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)