Unit 4 Lower Extremity Flashcards
Glut max origin
Ilium posterior to posterior gluteal line; dorsal surface of sacrum and coccyx; sacrotuberous ligament
Glut max insertion
Most fibers end in iliotibial tract (lateral condyle of tibia); some insert on gluteal tuberosity
Glut max innervation
Inferior gluteal L5, S1, S2
Glut max action
Extends thigh (from flexed position) and laterally rotates; steadies thigh , assists in rising from sitting position
Glut med origin
External surface of ilium between anterior and posterior gluteal line
Glut med insertion
Lateral surface of greater trochanter of femur
Glut med innervation
Superior gluteal nerve L5, S1
Glut med action
Abduct and medially rotate thigh; keeps pelvis level when same side limb is weight bearing and advance unsupported side in swing phase
Glut min origin
External surface of ilium between anterior and inferior gluteal lines
Glut min insertion
Anterior surface of greater trochanter of femur
Glut min innervation
Superior gluteal nerve L5, S1
Glut min action
Abduct and medially rotate thigh; keeps pelvis when same side limb is weight bearing and advance unsupported side in swing phase
Tensor fascia latae origin
ASIS; anterior part of iliac crest
TFL insertion
Iliotibial tract (lateral condyle of tibia)
TFL innervation
Superior gluteal nerve L5, S1
TFL action
Abduct and medially rotate thigh; keeps pelvis level when same side limb is weight bearing and advances unsupported side in swing phase
Piriformis origin
Anterior surface of sacrum; sacrotuberous ligament
Piriformis insertion
Superior border of greater trochanter of femur
Piriformis innervation
Branches of anterior rami S1, S2
Piriformis action
Laterally rotate extended thigh and abduct flexed thigh; steady femoral head in acetabulum
Obturator internus origin
Pelvis surface of obturator membrane and surrounding bones
Obturator internus insertion
Medial surface of greater trochanter (trochanteric fossa) of femur
Obturator internus innervation
Nerve to obturator internus L5, S1
Obturator internus action
Laterally rotate extended thigh and abduct flexed thigh; steady femoral head in acetabulum
Superior and inferior gemelli origin
Superior: ischial spine
Inferior: ischial tuberosity
Superior and inferior gemelli insertion
Medial surface of greater trochanter (trochanteric fossa) of femur
Superior gemelli innervation
Nerve to obturator internus L5, S1
Inferior gemelli innervation
Nerve to quadratus femoris L5, S1
Superior and inferior gemelli action
Laterally rotate extended thigh and abduct flexed thigh; steady femoral head in acetabulum
Quadratus femoris origin
Lateral border of ischial tuberosity
Quadratus femoris insertion
Quadratus tubercle on intertrochanteric crest of femur and area inferior to it
Quadratus femoris origin
lateral surface of ishcial tuberosity
quadratus femoris insertion
quadrate tubercle on intertrochanteric crest of femur, and area inferior to it
quadratus femoris innervation
nerve to quadratus femoris L5 S1
quadratus femoris action
laterally rotates thigh, steadies FA in acetabulum
biceps femoris origin: LONG HEAD
ischial tuberosity
biceps femoris origin: SHORT HEAD
linea aspera and lateral supracondylar line of femur
biceps femoris insertion
lateral side of head of fibula; tendon spilt here by LCL
biceps femoris innervation LONG HEAD
tibial division of sciatic nerve L5 S1 S2
biceps femoris innervation SHORT HEAD
common peroneal division of sciatic nerve L5 S1 S2
biceps femoris action
flexes leg and laterally rotates it when knee is flexed; extends thigh (accelerating mass during first step of gait)
semitendinosus origin
ischial tuberosity
semitendinosus insertion
pes anserine (medial surface of superior part of tibia)
semitendinosus innervation
tibial division of sciatic nerve L5 S1 S2
semitendinosus action
extends thigh; flex leg and rotate it medially when knee is flexed. When thigh and leg are flexed, these muscles can extend the trunk
semimembranosus origin
ishchial tuberosity
semimembranosus insertion
posterior part of medial condyle of tibia; reflected attachment forms oblique popliteal ligament
semimembranosus innervation
tibial division of sciatic nerve L5 S1 S2
semimembranosus action
extends thigh; flexes leg and rotates it medially when knee is flexed
adductor magnus origin
ADD part: inferior ramus of pubis, ramus of ischium
HAM part: ischial tuberosity
adductor magnus insertion ADD part
gluteal tuberosity, linea aspera, supracondylar line
adductor magnus insertion HAM part
adductor tubercle of femur
adductor magnus innervation ADD part
obturator nerve L2 L3 L4 branches of posterior division
adductor magnus innervation HAM part
tibial part of sciatic nerve L4
adductor magnus action
adducts thigh
ADD: flexes thigh
HAM: extends thigh
adductor longus origin
body of pubis inferior to pubic crest
adductor longus insertion
middle third of linea aspera femur
adductor longus innervation
obturator nerve branch of anterior division L2 L3 L4
adductor longus action
adducts thigh
adductor brevis origin
body and inferior ramus of pubis
adductor brevis insertion
pectineal line and proximal part of linea aspera of femur
adductor brevis innervation
obturator nerve L2 L3
adductor brevis action
adducts thigh; some extent flexes
gracilis orign
body and inferior ramus of pubis
gracilis insertion
pes anserine (superior part of medial surface of tibia)
gracilis innervation
obturator nerve L2 L3
gracilis action
adducts thigh; flexes leg; helps rotate leg medially
obturator externus origin
margins of obturator foramen and obturator membrane
obturator externus insertion
trochanteric fossa of femur
obturator externus innervation
obturator nerve L3 L4
obturator externus action
laterally rotates thigh; steadies FA in acetabulum
psoas major origin
sides of T12- L5 vertebrae and discs between; transverse processes of lumbar vertebrae
psoas major insertion
lesser trochanter of femur
psoas major innervation
anterior rami of lumbar nerves L1 L2 L3
psoas major action
act conjointly in flexing thigh at hip joint and in stabilizing this joint
psoas minor origin
sides of T12- L1 vertebrae and IVD
psoas minor insertion
***pectineal line, pectineal eminence via iliopectineal arch
psoas minor innervation
anterior rami of lumbar nerves L1 L2
psoas minor action
act conjointly in flexing thigh at hip and in stabilizing this joint
iliacus origin
iliac crest, iliac fossa, ala of sacrum and anterior sacro-iliac ligaments
iliacus insertion
tendon of psoas major, lesser trochanter and femur distal to it
iliacus innervation
femoral nerve L2 L3
iliacus action
acts conjointly in flexing thigh at hip and stabilizing this joint
sartorius origin
ASIS and superior part of notch inferior to it
sartorius insertion
superior of medial surface of tibia (pes anserine)
sartorius innervation
femoral nerve L2 L3
sartorius action
flexes abducts and laterally rotates thigh at hip joint; flexes leg at knee joint (medially rotating leg when knee is flexed)
pectineus orign
superior ramus of pubis
pectineus insertion
pectineal line of femur, just inferior to lesser trochanter
pectineus innervation
femoral nerve L2 L3 (may receive branch of obturator nerve)
pectineus action
adducts and flexes thigh; assists with medial rotation of thigh
rectus femoris origin
AIIS and ilium superior to acetabulum
rectus femoris insertion
Quad tendon and independent attachments to base of patella; indirectly patellar ligament to tibial tuberosity
rectus femoris innervation
femoral nerve L2 L3 L4
rectus femoris action
extends leg at knee joint; steadies hip joint and helps iliopsoas flex thigh
vastus lateralis origin
greater trochanter and lateral lip of linea aspera of femur
vastus lateralis insertion
quad tendon and independent attachment to base of patella; indirectly to patellar lig. to tibial tuberosity;
tibia and patella via aponeurosis
vastus lateralis innervation
femoral nerve L2 L3 L4
vastus lateralis action
extends the leg at knee joint; helps ilipsoas flex thigh and steadies hip joint
vatsus medialis origin
intertrochanteric line and medial lip of linea aspera of femur
vastus medialis insertion
quad tendon and independent attachment to base of patella; indirectly to patellar ligament to tibial tuberosity;
tibia and patella via aponeurosis
vastus medialis innervation
femoral nerve L2 L3 L4
vastus medialis action
extends leg at knee joint; steadies hip and helps iliopsoas flex thigh
vastus intermedius origin
anterior and lateral surfaces of shaft of femur
vastus intermedius insertion
quad tendon and independent attachments to the base of the patella; indirectly to patellar ligament and tibial tuberosity; tibia and patella via aponeurosis
vastus intermedius innervation
femoral n L2 L3 L4
vastus intermedius action
extends leg at knee joint, stabilizes hip joint and help iliopsoas flex thigh
articularis genu origin
supero-inferiorlu attaches to the anterior aspect of femur
articularis genu insertion
inferior to synovial membrane of knee joint and suprapatellar bursa
articularis genu innervation
femoral nerve L2 L3 L4
articularis genu action
pulls the synovial membrane superiorly during extension of the leg
tibialis anterior origin
lateral condyle and superior half of lateral surface of tibia and interosseous membrane
tibialis anterior insertion
medial and inferior surfaces of medial cuneiform and base of 1st metatarsal
tibialis anterior innervation
deep fibular nerve L4 L5
tibialis anterior action
dorsiflexes ankle and inverts foot
extensor hallucis longus origin
middle part of anterior surface of fibula and interosseous membrane
EHL insertion
dorsal aspect of base of distal phalanx of great toe
EHL innervation
deep fibular nerve L4 L5
EHL action
extends great toe and dorsiflexes ankle
extensor digitorum longus origin
lateral condyle of tibia and superior 3/4 of medial surface of fibula and interosseous membrane
EDL insertion
middle and distal phalanges of lateral four digits
EDL innervation
deep fibular nerve L4 L5
EDL action
extends lateral four digits and dorsiflexes ankle
Peroneus tertius* origin
inferior third of anterior surface of fibula and interosseous membrane
Peroneus tertius insertion
dorsum of base of 5th metatarsal
Peroneus tertius innervation
deep fibular nerve L4 L5
Peroneus tertius action
dorsiflexes ankle and aids in eversion of the foot; perception
peroneus longus origin
head and superior 2/3 of lateral surface of fibula
peroneus longus insertion
base of 1st metatarsal and medial cuneiform
peroneus longus innervation
superficial fibular nerve L5 S1 S2
peroneus longus action
everts foot and weakly PF’s; perception
peroneus brevis origin
inferior two thirds of lateral surface of fibula
peroneus brevis insertion
dorsal surface of tuberosity of 5th metatarsal (lateral side of base)
peroneus brevis innervation
superficial fibular nerve L5 S1 S2
peroneus brevis action
everts foot and weakly plantarflexes ankle; percpetion
gastrocnemius origin
Lateral head: lateral aspect of lateral condyle on femur
Medial head: popliteal surface of femur; superior to medial condyle
gastroc insertion
posterior surface of calcaneus via calcaneal tendon
gastroc nerve
tibial nerve S1 S2
gastroc action
plantarflexes ankle when knee is extended; raises heel during walking; flexes leg at knee joint
soleus origin
posterior aspect of head and superior 1/4 of posterior surface of fibula; soleal line and middle third of medial border of tibia; and tendinous arch extending between the boney attachments
soleus insertion
posterior surface of calcaneus via calcaneal tendon
soleus innervation
deep fibular nerve S1 S2
soleus action
plantarflexes ankle independent of position of knee; steadies leg on foot
plantaris origin
inferior end of lateral supracondylar line of femur and oblique popliteal ligament
plantaris insertion
posterior surface of calcaneus via calcaneal tendon
plantaris nerve
tibial S1 S2
plantaris action
weakly assists gastroc in PF
popliteus origin
lateral surface of lateral condyle of femur and lateral meniscus
popliteus insertion
posterior surface of tibia; superior to soleal line
popliteus innervation
tibial nerve L4 L5 S1
popliteus action
weaklu flexes knee and unlocks it by rotating femur 5 degrees on fixed tibia; medially rotates tibia of unplanted limb
flexor hallucis longus origin
inferior 2/3 of posterior surface of fibula; inferior part of IO
FHL insertion
base of distal phalanx of great toe
FHL innervation
tibial nerve S2 S3
FHL action
flexes great toe at all joints; weak PF of ankle; supports medial longitudinal arch of foot
flexor digitorum longus origin
medial part of posterior surface of tibia inferior to soleal line; by broad tendon to fibula
FDL insertion
base of distal phalanges of lateral four digits
FDL innervation
tibial nerve S2 S3
FDL action
flexes lateral four digits; PF ankle; supports longitudinal arch of foot
tibialis posterior origin
IO; posterior surface of tibia inferior to soleal line; posterior surface of fibula
tibialis posterior insertion
tuberosity of navicular, cuneiform, cuboid, and sustentaculum tali of calcaneus; bases of 2nd 3rd and 4th metatarsals
tibialis posterior innervation
tibial nerve L4 L5
tibialis posterior action
plantarflexes ankle; inverts foot