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hip and lower leg
hip/leg
| Question | Answer |
|---|---|
| what is the action of the Sartorius | flexes and laterally rotates hip, abducts hip, flexes the knee, and medially rotates the flexed knee |
| origin of Sartorius | ASIS |
| insertion of Sartorius | medial shaft of tibia (pes anserinus tendon) |
| nerve of Sartorius | femoral L2,3,4 |
| actions of piriformis | lateral rotation of hip, abducts hip |
| origin of piriformis | anterior surface of sacrum |
| insertion of piriformis | superior aspect of greater trochanter |
| nerve to piriformis | sacral plexus L5, S1, S2 |
| action of quadratus femoris | laterally rotates hip |
| origin of quadratus femoris | lateral border of ischial tuberosity |
| insertion of quadratus femoris | interchochanteric crest (between the greater and lesser trochanters) |
| nerve to quadratus femoris | sacral plexus L4,5,S1,S2 |
| action of Obturator Internus | laterally rotates hip |
| origin of obturator internus | obturator membrane and inferior surface of obturator foramen |
| insertion of obturator internus | medial surface of greater trochanter |
| nerve to obturator internus | Sacral plexus L5,S1, S2 |
| action of obturator externus | laterally rotates the hip |
| origin of obturator externus | rami of pubis and ischium, obturator membrane |
| insertion of obturator externus | trochanteric fossa of femur |
| nerve to obturator externus | Obturator L3, L4 |
| gemellus superior action | laterally rotate hip |
| gemellus superior origin | Ischial Spine |
| gemellus superior insertion | medial surface of greater trochanter |
| gemellus superior nerve | Sacral plexus L5,S1,S2 |
| gemellus Inferior Action | Laterally rotate the hip |
| gemellus Inferior origin | Ischial tuberosity |
| gemellus Inferior Insertion | Medial Surface of greater trochanter |
| gemellus Inferior nerve | Sacral plexus L4,5,S1,S2 |
| Psoas major action | flexes hip, laterally rotates hip, and flexes the trunk toward the thigh, tilts pelvis anteriorly, assists to laterally flex the lumbar spine |
| Psoas major origin | Bodies and transverse processes of lumbar vertebrae |
| Psoas major insertion | Lesser trochanter |
| Psoas major nerve | Lumbar plexus L1,2,3,4 |
| Iliacus action | flexes the hip, laterally rotates the hip, flexes the trunk toward the thigh, tilts pelvis anteriorly |
| Iliacus origin | Iliac Fossa |
| Iliacus insertion | Lesser trochanter |
| Iliacus nerve | Femoral L1,2,3,4 |
| Psoas minor action | Assists to create lordotic curvature in spine, tilts pelvis anteriorly |
| Psoas minor origin | Body and transverse process of first lumbar vertebrae |
| Psoas minor insertion | Superior Ramus of Pubis |
| Psoas minor nerve | Lumbar plexus L1,2 |
| Tensor Fasciae Latae action | Flexes hip, medially rotates hip, abduct the hip |
| Tensor Fasciae Latae origin | Iliac crest, posterior to ASIS |
| Tensor Fasciae Latae Insertion | Iliotibal tract |
| Tensor Fasciae Latae nerve | Superior gluteal L4,5,S1 |
| Gracilis action | adduct the hip, medially rotates the hip,flexes the knee, medially rotates flexed knee |
| Gracilis origin | Inferior ramus of pubis |
| Gracilis insertion | proximal, medial shaft of tibia at pes anserinus tendon |
| Gracilis nerve | Obturator L2,3,4 |
| Pectineus action | adducts hip, medially rotates hip, assists to flex hip |
| Pectineus origin | superior ramus of pubis |
| Pectineus insertion | Pectineal line of femur |
| Pectineus nerve | Femoral and obturator nerve L2,3,4 |
| Adductor Brevis actions | Adducts hip, Medially rotates the hip, assists to flex the hip |
| Adductor Brevis origin | Inferior ramus of pubis |
| Adducto Brevis insertion | Pectineal line and medial lip of linea aspera |
| Adducto Brevis nerve | Obturator L2,3,4 |
| Adductor Longus action | Adduct the hip, medially rotate the hip, assist to flex the hip |
| Adductor Longus Origin | Pubic tubercle |
| Adductor Longus Insertion | Medial lip of linea aspera |
| Adductor Longus nerve | Obturator L2,3,4 |
| Adductor Magnus action | Adduct the hip, medially rotate the hip, assist to flex the hip, extend the hip |
| Adductor Magnus origin | Inferior ramus of Pubis, ramus of ischium, and ischial tuberosity |
| Adductor Magnus insertion | Medial lip of linea aspera and adductor tubercle |
| Adductor Magnus nerve | Obturator L2,3,4 and Sciatic L4,5,S1 |
| Gluteus Minimus action | Abduct the hip, medially rotate the hip, flex the hip |
| Gluteus Minimus origin | Gluteal surface of ilium between anterior and inferior gluteal lines |
| Gluteus Minimus Insertion | Anterior aspect of greater trochanter |
| Gluteus Minimus nerve | Superior Gluteal L4,5,S1 |
| Gluteus Medius action | abduct the hip, flex the hip, medially rotate the hip, extend the hip, laterally rotates the hip |
| Gluteus Medius origin | gluteal surface of ilium, between posterior and anterior gluteal lines, below iliac crest |
| Gluteus Medius insertion | Lateral aspect of greater trochanter |
| Gluteus Medius nerve | Superior Gluteal L4,5,S1 |
| Gluteus Maximus action | Extend hip, Laterally rotate hip, Abduct hip, adduct hip |
| Gluteus Maximus origin | Coccyx, edge of sacrum, posterior iliac crest, sacrotuberous and sacroiliac ligaments |
| Gluteus Maximus insertion | iliotibial tract and gluteal tuberosity |
| Gluteus Maximus nerve | Inferior Gluteal L5,S1,2 |
| Gracilis action | adduct the hip, medially rotate the hip, flex the knee, medially rotate the flexed knee |
| Gracilis origin | Inferior Ramus of pubis |
| Gracilis insertion | Proximal, medially shaft of tibia at pes ansernius tendon |
| Gracilis nerve | Obturator L2,3,4 |
| Semimembranosus action | Flex knee, medially rotate flexed knee, extend hip, assist to medially rotate hip, tilt pelvis posteriorly |
| Semimembranosus origin | Ischial tuberosity |
| Semimembranosus insertion | Posterior aspect of medial condyle of Tibia |
| Semimembranosus nerve | Sciatic L4,5, S1,2 |
| Semitendinosus action | Flex knee, medially rotate flexed knee, extend hip, assist to medially rotate hip, tilt pelvis posteriorly |
| Semitendinosus origin | Ischial tuberosity |
| Semitendinosus insertion | Proximal, medial shaft of Tibia at pes anserinus tendon |
| Semitendinosus nerve | Sciatic L4,5,S1,2 |
| Biceps Femoris action | Flex the knee, laterally rotate flexed knee, extend hip, assist to laterally rotate hip |
| Biceps Femoris origin | Long head: Ischial Tuberosity Short Head: Lateral lip of linea aspera |
| Biceps Femoris insertion | Head of Fibula |
| Biceps Femoris nerve | Long head: Sciatic, tibial branch- L5,S1,2,3 Short Head: Sciatic, peroneal- L5,S1,2 |
| Vastus Intermedius action | extend the knee |
| Vastus Intermedius origin | Anterior and lateral shaft of femur |
| Vastus Intermedius insertion | tibial tuberosity |
| Vastus Intermedius nerve | Femoral L2,3,4 |
| Vastus Lateralis action | extend the knee |
| Vastus Lateralis origin | Lateral lip of linea aspera, gluteal tuberosity, and greater trochanter |
| Vastus Lateralis insertion | Tibial Tuberosity |
| Vastus Lateralis nerve | Femoral L2,3,4 |
| Vastus Medialis action | extend the knee |
| Vastus Medialis origin | Medial lip of linea aspera |
| Vastus Medialis insertion | Tibial tuberosity |
| Vastus Medialis nerve | Femoral L2,3,4 |
| Rectus Femoris action | Flex hip, and extend the knee |
| Rectus Femoris origin | AIIS - Anterior Inferior Iliac Spine |
| Rectus Femoris insertion | Tibial Tuberosity |
| Rectus Femoris nerve | Femoral L2,3,4 |
| Gastrocnemius origin | Posterior Femoral condyles |
| Gastrocnemius insertion | Calcaneus via calcaneal tendon |
| Gastrocnemius action | plantar flexion and knee flexion |
| Gastrocnemius nerve | Tibial |
| Soleus origin | Soleal line, posterior surface of Tibia and Fibula |
| Soleus insertion | Calcaneus via calcaneal tendon |
| Soleus action | plantar flexion |
| Soleus nerve | Tibial |
| Plantaris origin | Lateral femoral condyle |
| Plantaris insertion | Calcaneus via calcaneal tendon |
| Plantaris action | Plantar flexion and knee flexion |
| Plantaris nerve | Tibial |
| Talocrural joint is the | ankle joint |
| "Achilles tendon" is the | Calcaneal tendon |
| Popliteus origin | Lateral femoral epicondyle |
| Popliteus insertion | Proximal, posterior tibia |
| Popliteus action | knee extension and Internal rotation |
| Popliteus nerve | Tibial |
| fast twitch muscle fibers are in the | Gastrocnemius |
| slow twitch muscle fibers are in the | Soleus |
| Peroneus Longus origin | Head of fibula and proximal lateral fibula |
| Peroneus Longus insertion | Base of 1st metatarsal and medial cuneiform |
| Peroneus action | eversion of the foot |
| Peroneus nerve | Superficial peroneal |
| Peroneus Brevis Origin | Distal lateral fibula |
| Peroneus Brevis Insertion | Tuberosity of 5th metatarsal |
| Peroneus Brevis Action | Eversion of the foot |
| Peroneus Brevis Nerve | Superficial Peroneal |
| ACL stops excessive | Anterior Tibial translation movement |
| PCL stops excessive | Posterior Translation movement |
| Meniscus helps joints by | Lubricating, padding, and providing stability |
| MCL stops | Vlagus (Valgum) stress on knee |
| LCL stops | Varus Orvarum stress on knee |
| Genu recurvatrum is | hyperextension of the knee |
| Normal coxa angle norms is | 125 degrees |
| Genu Valgum is known as | Knock Knee |
| Genu Varum is known as | Bowl legged |
| Normal Q angle is | men - 14 degrees and women - 17 degrees |
| Normal torsion angle in knee is | 15 degrees |
| concave on convex movement is (tibiofemoral joint) | moving in the same direction |
| Convex on concave movement | moving in opposite direction |
| Screw home mechanism of knee | key element in knee stabilization, it is the rotation between the tibia and the femur. It occurs at the end of knee extension, between full extension 0 degrees and 20 degrees of knee flexion. |