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Upper Legs & Hips
Muscles of the Upper Legs & Hips
21
Health Care
06/03/2010

Additional Health Care Flashcards

 


 

Cards

Term
Definition

Sartorius 


The Sartorius is a two joint muscle and so is weak when the knee is flexed and the hip is flexed at the same time. It works better during single movements.


Origin

  • Area between the ASIS (Anterior Superior Iliac Spine) and AIIS (Anterior Inferior Iliac Spine)


Insertion

  • Anterior part of the medial condyle of the tibia


Actions

  • Flexion of the hip 
  • Flexion of the knee
  • External rotation of the hip as it flexes the hip and knee
  • Abducts the hip


Daily uses

  • Sitting in a cross-legged position

Term
Definition

Adductor Brevis

 

Adductor Brevis is the smallest and shortest (hence the name brevis, meaning short in latin) of the three short adductor muscles. Groin strains are common injuries to the adductor muscles, which occur without a thorough warm-up or in individuals with chronically tight or weak adductor muscles.

 

Origin

  • Inferior ramus of the pubic bone


Insertion

  • Upper part of the linea aspera of the femur


Actions

  • Hip adduction
  • Hip flexion


Daily uses

  • Bringing your second leg into the car


Term
Definition

Adductor Longus

 

Adductor Longus is the middle of the three short adductor muscles. Groin strains are common injuries to the adductor muscles, which occur without a thorough warm-up or in individuals with chronically tight or weak adductor muscles

 

Origin

  • Superior pubic ramus, just below the crest


Insertion

  • Middle third of the linea aspera of the femur


Actions

  • Hip adduction
  • Hip flexion


Daily uses

  • Bringing your second leg into the car

 

 

Term
Definition

Adductor Magnus

 

Adductor Magnus is the largest groin muscle and is one of the two long adductor muscles (gracilis is the other). It is usually decribed as having two parts, hamstring and adductor parts.


Origin

  • Adductor head: Inferior ramus of pubis and ischial ramus
  • Hamstring head: Ischial tuberosity


Insertion

  • Adductor head: Gluteal tuberosity, linea aspera and proximal supracondylar line
  • Hamstring head: Adductor tubercle of the femur


Actions

  • Adductor head: Adducts and flexes hip 
  • Hamstring head: Extends hip


Daily uses

  • Bringing your second leg into the car

 

 

Term
Definition

Biceps Femoris

 

Biceps Femoris is one of the three muscles which form the hamstring group forming the back of the thigh. The muscle is often described as having a long head (the attachment from the ischium) and a short head (attached to the femur).


Origin

  • Tuberosity of the ischium
  • Lower1/2 of the linea aspera of the femur
  • Lateral supracondylar ridge


Insertion

  • Lateral condyle of the tibia
  • Head of the femur


Actions

  • Hip extension 
  • Knee flexion
  • Lateral rotation of the hip when the knee is flexed


Daily uses

  • Bending the knee to step over something

 

 

Term
Definition

Superior Gemellus

 

Origin:

Ischial spine

 

Insertion:

Medial surface of greater trochanter of femur, in common with obturator internus

 

Action:

Rotates the thigh laterally; also helps abduct the flexed thigh

Term
Definition

Gluteus Maximus

 

Gluteus Maximus is the largest and most superficial of the three gluteal muscles which forms the rounded shape of the buttocks.


Origin

  • Posterior crest of the ilium
  • Posterior surface of the sacrum


Insertion

  • Gluteal tuberosity of the femur
  • Iliotibial band (ITB)


Actions

  • Hip extension 
  • External rotation of the hip


Daily uses

  • Extension phase of walking upstairs

Term
Definition

Gluteus Medius

 

Gluteus Medius is an important muscle in controlling the level of the hips. Weaknesses in gluteus medius often result in a trendelenburg sign, an abnormal gait cycle where the hip of the swinging leg drops down, rather than raises up. This results in increased degrees of knee flexion in order to clear the ground.


Origin

  • Outer surface of the ilium, just below the crest


Insertion

  • Greater trochanter of the femur


Actions

  • Hip abduction 
  • Posterior fibres externally rotate the hip
  • Anterior fibres internally rotate the hip


Daily uses

  • Stepping sideways out of the bath

Term
Definition

Gluteus Minimus

 

This is the smallest of the three gluteal muscles and sits underneath the gluteus medius.


Origin

  • Outer surface of the ilium, below the origin of Gluteus medius


Insertion

  • Greater trochanter of the femur


Actions

  • Hip abduction 
  • Internal rotation of the hip


Daily uses

  • Getting out of a car

Term
Definition

Gracilis

 

Origin

  • Lower pubic body, near the pubic symphesis


Insertion

  • Upper medial surface of the tibia (pes anserine insertion)


Actions

  • Adducts hip 
  • Flexes knee
  • Internally rotates the hip when the knee is flexed


Daily uses

  • Sitting with the knees pressed together

 

 

Term
Definition

Obturator Internus

 

 

Origin:      Internal surface of obturator membrane and posterior bony margins of obturator foramen

 

Insertion: Medial surface of greater trochanter of femur, in common with superior and inferior gemelli

 

Action:     Rotates the thigh laterally; also helps abduct the thigh when it is flexed

Term
Definition

Obturator Externus

 

 

Origin:      External surface of obturator membrane and anterior bony margins of obturator foramen

 

Insertion: Posteromedial surface of greater trochanter of femur

 

Action:     Rotates the thigh laterally; also helps adduct thigh

Term
Definition

Pectineus

 

Pectineus is positioned between the Iliopsoas and Adductor Longus muscles and is part of the short adductor group with adductors brevis and longus.


Origin

  • Upper front of the pubic bone


Insertion

  • Upper medial shaft of the femur, inferior to the lesser trochanter


Actions

  • Hip adduction
  • Hip flexion


Daily uses

  • Kicking a football

Term
Definition

Piriformis

 

The Piriformis muscle is an important muscle. The sciatic nerve passes underneath this muscle on its route down to the posterior thigh. In some individuals the nerve can actually pass right through the muscle. This can lead to sciatica symptoms due to a condition known as piriformis syndrome


Origin

  • Anterior surface of the lateral sacrum


Insertion

  • Greater trochanter of the femur


Actions

  • External rotation of the hip 
  • Hip abduction


Daily uses

  • Taking the first leg out of the car

Term
Definition

Quadratus Femoris

 

Origin: Lateral margin of obturator ring above ischial tuberosity

 

Insertion: Quadrate tubercle and adjacent bone of intertrochanteric crest of proximal posterior femur

 

Action: Rotates the hip laterally; also helps adduct the hip

Term
Definition

Rectus Femoris 


The Rectus Femoris muscle is part of the Quadriceps muscle group. It is the only muscle of the group which crosses the hip joint and is a powerful knee extensor when the hip is extended, but is weak when the hip is flexed.


Origin

  • Anterior Inferior Iliac Spine (AIIS)


Insertion

  • Top of the patella and the patella tendon to the tibial tuberosity


Actions

  • Flexion of the hip 
  • Extension of the knee


Daily uses

  • Kicking a football

Term
Definition

Semimembranosus 


Semimembranosus is the most medial of the three hamstring muscles. Chronically tight hamstrings are often a contributary factor to lower back pain andknee pain.


Origin

  • Ischial tuberosity


Insertion

  • Posterior part of the medial condyle of the tibia


Actions

  • Hip extension 
  • Knee flexion
  • Internal rotation of the hip when the knee is flexed

Daily uses

  • Bending the knee to step over something

Term
Definition

Semitendinosus 


When running the hamstrings act eccentrically to slow down the knee extension motion. Hamstring strains are common in individuals with chronically tight hamstrings or who do not warm-up thoroughly.


Origin

  • Ischial tuberosity


Insertion

  • Upper medial surface of the tibia


Actions

  • Hip extension 
  • Knee flexion
  • Internal rotation of the hip when the knee is flexed

Daily uses

  • Bending the knee to step over something

Term
Definition

Tensor Fasciae Latae

 

 The Tensor Fasciae Latae is a small muscle which attaches inferiorly to the long thick strip of fascia, known at the iliotibial band (ITB).


Origin

  • Anterior Iliac crest and ilium


Insertion

  • Lateral condyle of the tibia via the Iliotibial band


Actions

  • Flexion of the hip 
  • Hip abduction


Daily uses

  • Keeping one foot in front of the other when walking

Term
Definition

Iliacus

 

Origin:

Upper 2/3 of iliac fossa of ilium, internal lip of iliac crest, lateral aspect of sacrum, ventral sacroiliac ligament, and lower portion of iliolumbar ligament

 

Insertion:

Lesser trochanter

 

Action:

Flex the torso and thigh with respect to each other

Term
Definition

Psoas 


Origin

  • Inner surface of the Ilium
  • Base of the sacrum
  • Sides of the bodies of T12-L5


Insertion

  • Lesser trochanter of the femur


Actions

  • Flexion of the hip 
  • Lateral rotation of the hip 
  • Flexes torso when the legs are fixed (e.g. laying to sitting)


Daily uses

  • Climbing a step