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Lower Limb origin, insertion, action, innervation (MOORE)

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Name
PA
DA
Innervation
Action
Illiacus   Iliac crest, iliac fossa, ala of sacrum, anterior sacroiliac ligaments   Tendon of psoas major, lesser trochanter and femur distal to it   Femoral nerve L2 L3   Act conjointly in flexing thigh at hip joint and in stabilising this joint  
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Sartorius   Anterior Superior iliac spine and superior part of notch inferior to it   Superior part of medial surface of tibia   Femoral Nerve L2, L3   Flexes, abducts and laterally rotates thigh at hip joint flexes leg at knee joint (medially rotating leg when knee is flexed)  
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Rectus Femoris   Anterior inferior iliac spine and ilium superior to acetabulum   Via common quadriceps tendon, independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vast also attach to tibia and patella via aponeuroses   Femoral Nerve L3 L4   Extend leg at knee joint; rectus femurs also steadies hip joint and help iliopsoas flex thigh  
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Vastus Lateralis   Greater trochanter and lateral lip of lines aspera of femur   Via common quadriceps tendon, independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vast also attach to tibia and patella via aponeuroses   Femoral Nerve L3 L4   Extend leg at knee joint; rectus femurs also steadies hip joint and help iliopsoas flex thigh  
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Vastus medialis   Intertochanteric line and medial lip of lines aspera of femur   Via common quadriceps tendon, independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vast also attach to tibia and patella via aponeuroses   Femoral Nerve L3 L4   Extend leg at knee joint; rectus femurs also steadies hip joint and help iliopsoas flex thigh  
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Vastus intermmedius   Anterior and lateral surfaces of shaft of femur   Via common quadriceps tendon, independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vast also attach to tibia and patella via aponeuroses   Femoral Nerve L3 L4   Extend leg at knee joint; rectus femurs also steadies hip joint and help iliopsoas flex thigh  
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Adductor longus   Body of pubis inferior to pubic crest   Middle third of lines aspera of femur   Obturator nerve, anterior division L3   Adducts Thigh  
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Adductor Brevis   Body and inferior ramus of pubis   Pectineal line and proximal part of lines aspera of femur   Obturator nerve, anterior division L3   Adducts thigh; to some extent flexes it  
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Adductor Magnus   Adductor part: inferior rams of pubism ramus of ischium Hamstring part: ischial tuberosity   Adductor part: Gluteal tuberosity, linea aspera, medial supracondylar line Hamstring part: adductor tubercle of femur   Adductor part: Obturator nerve L3 L4 branches of posterior division Hamstring Part: tibial part of sciatic nerve L4   Adducts thigh flexes thigh and hamstring part extends thigh  
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Gracilis   Body and inferior ramus of pubis   superior part of medial surface of tibia   Obturator nerve L2   Adducts thigh; flexes leg; helps rotate leg medially  
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Obturator externus   Margins of obturator foramen and obturator memebrane   Trochanter fossa of femur   Obturatior nerve L4   Laterally rotates thigh; steadies head of femur in acetabulum  
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Gluteus maximus   Ilium posterior to posterior gluteal line; dorsal surface of sacrum and coccyx; sacrotuberous ligament   IT band in lateral condyle of tibia; gluteal tuberosity   inferior gluteal nerve S1 S2   Extends thigh especially from flexed position and assists in it lateral rotation. steadies thigh and assists in rising from sitting position  
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Gluteus Medius   External surface of ilium between anterior and posterior gluteal lines   Lateral surface of greater trochanter of femur   Superior gluteal nerve L5   Abduct medially rotate thigh, keep pelvis level when ipsilateral limb is weight bearing  
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Gluteus Minimus   External surface of ilium between anterior and inferior gluteal lines   Anterior surface of greater trochanter of femur   Superior gluteal nerve L5   Abduct medially rotate thigh, keep pelvis level when ipsilateral limb is weight bearing  
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Tensor Fasciae latae   Anterior superior iliac spine, anterior part of iliac crest   IT tract - lateral condyle tibia   Superior gluteal nerve L5   Abduct medially rotate thigh, keep pelvis level when ipsilateral limb is weight bearing  
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Piriformis   Anterior surface of sacrum, sacrotuberous ligament   superior border of greater trochanter of femur   Branches of anterior rami of S1   Laterally rotate extended thigh and abduct flexed thigh, steady femoral head in acetabulum  
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Obturator internus   Pelvic surface of obturator membrane and surrounding bones   Medial surface of greater trochanter of femur, Trochanteric fossa   Nerve to obturator interns S1   Laterally rotate extended thigh and abduct flexed thigh, steady femoral head in acetabulum  
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Superior gemelli   Ischial Spine   Medial surface of greater trochanter of femur, Trochanteric fossa   Nerve to obturator interns S1   Laterally rotate extended thigh and abduct flexed thigh, steady femoral head in acetabulum  
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Inferior gemelli   ischial tuberosity   Medial surface of greater trochanter of femur, Trochanteric fossa   Nerve to quadrates femoris L5 S1   Laterally rotate extended thigh and abduct flexed thigh, steady femoral head in acetabulum  
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Quadrates femoris   Lateral border of ischial tuberosity   Quadrate tubercle on intertrochanteric crest of femur and area inferior to it   Nerve to quadrates femoris L5 S1   Laterally rotates thigh, steadies femoral head in acetabulum  
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Semitendinosus   Ischial tuberosity   Medial surface of superior part of tibia   Tibial division of sciatic nerve L5 S1   Extend thigh, flex leg and rotate it medially when knee is flexed, when thigh and leg are flexed, these muscles can extend trunk  
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Semimembranosus   ischial tuberosity   posterior part of medial condyle of tibia, relflexted attachment forms oblique popliteal ligament   Tibial division of sciatic nerve L5 S1   Extend thigh, flex leg and rotate it medially when knee is flexed, when thigh and leg are flexed, these muscles can extend trunk  
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Biceps femoris   Long head: ischial tuberosity, Short head: linea aspera and lateral supracondylar line of femur   Lateral side of head of fibular, tendon is split at this site by fibular collateral ligament of knee   Long head: tibial division of sciatic nerve S1 Short head: Common fibular division of sciatic nerve S1   Flexes leg and rotates it laterally when knee is flexed, extends thigh e.g. accelerating mass during first step of gait  
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Tibialis anterior   Lateral condyle and superior half of lateral surface of tibia and interosseous membrane   medial and inferior surfaces of medial cuneiform and base of 1st metatarsal   Deep fibular nerve L4   Dorsiflexes ankle and inverts foot  
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Extensor digitorum longus   Lateral condyle of tibia and superior three quarters of medial surface of fibula and interosseous membrane   middle and distal phalanges of lateral four digits   Deep fibular nerve L4   Extends lateral four digits and dorsiflexes ankle  
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Extensor hallucis longus   Middle part of anterior surface of fibula and interosseous membrane   dorsal aspect of base of distal phalanx of great toe   Deep fibular nerve L4   Extends great toe and dorsiflexes ankle  
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Fibulas tertius   Inferior third of anterior surface of fibula and interosseous membrane   Dorm of base of 5th metatarsal   Deep fibular nerve L4   Dorsiflexes ankle and aids in eversion of foot  
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Fibulas longus   Head and superior two thirds of lateral surface of fibula   Base of 1st metatarsal medial cuneiform   Superficial fibular nerve L5 S1   Everts foot and weakly plantar flexes ankle  
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Fibulas brevis   Inferior two thirds o lateral surface of fibula   Dorsal surface of tuberosity on lateral side of base of 5th MEtatarsal   Superficial fibular nerve L5 S1   Everts foot and weakly plantar flexes ankle  
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Gastrocnemius   Lateral head: lateral aspect of lateral condyle of femur, Medial head: popliteal surface of femur superior to medial condyle   Posterior surface of calcaneus via calcanea tendon   Tibia Nerve S1 S2   Plantar flexes ankle when knee is extended, raises heel during walking, flexes leg at knee joint  
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Soleus   Posterior aspect of head and superior quarter of posterior surface of fibula, soleal line and middle third of medial border of tibia, and tendinous arch extending between the bony attachements   Posterior surface of calcaneus via calcanea tendon   Tibia Nerve S1 S2   Plantar flexes ankle independent of position of knee, steadies leg on foot  
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Plantaris   Inferior end of lateral supraondylar line of femur, oblique popliteal ligament   Posterior surface of calcaneus via calcanea tendon   Tibia Nerve S1 S2   weakly assists gastrocnemius in plantar flexing ankle  
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Popliteus   Lateral surface of lateral condlyel of femur and lateral meniscus   Posterior surface of tibia superior to solar line   Tibial nerve L4 L5 S1   Weakly flexes knee and unlocks it by rotating femur 5 degrees on fixed tibia, medially rotates tibia of unplanted limb  
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Flexor hallucis Longus   Inferior tow thirds of posterior surface of fibula, inferior part o f interosseous membrane   base of distal phalanx of great toe   Tibial nerve S2 S3   Flexes great toe at all joints, weakly plantar flexes ankle, supports medial longitudinal arch of foot  
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Tibialis posterior   Interosseous membrane, posterior surface of tibia inferior to solar line, posterior surface of fibula   Tuberosity of navicular, cuneiform, cuboid, and sustentaculum talks of calcaneus, bases of 2nd 3rd and 4th metatarsals   Tibial Nerve L4 L5   Plantar flexes ankle, inverts foot  
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Flexor digitorum longus   Medial part of posterior surface of tibia inferior to solar line; by a broad tendon of fibula   Bases of distal phalanges of lateral four digits   Tibial nerve S2 S3   Flexes lateral four digits, plantar flexes ankle, supports longitudinal arches of foot  
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Abductor hallucis   Medial tubercle of tuberosity of calcaneus, flexor retinaculum , plantar aponeurosis   Medial side of base of proximal phalanx of 1st digit   Medial plantar nerve S2 S3   Abducts and flexes 1st digit  
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Flexor digitorum brevis   Medial tubercle of tuberosity of calcaneus, plantar aponeurosis, inter muscular septa   Both sides of middle phalanges of lateral four digits   Medial plantar nerve S2 S3   Flexes lateral four digits  
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Abductor digiti minimi   Medial lateral tubercles of tuberosity of calcaneus, plantar aponeurosis, inter muscular speta   Lateral side of base of proximal phalanx of 5th digit   Lateral plantar nerve S2 S3   Abducts and flexes little toe 5th digite  
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Quadrates plantae   Medial surface and lateral margin of plantar surface of calcaneus   Posterolateral margin of tendon of flexor digitorum longus   Lateral plantar nerve S2 S3   Assists flexor digitorum longs in flexing lateral four digits  
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Lumbricals   Tendons of flexor digitorum longus   Medial aspect of expansion over lateral four digits   Medial one: Medial plantar nerve S2 S3 Lateral 3: Lateral plantar nerve S2 S3   Flex proximal phalanges, extend middle and distal phalanges of lateral four digits  
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Flexor hallucis brevis   Plantar surfaces of cuboid and lateral cuneiforms   Both sides of base of proximal phalanx of 1st digit   Medial plantar nerve S2 S3   Flexes proximal phalanx 1st digit  
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Adductor hallucis   Oblique head: bases of metatarsal 2-4 Transverse head: plantar ligaments of metatarsophalanges joints   Tendons of both heads attach to lateral side of base of proximal phalanx of 1st digit   Deep branch of lateral plantar nerve S2 S3   adduct first digit, assists in transverse arch of foot by metatarsals medially  
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Flexor digit minimi brevis   Base of 5th Metatarsal   base of proximal phalanx of 5th digit   superficial branch of lateral plantar nerve S2 S3   flexes proximal phalanx 5th digit  
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Plantar interossei 3 Muscles   Plantar aspect of medial sides of shafts of metatarsals 3-5   Medial sides of bases o phalanges of 3rd to 5th digit   Lateral plantar nerve S2 S3   Adducts digits 3-5 and flex metatarsophalangeal joints  
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Dorsal Interossei (4 muscles)   Adjacent sides of shafts of metatarsals 1-5   1st medial side of proximal phalanx of 2nd digit 2-4th lateral sides of 2-4th digit   Lateral plantar nerve S2 S3   Abducts digits 2-4 and flex metatarsophalangeal joints.  
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Extensor digitorum brevis   Calcaneus (floor of tarsal sinus), interosseous talocalcaneal ligament, stem of inferior extensor retinaculum   Long extensor tendons of four medial digits toes 2-4   Deep fibular nerve L5 or S1 or both   Aids the extensor digitorum longs in extending the four medial toes at the metatarsophalangeal and interphalangeal joints  
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Extensor hallucis brevis   Calcaneus (floor of tarsal sinus), interosseous talocalcaneal ligament, stem of inferior extensor retinaculum (same as Extensor digitorum brevis)   Dorsal aspect of base of proximal phalanx of great toe   Deep fibular nerve L5 or S1 or both   Aids the extensor hallucis longs in extending the great toe at the metatarsophalangeal joint.  
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Hip Flexors   Illiopsoas, sartorius, TFL, Rectus femoris, tendon, pectinous, adductor longus, adductor brevis, adductor magnus Anterior part, gracilis        
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Adductors   Pectinous, adductor longs, adductor brevis, adductor magnus, obturator externus, gracilis        
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Lateral rotators   obturator externus, piriformes, obturator internus, gemelli, quadratus femoris, gluteus maximus        
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Extensors   Gluteus maximus, hamstrings: semitendinosus, semimembranosus, long head - biceps femoris, Adductor magnus - posterior part        
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Abductors   Gluteus medius gluteus minimus, TFL        
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Medial rotators   Gluteus medius and gluteus minimus - anterior parts; TFL        
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Pectineus   Superior rams of pubis   Pectineal line, just inferior to lesser trochanter   Femoral Nerve L2 L3   Adducts and flexes thigh: Assists with medial rotation of thigh  
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Psoas Major   Sides of t12-L5 Vertebrae and discs between them; transverse processes of all lumbar vertebrae   Lesser trochanter of femur   Anterior rami of Lumbar L1 L2   Act conjointly in flexing thigh at hip joint and in stabilising this joint  
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Psoas Minor   Sides of T12-L1 vertebrae and intervertebral discs   Pectineal line, iliopectineal eminence via iliopubic arch   Anterior rami of lumbar L1 L2   Act conjointly in flexing thigh at hip joint and in stabilising this joint  
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