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Muscles of the lower extremity and lower part of trunk

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MUSCLE
ORIGIN
INSERTION
INNERVATION
ACTION(S)
Rectus Abdominis   Pubic symphysis & pubic crest   Xiphoid process and 5-7 costal cartilage   N/A (rec)   Flexes trunk (lumbar) and compress abdominal viscera; stabilizes and controls pelvis tilt  
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Pyramidalis   Anterior surface of pubis and anterior pubic ligament   Linea alba   N/A (pyr)   Tenses linea alba  
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Serratus posterior superior   Lower part of ligamentum nuchae & spinous processes of C7-T2/3   2nd-5th ribs   First 3 or 4 intercostal nerves   Assists in elevating ribs, increasing size of thorax  
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Serratus posterior inferior   T11 - L2 spinous processes   9th - 12th ribs   9th - 12th intercostal nerves   Draws lower ribs downwards to enlarge thoracic cavity & stabilize ribs against pull of diaphragm  
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Splenius capitis   Lower half of ligamentum nuchae & spinous process of C7 & T1-T3/4   Mastoid process and occipital bone   Dorsal rami of middle & inferior cervical spinal nerves   Unilateral: rotates head and cervical spine towards same side of the muscle Bilateral: assist in extension of head and neck  
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Splenius cervicis   Spinous processes of T3 - T6   Transverse processes of C1 & C2-C4   Dorsal rami of middle & inferior cervical spinal nerves   Unilateral: rotates head and cervical spine toward same side of the muscle Bilateral: assist in extension of head and neck  
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Erector spinae   Posterior surface of sacrum, iliac crest, and spinous processes of T11 - L5   Split into subgroups - next   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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1. Iliocostalis lumborum   Iliac crest and sacrum   Slips into lower 6/7 ribs   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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1. Iliocostalis thoracis   Upper border of lower 6/7 ribs (medial to IL insertion)   Lower borders of upper 6 ribs   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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1. Iliocostalis cervicis   Angles of upper 6 ribs (medial to IT insertion)   Transverse processes of C4-C6   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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2. Longissimus thoracis   Common tendon of erector spinae   Lower 9 or 10 ribs and adjacent transverse processes   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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2. Longissimus cervicis   Transverse processes of T1 - T4/6   Transverse processes of C2-C6   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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2. Longissimus capitis   Medial to superior end of cervicis   Mastoid process (lateral)   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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3. Spinalis thoracis   Common tendon and spinous processes of T11 - L2   Upper thoracic spinous processes (T1 - T4)   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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3. Spinalis cervicis   Ligamentum nuchae and spinous processes of C7 - T1/2   Spinous processes of axis (maybe 3/4)   Dorsal rami of spinal nerves   Extends thoracic vertebral column  
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3. Spinalis capitis   Not a separate muscle - medial part of the semispinalis capitis   N/A   N/A   N/A  
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Transversospinalis Muscles (TM): Semispinalis capitis   Transverse processes of T1-T6/7 and articular process of lower cervical vertebrae   Occipital bone   N/A(sem cap)   Extend head (keep head upright)  
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TM: Semispinalis cervicis   Transverse processes of T1-T5/6   Spinous processes of C2-C5 (mostly C2)   N/A (sem cer)   Extend spine  
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TM: Semispinalis thoracis   Transverse processes of T7 - T12   Spinous processes of C6 - T4   N/A (sem tho)   Extend spine  
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Deep to semispinalis muscles   Sacrum and transverse processes of lumbar to lower cervical vertebrae   Spinous processes of lumbar vertebrae to C2   N/A (deep)   Bilaterally: extend spine Unilaterally: rotate spine towards opposite side and lateral flexion  
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Rotatores (Rotators)   Single transverse process   Singles spinous process   N/A (rot)   Rotate and extend spine  
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Anterior group of leg   N/A   N/A   Femoral nerve   Flexion at hip and extension at knee  
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Medial/Adductor group of leg   N/A   N/A   Obturator nerve   Adduction and flexion of thigh  
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Posterior group of leg   N/A   N/A   Sciatic nerve   Extension at hip and flexion at knee  
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Ant: Sartorius   ASIS (anterior superior iliac spine)   Medial surface of shaft of tibia (below tibial tuberosity)   Femoral nerve   Flexion at the hip, flexion at the knee, lateral rotation of thigh & (abduction of thigh)  
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Ant: Tensor fascia lata   Iliac crest   Iliotibial tract   Superior gluteal nerve   Assist in flexion of thigh at hip and medially rotates thigh as it flexes (occurs during locomotion - swing phase)  
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Ant: Rectus femoris   Anterior inferior iliac spine and ilium above acetabulum   Upon patella and through patellar ligament to tibial tuberosity   Femoral nerve   Extension of leg at knee, only quadriceps to cross hip joint and so it flexes thigh at hip too  
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Ant: Vastus medialis   Medial lip of linea aspera (posterior) and lower part of intertochanteric line (anterior)   Patella (pulls through patellar ligament)   Femoral nerve   Extend the leg at the knee  
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Ant: Vastus lateralis   Lateral lip of linea aspera (posterior) and intertochanteric line (anterior)   Patella (pulls though patellar ligament)   Femoral nerve   Extend the leg at the knee  
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Ant: Vastus intermedialis   Anterior and lateral surface of femur shaft   Patella (pulls through patellar ligament)   Femoral nerve   Extend the leg at the knee  
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Ant: Articularis genus   Distal part of anterior femoral surface   Upper part of synovial membrane of knee joint   Nerve to vastus intermedius   Draws synovial membrane upwards as leg extends (to prevent it from getting pinched in between the two bones)  
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Ant: Psoas major   Anteriolateral aspect of lumbar vertebral bodies and transverse processes of lumbar vertebrae   Lesser trochanter (medial surface of thigh)   L2-L4 ventral rami   Strong flexor at hip  
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Ant: Iliacus   Inner surface of ilium   Lesser trochanter (medial surface of thigh)   Femoral nerve   Strong flexor at hip  
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Med: Pectineus   Superior ramis of pubis   Femur below lesser trochanter   Usually femoral, sometimes obturator   Flex and adduct thight at hip (during swing phase, helps keeps leg in line - natural to step medially)  
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Med: Adductor longus   Pubic tubercle   Medial lip of linea aspera   Obturator nerve   Adducts and flexes thigh  
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Med: Adductor brevis   Body and inferior ramus of pubis   Lower part of line between lesser trochanter and linea aspera & upper portion of linea aspera   Obturator nerve   Flex and adduct thigh  
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Med: Adductor magnus   Inferior ramus of pubis, ramus of ischium, and ischial tuberosity   Entire length of the linea aspera, adductor tubercle (from ischial tuberosity)   Anterior oblique fibres: obturator nerve (posterior branch) and straight posterior fibres: sciatic nerve   Adduct thigh (primary adductor - MAGnificent), anterior oblique fibres flex thigh, straight posterior fibres extend thigh  
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Med: Gracilis   Inferior ramus of pubis of ischium   Medial surface of proximal end of tibia (close to sartorius and semitendinosus)   Obturator nerve   Adduct thigh and flex leg  
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Med: Obturator externus   Outer surface of pelvis, around obturator foramen, and obturator membrane   Medial side of greater trochanter (posterior to hip joint)   Obturator nerve   Laterally rotate thigh  
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Glut: Gluteus maximus   Sacrum, dorsal sacroiliac ligaments, small area of ilium, & sacrotuberous ligament   Lateral portion of fascia lata, iliotibial tract & gluteal tuberosity   Inferior gluteal nerve   Powerfully extend the thighm lateral rotation of thigh abduct thigh & adduct thigh  
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Glut: Gluteus medius   major part of upper lateral surface of wing of ilium and covering fascia   Greater trochanter of the femur   Superior gluteal nerve   Strong abductor of the thigh, (anterior fibres) flex & medial rotation of thigh, (posterior fibres) extend & laterally rotate thigh  
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Glut: Gluteus minimus   Lower part of lateral wing of ilium   Greater trochanter   Superior gluteal nerve   Strong abductor of thigh, medially rotate thigh (flexion of thigh)  
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Glut: Piriformis   Pelvic surface of sacrum   Inner surface of superior part of greater trochanter   Branches of S1 (S2) ventral rami   Laterally rotate thigh, abductor when flexed  
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Glut: Obturator Internus   Inner surface if pelvis (obturator membrane and edges if obturator foramen)   Medial surface of greater trochanter above fossa   Nerve to obturator internus   lateral rotation og thigh abducts thigh when flexed (same as piriformis)  
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Glut: Gemellus superior   Ischial spine   Upper border of obturator internus   Nerve to obturator internus   Lateral rotation of thigh, abducts thigh when flexed (same as piriformis and obturator internus)  
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Glut: Gemellus inferior   Ischial tuberosity   Lower border of obturator internus   Nerve to quadratus femoris   Lateral rotation of thigh, abducts thigh when flexed (same as piriformis and obturator internus)  
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Glut: Quadratus femoris   Ischial tuberosity   Posterior surface of femur between greater and lesser trochanter   Nerve to quadratus femoris   Lateral rotation of thigh and adducts thigh (minor role)  
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Post: Semitendinosus   Ischial tuberosity   Medial side of tibia, inferior to tibial tuberosity   Tibial part of sciatic nerve   extends thigh at hip, flexes leg at knee and medially rotates flexed leg  
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Post: Semimembranosus   Lateral aspect of ischial tuberosity   Posteriomedial aspect of medial tibial condyle   Tibial part of sciatic nerve   Extends thigh at hip, flexes leg at knee, and medially rotates flexed leg  
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Post: Biceps femoris   (long head) ischial tuberosity, (short head) lateral lip of linea aspera   Posteriolateral aspect of knee joint onto head of fibula   Sciatic nerve (tibial to long head and common fibular to short head)   Flex leg at the knee, laterally rotate flexed knee, tilt the pelvis posteriorly, (long head) extend thigh at hip and assist to laterally rotate it  
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Posterior of superficial muscle in calf: Gastrocnemius   Posterior surface of femur (proximal to medial and lateral condyles)   Lower part of projecting portion of calcaneus as calcaneal tendon   Tibial nerve   Powerful plantar flexor of foot (helps flex leg when not supporting weight), resists dorsiflexion during weight bearing and keeps leg in extension  
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PoS: Soleus   (one head) soleal line across upper 1/3 and posterior surface of tibia & middle 1/3 of medial border, (other head) proximal 1/3 of posterior surface of fibula (there is no attachment between the tibia and the fibula that's why it has 2 heads)   Anterior surface of calcaneal tendon   Tibial nerve   Plantar flexion of foot (& can do this with bent knee - gastroc cannot), during stance prevents dorsiflexion  
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PoS: Plantaris   Lateral epicondyle of femur above lateral gastrocnemius   Calcaneus (anteriomedial to calcaneal tendon)   Branch of tibial nerve   Flexion of leg at knee and plantar fexion of foot (weak at both, b/c the muscle belly is very small)  
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PoDeep: Popliteus   Lateral condyle of femur in knee joint capsule   Proximal 1/3 of posterior surface of tibia   Branch of tibial nerve   Medial rotation of leg on femur, prevents, forwrad sliding of femur on tibia when knee is flexed  
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PoD: Flexor hallucis longus   Lateral side of middle 1/2 of posterior aspect of fibula   Distal phalanx of the big toe   Tibial nerve   Flexes big toe (weak plantar flexor - anything that crosses the posterior side is considered this)  
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PoD: Tibialis posterior   Proximal 2/3 of the lateral side of the posterior shaft of the tibia, promixal 2/3 of the medial side of the posterior shaft of the fibular, posterior aspect of the interosseus membrane   Navicular & to bases of the 2nd - 4th metatarsals   Tibial nerve   Adduct front of foot (aids in inversion and plantar flexion)  
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PoD: Flexor digitorum longus   Medial 1/3 of the posterior aspect of the tibia   Distal phalanges of 4 lateral digits   Tibial nerve   Flex distal phalanges of 4 lateral toes, weak plantar flexor, assists with inversion and adduction  
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Ant of leg: Tibialis anterior   Lateral condyle and proximal 2/3 of surface of tibia, deep fascia of the leg, and interosseus membrane (quite deep to the bone)   Medial cuneiform bone and base of 1st metatarsal   Deep fibular nerve   Strong inverter and dorsiflexor of the leg  
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Ant of leg: Extensor digitorum longus   Lateral condyle of tibia, proximal 3/4 anterior surface of fibula, interosseus membrane, and crural fascia   Middle phalanx & two distal slips onto distal phalanx   Deep fibular nerve   Extend toesm dorsiflexes foot weak everter of foot  
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Ant of leg: Extensor hallucis longus   Middle 1/3 of anterior surface of fibular and adjacent interosseus membrane   distal phalanx of big toe   Deep fibular nerve   Extend big toe (weak dorsiflexor and inverter of foot)  
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Ant of leg: Fibularis tertius   Fibula   Dorsal surface of base of 5th metatarsal   Deep fibular nerve   Everts and dorsiflexes foot  
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Lat: Fibularis longus   Proximal 2/3 of lateral surface of fibula, surrounding fascia & intermuscular septa   Base of 1st metatarsal   Superficial fibular nerve   Everts the foot, weak plantar flexor  
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Lat: Fibularis brevis   Distal 2/3 of lateral surface of fibula & adjacent intermuscular septa   Dorsal part of base of 5th metatarsal   Superificial fibular nerve   Everts foot, weak plantar flexor  
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External Oblique   External surface of 5-12 ribs   Linea alba, pubic tubercle, and anterior iliac crest   N/A (ex)   Assists in torsional rotations of trunk (twist trunk relative to hips)  
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Internal Oblique   Thoracolumbar fascia, anterior 2/3 of iliac crest, & connective tissue of lateral 2.3 of inguinal ligament   Inferior border of 10-12 ribs (last 3), linea alba, and pecten pubis   N/A (in)   Compress and support abdominal viscera, flex & rotate trunk  
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Transverse Abdominis   Internal costal cartilage, ribs 7-12, thoracolumbar facia, iliac crest, & lateral 1/3 inguinal ligament deep connective tissue   Linea alba & internal oblique aponeurosis, pubic crest, & pecten pubis   N/A (tran)   Compress contents of abdomen & increase intra-abdominal pressure  
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