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Pitt PT Lower Extremity Muscles
Origin Insertion Innervation & Action
50
Medical
Professional
06/17/2013

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Cards

Term
Pectineus
Definition
Origin: Superior ramus of Pubis

Insertion: Pectineal Line of femur (Located inferior to lesser trochanter)

Peripheral Innervation: Femoral n. & Accessory Obturator n.

Segmental Innervation: N/A

Action: Adduct and Flex Thigh; *assists with internal rotation of thigh
Term
Psoas Major
Definition
Origin: Sides of T12-L5 vertebrae and discs between them; transverse processes of Lumbar vertebrae

Insertion: Lesser Trochanter of Femur

Peripheral Innervation: Anterior Rami of Lumbar Nerves L1, L2, L3

Segmental Innervation: N/A

Action: Flexes thigh @ hip & stabilizes hip
Term
Iliacus
*Seg
Definition
Origin: Iliac Crest, Iliac Fossa, *Ala of Sacrum, *Anterior Sacroiliac ligaments

Insertion: Tendon of Psoas Major, Lesser Trochanter & Femur distal to it

Peripheral Innervation: Femoral n.

Segmental Innervation: L2, L3

Action: Flexes thigh @ hip joint & stabilizes hip
Term
Psoas Minor
Definition
Origin: Sides of T12-L1 vertebrae & discs

Insertion: Pectineal Line, Iliopectineal eminence VIA iliopectineal arch

Peripheral Innervation: Anterior Rami of Lumbar Nerve L1

Segmental Innervation: N/A

Action: Flexes thigh @ hip joint & stabilizes hip
Term
Sartorius
Definition
Origin: ASIS & Superior part of notch inferior to ASIS

Insertion: Pes Anserinus (Superior part of medial Tibia)

Peripheral Innervation: Femoral

Segmental Innervation: N/A

Action: (Hip) Flexes, abducts & externally rotates thigh; (Knee) Flexion & internal rotation of leg when knee is flexed

*Note: Crosses 2 joints-- hip & knee (ASIS to Pes Anserinus)
Term
Rectus Femoris
*Seg
Definition
Origin: AIIS & Ilium Superior to Acetabulum

Insertion: via quadriceps tendon to base (superior border) of patella; Patellar ligament (or tendon) to tibial tuberosity

Peripheral Innervation: Femoral n.

Segmental Innervation: L2, L3, L4

Action: Extend leg @ knee joint; steadies hip & assists Iliopsoas in hip flexion

*Note: Crosses 2 joints-- hip & knee (AIIS to tibial tuberosity)
Term
Vastus Lateralis
*Seg
Definition
Origin: Greater Trochanter & Lateral lip of Linea Aspera

Insertion: Via quadriceps tendon to base (superior border) of patella; Patellar Lig/Tendon to Tibial Tuberosity-- *(To tibia & patella via lateral patellar retinacula)

Peripheral Innervation: Femoral n.

Segmental Innervation: L2, L3, L4

Action: Extend Leg @ Knee
Term
Vastus Medialis
*Seg
Definition
Origin: Intertrochanteric LINE (anterior side of femur-- not intertrochanteric crest which is posterior) & Medial Lip of Linea Aspera

Insertion: Quadriceps tendon via medial patellar retinaculum; Base of patella via quadriceps tendon; tibial tuberosity via patellar lig/tendon

Peripheral Innervation: Femoral n.

Segmental Innervation: L2, L3, L4

Action: Extend Leg @ Knee
Term
Vastus Intermedius
*Seg
Definition
Origin: Anterior & lateral surfaces of shaft of femur

Insertion: Base of patella via quadriceps tendon; tibial tuberosity via patellar lig/tendon

Peripheral Innervation: Femoral n.

Segmental Innervation: L2, L3, L4

Action: Extend Leg @ Knee
Term
Articularis Genu
Definition
Origin: Anterior Inferior Surface of Shaft of femur

Insertion: Synovial membrane of the knee joint; wall of suprapetallar bursa

Peripheral Innervation: Femoral n.

Segmental Innervation: N/A

Action: Pulls synovial membrane superiorly DURING EXTENSION to prevent folds of the membrane from being compressed inside the joint
Term
Adductor Longus
*Seg
Definition
Origin: Body of pubis (just inferior to pubic crest)

Insertion: Middle 1/3 of linea aspera

Peripheral Innervation: Obturator n.(anterior branch)

Segmental Innervation: L2, L3, L4

Action: Adducts Thigh @ hip
Term
Adductor Brevis
Definition
Origin: Body and inferior ramus of pubis

Insertion: *Pectineal Line & Proximal linea aspera

Peripheral Innervation: Obturator n. (anterior branch)

Segmental Innervation: N/A

Action: Adducts thigh @ hip, flexes thigh to some extent
Term
Adductor Magnus
Definition
Origin: (Adductor part)-- ischiopubic ramus; (Hamstring part)-- ischial tuberosity

Insertion: (Adductor part)-- Gluteal tuberosity, Linea aspera, medial supracondylar line; (Hamstring part)-- adductor tubercle

Peripheral Innervation: (Adductor part)-- Obturator n. (posterior branch); (Hamstring part)-- Tibial n.

Segmental Innervation: N/A

Action: (Adductor part)-- Adduct & flexes thigh @ hip; (Hamstring part)-- extends thigh @ hip
Term
Gracilis
Definition
Origin: Body & inferior ramus of pubis

Insertion: Pes Anserinus (Superior part of medial tibia)

Peripheral Innervation: Obturator n. (anterior branch)

Segmental Innervation: N/A

Action: Adducts & helps internally rotate thigh @ hip, flexes leg @ knee,
Term
Obturator Externus
Definition
Origin: Obturator membrane & parts of obturator foramen

Insertion: *Trochanteric fossa (on posterior side of femur)

Peripheral Innervation: Obturator n. (posterior branch)

Segmental Innervation: N/A

Action: *Externally rotate thigh @ hip, stabilizes femoral head in acetabulum
Term
Obturator Internus
Definition
Origin: Pelvic surface of obturator membrane and surrounding bones of obturator foramen (ischium, pubis, etc)

Insertion: Trochanteric fossa

Peripheral Innervation: N. to Obturator Internus

Segmental Innervation: N/A

Action: Externally rotate extended thigh @ hip, abduct flexed thigh @ hip; stabilizes femoral head in acetabulum
Term
Gemellus Superior
Definition
Origin: Ischial Spine

Insertion: Trochanteric Fossa

Peripheral Innervation: N. to Obturator Internus

Segmental Innervation: N/A

Action: Externally rotate extended thigh & abduct flexed thigh @ hip, stabilizes femoral head in acetabulum
Term
Gemellus Inferior
Definition
Origin: Ischial Spine

Insertion: Trochanteric Fossa

Peripheral Innervation: N. to Quadratus Femoris

Segmental Innervation: N/A

Action: Externally rotate extended thigh and abduct flexed thigh @ hip, stabilizes femoral head in acetabulum
Term
Quadratus Femoris
Definition
Origin: Lateral border of ischial tuberosity

Insertion: Quadrate tubercle (on intertrochanteric crest & area inferior to it)

Peripheral Innervation: N. to Quadratus Femoris

Segmental Innervation: N/A

Action: Externally rotates thigh, steadies head of femur in acetabulum
Term
Piriformis
Definition
Origin: Anterior surface of sacrum, sacrotuberous ligament

Insertion: Superior border of greater trochanter

Peripheral Innervation: N. to Piriformis

Segmental Innervation: N/A

Action: Externally rotate extended thigh & abduct flexed thigh @ hip, stabilizes femoral head in acetabulum
Term
Gluteus Maximus
*Seg
Definition
Origin: Ilium posterior to posterior gluteal line; Dorsal surface of sacrum & coccyx; Sacrotuberous ligament

Insertion: Iliotibial tract & gluteal tuberosity

Peripheral Innervation: Inferior Gluteal Nerve

Segmental Innervation: L5, S1, S2

Action: Extend thigh & assists in external rotation; Stabilizes thigh & assists in rising from sitting
Term
Gluteus Medius
*Seg
Definition
Origin: External surface of ilium between anterior & posterior gluteal lines

Insertion: Lateral surface of greater trochanter

Peripheral Innervation: Superior Gluteal Nerve

Segmental Innervation: L4, L5, S1

Action: Abducts & medially rotates thigh @ hip; Keeps pelvis level when ipsilateral limb is weight bearing & advances opposite leg during its swing
Term
Gluteus Minimus
Definition
Origin: External surface of ilium between anterior & inferior gluteal lines

Insertion: Anterior surface of greater trochanter

Peripheral Innervation: Superior gluteal n.

Segmental Innervation: N/A

Action: Abducts & medialy rotates thigh @ hip; keeps pelvis level when ipsilateral limb is weight-bearing and advance opposite side during its swing
Term
Tensor Fascia Lata
Definition
Origin: ASIS & Anterior part of iliac crest

Insertion: Iliotibial (IT) Tract/band to Gerdy's Tubercle of superior, antero-lateral portion of tibia

Peripheral Innervation: Superior Gluteal n.

Segmental Innervation: N/A

Action: Abducts & medially rotates thigh @ hip; keeps pelvis level when ipsilateral limb is weight-bearing and advance opposite side during its swing
Term
Biceps Femoris
*Seg
Definition
Origin: (Long head)-- Ischial tuberosity, (Short head)-- Linea aspera and lateral supracondylar line

Insertion: Lateral side of head of fibula; tendon of biceps fem is split by fibular collateral ligament

Peripheral Innervation: (Long head)-- tibial n., (Short head)-- Common peroneal n.

Segmental Innervation: L5, S1, S2

Action:
Term
Semitendinosus
*Seg
Definition
Origin: Ischial tuberosity

Insertion: Pes Anserinus (Medial surface of superior tibia)

Peripheral Innervation: Tibial n.

Segmental Innervation: L5, S1, S2

Action: Flexes leg & rotates medially when knee is flexed; extends thigh; Extend trunk (when thigh & leg are both flexed)
Term
Semimembranosus
*Seg
Definition
Origin: Ischial tuberosity

Insertion: Posterior part of medial condyle of Tibia; reflected attachment forms oblique popliteal lig

Peripheral Innervation: Tibial n.

Segmental Innervation: L5, S1, S2

Action: Flex and internally rotate LEG when knee is flexed; extend thigh; extend trunk (when thigh and leg are flexed)
Term
Gastrocnemius
*Seg
Definition
Origin: (Lateral head)-- Lateral aspect of lateral femoral condyle; (Medial head)-- Popliteal surface of femur superior to medial femoral condyle

Insertion: Achilles Tendon (Posterior surface of calcaneus via calcaneal tendon)

Peripheral Innervation: Tibial n.

Segmental Innervation: S1, S2

Action: Plantarflexes ankle when knee extended (a.k.a. raises heel during walking); *Flexes leg @ knee
Term
Soleus
*Seg
Definition
Origin: Posterior aspect of the head and superior 1/4 of posterior fibula; Soleal line & middle 1/3 of the medial border of tibia; and tendinous arch extending between bony attachments

Insertion: Achilles tendon (Posterior surface of calcaneus via calcaneal tendon)

Peripheral Innervation: Tibial n.

Segmental Innervation: S1, S2

Action: Plantarflexes ankle independent of position of knee; steadies leg on foot
Term
Plantaris
Definition
Origin: Inferior end of lateral supracondylar line of femur; oblique popliteal ligament

Insertion: Achilles tendon (post surface of calcaneus via calcaneal tendon)

Peripheral Innervation: Tibial n.

Segmental Innervation: N/A

Action: Weakly assists gastrocnemius in plantarflexing ankle
Term
Popliteus
Definition
Origin: Lateral surface of lateral condyle of femur and lateral meniscus

Insertion: Posterior surface of Tibia, superior to soleal line

Peripheral Innervation: Tibial n.

Segmental Innervation: N/A

Action: Weakly flexes knee & unlocks it by rotating femur 5 degrees on fixed tibia; medially rotates tibia of unplanted limb
Term
Tibialis Anterior
*Seg
Definition
Origin: Lateral condyle and superior 1/2 of the lateral surface of the tibia; also, interosseus membrane

Insertion: Medial and inferior surfaces of medial 1st (medial) cuneiform and base of first metatarsal

Peripheral Innervation: Deep Peroneal Nerve

Segmental Innervation: L4, L5

Action: Dorsiflex ankle; invert foot
Term
Extensor Digitorum Longus
Definition
Origin: Lateral condyle of tibia; superior 3/4 of medial surface of fibula; interosseus membrane

Insertion: Middle and distal phalanges of lateral 4 digits

Peripheral Innervation: Deep Peroneal n.

Segmental Innervation: N/A

Action: Extends later 4 digits (phalanges); dorsiflexes ankle
Term
Extensor Hallucis Longus
*Seg
Definition
Origin: Middle of anterior surface of fibula; interosseus membrane

Insertion: Dorsum of base of distal phalanx of great toe

Peripheral Innervation: Deep Peroneal n.

Segmental Innervation: L4, L5

Action: Extends great toe; dorsiflexes ankle
Term
Fibularis Tertius
Definition
Origin: Inferior 1/3 of anterior surface of fibula; interosseus membrane

Insertion: Dorsum of base of 5th metatarsal

Peripheral Innervation: Deep Peroneal n.

Segmental Innervation: N/A

Action: Dorsiflex ankle; aids in eversion of foot
Term
Peroneus Longus
*Seg
Definition
Origin: Head and superior 2/3 of lateral surface of fibula

Insertion: Plantar base of 1st metatarsal & medial cuneiform

Peripheral Innervation: Superficial Peroneal n.

Segmental Innervation: L5, S1

Action: Plantarflexes (weakly) & everts foot
Term
Peroneus Brevis
*Seg
Definition
Origin: Inferior 2/3 of lateral surface of fibula

Insertion: Dorsal surface of tuberosity on lateral side of base of 5th metatarsal (simplified: Styloid process of 5th metatarsal)

Peripheral Innervation: Superficial Peroneal n.

Segmental Innervation: L5, S1

Action: Plantarflexes (weakly) & everts foot
Term
Tibialis Posterior
*Seg
Definition
Origin: Interosseus membrane; posterior surface of Tibia inferior to soleal line; posterior surface of fibula

Insertion: Navicular tuberosity; cuneiform; cuboid; sustentaculum tali of calcaneus; bases of 2, 3 & 4th metatarsals

Peripheral Innervation: Tibial n.

Segmental Innervation: L4, L5

Action: Plantarflexes and inverts
Term
Flexor Digitorum Longus
Definition
Origin: Medial part of posterior surface of tibia inferior to soleal line; by a broad tendon to fibula

Insertion: Bases of distal phalanges of lateral 4 digits

Peripheral Innervation: Tibial n.

Segmental Innervation: N/A

Action: Flexes lateral 4 digits; plantarflexes; supports longitudinal arches of foot
Term
Flexor Hallucis Longus
*Seg
Definition
Origin: Inferior 2/3 of posterior surface of fibula; inferior part of interosseus membrane

Insertion: Plantar base of distal phalanx of great toe

Peripheral Innervation: Tibial n.

Segmental Innervation: L5, S1, S2

Action: Flexes great toe at all joints; plantarflexes ankle (weakly); supports medial longitudinal arch of foot
Term
Extensor Digitorum Brevis
Definition
Origin: Calcaneus; interosseus talocalcaneal ligament; stem of inferior extensor retinaculum

Insertion: Long extensor tendons (from ext digi longus) of toes 2, 3 & 4

Peripheral Innervation: Deep Peroneal n.

Segmental Innervation: N/A

Action: Aids extensor digitorum longus in extending digits 2, 3 & 4 @ the MTP joints and IP joints
Term
Abductor Hallucis
*Seg
Definition
Origin: Medial tubercle of calcaneal tuberosity; flexor retinaculum; plantar aponeurosis

Insertion: Medial side of base of proximal phalanx of 1st digit

Peripheral Innervation: Medial Plantar n.

Segmental Innervation: S1, S2

Action: Abducts & flexes 1st digit
Term
Flexor Hallucis Brevis
Definition
Origin: Plantar surfaces of cuboid and lateral cuneiforms

Insertion: Both sides of base of proximal phalanx of 1st digit

Peripheral Innervation: Medial Plantar n.

Segmental Innervation: N/A

Action: Flexes proximal phalanx of 1st digit
Term
Flexor Digitorum Brevis
Definition
Origin: Medial tubercle of calcaneal tuberosity; plantar aponeurosis; intermuscular septa

Insertion: Both sides of middle phalanges of lateral 4 digits

Peripheral Innervation: Medial Plantar n.

Segmental Innervation: N/A

Action: Flexes lateral 4 digits
Term
Lumbricals
Definition
Origin: Tendons of flexor digitorum longus

Insertion: medial aspect of expansion over lateral 4 digits

Peripheral Innervation: (1st lumbrical): Medial Plantar n.; (2-4 lumbricals): Lateral Plantar n.

Segmental Innervation: N/A

Action: Flex proximal phalanges; extend middle and distal phalanges of lateral 4 digits
Term
Quadratus Plantae
Definition
Origin: Medial surface and lateral margin of plantar surface of calcaneus

Insertion: Posterolateral margin of tendon of flexor digitorum longus

Peripheral Innervation: Lateral Plantar n.

Segmental Innervation: N/A

Action: Assists flexor digitorum longus in flexing lateral 4 digits
Term
Abductor Digiti Minimi
*Seg
Definition
Origin: Medial & lateral tubercles of calcaneal tuberosity

Insertion: Lateral side of base of proximal phalanx of 5th digit

Peripheral Innervation: Lateral Plantar n.

Segmental Innervation: S2, S3

Action: Abducts & flexes 5th digit
Term
Flexor Digiti Minimi Brevis
Definition
Origin: Base of 5th metatarsal

Insertion: Base of proximal phalanx of 5th digit

Peripheral Innervation: Lateral Plantar n.

Segmental Innervation: N/A

Action: Flexes proximal phalanx of 5th digit
Term
Adductor Hallucis
Definition
Origin: (Oblique head): base of metatarsals 2-4, (Transverse head): plantar ligaments of MTP joints

Insertion: Tendons of both heads attach to lateral side of base of proximal phalanx of 1st digit

Peripheral Innervation: Lateral Plantar n.

Segmental Innervation: N/A

Action: Adducts 1st digit, (assists in transverse arch of foot moving metatarsals medially)
Term
Plantar Interossei
Definition
Origin: Bases of medial sides of metatarsals 3-5

Insertion: Medial sides of bases of phalanges of 3-5th digits

Peripheral Innervation: Lateral Plantar n.

Segmental Innervation: N/A

Action: Adducts digits 3-5 and flex MTP joints
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