Lower limb attachments Flashcards
Piriformis
DEEP GLUTEAL COMPARTMENT
Proximal=anterior sacrum between anterior sacral foramina
Distal=medial aspect of greater trochanter
Obturator internus
DEEP GLUTEAL COMPARTMENT
Proximal= deep surface of (internal) obturator membrane
Distal=medial aspect of greater trochanter
Gluteus maximus
SUPERFICIAL GLUTEAL COMPARTMENT
Proximal=between PSIS and posterior gluteal line (fascia covering gluteus medius, external surface of ilium behind posterior gluteal line, fascia of erector spinae, dorsal surface of lower sacrum, lateral margin of coccyx, external surface of sacrotuberous ligament)
Distal deep fibres=gluteal tuberosity of proximal femur
Distal superficial fibres= posterior aspect of iliotibial tract of fascia lata
Gluteus medius
SUPERFICIAL GLUTEAL COMPARTMENT
Proximal=external ilium between posterior and anterior gluteal lines
Distal=lateral surface of greater trochanter (elongate facet)
Gluteus minimus
SUPERFICIAL GLUTEAL COMPARTMENT
Proximal=external ilium between anterior and inferior gluteal lines
Distal=anterolateral aspect of greater trochanter (linear facet)
Superior gamellus
DEEP GLUTEAL COMPARTMENT
Proximal=ischial spine
Distal=greater trochanter (medial side)
Inferior gamellus
DEEP GLUTEAL COMPARTMENT
Proximal=ischial tuberosity
Distal=greater trochanter (medial side)
Quadratus femoris
DEEP GLUTEAL COMPARTMENT
Proximal=ischium (lateral aspect) anterior to ischial tuberosity
Distal=intertrochanteric crest of proximal femur (quadrate tubercle)
Ilio-psoas
ANTERIOR THIGH COMPARTMENT
Proximal iliacus=iliac fossa of anterior ilium
Proximal psoas major=posterior abdominal wall
Distal=lesser trochanter
Sartorius
ANTERIOR THIGH COMPARTMENT
Proximal=ASIS
Distal=pes anserinus ligament on medial tibia, inferomedial to tibial tuberosity
Quadriceps femoris-Rectus femoris
ANTERIOR THIGH COMPARTMENT
Proximal straight head=ASIS
Proximal reflected head=ilium (superior to acetabulum)
Distal=quadriceps femoris tendon
Adductor longus
MEDIAL THIGH COMPARTMENT
Proximal=body of pubis and ischiopubic ramus
Distal=linea aspera on femoral shaft
Adductor brevis
MEDIAL THIGH COMPARTMENT
Proximal=body of pubis and inferior pubic ramus
Distal=posterior surface of proximal femur and upper third of linea aspera
Adductor magnus
MEDIAL THIGH COMPARTMENT
Proximal=pubis and ischiopubic ramus (adductor part), ischial tuberosity (hamstring part)
Distal=posterior surface of proximal femur, linea aspera and medial supracondylar line (adductor part)
-adductor tubercle and supracondylar line (hamstring part)
Gracilis
MEDIAL THIGH COMPARTMENT
Proximal=body of pubis, inferior pubic ramus and ramus of ischium
Distal=medial-proximal tibial shaft
Obturator externus
MEDIAL THIGH COMPARTMENT
Proximal=obturator membrane (external surface) and adjacent bone
Distal=trochanteric fossa
Pectineus
MEDIAL THIGH COMPARTMENT
Proximal=pecten pubis and adjacent bone of pelvis
Distal=oblique line from lesser trochanter base to linea aspera
Semimembranous
POSTERIOR THIGH COMPARTMENT
Proximal=ischial tuberosity
Distal=medial tibial condyle
Semitendinosus
POSTERIOR THIGH COMPARTMENT
Proximal=ischial tuberosity
Distal=medial surface of proximal tibia
Biceps femoris
POSTERIOR THIGH COMPARTMENT
Proximal=ischial tuberosity (long head) and lateral lip of linea aspera (short head)
Distal=head of fibula
Tensor fascia lata
ANTERIOR THIGH COMPARTMENT
Proximal=lateral iliac crest between ASIS and tubercle
Distal=iliotibial tract of fascia lata
Quadriceps femoris-vastus medialis, intermedius and lateralis
ANTERIOR THIGH COMPARTMENT
Proximal=medial, anterior and lateral femoral shaft respectively
Distal=quadriceps femoris tendon
Gastrocnemius
SUPERFICIAL LEG COMPARTMENT
Proximal= lateral femoral condyle (lateral head) and posterior surface of distal femur just superior to medial condyle (medial head)
Distal=calcaneal tendon
Soleus
SUPERFICIAL LEG COMPARTMENT
Proximal=soleal line and medial border of tibia, posterior fibular head, adjacent surfaces of neck and proximal shaft, tendinous arch between tibial and fibular attachments
Distal= calcaneal tendon
Plantaris
SUPERFICIAL LEG COMPARTMENT
Proximal= lateral supracondylar line of femur and oblique popliteal ligament
Distal=calcaneal tendon
Popliteus
DEEP LEG COMPARTMENT
Proximal=lateral femoral condyle
Distal=posterior surface of proximal tibia
Tibialis posterior
DEEP LEG COMPARTMENT
Proximal= posterior interosseous membrane and adjacent tibia/fibula
Distal=navicular tuberosity, medial cuneiform
Flexor digitorium longus
DEEP LEG COMPARTMENT
Proximal=medial side of posterior surface of tibia
Distal=plantar surfaces of base of distal phalanges of lateral 4 toes
Flexor hallicus longus
DEEP LEG COMPARTMENT
Proximal=posterior fibula and interosseous membrane adjacent
Distal=plantar surface of distal phalanx of great toe
Fibularis longus
LATERAL LEG COMPARTMENT
Proximal=upper lateral surface of fibula, head of fibula and occasionally lateral tibial condyle
Distal=undersurface of lateral side of distal end of medial cuneiform, base of first metatarsal
Fibularis brevis
LATERAL LEG COMPARTMENT
Proximal=lower 2/3rds of lateral surface of fibula shaft
Distal=lateral tubercle at base of fifth metatarsal
Tibialis anterior
ANTERIOR LEG COMPARTMENT
Proximal=lateral tibia and interosseous membrane adjacent
Distal=medial cuneiform (medial and inferior surfaces) and adjacent first metatarsal base
Extensor hallucis longus
ANTERIOR LEG COMPARTMENT
Proximal=medial fibula and interosseous membrane adjacent
Distal=dorsal surface of base of distal phalanx of great toe
Extensor digitorium longus
ANTERIOR LEG COMPARTMENT
Proximal=medial fibula and related surface of lateral tibial condyle
Distal=via dorsal digital expansions into bases of distal and middle phalanges of lateral 4 toes
Peroneus tertius
ANTERIOR LEG COMPARTMENT
Proximal= medial fibula (distal part)
Distal=dorsomedial surface of base of fifth metatarsal