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Muscles of the Gluteal Region I: Hip Extensors
Name

Origin

Insertion

Innervation

Function

Gluteus Maximus - behind the posterior
gluteal line
- sacrum
- sacrotuberous ligament

- deep part - gluteal
tuberosity on the
upper shaft of the
femur
- superficial part iliotibial tract

inferior gluteal nerve
(L5-S2)

Tensor Fascia
Lata

anterior aspect of the
iliotibial tract

superior gluteal nerve - FLEXION of the hip
- helps extension of the knee through
the iliotibial tract

anterior superior iliac
spine

(blood supply from
both gluteal arteries)

- extension of the hip against stress/
gravity
- helps extension of the knee through
the iliotibial tract

Muscles of the Gluteal Region II: Hip Abductors
Name
Gluteus Medius

Gluteus Minimus

Origin

Insertion

lateral surface of the ilium
between the posterior and
anterior gluteal lines
between the anterior and
inferior gluteal lines

greater trochanter
(medius posterior to
minimus)

Innervation

superior gluteal nerve
(L4-S1)

Function

- abduction of the hip
- stabilisation during walking

Muscles of the Gluteal Region III: Lateral Rotators
Name

Origin

Insertion

Innervation

Piriformis

anterior surface of
the sacrum

trochanteric fossa nerve to piriformis (S1S3)

Obturator
Internus

obturator membrane

trochanteric fossa obturator internus
nerve (L5-S2)

Gemelli
(Superior and
Inferior)
Quadratus
Femoris

trochanteric fossa

ischial tuberosity

quadrate tubercle
on the femur

quadratus femoris
nerve (L4-S1)

Function
- important landmark
- superior gluteal vessels and nerves emerge
(L4-S1) above
- inferior gluteal vessels and nerves (L5-S2)
emerge below
- sciatic nerve (L4-S3) usually enters the
posterior thigh below it
Posterior Compartment of the Thigh
Name

Origin

Insertion

Semitendinosus

Semimembranosus

medial surface of the
proximal shaft of the
tibia
ischial tuberosity
short head of biceps
originates from the
lateral shaft of the femur

Biceps Femoris

- medial tibial condyle
- recurrent slip of tendon
across the back of the
knee joint to the
oblique popliteal
ligament

Innervation

Function

tibial nerve (L5-S1)
short head of
biceps supplied by
common fibular
(peroneal) nerve

- extensors of the thigh at the hip
joint
- flexors of the knee
- small degree of rotation

head of the fibula

Anterior Compartment of the Thigh
Name

Origin

Insertion

Innervation

Function

Iliopsoas

- psoas major - L1-L5
lesser trochanter of the
(vertebrae, intercalated femur
discs, transverse
processes)
- iliacus - iliac fossa

- psoas major direct from L1-L3
- iliacus - femoral
nerve (L2-L3)

- flexes the thigh
- when fixed, flexes the trunk

Sartorius

anterior superior iliac
spine

medial aspect shaft of
the tibia

femoral nerve (L2L3)

- flexion of hip
- lateral rotation and abduction of hip
- flexion of the knee
- crossed leg position

Pectineus

pecten of the pubis

spiral line of the femur

femoral nerve (L2L3) and/or
obturator nerve
(L2-L4)

- adducts the hip

tibial tuberosity

femoral nerve (L2L3)

- main extensor of the knee

Quadriceps Femoris - rectus femoris anterior inferior iliac
spine
- vastus medialis medial side of the linea
aspera
- vastus lateralis - lateral
side of the linea aspera
- vastus intermedius front of the femoral
shaft

patella is found in the
common (quadriceps)
tendon, after which is
called the
ligamentum patellae

Medial Compartment of the Thigh
Name
Gracilis

Origin
pubic bone

Insertion

Innervation

medial shaft of the tibia

Function
adducts the hip

shared with sartorius and
semitendinosus
Obturator Externus

obturator membrane
+ surrounding bone

trochanteric fossa

Adductor Longus
linea aspera?
Adductor Brevis
Adductor Magnus

pubic bone

- adductor part - entire
length of linea aspera
- hamstring part - adductor
tubercle on the medial
epichondyle of the tibia

obturator nerve (L2-L4)

eternally rotates the hip

hamstring portion of
adductor magnus tibial
nerve (L5-S1)
adducts the hip
Anterior Compartment of the Leg
Name

Origin

Insertion

Tibialis Anterior

lateral surface of tibia

medial side of foot (medial
cuneiform and base of 1st
metatarsal)

Extensor Digitorum
Longus

- interosseous
membrane
- fibula (EDL superior to
the EHL)

distal phalanx of the 2nd-5th
digits

Innervation

Extensor Hallucis
Longus

Function
- dorsiflexes the foot
- inverts the foot (elevation
of the medial side of the
foot)

deep fibular nerve

distal phalanx of the 1st digit
(big toe)

extends 2nd-4th digits
extends 1st digit (big toe)

Lateral Compartment of the Leg
Name
Fibularis (prev.
Peroneus) Longus
Fibularis (prev.
Peroneus) Brevis

Origin
lateral surface of the
fibula (longus, upper
part; brevis, lower part)

Insertion

Innervation

Function

medial cuneiform and base
of 1st metatarsal
styloid process of the 5th
metatarsal

superficial fibular nerve everts the foot

Posterior Compartment of the Leg
Name

Origin

Insertion

Gastrocnemius

below the knee joint

Plantaris

lateral epicondyle of the
femur

Tibialis Posterior

interosseous membrane

tuberosity of the navicular
bone (medial side of the
sole of the foot)

Flexor Digitorum
Longus

tibia

distal phalanx of the 2nd-5th
digits

Flexor Hallucis
Longus

fibula

distal phalanx of the 1st digit

Function

above the knee joint

Soleus

Innervation

(superficial)
(deep)

tendocalcaneus

tibial nerve

plantar flexion of the foot

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Muscles of the lower limb

  • 1. Muscles of the Gluteal Region I: Hip Extensors Name Origin Insertion Innervation Function Gluteus Maximus - behind the posterior gluteal line - sacrum - sacrotuberous ligament - deep part - gluteal tuberosity on the upper shaft of the femur - superficial part iliotibial tract inferior gluteal nerve (L5-S2) Tensor Fascia Lata anterior aspect of the iliotibial tract superior gluteal nerve - FLEXION of the hip - helps extension of the knee through the iliotibial tract anterior superior iliac spine (blood supply from both gluteal arteries) - extension of the hip against stress/ gravity - helps extension of the knee through the iliotibial tract Muscles of the Gluteal Region II: Hip Abductors Name Gluteus Medius Gluteus Minimus Origin Insertion lateral surface of the ilium between the posterior and anterior gluteal lines between the anterior and inferior gluteal lines greater trochanter (medius posterior to minimus) Innervation superior gluteal nerve (L4-S1) Function - abduction of the hip - stabilisation during walking Muscles of the Gluteal Region III: Lateral Rotators Name Origin Insertion Innervation Piriformis anterior surface of the sacrum trochanteric fossa nerve to piriformis (S1S3) Obturator Internus obturator membrane trochanteric fossa obturator internus nerve (L5-S2) Gemelli (Superior and Inferior) Quadratus Femoris trochanteric fossa ischial tuberosity quadrate tubercle on the femur quadratus femoris nerve (L4-S1) Function - important landmark - superior gluteal vessels and nerves emerge (L4-S1) above - inferior gluteal vessels and nerves (L5-S2) emerge below - sciatic nerve (L4-S3) usually enters the posterior thigh below it
  • 2. Posterior Compartment of the Thigh Name Origin Insertion Semitendinosus Semimembranosus medial surface of the proximal shaft of the tibia ischial tuberosity short head of biceps originates from the lateral shaft of the femur Biceps Femoris - medial tibial condyle - recurrent slip of tendon across the back of the knee joint to the oblique popliteal ligament Innervation Function tibial nerve (L5-S1) short head of biceps supplied by common fibular (peroneal) nerve - extensors of the thigh at the hip joint - flexors of the knee - small degree of rotation head of the fibula Anterior Compartment of the Thigh Name Origin Insertion Innervation Function Iliopsoas - psoas major - L1-L5 lesser trochanter of the (vertebrae, intercalated femur discs, transverse processes) - iliacus - iliac fossa - psoas major direct from L1-L3 - iliacus - femoral nerve (L2-L3) - flexes the thigh - when fixed, flexes the trunk Sartorius anterior superior iliac spine medial aspect shaft of the tibia femoral nerve (L2L3) - flexion of hip - lateral rotation and abduction of hip - flexion of the knee - crossed leg position Pectineus pecten of the pubis spiral line of the femur femoral nerve (L2L3) and/or obturator nerve (L2-L4) - adducts the hip tibial tuberosity femoral nerve (L2L3) - main extensor of the knee Quadriceps Femoris - rectus femoris anterior inferior iliac spine - vastus medialis medial side of the linea aspera - vastus lateralis - lateral side of the linea aspera - vastus intermedius front of the femoral shaft patella is found in the common (quadriceps) tendon, after which is called the ligamentum patellae Medial Compartment of the Thigh Name Gracilis Origin pubic bone Insertion Innervation medial shaft of the tibia Function adducts the hip shared with sartorius and semitendinosus Obturator Externus obturator membrane + surrounding bone trochanteric fossa Adductor Longus linea aspera? Adductor Brevis Adductor Magnus pubic bone - adductor part - entire length of linea aspera - hamstring part - adductor tubercle on the medial epichondyle of the tibia obturator nerve (L2-L4) eternally rotates the hip hamstring portion of adductor magnus tibial nerve (L5-S1) adducts the hip
  • 3. Anterior Compartment of the Leg Name Origin Insertion Tibialis Anterior lateral surface of tibia medial side of foot (medial cuneiform and base of 1st metatarsal) Extensor Digitorum Longus - interosseous membrane - fibula (EDL superior to the EHL) distal phalanx of the 2nd-5th digits Innervation Extensor Hallucis Longus Function - dorsiflexes the foot - inverts the foot (elevation of the medial side of the foot) deep fibular nerve distal phalanx of the 1st digit (big toe) extends 2nd-4th digits extends 1st digit (big toe) Lateral Compartment of the Leg Name Fibularis (prev. Peroneus) Longus Fibularis (prev. Peroneus) Brevis Origin lateral surface of the fibula (longus, upper part; brevis, lower part) Insertion Innervation Function medial cuneiform and base of 1st metatarsal styloid process of the 5th metatarsal superficial fibular nerve everts the foot Posterior Compartment of the Leg Name Origin Insertion Gastrocnemius below the knee joint Plantaris lateral epicondyle of the femur Tibialis Posterior interosseous membrane tuberosity of the navicular bone (medial side of the sole of the foot) Flexor Digitorum Longus tibia distal phalanx of the 2nd-5th digits Flexor Hallucis Longus fibula distal phalanx of the 1st digit Function above the knee joint Soleus Innervation (superficial) (deep) tendocalcaneus tibial nerve plantar flexion of the foot