muscles and movements Flashcards
knee locking mechanism (standing knee extension)
- knee joint is ‘locked’ in closed pack position
- joint surfaces more congruent
- COG anterior to knee joint maintaining extension
- femoral medial rotation and extension tightens ligaments
- popliteus initiates ‘unlocking’ mechanism by laterally rotating femur on fixed tibia
knee locking mechanism (locking into closed packed position extension, sitting to standing)
Femoral condyles roll anteriorly over tibial condyles
Femoral condyles glide posteriorly over tibial condyles (stops femoral condyles rolling off tibial condyles)
Shorter lateral femoral condyle movement stops first
Femur medially rotates (spins) around fixed lateral condyle to complete the movement.
Knee (Un)Locking MechanismClosed Kinetic Chain
Unlocking knee joint into Open Packed Position (Flexion)
Standing to Sitting
Femur rotates (spins) laterally on the tibia
Femoral condyles roll posteriorly on the tibial condyles (relatively fixed)
Femoral condyles glide anteriorly on the tibial condyles. (This stops femoral condyles from rolling off the tibial condyles.)
quadriceps muscles
Rectus Femoris
Vastus Medialis
Vastus Intermedius
Vastus Lateralis
knee flexors
-hamstrings biceps femoris semitendinosus semimembranosus -sartorius -popliteus -gastrocnemius
biceps femoris
Origin:2 heads Long head; inferomedial part of upper area ischial tuberosity Short head; lateral lip linea aspera (Lateral supracondylar ridge) Insertion Head of fibula Action at the Knee Flexion and ER Nerve Supply Sciatic Nerve L5-S2
semitendinosus
Origin Inferomedial part upper area ischial tuberosity Insertion Medial surface proximal tibia Action at the Knee Flexion and IR Nerve Supply Sciatic Nerve L5-S2
semimembranosus
Origin Superolateral impression ischial tuberosity Insertion Groove and adjacent bone medial and posterior surface medial tibial condyle Action at the Knee Flexion and IR Nerve Supply Sciatic Nerve L5-S2
hamstrings action
Actions:
All 3 extend the hip and flex the knee joint
BF laterally rotates the hip and knee joints
ST and SM medially rotate the hip and knee joints
Nerve supply
Sciatic nerve
L5-S2(S3-LongHeadBF)
sartorius
Origin Anterior superior iliac spine Insertion Anterior surface of tibia just inferomedial to tibial tuberosity Actions at the Knee Medial rotation, flexion knee Nerve supply Femoral nerve L2,3
popliteus
Small, flat, deep, posterior muscle
Part of floor of popliteal fossa
Origin - Lateral femoral condyle
Insertion - Proximal surface of posterior tibia
Action - Unlocks the extended knee by laterally rotating femur on fixed tibia, rotates knee medially, flexes knee
Nerve supply - Tibial nerve L4,5,S1
planters
Origin
Lateral supracondylar line above lateral head of gastrocnemius
Insertion
Medial border of TA and post. surface of calcaneus
Action
Weak knee flexor and plantar flexor of foot
Nerve supply
Tibial L4,5,S1.
gastrocnemius
Origin - 2 heads - Medial and lateral heads from medial and lateral femoral condyles
Insertion - Achilles tendon into postero-superior calcaneus
Actions - knee flexion and ankle plantarflexion
Nerve supply - Tibial nerve -S1,2
knee extensors
Quadriceps: Rectus Femoris Vastus Intermedius Vastus Lateralis Vastus Medialis
rectus femoris
Actions 2 joint muscle Extends knee and flexes hip Nerve supply Femoral nerve L2,3,4