Posterior lower extremity and Hip Flashcards
sacroiliac joint
- the joint between the sacrum and ilium
- It is a highly-stable joint capable of only a small amount of gliding movement.
- This is where the lower extremity meets the spinal column
pubic symphysis
is located between the right and left pubic bones. There is a thick fibrocartilaginous disc between the two pelvic bones at this location.
coxal hip joint
- contains the acetabulum
- contains the iliofemoral, ischiofemoral, and pubofemoral ligaments
- also contains the ligamentum teres
ligamentum teres
- this is the ligament to the head of the femur
- contains the artery to the head of the femur
gluteus maximus
largest and most superficial of the gluteal muscles
- this Extends, laterally rotates, and abducts the hip
- inserts onto the iliotibial tract and the gluteal tuberosity of femur
innervated by inferior gluteal nerve
gluteus medius
- this is just deep to the gluteus maximus
- this Abducts and medially rotates hip
- this inserts at the Greater trochanter of femur
gluteus minimus
this is the deepest and smallest of the gluteal muscles
- this Abducts and medially rotates hip
- this inserts at the Greater trochanter of femur
piriformis
an important lateral rotator of the hip
hamstring muscles
- what the muscles of the posterior thigh are collectively called
- they originate at the ischial tuberosity
- they travel to the medial aspect of the knee
- made of the semitendinosus, the semimembranosus, and the long head of the biceps formis
semitendinosus
- a thinner muscle belly and a longer tendon than the semimembranosus
- It sits just superficial to the semimembranosus
- the long tendon at the inferior side wraps around the knee on the medial side
- extends the hip
- rotates the knee medially
- flexes the knee
- origin: ischial tuberosity
- insertion: pes anserine insertion
semimembranosus
- this has a thicker muscle belly and a shorter tendon than the semitendinosus
- this is more medial and deep than the semitendinosus
- extends the hip
- rotates the knee medially
- flexes the knee
biceps femoris
- has two heads
- the long head and the short head
- the long head is superficial to the long head
- the two heads merge together and insert onto the head of the fibula together
- lateral to the semimembranosis and the semitendinosis
- both cause lateral rotation of the knee and flexion of the knee
- the long head causes hip extension
the long head of the biceps femoris
- this orginates on the ischial tuberosity
- insert onto the fibular head after merging with the short head to form a common tendon
- extends the hip
- works with the short head to flex, and laterally rotate the knee
short head of the biceps femoris
- this originates on the linea aspera
- insert onto the fibular head after merging with the long head to form a common tendon
- causes lateral knee roation
- causes hip flexion
what is part of the gluteal region
- gluteus maximus
- gluteus medius
- gluteus minimus
- piriformis
gastrocnemius
- the most superficial posterior leg muscle
- aids in knee flexion
- it is the primary plantarflexar of the foot
- it’s tendon merges with the soleus’ tendon to insert on the calcaneus bone of the foot
soleus
- sits deep to the gastrocnemius
- inserts on the calcaneus in the calcaneal tendon
- innervated by the tibial nerve
- plantarflexion of the ankle
calcaneal tendon
- the achilles tendon
- this is where the gastrocnemius and the soleus tendons merge
- this inserts onto the calcaneus bone of the foot
plantaris
a small muscle with a tiny muscle belly deep to the gastrocnemius
- not present in all individuals
- this is going across the posterior knee
- has a long thin tendon that travels inferiorly to insert on the calcaneus
- weak knee flexor and weak ankle plantarflexor
superficial posterior compartment of the leg
- this includes the gastrocenemius, soleus, the calcaneal tendon and the plantaris
deep posterior compartment of the leg
- four muscles:
- tibialis posterior
- flexor digitorum longus
- flexor hallucis longus
- popliteus
- *these are all innervated by the tibial nerve
tibialis posterior
this runs along the posterior aspect of the tibia
- this is lateral to flexor digitorum longus and medial to flexor hallucis longus
- its tendon crosses under flexor digitorum longus meaning that it crosses the medial malleolus the most anterior
- plantarflexion of the ankle and inverts the ankle