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Title: Lower Extremity Muscles
Description: Document includes the origins, insertions, actions, and nerves of every muscle of the lower extremity.
Description: Document includes the origins, insertions, actions, and nerves of every muscle of the lower extremity.
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Muscle
Origin
Insertion
Psoas
Major-superficial Lesser trochanter
(lateral surfaces of of femur
T12, L1-L4, and
associated
vertebral disks),
major-deep (costal
processes of L1L5)
Iliacus
Iliac fossa
Lesser trochanter
of femur
Anterior inferior
iliac spine
(straight head),
acetabular roof of
hip joint (reflected
head)
Anterior superior
iliac spine
On tibial
tuberosity via
patellar ligament
Rectus femoris
(Pg 482)
Sartorius
Tensor fascia latae Anterior superior
iliac spine
Vastus lateralis
Vastus medialis
Lateral lip of linea
aspera, lateral
surface of greater
trochanter
Medial to tibial
tuberosity
(together with
gracilis and
semitendinosus)
Iliotibial tract
On tibial
tuberosity via
patellar ligament,
lateral part of
tibial tuberosity
Medial lip of linea On tibial
aspera, distal part tuberosity via
of
patellar ligament,
intertrochanteric
medial part of
line
tibial tuberosity
Actions
Nerve
Hip (flexion and
external rotation),
lumbar spine
(unilateral
contraction bends
trunk laterally to
same side, bilateral
raises trunk from
supine position)
Hip (flexion and
external rotation),
lumbar spine
(unilateral
contraction bends
trunk laterally to
same side, bilateral
raises trunk from
supine position)
Hip (flexion), entire
muscle-quad (knee
extension)
Direct branches
from lumbar
plexus (L1-L3)
Hip (flexion,
abduction, and
external rotation),
knee (flexion and
internal rotation)
Tenses the fascia
lata, abduction,
flexion, and internal
rotation of hip joint
Femoral nerve
(L2, L3)
Knee extension
Femoral nerve
(L2-L4)
Knee extension
Femoral nerve
(L2-L4)
Femoral nerve
Femoral nerve
(L2-L4)
Superior gluteal
nerve (L4-S1)
Vastus
intermedius
Anterior side of
femoral shaft
On tibial
tuberosity via
patellar ligament
Knee extension
Femoral nerve
(L2-L4)
Pectineus
Pecten pubis
Pectineal line and
proximal linea
aspera of femur
Adduction, external
rotation, and slight
flexion of hip joint
Femoral nerve
and obturator
nerve (L2, L3)
Adductor brevis
Inferior pubic
ramus
Linea aspera:
medial lip in
upper third of
femur
Obturator nerve
(L2, L3)
Adductor longus
Superior pubic
Linea aspera:
ramus and anterior medial lip in
side of symphysis middle third of
femur
Adductor magnus
Inferior pubic
ramus, ischial
ramus, and ischial
tuberosity
Adduction and
flexion (up to 70
degrees) of hip joint,
extends (past 80
degrees), stabilizes
pelvis in coronal and
sagittal planes
Adduction and
flexion (up to 70
degrees) of hip joint,
extends (past 80
degrees), stabilizes
pelvis in coronal and
sagittal planes
Adduction,
extension, and slight
flexion of hip joint
(superficial also
active in internal
rotation), stabilizes
pelvis in coronal and
sagittal plane
Gracilis
Inferior pubic
ramus below
pubic symphysis
Hip joint (adduction
and flexion), knee
joint (flexion and
internal rotation)
Obturator nerve
(L2, L3)
Gluteus maximus
Lateral part of
dorsal surface of
sacrum, posterior
part of gluteal
surface of ilium
(behind posterior
gluteal line), also
from
thoracolumbar
fascia and
Entire muscle
(extends and
externally rotates the
hip, stabilizes the hip
in both sagittal and
coronal planes),
upper fibers
(abduction), lower
fibers (adduction)
Inferior gluteal
nerve (L5-S2)
Deep fleshy
insertion (medial
lip of linea
aspera),
superficial
tendinous
insertion
(adductor tubercle
of femur)
Medial border of
tibial tuberosity
(along with
tendons of
Sartorius and
semitendinosus)
Upper fibers
(iliotibial tract),
lower fibers
(gluteal
tuberosity)
Obturator nerve
(L2-L4)
Deep (obturator
nerve L2-L4),
superficial
(tibial nerve L4)
sacrotuberous
ligament
Gluteus medius
Gluteal surface of
ilium (below iliac
crest between
anterior and
posterior gluteal
line)
Gluteus minimus
Gluteal surface of
ilium (below
origin of gluteus
medius)
Piriformis
Pelvic surface of
sacrum
Gemellus superior
Ischial spine
Obturator internus
Inner surface of
obturator
membrane and its
bony boundaries
Gemellus inferior
Ischial tuberosity
Obturator externus Outer surface of
obturator
membrane and its
bony boundaries
Lateral surface of
greater trochanter
of femur
Entire muscle
(abducts hip,
stabilizes the pelvis
in coronal plane),
anterior (flexion and
internal rotation),
posterior (extension
and external rotation)
Anterolateral
Entire muscle
surface of greater (abducts hip,
trochanter of
stabilizes pelvis in
femur
coronal plane),
anterior (flexion and
internal rotation),
posterior (extension
and external rotation)
Apex of greater
External rotation,
trochanter of
abduction, and
femur
extension of hip
joint, stabilizes hip
joint
Jointly with
External rotation,
obturator internus adduction, and
tendon (medial
extension of the hip
surface, greater
joint (also active in
trochanter)
abduction depending
on position of joint)
Medial surface of External rotation,
greater trochanter adduction, and
extension of hip joint
(also active in
abduction, depending
on position of joint)
Jointly with
External rotation,
obturator internus adduction, and
tendon (medial
extension of the hip
surface, greater
joint (also active in
trochanter)
abduction depending
on position of joint)
Trochanteric fossa Adduction, external
of femur
rotation of hip joint,
stabilizes pelvis in
sagittal plane
Superior gluteal
nerve (L4-S1)
Superior gluteal
nerve (L4-S1)
Direct branches
from sacral
plexus (S1, S2)
Direct branches
from sacral
plexus (L5, S1)
Direct branches
from sacral
plexus (L5, S1)
Direct branches
from sacral
plexus (L5, S1)
Obturator nerve
(L3, L4)
Quadratus femoris
Lateral border of
ischial tuberosity
Biceps femoris
Long head (ischial
tuberosity,
sacrotuberous
ligament, common
head with
semitendinosus),
short head (lateral
lip of linea aspera
in middle third of
femur)
Semitendinosus
Ischial tuberosity
and sacrotuberous
ligament
(common head
with long head of
biceps femoris)
Semimembranosus Ischial tuberosity
Intertrochanteric
crest of femur
External rotation and Direct branches
adduction of hip joint from sacral
plexus (L5, S1)
Head of fibula
Hip (long head:
adduction, extends
hip, stabilizes pelvis
in sagittal plane),
knee (entire muscle:
flexion and external
rotation)
Tibial nerve
(L5-S2, long
head), common
fibular nerve
(L5-S2, short
head)
Medial to tibial
tuberosity in pes
anserinus (along
with tendons of
gracilis and
Sartorius)
Medial tibial
condyle, oblique
popliteal ligament,
popliteus fascia
Hip (adduction,
extends hip,
stabilizes pelvis in
sagittal plane), knee
(flexion and internal
rotation)
Hip (adduction,
extends hip,
stabilizes pelvis in
sagittal plane), knee
(flexion and internal
rotation)
Flexes and unlocks
knee by internally
rotating femur on
fixed head of tibia 5
degrees)
Talocrural joint
(plantar flexion),
knee joint (flexion)
Tibial nerve
(L5-S2)
Calcaneal
tuberosity via
calcaneal
(Achilles’) tendon
Talocrural joint
(plantar flexion)
Tibial nerve (S1,
S2)
Calcaneal
tuberosity via
calcaneal
(Achilles) tendon
Negligible due to its
small cross section,
may act to prevent
compression of
Tibial nerve (S1,
S2)
Popliteus
Lateral femoral
condyle, posterior
horn of lateral
meniscus
Posterior tibial
surface (aboce
origin of soleus)
Gastrocnemius
Medial head
(medial
epicondyle of
femur), lateral
head (lateral
epicondyle of
femur)
Posterior surface
of head and neck
of fibula, attached
to soleal line of
tibia via tendinous
arch
Lateral epicondyle
proximal to lateral
head of
gastrocnemius
Calcaneal
tuberosity via
calcaneal
(Achilles’) tendon
Soleus
Plantaris
Tibial nerve
(L5-S2)
Tibial nerve
(L4-S1)
Tibial nerve (S1,
S2)
posterior leg
musculature during
knee flexion
Tibialis anterior
Extensor hallucis
longus
Extensor
digitorum longus
Peroneus longus
(Fibularis longus)
Peroneus brevis
(Fibularis brevis)
Peroneus tertius
(Fibularis tertius)
Upper 2 thirds of
lateral surface of
tibia, crural
interosseous
membrane and
highest part of
superficial crural
fascia
Middle third of
medial surface of
fibula, crural
interosseous
membrane
Medial and
plantar surface of
medial cuneiform,
medial base of
first metatarsal
Talocrural joint
(dorsiflexion),
subtalar joint
(inversionsupination)
Deep fibular
nerve (L4, L5)
Dorsal
aponeurosis of
great toe and base
of its distal
phalanx
Deep fibular
nerve (L4, L5)
Lateral tibial
condyle, head of
fibula, medial
surface of fibula,
crural
interosseous
membrane
Head of fibula,
proximal 2/3 of
lateral surface of
fibula arising
partly from
intermuscular
septa
Distal half of
lateral surface of
fibula,
intermuscular
septa
By 4 slips to the
dorsal
aponeuroses of
2nd-5th toes and
bases of distal
phalanges of 2nd5th toes
Plantar side of
medial cuneiform,
base of 1st
metatarsal
Talocrural
(dorsiflexion),
subtalar (eversion
and inversion
depending on initial
position of foot),
extends
metatarsophalangeal
and interphalangeal
joints of great toe
Talocrural joint
(dorsiflexion),
subtalar (eversion,
pronation), extends
metatarsaophalangeal
joints of 2nd-5th toes
Talocrural joint
(plantar flexion),
subtalar joint
(eversion-pronation),
supports transverse
arch
Superficial
fibular nerve
(L5, S1)
Talocrural joint
(plantar flexion),
subtalar joint
(eversion-pronation)
Superficial
fibular nerve
(L5, S1)
Talocrural joint
(dorsiflexion),
subtalar joint
(eversion-pronation)
Deep fibular
nerve (L5, S1)
Anterior border of
distal fibula
Tuberosity at base
of 5th metatarsal
with an occasional
division to the
dorsal aponeurosis
of 5th toe
Base of 5th
metatarsal
Deep fibular
nerve (L4, L5)
Tibialis posterior
Crural
interosseous
membrane and
adjacent borders
of the tibia and
fibula
Tuberosity of
navicular, medial,
intermediate, and
lateral cuneiforms,
bases of 2nd-4th
metatarsals
Flexor digitorum
longus
Middle third of
posterior surface
of tibia
Bases of 2nd-5th
distal phalanges
Flexor hallucis
longus
Distal 2 thirds of
posterior surface
of fibula, adjacent
crural
interosseous
membrane
Base of distal
phalanx of great
toe
Extensor
digitorum brevis
Dorsal surface of
calcaneus
Dorsal
aponeurosis of
2nd-5th toes, bases
of middle
phalanges of these
toes
Extensor hallucis
brevis
Dorsal surface of
calcaneus
Abductor hallucis
Medial process of
calcaneal
tuberosity, plantar
aponeurosis,
flexor retinaculum
Dorsal
aponeurosis of
great toe, base of
proximal phalanx
of great toe
Base of proximal
phalanx of great
toe via medial
sesamoid
Talocrural (plantar
flexion), subtalar
(inversionsupination), supports
longitudinal and
transverse arches of
foot
Talocrural (plantar
flexion), subtalar
(inversionsupination), MTP/IP
of 2nd-5th toes
(plantar flexion)
Talocrural (plantar
flexion), subtalar
(inversionsupination), MTP/IP
joints of great toe
(plantar flexion),
supports medial
longitudinal arch of
foot
Extension of
metatarsophalangeal
and proximal
interphalangeal joints
of 2nd-4th toes
Tibial nerve
(L4, L5)
Extension of
metatarsophalangeal
joint of great toe
Deep fibular
nerve (L5, S1)
1st
metatarsophalangeal
joint (flexion and
medial abduction of
great toe), supports
longitudinal arch
Flexes first MTP
joint, supports
longitudinal arch
Medial plantar
nerve (S1, S2)
Tibial nerve
(L5-S2)
Tibial nerve
(L4-S1)
Deep fibular
nerve (L5, S1)
Extensor
digitorum brevis
Flexor hallucis
brevis
Cuboid, lateral
cuneiform
Medial head (base
of proximal
phalanx of great
toe via medial
sesamoid), lateral
Medial plantar
nerve (S1, S2)
head (base of
proximal phalanx
of great toe via
lateral sesamoid)
Abductor digiti
minimi
Lateral process
and inferior
surface of
calcaneal
tuberosity, plantar
aponeurosis
Base of 5th
metatarsal, long
plantar ligament
Base of proximal
phalanx of little
toe, tuberosity of
5th metatarsal
Flexes MTP joint of
little toe, abducts
little toe, supports
longitudinal arch
Lateral plantar
nerve (S1-S3)
Base of proximal
phalanx of little
toe
Flexes MTP joint of
little toe
Lateral plantar
nerve (S2, S3)
Opponens digiti
minimi
Lateral plantar
ligament, plantar
tendon sheath of
fibularis longus
5th metatarsal
Pulls 5th metatarsal
slightly in plantar
and medial direction
Lateral plantar
nerve (S2, S3)
Flexor digitorum
brevis
Medial tubercle of
calcaneal
tuberosity, plantar
aponeurosis
Sides of middle
phalanges of 2nd5th toes
Flexes MTP and PIP
of 2nd-5th toes,
supports longitudinal
arch of foot
Medial plantar
nerve (S1, S2)
Adductor hallucis
Oblique head
(bases of 2nd-4th
metatarsals,
cuboid, lateral
cuneiform),
transverse head
(MTP joints of
3rd-5th toes, deep
transverse
metatarsal
ligament)
Medial and
plantar borders on
plantar side of
calcaneal
tuberosity
Medial borders of
flexor digitorum
longus tendons
Base of first
proximal phalanx
by common
tendon via lateral
sesamoid
Flexes 1st MTP joint,
adducts great toe,
transverse head
(supports transverse
arch), oblique head
(supports
longitudinal arch)
Lateral plantar
nerve (S2, S3)
Lateral border of
flexor digitorum
longus tendon
Redirects and
augments the pull of
flexor digitorum
longus
Lateral plantar
nerve (S1-S3)
Dorsal
aponeurosis of
2nd-5th toes
Flexes MTP joints of
2nd-5th toes,
extension of IP joints
of 2nd-5th toes,
adducts 2nd-5th toes
toward great toe
1st (medial
plantar nerve,
S2, S3), 2nd-4th
(lateral plantar
nerve, S2, S3)
Flexor digiti
minimi brevis
Quadratus plantae
Lumbricals 1-4
Dorsal interossei
(1st-3rd)
Medial border of
3rd-5th metatarsals
Plantar interossei
(1st-4th)
By 2 heads from
opposing sides of
1st-5th metatarsals
Medial base of
proximal phalanx
of 3rd-5th toes
Flexes MTP joints of
3rd-5th toes, extension
of IP joints of 3rd-5th
toes, adducts 3rd-5th
toes toward 2nd toe
st
1 (medial base of Flexes MTP joints of
2nd proximal
2nd-4th toes,
phalanx, dorsal
extension of IP joints
aponeurosis of 2nd of 2nd-4th toes,
toe) 2nd-4th (lateral abducts 3rd and 4th
base of 2nd-4th
toes from 2nd toe
proximal
phalanges, dorsal
aponeurosis of
2nd-4th toes)
Lateral plantar
nerve (S2, S3)
Lateral plantar
nerve (S2, S3)
Title: Lower Extremity Muscles
Description: Document includes the origins, insertions, actions, and nerves of every muscle of the lower extremity.
Description: Document includes the origins, insertions, actions, and nerves of every muscle of the lower extremity.