Table of Lower Limb Muscles.docx

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    Table of Lower Limb Muscles

    Muscles of Gluteal Region

    Muscle Origin Insertion Nerve Action

    gluteus maximus

    outer surface

    of ilium,sacrum,

    coccyx,sacrotuberous

    ligament

    iliotibial tractand gluteal

    tuberosity offemur

    inferior gluteal

    nerve

    extends & laterallyrotates thigh; through

    iliotibial tract, itextends knee oint

    gluteus mediusouter surfaceof ilium

    greater

    trochanter offemur

    su!eriorgluteal nerve

    abducts thigh" Tilts!elvis when walking

    gluteus minimusouter surface

    of ilium

    greater

    trochanter of

    femur

    su!erior

    gluteal nerve

    abduct thigh; anterior

    fibers medially rotate

    thigh

    tensor fasciae latae iliac crest iliotibial tractsu!erior

    gluteal nerve

    assists gluteus maor

    in locking the knee

    into full extension

    !iriformisanteriorsurface of

    sacrum

    greatertrochanteric

    fossa

    #st & $ndsacral nerves

    lateral rotator ofthigh

    su!erior gemelluss!ine ofischium

    greater

    trochantericfossa

    sacral !lexuslateral rotator ofthigh

    obturator internus

    inner surface

    of obturator

    membrane

    greater

    trochanteric

    fossa

    sacral !lexus lateral rotator ofthigh

    inferior gemellusischial

    tuberosity

    greater

    trochanteric

    fossa

    sacral !lexuslateral rotator of

    thigh

    obturator externusouter surfaceof obturator

    membrane

    greatertrochanteric

    fossa of femur

    obturatornerve

    lateral rotator ofthigh

    %nterior om!artment of Thigh

    sartoriusanteriorsu!erior iliac

    s!ine

    u!!er medial

    surface of tibiafemoral nerve

    flexes, abducts,laterally rotates thigh;

    flexes & medially

    rotates leg

    iliacus iliac fossa with !soas intothe lesser

    trochanter of

    femur

    femoral nerve flexes thigh on trunk;if thigh is fixed, it

    flexes the trunk onto

    the thigh as in sitting

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    u!

    !soas

    #$th thoracic

    body;transverse

    !rocess,

    bodies &intervertebraldiscs of the '

    lumbar

    vertebrae

    lesser

    trochanter offemur alongwith iliacus

    lumbar !lexus

    flexes thigh on trunk;

    if thigh fixed, itflexes trunk ontothigh as in sitting u!

    !ectineussu!erior ramus

    of !ubis

    u!!er end shaft

    of femurfemoral nerve

    flexes and adducts

    thigh

    (uadrice!s

    femoris, rectus

    femoris

    straight head

    from anteriorinferior iliac

    s!ine;reflected head

    from iliumabove

    acetabulum

    (uadrice!stendon into

    !atella; intotibial

    tuberosity by!atellar tendon

    femoral nerve extension of leg

    (uadrice!s

    femoris, vastus

    lateralis

    u!!er end and

    shaft of femur

    (uadrice!stendon into

    !atella; into

    tibial

    tuberosity by!atellar tendon

    femoral nerve extension of leg

    (uadrice!sfemoris, vastus

    medialis

    u!!er end and

    shaft of femur

    (uadrice!s

    tendon into!atella; into

    tibial

    tuberosity by

    !atellar tendon

    femoral nerve extension of leg

    (uadrice!s

    femoris, vastusintermedius

    shaft of femur

    (uadrice!s

    tendon into

    !atella; into

    tibial

    tuberosity by!atellar tendon

    femoral nerve extension of leg

    Muscles of Medial om!artment of Thigh

    gracilis

    inferior ramusof !ubis;

    ramus of

    ischium

    u!!er !art ofshaft of tibia

    on medial

    surface

    obturator

    nerve

    adducts thigh and

    flexes leg

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    adductor longus body of !ubis

    !osterior

    surface of shaft

    of femur

    obturator

    nerve

    adducts thigh; assists

    in lateral rotation

    adductor brevisinferior ramus

    of !ubis

    !osterior

    surface of shaft

    of femur

    obturator

    nerve

    adducts thigh; assists

    in lateral rotation

    adductor magnus

    inferior ramusof !ubis;

    ramus of

    ischium,ischial

    tuberosity

    !osteriorsurface of shaft

    of femur near

    linea as!era;adductor

    tubercle of

    femur

    obturator

    nerve; tibial

    nerve tohamstring !art

    adducts thigh and

    assists in lateral

    rotation; hamstring!art extends thigh

    Muscles of )osterior om!artment of Thigh

    bice!s femoris

    long head

    from ischialtuberosity;

    short headfrom shaft of

    femur

    head of fibula

    longhead*tibial;

    short

    head*common!eroneal

    flexes and laterally

    rotates leg; long head

    extends thigh

    semitendinosusischialtuberosity

    u!!er !art

    medial surfaceof shaft of tibia

    tibial nerve

    flexes and medially

    rotates leg; extendsthigh

    semimembranosus

    ischial

    tuberosity

    medial condyle

    of tibia; forms

    obli(ue!o!liteal

    ligament

    tibial nerve

    flexes and medially

    rotates leg; extendsthigh

    adductor magnus+hamstring !art

    ischialtuberosity

    adductor

    tubercle offemur

    tibial nerve extends thigh

    Muscles of %nterior om!artment of the Leg

    tibialis anterior

    shaft of tibia

    and

    interosseousmembrane

    medial

    cuneiform &

    base of firstmetatarsal

    dee! !eroneal

    nerve

    extends the foot;

    inverts foot atsubtalar and

    transverse tarsaloints; su!!ortsmedial longitudinal

    arch

    extensor digitorum

    shaft of fibula

    andinterosseous

    membrane

    extensor

    ex!ansion oflateral four

    toes

    dee! !eronealnerve

    extends toes;dorsiflexes +extends

    foot

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    !eroneus tertius

    shaft of fibula

    & interosseousmembrane

    base of 'th

    metatarsalbone

    dee! !eronealnerve

    dorsiflexes +extends

    foot; everts foot at

    subtalar andtransverse tarsal

    oints

    extensor hallucis

    longus

    shaft of fibula

    & interosseous

    membrane

    base of distal

    !halanx of big

    toe

    dee! !eroneal

    nerve

    extends big toe;dorsiflexes +extendsfoot; inverts foot at

    subtalar and

    transverse tarsaloints

    Muscles of Lateral om!artment of Leg

    !eroneus longus shaft of fibula

    base of #stmetatarsal &

    medial

    cuneiform

    su!erficial

    !eroneal nerve

    !lantar flexes foot;

    everts foot at subtalar& transverse tarsal

    oints; su!!ortslateral longitudinal

    and transverse archesof foot

    !eroneus brevis shaft of fibulabase of 'thmetatarsal

    bone

    su!erficial

    !eroneal nerve

    !lantar flexes foot;

    everts foot at subtalar& transverse tarsal

    oints; su!!orts

    lateral longitudinal

    arch

    Muscles of )osterior om!artment of the Leg

    gastrocnemius

    medial and

    lateral

    condyles offemur

    by way of

    %chilles

    tendon tocalcaneum

    tibial nerve!lantar flexes foot;

    flexes leg

    !lantaris

    lateral

    su!racondylar

    ridge of femur

    calcaneum tibial nerve!lantar flexes foot;

    flexes leg

    soleus shafts of tibiaand fibula

    by way of

    achilles tendoninto calcaneum

    tibial nerve

    with gastrocnemius

    & !lantaris is

    !owerful !lantar

    flexor of foot;!rovides main

    !ro!ulsive force in

    walking & running

    !o!liteus lateral condyle

    of femur

    shaft of tibia tibial nerve flexes leg; unlocks

    full extension of knee

    by laterally rotating

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    femur on tibia

    flexor digitorum

    longus

    shaft of tibia

    distal!halanges of

    lateral fourtoes

    tibial nerve

    flexes distal

    !halanges of lateralfour toes; !lantar

    flexes foot; su!!orts

    medial and laterallongitudinal arches offoot

    flexor hallucislongus

    shaft of fibulabase of distal!halanx of big

    toe

    tibial nerve

    flexes distal !halanx

    of big toe; !lantarflexes foot; su!!orts

    medial longitudinal

    arch

    tibialis !osterior

    shafts of tibia

    and fibula &

    interosseousmembrane

    tuberosity of

    navicular bonetibial nerve

    !lantar flexes foot;inverts foot at

    subtalar andtransverse tarsal

    oints; su!!ortsmedial longitudinal

    arch of foot

    Muscles on the -orsum of .oot

    extensor digitorum

    breviscalcaneum

    by fourtendons into

    the !roximal

    !halanx of bigtoe and long

    extensor

    tendons to $nd,/rd and 0th

    toes

    dee! !eroneal

    nerveextends toes

    Muscles of the 1ole of the .oot +.irst Layer

    abductor hallucis

    medial

    tubercle ofcalcaneum;

    flexor

    retinaculum

    medial side,

    base of!roximal

    !halanx of big

    toe

    medial !lantar

    nerve

    flexes, abducts bigtoe; su!!orts medial

    arch

    flexor digitorum

    brevis

    medial

    tubercle of

    calcaneum

    middle

    !halanx of four

    lateral toes

    medial !lantar

    nerve

    flexes lateral fourtoes; su!!orts medial

    & lateral longitudinal

    arches

    abductor digiti

    minimi

    medial &

    lateral

    tubercles of

    lateral side

    base of

    !roximal

    lateral !lantar

    nerve

    flexes, abducts 'th

    toe; su!!orts lateral

    longitudinal arch

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    calcaneum !halanx 'th toe

    muscles of 1ole of .oot +1econd Layer

    flexor accessorius

    +(uadratus

    !lantae

    medial and

    lateral sides of

    calcaneum

    tendons flexor

    digitorum

    longus

    lateral !lantarnerve

    aids long flexor

    tendon to flex lateral

    four toes

    flexor digitorumlongus tendon

    shaft of tibia

    base of distal

    !halanx oflateral four

    toes

    tibial nerve

    flexes distal

    !halanges of lateral

    four toes; !lantarflexes foot; su!!orts

    longitudinal arch

    lumbricals

    tendons of

    flexor

    digitorumlongus

    dorsal extensor

    ex!ansion of

    lateral fourtoes

    #st lumbricalfrom medial

    !lantar;

    remainder

    lumbricals

    from dee!branch of

    lateral !lantarnerve

    extends toes at

    inter!halangeal oints

    flexor hallucislongus

    shaft of fibula

    base of distal

    !halanx of bigtoe

    tibial nerve

    flexes distal !halanx

    of big toe; !lantar

    flexes foot; su!!ortsmedial longitudinal

    arch

    Muscles of 1ole of .oot +Third Layer

    flexor hallucis

    brevis

    cuboid, lateralcuneiform

    bones; tibialis

    !osteriorinsertion

    medial &lateral sides of

    base of

    !roximal

    !halanx of bigtoe

    medial !lantar

    nerve

    flexesmetatarso!halangeal

    oint of big toe;

    su!!orts mediallongitudinal arch

    adductor hallucis+obli(ue head

    bases of $nd,

    /rd & 0thmetatarsal

    bones

    lateral side

    base of!roximal

    !halanx big toe

    dee! branch oflateral !lantar

    flexes big toe,

    su!!orts transversearch

    adductor hallucis+transverse head

    !lantarligaments

    lateral side ofbase of!roximal

    !halanx big toe

    dee! branch oflateral !lantarnerve

    flexes big toe;su!!orts transversearch

    flexor digiti

    minimi brevis

    base of 'th

    metatarsalbone

    lateral side of

    base of!roximal

    !halanx of big

    su!erior

    branch oflateral !lantar

    nerve

    flexes little toe

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    toe

    Muscles of 1ole of .oot +.ourth Layer

    dorsal interossei+0

    adacent sides

    of metatarsalbones

    bases of

    !halanges and

    dorsalex!ansion of

    corres!ondingtoes

    lateral !lantarnerve

    abduct toes with $nd

    toe as the reference;

    flexmetatarso!halangeal

    oints; extendinter!halangeal oint

    !lantar interossei+/

    /rd, 0th, and'th metatarsal

    bones

    bases of

    !halanges &

    dorsalex!ansion of

    corres!onding

    toes

    lateral !lantarnerve

    adduct toes with $nd

    toe as reference; flexmetatarso!halangeal

    oints; extend

    inter!halangeal oints

    tendon of

    !eroneus longus see above see above see above see above

    tendon of tibialis

    !osteriorsee above see above see above see above

    Radiogra!hs

    )ractice

    2xamination

    3omeLower Limb 4ones5 %nterior Thigh5 Medial Thigh5 Gluteal Region5 )osteriorThigh5 %nterior Leg and -orsal .oot5 Lateral Leg5 )osterior Leg5 1ole of the .oot5%nkle5 6oints of the Lower Limb5 1ummary of 7tems in the Lower Limb5 Radiogra!hs

    of the Lower Limb5 Table of Muscles5 )ractice 2xamination

    This is copyrighted1999 by Wesley Norman, PhD

    v

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