Origins, Insertions, Actions, and Innervations of the Lower Extremities Flashcards
What muscles compose the anterior hip region?
Iliacus, Psoas Major, and Psoas Minor
What is the origin of the iliacus?
- Iliac fossa
- Sacrum
What is the insertion of the iliacus?
Lesser trochanter of the femur
What is the action of the iliacus?
- Flexion of the femur at the hip joint
- Assists in flexion of the vertebral column
- Helps maintain posture (integrity of the spine)
What is the nerve supply of the iliacus?
Femoral nerve
What is the origin of the psoas major?
Bodies and transverse processes of the lumbar vertebrae
What is the insertion of the psoas major?
Lesser trochanter of the femur
What is the action of the psoas major?
- Flexion of the femur at the hip joint
- Assists in flexion of the vertebral column
- Helps maintain posture (integrity of the spine)
What is the nerve supply of the psoas major?
Femoral nerve
What is the origin of the psoas minor?
Bodies of the lumbar vertebrae
What is the insertion of the psoas minor?
Iliopubic eminence of the pubis
What is the action of the psoas minor?
Flexion at the pelvic bone (upward movement)
What is the nerve supply of the psoas minor?
L1 (sometimes L2)
What muscles compose the anterior thigh muscles?
Sartorius, rectus femoris, vastus lateralis, vastus medialis, and vastus lateralis
What is the origin of the sartorius?
Anterior superior iliac spine
What is the insertion of the sartorius?
Superior medial shaft of the tibia
What is the action of the sartorius?
- Abducts and laterally rotates the femur
- Medially rotates the leg
- Assists in flexion of the hip and knee when both are carried out
What is the nerve supply of the sartorius?
Femoral nerve
What is the origin of the rectus femoris?
- Anterior inferior iliac spine
- Acetabulum of the pelvic bone
What is the insertion of the rectus femoris?
Base of the patella
What is the action of the rectus femoris?
- Extends the leg and knee
- Flexion at the hip
- Tonus of muscles play a role in strengthening the knee
What is the nerve supply of the rectus femoris?
Femoral nerve
What is the origin of the vastus lateralis?
- Greater trochanter of the femur
- Linea aspera of the femur
What is the insertion of the vastus lateralis?
Base of the patella
What is the action of the vastus lateralis?
- Extends the leg at the knee
- Tonus of muscles play a role in strengthening the knee
What is the nerve supply of the vastus lateralis?
Femoral nerve
What is the origin of the vastus medialis?
Linea aspera of the femur
What is the insertion of the vastus medialis?
Base of the patella
What is the action of the vastus medialis?
- Extends the leg at the knee
- Tonus of muscles play a role in strengthening the knee
What is the nerve supply of the vastus medialis?
Femoral nerve
What is the origin of the vastus intermedius?
- Antero-lateral aspect of the femur
- Linea aspera of the femur
What is the insertion of the vastus intermedius?
Base of the patella
What is the action of the vastus intermedius?
- Extends the leg at the knee
- Tonus of muscles play a role in strengthening the knee
What is the nerve supply of the vastus intermedius?
Femoral nerve
What muscles compose the medial thigh muscles?
Gracilis, pectineus, adductor longus, addutor brevis, and adductor magnus
What is the origin of the gracilis?
- Ramus of the ischium
- Inferior ramus of the pubis
What is the insertion of the gracilis?
Superior medial shaft of the tibia
What is the action of the gracilis?
- Flexion of the leg
- Adducts the femur
What is the nerve supply of the gracilis?
Obturator nerve
What is the origin of the pectineus?
Superior rami (pubis pectin) of the pubis
What is the insertion of the pectineus?
Pectineal line of the femur
What is the action of the pectineus?
- Adducts the femur
- Flexion of the femur at the hip
What is the nerve supply of the pectineus?
Femoral and obturator nerves
What is the origin of the adductor longus?
Superior ramus of the pubis
What is the insertion of the adductor longus?
Linea aspera of the femur
What is the action of the adductor longus?
Adducts the femur
What is the nerve supply of the adductor longus?
Obturator nerve
What is the origin of the adductor brevis?
Inferior ramus of the pubis
What is the insertion of the adductor brevis?
- Pectineal line of the femur
- Linea aspera of the femur
What is the action of the adductor brevis?
Adducts the femur
What is the nerve supply of the adductor brevis?
Obturator nerve
What is the origin of the adductor magnus?
Rami of the ischium and pubis
What is the insertion of the adductor magnus?
- Linea aspera of the femur
- Adductor tubercle of the femur
What is the action of the adductor magnus?
- Adducts the femur
- Extends the femur at the hip
What is the nerve supply of the adductor magnus?
Obturator and sciatic nerves
What muscles compose the posterior hip (gluteal) region?
Tensor fasica lata, gluteus maximus, gluteus medius, gluteus minimus, piriformis, superior gemellus, obturator internus, inferior gemellus, obturator externus, and quadratus femoris
What is the origin of the tensor fascia lata?
Crest of the ilium
What is the insertion of the tensor fascia lata?
Iliotibial tract
What is the action of the tensor fascia lata?
- Flexes, abducts, and medially rotates the femur
- Helps stabilize the femur
What is the nerve supply of the tensor fascia lata?
Superior gluteal nerve
What is the origin of the gluteus maximus?
- Posterior gluteal line of the ilium
- Sacrum and coccyx
- Posterior ligaments of the SI joint
What is the insertion of the gluteus maximus?
- Gluteal tuberosity of the femur
- Iliotibial tract
What is the action of the gluteus maximus?
- Extends and laterally rotates the femur (for strength when going from sitting to standing)
- Stabilizes the knee
- Helps stabilize the pelvic bone
What is the nerve supply of the gluteus maximus?
Inferior gluteal nerve
What is the origin of the gluteus medius?
External surface of the ilium (between the posterior and anterior gluteal lines)
What is the insertion of the gluteus medius?
Greater trochanter of the femur
What is the action of the gluteus medius?
- Abducts the femur
- Medially rotates the femur
- Helps steady the pelvic bone when the opposite foot is raised off the ground (Trendelenburg test)
What is the nerve supply of the gluteus medius?
Superior gluteal nerve
What is the origin of the gluteus minimus?
External surface of the ilium (between the anterior and inferior gluteal lines)
What is the insertion of the gluteus minimus?
Greater trochanter of the femur
What is the action of the gluteus minimus?
- Abducts the femur
- Medially rotates the femur
- Helps steady the pelvic bone when the opposite foot is raised off the ground (Trendelenburg test)
What is the nerve supply of the gluteus minimus?
Superior gluteal nerve
What is the origin of the piriformis?
Anterior surface of the sacrum
What is the insertion of the piriformis?
Greater trochanter of the femur
What is the action of the piriformis?
Laterally rotates the femur
What is the nerve supply of the piriformis?
S1, S2
What is the origin of the superior gemellus?
Spine of the ischium
What is the insertion of the superior gemellus?
Greater trochanter of the femur
What is the action of the superior gemellus?
Laterally rotates the femur
What is the nerve supply of the superior gemelleus?
L4, L5, S1, S2
What is the origin of the obturator internus?
Internal surface of the obturator membrane
What is the insertion of the obturator internus?
Greater trochanter of the femur
What is the action of the obturator internus?
Laterally rotates the femur
What is the nerve supply of the obturator internus?
L4, L5, S1, S2
What is the origin of the inferior gemellus?
Ischial tuberosity
What is the insertion of the inferior gemellus?
Greater trochanter of the femur
What is the action of the inferior gemellus?
Laterally rotates the femur
What is the nerve supply of the inferior gemellus?
L4, L5, S1, S2