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XXVII. Muscles Crossing the Hip & Knee Joints
Unit 3: Week 11 & 12
29
Anatomy
Undergraduate 2
11/07/2013

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Term
Anterior Muscles that originate on pelvis
Definition

Cross the hip joint; attach lower extremity to pelvic girdle

  • Iliopsoas (Iliacus & Psoas Major)
  • Sartorius
Term
Anterior Compartment Muscles of the Thigh
Definition

Quadriceps (except *);

  • Rectus Femoris
  • Vastus Lateralis
  • Vastus Medialis
  • Vastus Intermedius
  • *Tensor Fascia lata
Term
Medial Compartment Muscles of the Thigh
Definition

Originate on pelvis; Groin injuries involve these muscles

  • Adductor Magnus
  • Adductor Longus
  • Adductor Brevis
  • Pectineus
  • Gracilis

Forceful adduction is NOT a common action, so the more important action of these muscles is their role in posture and gait (stabilize thigh during walking, running, etc...)

Term
Iliacus (Origin, Insertion, Innervation, & Action)
Definition

Anterior pelvic muscle; part of Iliopsoas

O: Iliac fossa

I: Lesser trochanter of femur via iliopsoas tendon

N: Femoral Nerve

A: Hip (thigh) flexion; trunk flexion; stabilizes hip joint

 

Term
Psoas Major (Origin, Insertion, Innervation, & Action)
Definition

Anterior pelvic muscle; part of Iliopsoas;

O: Transverse processes, bodies and discs of lumbar vertebrae and T12-L5

I: Lesser trochanter of femur via iliopsoas tendon

N: Ventral Rami L1-L3

A: Flexes thigh and trunk

Term
Sartorius (Origin, Insertion, Innervation, & Action)
Definition

Most superficial muscle in anterior thigh; ribbon-like (thin and not strong; passes obliquely from lateral to medial across thigh; longest muscle in body; forms part of pes anserinus;

O: Anterior superior iliac spine

I: Upper medial tibia

N: Femoral nerve

A: Flexes, abducts and laterally rotates thigh; flexes leg

Term
Rectus Femoris (Origin, Insertion, Innervation, & Action)
Definition

Anterior compartment muscle of thigh; kicking muscle; quadriceps muscle;

O: Anterior inferior iliac spine, rim of acetabulum

I: Patella and tibia tuberosity via patellar ligament

N: Femoral Nerve

A: Extends leg at knee joint; flexes thigh at hip joint (synergistic to iliopsoas)

Term

Vastus Lateralis (Origin, Insertion, Innervation, & Action)

Definition

Anterior compartment muscle of thigh; largest component of quadriceps;

O: Greater trochanter, intertrochanteric line, linea aspera

I: Patella and tibia tuberosity via patellar ligament

N: Femoral nerve

A: Extends leg at knee joint

Term
Vastus Medialis (Origin, Insertion, Innervation, & Action)
Definition

Anterior compartment muscle of thigh; Quadriceps muscle

O: Linea aspera, intertrochanteric line

I: Patella and tibia tuberosity via patellar ligament
N: Femoral nerve

A: Extends leg at knee joint

 

Term
Vastus Intermedius (Origin, Insertion, Innervation, & Action)
Definition

Anterior Compartment Muscle of Thigh; Quadriceps muscle; lies deep to Rectus Femoris;

O: Anterior and lateral surfaces of proximal femur shaft

I: Tibia tuberosity via Patellar ligament

N: Femoral Nerve

A: Extends Knee

Term
Tensor Fascia Lata (Origin, Insertion, Innervation, & Action)
Definition

Anterior Compartment Muscle of Thigh; NOT quad muscle;

O: Anterior aspect of ilac crest and anterior superior iliac spine

I: via iliotibial tract/band (into lateral tibia)

N: Superior Gluteal Nerve

A: Flexes thigh (synergistic with iliopsoas), abducts and rotates thigh medially; steadies trunk by making iliotibial tract taut (tense)

Term
Adductor Magnus (Origin, Insertion, Innervation, & Action)
Definition

Medial Compartment Muscle of Thigh; largest and most deeply placed of adductors

O: Ischial and pubic rami (oblique fibers) and ischial tuberosity (vertical/medial fibers)

I: Linea aspera (oblique fibers) and adductor tubercle of femur (most medial fibers)

N: Obturator (oblique fibers) and sciatic (tibial) nerves (medial fibers)

A: Adduction and medial rotation of thigh; active in gait and posture; medial fibers extend thigh

Term
Adductor Longus (Origin, Insertion, Innervation, & Action)
Definition

Medial Compartment Muscle of Thigh; narrow triangular muscle; most anterior of adductor group;

O: Pubis (near pubic symphysis)

I: Linea aspera of femur

N: Obturator Nerve

A: Adducts, medially rotates, and flexes thigh; stabilize thigh during gait

Term
Adductor Brevis (Origin, Insertion, Innervation, & Action)
Definition

Medial Compartment Muslce of Thigh; deep to adductor longus; thinner and smaller than longus;

O: Body and inferior ramus of pubis

I: Linea aspera (above adductor longus)

N: Obturator nerve (nerve splits into anterior and posterior division around this muscle)

A: Adducts, medially rotates and flexes thigh; stabilize thigh during gait

Term
Pectineus (Origin, Insertion, Innervation, & Action)
Definition

Medial Compartment Muscle of the Thigh; located more laterally than other adductors;

O: Pectineal line of pubis (and superior ramus)

I: Inferior on lesser trochanter, the pectineal line of femur
N: Femoral nerve
A: Adducts and flexes thigh; can assist in medial rotation

Term
Gracilis (Origin, Insertion, Innervation, & Action)
Definition

Medial Compartment Muscle of Thigh; long, strap-like; lies superficially on medial side of thigh; only adductor to cross knee; forms part of pes anserinus on medial side

O: Inferior ramus and body of pubis

I: Upper medial surface of tibia (via pes anserinus)

N: Obturator nerve

A: Adducts thigh at hip joint; flexes leg at knee joint

Term
Posterior Muscles that originate on pelvis
Definition

Gluteal Muscles: extend, abduct, & laterally rotate thigh

  • Gluteus Maximus
  • Gluteus Medius
  • Gluteus Minimus

Lateral Rotator Muscles of thigh:

  • Piriformis
  • Obturator Externus
  • Obturator Internus
  • Gemellus Superior & Inferior
  • Quadratus Femoris
Term
Posterior Compartment Muscles of the Thigh
Definition

Hamstring Muscles; Extensors of thigh and flexors of leg; Innervated by Sciatic nerve EXCEPT for biceps short head;

  • Biceps Femoris (long head/short head)
  • Semitendinosus
  • Semimembranosus
Term
Gluteus Maximus (Origin, Insertion, Innervation, & Action)
Definition

Gluteal Muscles; originates on pelvis;

O: Dorsal ilium, sacrum, coccyx, & sacrotuberous ligament

I: Gluteal tuberosity of femur & iliotibial tract/band

N: Inferior Gluteal Nerve

A: Major extensor of thigh & thigh lateral rotation

Term
Gluteus Medius (Origin, Insertion, Innervation, & Action)
Definition

Gluteal Muscles; originates on pelvis;

O: Between anterior and posterior gluteal lines

I: Lateral aspect of greather trochanter of femur

N: Superior Gluteal Nerve

A: Abduct and Medially Rotate thigh (anterior fibers); Extend and Laterally Rotate thigh (posterior fibers); Important in walking- prevents unsupported limb from dragging on ground by keeping pelvis level

Term
Gluteus Minimus (Origin, Insertion, Innervation, & Action)
Definition

Gluteal Muscles; originates on pelvis;

O: Between anterior and inferior gluteal lines

I: Anterior border of greater trochanter of femur

N: Superior Gluteal Nerve

A: Abduct thigh and rotate it medially; Important in walking- prevents unsupported limb from dragging on ground by keeping pelvis level

Term
Piriformis (Origin, Insertion, Innervation, & Action)
Definition

Lateral Rotator of Thigh; originates on pelvis;

O: Anterior surface of sacrum

I: Superior border of greater trochanter of femur

N: L5, S1, & S2 (Ventral Rami)

A: Rotates thigh laterally, abducts thigh

Term
Obturator Internus (Origin, Insertion, Innervation, & Action)
Definition

Lateral Rotator of Thigh; originates on pelvis;

O: Inner surface of obturator membrane and margins of obturator foramen (pelvis)

I: Greater trochanter of femur (between S & I gemellus)

N: L5 and S1 (Ventral Rami)

A: Rotates thigh laterally

Term
Gemellus Superior & Inferior (Origin, Insertion, Innervation, & Action)
Definition

Lateral Rotator of Thigh; originates on pelvis;

O: Ischial spine (Gem. S); ischial tuberosity (Gem. I)

I: Greater Trochanter of femur (Common attachment with obturator internus)

N: L5 and S1 (Ventral Rami)

A: Rotates thigh laterally

Term
Quadratus Femoris (Origin, Insertion, Innervation, & Action)
Definition

Lateral Rotator of Thigh; originates on pelvis;

O: Ischial tuberosity

I: Greater trochanter of femur

N: L5 and S1 (Ventral Rami)

A: Rotates thigh laterally

Term
Obturator Externus (Origin, Insertion, Innervation, & Action)
Definition

Lateral Rotator of Thigh; originates on pelvis;

O: Outer surface of obturator membrane and margins of obturator foramen

I: Trochanteric fossa

N: Obturator Nerve

A: Rotates thigh laterally (also helps stabilize head of femur into acetabulum)

Term
Biceps Femoris: Short & Long head (Origin, Insertion, Innervation, & Action)
Definition

Posterior Thigh; Hamstrings; a border of popliteal fossa;

O: Ischial tuberosity (long head); linea aspera and distal femur (short head)

I: Common tendon; inserts into head of fibula and lateral condyle of tibia

N: Sciatic Nerve: tibial nerve branch (long head); common fibular branch (short head)

A: Extends thigh and flexes knee; laterally rotates leg when knee is flexed

Term
Semitendinosus (Origin, Insertion, Innervation, & Action)
Definition

Posterior Thigh; Hamstrings; a border of popliteal fossa; part of pes anserinus;

O: Ischial tuberosity (with long head of biceps femoris)

I: Medial aspect of upper tibial shaft

N: Sciatic Nerve (Tibial branch)

A: Extends thigh at hip, flexes knee, and medially rotates leg when flexed

Term
Semimenbranosus (Origin, Insertion, Innervation, & Action)
Definition

Posterior Thigh; Hamstrings; a border of popliteal fossa;

O: Ischial tuberosity

I: Medial condyle of tibia (forms oblique popliteal lig.)

N: Sciatic Nerve (tibial branch)

A: Extends thigh and flexes knee; slight medial rotation of leg when knee is flexed

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