Lower Extremity Muscles Flashcards

Identify proximal and distal attachment sites, actions, and nerve innervation (49 cards)

1
Q

Iliopsoas (L1-L4)

Anterior Compartment of thigh

A
Iliacus (L2-L4)
PA: Iliac fossa, iliac crest, sacral ala & sacroiliac ligaments
DA: Lesser trochanter of femur
A: hip flexion & stabilization
Femoral N. Innervation

Psoas major (L1-L4)PA:
PA: Anterior transverse processes, vertebral bodies & discs T12-L5
PA: Lesser trochanter of femur
A: hip flexion and stabilization
Ventral Rami L1-L4 Innervation (Lumbar plexus)

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2
Q
Rectus Femoris (L2-L4)
(Anterior Compartment of thigh)
A

PA: AIIS - anterior inferior iliac spine & groove superior to the acetabulum
DA: Base of the patella
A: Hip flexion, Knee extension
Femoral N. Innervation

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3
Q

Sartorius (L2-L3)

Anterior Compartment of thigh

A

PA: ASIS - anterior superior iliac spine
DA: Medial aspect of the proximal tibia
A: Hip flexion, abduction, & lateral rotation; Knee flexion & assists medial rotation of knee
Femoral N. Innervation

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4
Q

Tensor Fascia Lata (L4, L5-S1)

Anterior Compartment of thigh

A

PA: ASIS - anterior superior iliac spine & external lip of iliac crest
DA: Iliotibial tract
A: Hip abduction, flexion, & medial rotation, assists in maintain knee extension (due to attachment to ITB)
Superior Gluteal N. Innervation

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5
Q
Vastus Intermedius (L2-L4)
(Anterior Compartment of thigh)
A

PA: Anterior aspect of the proximal 2/3 of the femoral shaft
DA: Lateral border of the patella
A: Knee extension
Femoral N. Innervation

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6
Q
Vastus Lateralis (L2-L4)
(Anterior Compartment of thigh)
A

PA: Intertrochanteric line, greater trochanter of femur, gluteal tuberosity & linea aspera
DA: Base of the lateral border of the patella
A: Knee extension
Femoral N. Innervation

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7
Q
Vastus Medialis (L2-L4)
(Anterior Compartment of thigh)
A

PA: Intertrochanteric line, spiral line, linea aspera & medial supracondylar line
DA: Base & medial border of the patella
A: Knee extension
Femoral N. Innervation

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8
Q
Adductor Brevis (L2-L4)
(Medial Compartment of thigh)
A

PA: Inferior pubic ramus
DA: Distal 2/3 pectineal line and medial lip of linea aspera
A: Hip flexion & adduction
Obturator N. Innervation

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9
Q
Adductor Longus (L2-L4)
(Medial Compartment of thigh)
A

PA: Pubic crest
DA: Medial lip of linea aspera
A: Hip flexion, adduction, & medial rotation
Obturator N. Innervation

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10
Q
Adductor Magnus (L2-L4 adductor part) (L4, L5, S1 hamstring part)
(Medial Compartment of thigh)
A

PA: Inferior pubic ramus, ischial ramus, & tuberosity
DA: Gluteal tuberosity, linea aspera (adductor part), medial supracondylar ridge & adductor tubercle of the femur (hamstring part)
A: Hip adduction & flexion (adductor part), Hip extension (hamstring part)
Obturator N. Innervation (adductor part)
Tibial division of Sciatic N. (hamstring part)

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11
Q

Gracilis (L2-L4)

Medial Compartment of thigh

A

PA: Body of pubic & inferior pubic ramus
DA: Medial surface of the tibia, distal to the condyle, proximal to the insertion of the semitendinosus, & lateral to the insertion of the sartorius
A: Hip flexion & adduction, medial rotation of the knee
Obturator N. Innervation

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12
Q

Pectineus (L2-L4)

Medial Compartment of thigh

A

PA: Superior pubic ramus
DA: Femur between lesser trochanter & linea aspera (pectineal line)
A: Hip flexion & adduction
Obturator N. & Femoral N. Innervation

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13
Q
Obturator Externus (L3-L4)*****
(Medial Compartment of thigh)
A

PA: Rami of the pubis and ischium; external surface obturator membrane
DA: Trochanteric fossa
A: Hip lateral rotation
Obturator N. Innervation

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14
Q
Superior Gemellus (L5, S1-S2)
(Gluteal muscle)
A

PA: External surface spine of ischium via obturator internus tendon
DA: Greater trochanter
A: Hip lateral rotation
Sacral Plexus Innervation

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15
Q
Inferior Gemellus (L4-L5, S1)
(Gluteal muscle)
A

PA: Proximal ischial tuberosity via obturator internus tendon
DA: Greater trochanter
A: Hip lateral rotation
Sacral Plexus Innervation

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16
Q
Gluteus Maximum (L5, S1-S2)
(Gluteal muscle)
A

PA: Aponeurosis of erector spinae, sacrum, sacrotuberous ligament & posterior gluteal line (innominate)
DA: Greater trochanter, gluteal tuberosity of the femur & iliotibial tract
A: Hip extension & lateral rotation
Inferior Gluteal N. Innervation

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17
Q
Gluteus Medius (L4-L5,S1)
(Gluteus muscle)
A

PA: External iliac surface
DA: Oblique ridge on the lateral aspect of the greater trochanter; gluteal aponeurosis
A: Hip abduction & medial rotation; Keeps pelvis level when opposite leg raised –> Trendelenburg Gait if weak
Superior Gluteal N. Innervation

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18
Q
Gluteus Minimum (L4-L5, S1)
(Gluteus muscle)
A

PA: External iliac surface & margin of the greater sciatic notch
DA: Anterolateral aspect of the greater trochanter
A: Hip abduction & medial rotation; Keeps pelvis level when opposite leg raised–> Trendelenburg Gait if weak
Superior Gluteal N. Innervation

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19
Q
Obturator Internus (L5, S1-S2)
(Gluteal muscle)
A

PA: Anterolateral wall of the pelvis & obturator membrane
DA: Medial surface of the greater trochanter
A: Hip lateral rotation
Nerve to the Obturator Internus Innervation (from the sacral plexus)

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20
Q

Piriformis (S1-S2)

Gluteal muscle

A

PA: Anterolateral sacrum & posterior inferior iliac spine
DA: Superior border of the greater trochanter
A: Hip abduction & lateral rotation
Nerve to Piriformis Innervation

21
Q
Quadratus Femoris (L4-L5, S1)
(Gluteal muscle)
A

PA: Ischial tuberosity
DA: Quadrate tubercle of the femur
A: Hip lateral rotation
Nerve to the quadratus femoris Innervation (from sacral plexus)

22
Q
Bicep Femoris (L5, S1-S3 Long head) (L5, S1-S2 Short head)
(Posterior Compartment of thigh)
A

PA: Ischial tuberosity & sacrotuberous ligament (long head); Lateral lip of linea aspera & lateral supracondylar line (short head)
DA: Lateral side of the fibular head
A: Hip extension (long head only); Knee flexion & knee lateral rotation (both heads)
Tibial division of Sciatic N. Innervation (long head); Fibular division of Sciatic N. (short head)

23
Q

Semimembranosus (L4-5, S1-S2)

Posterior Compartment of thigh

A

PA: Ischial tuberosity
DA: Posterior aspect of the medial tibial condyle
A: Hip extension; Knee flexion & medial rotation of knee
Tibial division of Sciatic N. Innervation

24
Q

Semitendinosus (L4-L5, S1-S2)

Posterior Compartment of thigh

A

PA: Ischial tuberosity
DA: Proximal medial tibia
A: Hip extension; Knee flexion & medial rotation of the knee
Tibial division of Sciatic N. Innervation

25
Extensor Digitorum Longus (L4-L5, S1) | Anterior Crural (Leg) Compartment
PA: Lateral tibial condyle, proximal 3/4 of the fibula, & the crural interosseous. membrane DA: Dorsal digital expansions of toes 2-5 A: Ankle dorsiflexion & Toe extension digits 2-5 (IP & MP) Deep Fibular N. Innervation
26
Extensor Hallucis Longus (L4-L5, S1) | Anterior Crural Leg Compartment
PA: Middle 1/2 of fibular surface & crural interosseous membrane DA: Distal phalangeal base of 1st great toe A: Ankle dorsiflexion & Great toe extension (IP & MP) Deep Fibular N. Innervation
27
Fibularis (Peroneus) Tertius (L4-L5, S1) | Anterior Crural Compartment
PA: Distal fibula & crural interosseous membrane DA: Base of the 5th metatarsal A: Ankle dorsiflexion & foot eversion Superficial Fibular N. Innervation
28
``` Tibialis Anterior (L4-L5, S1) (Anterior Crural Compartment) ```
PA: Lateral condyle and proximal 2/3 of the tibia's lateral surface & crural interosseous membrane DA: Medial cuneiform & adjacent 1st metatarsal A: Ankle dorsiflexion & foot inversion Deep Fibular N. Innervation
29
Fibularis (Peroneus) Longus (L4-5, S1) | Lateral Crural Compartment
PA: Head & proximal 2/3 of the fibula DA: Lateral aspects of the 1st metatarsal & adjacent medial cuneiform A: Ankle plantarflexion, foot eversion, & 1st metatarsal head depression Superficial fibular N. Innervation
30
Fibularis (peroneus) Brevis (L4-L5, S1) | Lateral Crural Compartment
PA: Distal 2/3 of the fibula DA: Lateral base of the 5th metatarsal A: Ankle plantarflexion & foot eversion Superficial Fibular N. Innervation
31
Flexor Digitorum Longus (L5, S1-S2) | Posterior Crural Compartment
PA: Posterior tibia distal to the soleal line DA: Plantar surface of the distal phalangeal bases A: Ankle plantarflexion, flexes digits 2-5 (IP & MP) Tibial N. Innervation
32
Flexor Hallucis Longus (L5, S1-S2) | Posterior Crural Compartment
PA: Distal 2/3 of the posterior fibular surface & the crural interosseous membrane DA: Plantar aspect of the distal phalangeal base of the 1st toe A: Ankle plantarflexion & Great toe flexion (IP & MP) Tibial N. Innervation
33
Gastrocnemius (S1-S2) | Posterior Crural Compartment
PA: Posterior aspect of the femoral condyles and joint capsule DA: Posterior calcaneal surface A: Knee flexion & ankle plantarflexion Tibial N. Innervation
34
Plantaris (L4-5, S1) | Posterior Crural Compartment
PA: Lateral supracondyle line DA: Posterior calcaneal surface A: Knee flexion & ankle plantarflexion Tibial N. Innervation
35
Popliteus (L4-L5, S1) | Posterior Crural Compartment
PA: Lateral femoral condyle and oblique popliteal ligament DA: Soleal line of the tibia A: In non-weight bearing, medial rotation of the tibia & knee flexion; In WB, insertion if fixed so does lateral rotation of the femur & knee flexion from extension into early flexion Tibial N. Innervation
36
Soleus (L5, S1-S2) | Posterior Crural Compartment
PA: Posterior aspect of the fibula head & proximal 1/4 of the fibula & tibial soleal line DA: Posterior calcaneal surface A: Ankle plantarflexion Tibial N. Innervation
37
``` Tibialis Posterior (L4-L5, S1) (Posterior Crural Compartment) ```
PA: Crural interosseous membrane, lateral tibial surface & medial fibular surface DA: Navicular, intermediate cuneiform & base of metatarsals 2-4 A: Ankle plantarflexion & foot inversion Tibial N. Innervation
38
Abductor Digiti Minimi (S1-S2) | 1st level of plantar feet muscles
PA: Calcaneal tuberosity DA: Lateral side of proximal phalangeal base of 5th digit A: 5th digit abduction & flexion Lateral Plantar N. Innervation
39
``` Abductor Hallucis (L4-L5, S1) (1st level of plantar feet muscles) ```
PA: Medial calcaneal tuberosity DA: Medial side of the proximal phalangeal base of the great toe A: Great toe flexion & abduction Medial Plantar N. Innervation
40
``` Adductor Hallucis (S1-S2) (3rd level of plantar feet muscles) ```
PA: Metatarsals 2-4 bases (oblique head) & distal ends of metatarsals 3-5 (transverse head) DA: Lateral base of the proximal phalanx of the great toe A: Great toe adduction Lateral plantar N. Innervation
41
Extensor digitorum brevis (L4-L5, S1) | Dorsal foot muscle
PA: Anterolateral calcaneus DA: Dorsal aspect of the base of the proximal phalanx or the lateral side of tendons of extensor digitorum longus A: Digits 2-5 extension, 1st digit extension Deep fibular N. Innervation
42
Extensor Hallucis Brevis (L4-L5, S1) | Dorsal Foot muscle
PA: Extensor hallucis brevis DA: Dorsal aspect of the base of the proximal phalanx of the hallux A: Great toe extension at metatarsophalangeal joint Deep fibular N. Innervation
43
``` Quadratus plantae (S1-S2) (2nd level of plantar feet muscles) ```
PA: Medial surface of the calcaneus & lateral process of calcaneal tuberosity DA: Long flexor tendons A: Assists flexor digitorum longus Lateral Plantar N. Innervation
44
Flexor Digitorum Brevis (L4-L5, S1) | 1st level of plantar feet muscles
PA: Medial process of calcaneal tuberosity DA: Sides of intermediate phalanges of digits 2-5 A: Toe flexion (proximal IP) Medial Plantar N. Innervation
45
Flexor Digiti Minimi (S1-S2) | 3rd level of plantar feet muscles
PA: 5th metatarsal base DA: proximal phalangeal base A: 5th digit flexion (MP) Lateral Plantar N. Innervation
46
Flexor Hallucis Brevis (L4-L5, S1) | 3rd level of plantar feet muscles
PA: Cuboid & tendon of tibialis posterior DA: Base of the proximal phalanx of the great toe A: Great toe flexion (MP) Medial Plantar N. Innervation
47
``` Dorsal Interossei (S1-S2) (4th level of plantar feet muscles) ```
PA: Metatarsal shafts DA: proximal phalangeal bases & dorsal digital expansions of digits 2-4 A: Digit 2-4 abduction & flexion (MP) Lateral Plantar N. Innervation
48
``` Plantar Interossei (S1-S2) (4th level of plantar feet muscles) ```
PA: Plantar surface of the base of metatarsals DA: Dorsal digital expansions of digits 3-5 A: Digits 3-5 adduction & flexion (MP) Lateral Plantar N. Innervation
49
Lumbricals(1: L4-L5, S1; 2-4: S1-S2) | 2nd level of plantar feet muscles
PA: Tendons of flexor digitorum longus DA: Medial sides of dorsal expansions of digits 2-5 A: Proximal phalanges flexion (MP) & extends IP joints 1st Lumbrical = Medial Plantar N. Innervation 2nd-4th Lumbricals = Lateral Plantar N. Innervation