poina test 3 Flashcards
Action Glute Max
Hip extension especially in flexed position
Assist in hip lateral rotation
Fixes hip joint and assists in rising from sitting position
PA Glute Max
Posterior gluteal line of ilium
Dorsal Sacrum and coccyx
Sacrotuberous Ligament
DA Glute Max
IT band
Nerve Glute max
Inferior Gluteal Nerve (L5, S1, S2)
PA Glute Med
Ilium, between anterior and posterior gluteal line
DA for Glute Med and Glute Min?
Greater Trochanter
PA Glute Min
Ilium, between anterior and inferior gluteal lines
Nerve Glute Med, Min, and TFL
Superior Gluteal Nerve (L4, L5, S1)
Action Glute Med/ Min/ TFL
Medial rotation from Anterior fibers of Glute Med/Min and TFL
External rotation from posterior fibers of Glute Med
Keeps contralateral pelvis in line during one legged stance
DA Tensor Fascia Latae
IT band
PA Tensor Fascia Latae
Anterior Superior Iliac Spine
Anterior iliac crest
PA Piriformis
Anterior Sacrum
Sacrotuberous Ligament
DA Piriformis
Greater Trochanter
N Piriformis?
Anterior Rami S1 and S2
Action Piriformis, Superior Gemellus , Obturator Internus, Inferior Gemellus
Laterally Rotation of extended hip
Abduction of flexed hip
Stabilizing hip joint
PA Obturator Internus
Pelvic surface of Obturator membrane and surrounding bones
DA Obturator Internus
Greater Trochanter
Nerve Obturator Internus, Superior Gemellus
Nerve to Obturator Internus (L5, S1)
PA Superior Gemellus
Ischial Spine
DA Superior Gemellus
Greater Trochanter
PA Inferior Gemellus
Ischial Tuberosity
DA Inferior Gemellus
Greater Trochanter
Nerve of Inferior Gemellus, Quadratus Femoris
Nerve to Quadratus Femoris (L5, S1)
PA Quadratus Femoris
Ischial Tuberosity
DA Quadratus Femoris
Quadrate tubercle on intertrochanteric crest of femur and area inferior to it
Action Quadratus Femoris
Hip Lateral Rotation
Hip Stabilization
PA Psoas Major
Sides of T12-L5 vertebrae and discs between them
TP L1-L5
DA Psoas Major
Lesser Trochanter
Nerve Psoas Major
Anterior Rami L1, L2, L3
Action Psoas Major, Iliacus
With Origin Fixed:
Hip Lateral Rotation
Hip Flexion
With Insertion Fixed:
Trunk Flexion towards thigh
Anterior Pelvic tilt
Psoas Major only:
Stabilize hip joint while standing
PA Iliacus
Iliac Fossa
Sacrum
Anterior Sacroiliac ligaments
DA Iliacus
Lesser Trochanter
Psoas Tendon
N Iliacus
Femoral Nerve (L2, L3, L4)
PA Pectineus
Superior Pubic Ramus
DA Pectineus
Pectineal line of femur
N Pectineus
Femoral Nerve (L2, L3)
May receive a branch from Obturator nerve
Action Pectineus
Hip Adduction
Slightly flexes hip
Assists in hip lateral rotation
PA Sartorious
Anterior Superior Iliac Spine (ASIS)
DA Sartorious
Pes Anserine of tibia
Nerve Sartorious
Femoral Nerve (L2, L3)
Action Sartorious
At the hip:
Flexion
Abduction
Lateral rotation
At the knee:
Flexion medial rotation when flexed
PA Rectus Femoris
AIIS
Ilium
DA Rectus Femoris
Quad Tendon to Tibial Tuberosity via Patellar Ligament
N Rectus Femoris
Femoral Nerve (L2, L3, L4)
Action Rectus Femoris
Knee Extension
Steadies hip joint
Assists iliopsoas in hip Flexion
PA Vastus Lateralis and Vastus Medialis
Lateralis:
Lateral Lip of Linea Aspera
Greater trochanter
Medialis:
Medial Lip of linea aspera
Intertrochanteric line
DA Vastus Lateralis and Medialis, Vastus Intermedius
Quad Tendon to Tibial Tub via Patella Ligament
Just VM, VL: Attaches to Tibia and Patella via aponeuroses
Nerve Vastus Lateralis, Vastus Medialis, Vastus Intermedius
Femoral Nerve L2, L3, L4
Action Vastus Medialis, Intermedius, Lateralis
Knee Extension
PA Vastus Intermedius
Anterior and Lateral Femoral Shaft
PA Semitendinsosus and Semimembranosus
Ischial Tuberosity
DA Semitendinosus
Pes Anserine of Tibia
Nerve Semitendinosus, Semimembranosus
Tibial Division of Sciatic Nerve (L5, S1, S2)
Action Semitendinosus, Semimembranosus
Hip extension
Knee Flexion
Knee Medial Rotation when flexed
Can extend trunk at hip when sitting
DA Semimembranosus
Posterior medial tibial condyle
Reflected attachment Forms oblique popliteal ligament
PA Biceps Femoris
Long Head:
Ischial Tuberosity
Short Head:
Linea Aspera
Lateral supracondylar line
DA Biceps Femoris
Lateral side of fibular head
Nerve of Biceps Femoris
Long head:
Tibial Division of sciatic nerve (L5, S1, S2)
Short Head:
Common fibular division (L5, S1, S2)
Action of Biceps Femoris
Knee Flexion
Knee Lateral rotation when flexed
Long head only:
Hip Extension
Adductor Longus PA
Body of Pubis
Adductor Longus DA
Linea Aspera of femur
Nerve Adductor Longus and Adductor Brevis
Obturator Nerve (L2, L3, L4)
Action of Adductor Longus/ Adductor Brevis
Adductor Longus:
Hip Adduction
Adductor Brevis:
Hip addiction
Slight hip flexion
PA Adductor Brevis
Body of Pubis
Inferior ramus of Pubic
DA Adductor Brevis
Linea Aspera
Pectineal line
PA Adductor Magnus
Hamstring Part:
Ischial Tuberosity
Adductor part:
Inferior pubic ramus
Ramus of ischium
DA Adductor Magnus
Hamstring Part:
Adductor Tubercle
Adductor part:
Gluteal Tuberosity
Linea Aspera
Medial Supracondylar line
Nerve Adductor Magnus
Hamstring part:
Tibial part of sciatic nerve (L4)
Adductor Part:
Obturator Nerve (L2, L3, L4)
Action Adductor Magnus
Hip Adduction
Hamstring Part:
Hip extension
Adductor Part:
Hip flexion
PA Gracilis
Body and inferior ramus of pubis
DA Gracilis
Pea Anserine of tibia
Nerve Gracilis
Obturator Nerve (L2, L3)
Action Gracilis
Hip Adduction
Knee flexion
Knee Medial rotation when flexed
PA Obturator Externus
Margins of Obturator foramen
Obturator membrane
DA Obturator Externus
Greater Trochanter
Nerve Obturator Externus
Obturator Nerve (L3, L4)
Action Obturator Externus
Lateral rotation of hip
Hip stabilization
PA Tibialis Anterior
Superior 1/2 of tibia
Interosseus Membrane
Lateral condyle of tibia
DA Tibialis Anterior
Medial Cuneiform
Base of 1st Metatarsal
Nerve Tibialis Anterior
Deep Fibular Nerve (L4, L5)
Action Tibialis Anterior
Ankle Dorsiflexion
Subtalar joint Inversion
Fibularis Longus PA
Head of Fibula
Superior Lateral fibula
Fibularis Longus DA
Base of 1st metatarsal
Medial Cuneiform
Fibularis Longus, Fibularis Brevis N
Superficial Fibular Nerve (L5, S1, S2)
Action of Fibularis Longus, Fibularis Brevis
Subtalar Joint Eversion
Weak ankle plantar flexion
Fibularis Brevis PA
Inferior Lateral Fibula
Fibularis Brevis DA
Lateral side of base of 5th metatarsal
Extensor Hallucis Longus PA
Medial Anterior Fibula
Interosseus Membrane
Extensor Hallucis Longus DA
Base of Distal phalanx of Great toe
Extensor Hallucis Longus, extensor Digitorum Longus, and Fibularis Tertius Nerve
Deep fibular nerve (L5, S1)
Extensor Hallucis Longus Action
Great toe extension
Ankle dorsiflexion
Extensor Digitorum Longus PA
Lateral condyle of tibia
Superior surface of fibula
Interosseus membrane
Extensor Digitorum Longus DA
Middle and distal phalanges if digits 2-5
Extensor Digitorum Longus Action
Digits 2-5 extension
Ankle dorsiflexion
Fibularis Tertius PA
Inferior anterior surface of fibula
Interosseus membrane
Fibularis Tertius DA
Dorsum of base of 5th metatarsal
Fibularis Tertius Action
Aids in subtalar eversion
Ankle dorsiflexion
PA Gastrocnemius
Medial Head:
Popliteal surface of femur
Lateral Head:
Lateral femoral condyle
DA for Gastrocnemius, Soleus, Plantaris
Calcaneus via Achilles Tendon
Nerve for Gastrocnemeius, Soleus, and Plantaris
Tibial Nerve (S1, S2)
Action for Gastrocnemius
Plantar flexion when knee is extended
Raises heel when walking
Knee flexion
PA Soleus
Posterior fibula
Soleal line and medial tibia
Tendinous arch between bony attachments
Soleus Action
Ankle plantar flexion independent of knee position
Ankle stabilization
PA Plantaris
Lateral supracondylar line of femur
Oblique politeal ligament
Action of Plantaris
Weakly assists gastrocnemius with ankle plantar flexion
Popliteus PA
Lateral condyle of femur
Lateral meniscus
Popliteus DA
Posterior tibia above soleal line
Popliteus Nerve
Tibial Nerve (L4, L5, S1)
Popliteus Action
Unlocks knee by rotating femur 5 degrees on fixed tibia
Medically rotates tibia of unplanted limb
Flexor Hallucis Longus PA
Lower posterior surface of fibula
Interosseus membrane
DA of Flexor Hallucis Longus
Base of distal phalanx of great toe
Nerve for Flexor Hallucis Longus, Flexor Digitorum Longus
Tibial Nerve (S2, S3)
Action of Flexor Hallucis Longus
Great toe Flexion at all joints
Weak ankle plantar flexion
Supports medial longitudinal arch
Flexor Digitorum Longus PA
Posterior tibia, inferior to soleal line
By a broad tendon to fibula
Flexor Digitorum Longus DA
Base of distal phalanges of digits 2-5
Flexor Digitorum Longus Action
Digits 2-5 flexion
Ankle plantar flexion
Supports longitudinal arches
Tibialis Posterior PA
Interosseus membrane
Posterior tibia, inferior to soleal line
Posterior surface of fibula
DA for Tibialis Posterior
Tuberosity of Navicular
Cuneiforms
Cuboid
Sustentaculum tail of calcaneus
Bases of 2nd, 3rd, 4th metatarsals
Tibialis posterior Nerve
Tibial Nerve (L4, L5)
Action of Tibialis Posterior
Ankle plantar flexion
Foot inversion
Maintains medial longitudinal arch
PA Flexor Digitorum Brevis
Medial tubercle of calcaneal tuberosity
Plantar Aponeurosis
Intermuscular Septa
DA Flexor Digitorum Brevis
Both sides of middle phalanges of digits 2-5
Nerve Flexor Digitorum Brevis
Medial plantar nerve (L5, S1)
Action Flexor Digitorum Brevis
Digits 2-5 Flexion at MTP and PIP
PA Quadratus Plantae
Medial calcaneus
DA Quadratus Plantae
Flexor Digitorum longus tendon
Nerve Quadratus Plantae
Lateral Plantar Nerve (S1, S2, S3)
Action Quadratus Plantae
Assists flexor digitorum longus with digits 2-5 flexion at MTP and IP joints
PA Lumbricals
Flexor Digitorum Longus Tendon
DA Lumbricals
Medial Aspect of extensor expansions over digits 2-5
Nerve Lumbricals
Medial one:
Medial Plantar nerve (L5, S1)
Lateral 3:
Lateral plantar nerve (S1, S2, S3)
Action Lumbricals
of digits 2-5…
MTP joint Flexion
PIP and DIP joint extension
PA Adductor Hallucis
Oblique Head:
bases of metatarsals 2-4
Transverse Head:
plantar ligaments of MTP joints
DA Adductor Hallucis
Lateral side of base of proximal phalanx of 1st digit
Nerve Adductor Hallucis
Lateral plantar nerve (S1, S2, S3)
Action Adductor Hallucis
1st digit adduction
assists in maintaining transverse arch by pulling metatarsals medially
PA Flexor Hallucis Brevis
Plantar cuboid and lateral cuneiforms
DA Flexor Hallucis Brevis
Both sides of base of proximal phalanx of 1st digit
Nerve of Flexor Hallucis Brevis
Medial plantar nerve (L5, S1)
Action of Flexor Hallucis Brevis
1st MTP joint Flexion
PA Plantar Interossei (PADs)
Plantar Medial shafts of metatarsals 3-5
DA Plantar Interossei (PADs)
Medial Phalanges of digits 3-5
Nerve of Dorsal Interossei and Plantar Interossei
Lateral plantar nerve (S1, S2, S3)
Action Plantar Interossei (PADs)
Digits 3-5 adduction at MTP joint
PA Dorsal Interossei (DABs)
Adjacent sides of shafts of metatarsals 1-5
DA Dorsal Interossei (DABs)
1st:
Medial side of proximal phalanx of 2nd digit
2nd-4th:
Lateral sides of digits 2-4
Action of Dorsal Interossei (DABs)
Digits 2-4 Abduction at MTP joint