Lower Limb Flashcards
What is the insertion of the Gluteus maximus?
iliotibial tract, gluteal tuberosity of femur
What is the origin of Gluteus maximus?
ilium posterior to posterior gluteal line; dorsal surface of sacrum and coccyx; and sacrotuberous ligament
What is the innervation of Gluteus maximus?
inferior gluteal nerve (L5-S2)
What are the actions of Gluteus maximus?
extends hip joint between flexed and standing positions and assists in lateral rotation; steadies thigh and assists in rising from sitting position
What is the origin of Gluteus medius?
external surface of ilium between anterior and posterior gluteal lines
What is the insertion of Gluteus medius?
lateral surface of greater trochanter of femur
What is the innervation of Gluteus medius?
superior gluteal nerve (L4-S1)
What are the actions of Gluteus medius?
abduct and anterior portions medially rotate hip joint; keep pelvis level when opposite limb is elevated
What is the origin of Gluteus minimus?
external surface of ilium between anterior and inferior gluteal lines
What is the insertion of Gluteus minimus?
anterior surface of greater trochanter of femur
What is the innervation of Gluteus minimus?
superior gluteal nerve (L4-S1)
What are the actions of Gluteus minimus?
abduct and anterior portions medially rotate hip joint; keep pelvis level when opposite limb is elevated
What is the origin of tensor fasciae latae?
ASIS; anterior part of iliac crest
What is the insertion of tensor fasciae latae?
iliotibial tract
What is the innervation of tensor fasciae latae?
superior gluteal nerve (L4-S1)
What are the actions of tensor fasciae latae?
flexes hip joint; acts with gluteus maximus to stabilize the extended knee joint
What is the origin of Piriformis?
anterior surface of 2nd-4th sacral segments; superior margin of greater sciatic notch and sacrotuberous ligament
What is the insertion of Piriformis?
superior border of greater trochanter of femur
What is the innervation of Piriformis?
branches of anterior rami of S1, S2
What are the actions of Piriformis?
laterally rotate extended hip joint; abduct flexed hip joint; steady femoral head in acetabulum
What is the origin of Obturator internus?
pelvic surface of ilium and ischium; obturator membrane
What is the insertion of Obturator internus?
medial surface of greater trochanter (trochanteric fossa) of femur
What is the innervation of Obturator internus?
nerve to obturator internus (L5, S1)
What are the actions of Obturator internus?
laterally rotate extended hip joint; abduct flexed hip joint; steady femoral head in acetabulum
What is the origin of Gemelli?
Superior: ischial spine
Inferior: ischial tuberosity
What is the insertion of the Gemelli?
medial surface of greater trochanter (trochanteric fossa) of femur
What is the innervation of the Gemelli?
Superior: nerve to obturator internus (L5, S1)
Inferior: nerve to quadratus femoris (L5, S1)
What are the actions of the Gemelli?
laterally rotate extended hip joint; abduct flexed hip joint; steady femoral head in acetabulum
What is the origin of Quadratus femoris?
lateral border of ischial tuberosity
What is the insertion of Quadratus femoris?
quadrate tubercle on intertrochanteric crest of femur and area inferior to it
What is the innervation of Quadratus femoris?
nerve to quadratus femoris (L5, S1)
What are the actions of the Quadratus femoris?
laterally rotates hip joint; also stabilizes hip joint/pelvis
What is the origin of Adductor longus?
body of pubis inferior to pubic crest
What is the insertion of Adductor longus?
middle 1/3 of linea aspera of femur
What is the innervation of Adductor longus?
obturator nerve (L2-L4)
What are the actions of Adductor longus?
adducts hip joint
What is the origin of Adductor brevis?
body and inferior ramus of pubis
What is the insertion of the Adductor brevis?
pectineal line and proximal part of linea aspera of femur
What is the innervation of the Adductor brevis?
obturator nerve (L2-L4)
What are the actions of Adductor brevis?
adducts hip joint and to some extent flexes it
What is the origin of Adductor magnus?
Adductor part: inferior ramus of pubis; ramus of ischium
Hamstring part: ischial tuberosity
What is the insertion of Adductor magnus?
Adductor part: gluteal tuberosity, linea aspera, medial supracondylar line
Hamstring part: adductor tubercle of femur
What is the innervation of Adductor magnus?
Adductor part: obturator nerve (L2-L4)
Hamstring part: tibial part of sciatic nerve (L4)
What are the actions of Adductor magnus?
adducts hip joint; its adductor part also flexes hip joint, and its hamstring part extends it
What is the origin of Gracilis?
body and inferior ramus of pubis
What is the insertion of Gracilis?
superior part of medial surface of tibia
What is the innervation of Gracilis?
obturator nerve (L2-L3)
What are the actions of Gracilis?
adducts hip joint; flexes knee joint and helps rotate it medially
What is the origin of Obturator externus?
margins of obturator foramen and obturator membrane
What is the insertion of Obturator externus?
trochanteric fossa of femur
What is the innervation of Obturator externus?
obturator nerve (L3-L4)
What are the actions of Obturator externus?
laterally rotates hip joint; holds pelvis steady
What is the origin of Pectineus?
superior ramus of pubis
What is the insertion of Pectineus?
pectineal line of femur, just inferior to lesser trochanter
What is the innervation of the Pectineus?
femoral nerve (L2, L3); may receive branch from obturator nerve
What are the actions of the Pectineus?
adducts and flexes hip joint; assists with medial rotation of hip joint
What is the origin of Sartorius?
ASIS and superior part of notch inferior to it
What is the insertion of Sartorius?
superior part of medial surface of tibia
What is the innervation of Sartorius?
femoral nerve (L2, L3)
What are the actions of Sartorius?
flexes, abducts, and laterally rotates hip joint; flexes knee joint
What is the origin of Psoas Major?
sides of T12-L5 vertebrae and discs between them; transverse processes of all lumbar vertebrae
What is the insertion of Psoas Major?
lesser trochanter of femur
What is the innervation of Psoas Major?
anterior rami of lumbar nerves (L1-L3)
What are the actions of Psoas Major?
flexes and stabilizes hip joint; helps control deviation of the trunk and is active during standing
What is the origin of Iliacus?
iliac crest, iliac fossa, ala of sacrum, and anterior sacroiliac ligaments
What is the insertion of Iliacus?
tendon of psoas major, lesser trochanter, and femur distal to it
What is the innervation of Iliacus?
femoral nerve (L2, L3)
What are the actions of Iliacus?
flexes and stabilizes hip joint
What is the origin of Rectus femoris?
AIIS and ilium superior to acetabulum
What is the insertion of Rectus femoris?
commonly to quadriceps tendon and independently to base of patella; via patellar ligament to tibial tuberosity
What is the innervation of Rectus femoris?
femoral nerve (L2-L4)
What are the actions of Rectus femoris?
extends knee joint; stabilizes hip joint and helps iliopsoas flex hip joint
What is the origin of Vastus lateralis?
greater trochanter and lateral lip of linea aspera
What is the insertion of Vastus lateralis?
commonly to quadriceps tendon and independently to base of patella; via patellar ligament to tibial tuberosity; tibia and patella via aponeuroses