upper fibers only), hip adduction (lower fibers only)
N: inferior gluteal nerve (L5, S1-2)
Tensor Fascia Latae
O: anterior aspect of lateral lip of iliac crest; posterior to ASIS
I: iliotibial tract
A: hip flexion, hip abduction, knee extension
N: superior gluteal nerve (L4-5, S1)
Gluteus Minimus
O: superior border: anterior gluteal line; inferior border: inferior gluteal line (below AIIS); posterior border: greater sciatic notch; anterior border: AIIS
I: anterior aspect on greater trochanter; anterior aspect of hip joint capsule
A: Flexion of hip, abduction of hip, interior rotation of hip
N: superior gluteal nerve (L4-5, S1)
Gluteus Medius
O: inferior border: anterior gluteal line; posterior border: posterior gluteal line; superior border: iliac crest
I: oblique ridge on lateral surface of greater trochanter
A: abduction of hip (all fibers), flexion & internal rotation of hip (anterior fibers), extension & external rotation of hip (posterior fibers), prevents pelvis from dropping in stance
N: superior gluteal nerve (L4-5, S1)
Gracilis
O: inferior 1/2 of symphysis pubis; medial margin of inferior ramus of pubic bone
I: superior part of medial surface of tibial (proximal to insertion of semitend & lateral to insertion of sartorius)
A: adduction of hip, flexion of knee, internal rotation of knee (when knee flexed), stabilize medial aspect of knee (when knee extended)
N: obturator nerve (L2-4)
Pectineus
O: superior ramus of pubis; pectin pubis (between pubic tubercle & iliopubic eminence)
I: pectineal line
A: adduction of hip, flexion of hip, internal rotation of hip
N: femoral nerve (L2-4)