Knee, hip, and pelvis exam 3

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Questions and Answers

Which movement is NOT associated with the action of the iliopsoas muscle?

  • Trunk flexion
  • Knee extension (correct)
  • Hip flexion
  • External rotation of the hip

The rectus femoris is unique compared to the other quadriceps muscles because it contributes to:

  • Hip adduction
  • Hip flexion (correct)
  • Hip extension
  • Knee flexion

Which action is primarily driven by the gluteus maximus?

  • Hip flexion
  • Hip extension (correct)
  • Hip internal rotation
  • Hip abduction

What is a key difference in action between the anterior and posterior fibers of the gluteus medius?

<p>Anterior fibers cause hip internal rotation, while posterior fibers cause hip external rotation. (D)</p> Signup and view all the answers

Which muscle shares a common insertion point (greater trochanter of the femur) with both the gluteus medius and gluteus minimus?

<p>Piriformis (C)</p> Signup and view all the answers

The tensor fasciae latae (TFL) contributes to which movement?

<p>Hip internal rotation (C)</p> Signup and view all the answers

Which of the following muscles is part of the adductor group?

<p>Gracilis (C)</p> Signup and view all the answers

The pes anserinus is the insertion point for which of the following muscles?

<p>Gracilis (B)</p> Signup and view all the answers

The piriformis muscle is known to cause external rotation of the hip, which movement does it assist with?

<p>Hip abduction (A)</p> Signup and view all the answers

Which quadriceps muscle does NOT originate on the femur?

<p>Rectus femoris (B)</p> Signup and view all the answers

All of the Vastus muscles have which action in common?

<p>Knee extension (A)</p> Signup and view all the answers

Which of the following muscles is part of the hamstring group and inserts on the fibular head?

<p>Biceps femoris (D)</p> Signup and view all the answers

Which action is a shared function of both the sartorius and gracilis muscles?

<p>Hip flexion (C)</p> Signup and view all the answers

Where does the popliteus muscle insert?

<p>Posterior tibia (B)</p> Signup and view all the answers

Which pelvic movement results in hip extension and lumbar flexion?

<p>Posterior pelvic tilt (C)</p> Signup and view all the answers

Which of the following muscles is NOT a primary agonist for hip flexion?

<p>Gluteus Maximus (C)</p> Signup and view all the answers

Which group of muscles are the primary agonists for knee flexion?

<p>Hamstrings (A)</p> Signup and view all the answers

Which of the following muscle pairings both contribute to hip external rotation?

<p>Gluteus maximus and piriformis (B)</p> Signup and view all the answers

Which muscle is a primary agonist for both hip internal rotation and hip abduction?

<p>Gluteus medius (anterior fibers) (A)</p> Signup and view all the answers

Which movement is associated with a lateral pelvic tilt?

<p>Hip abduction on the elevated side (D)</p> Signup and view all the answers

Flashcards

Iliopsoas Action & Origin

Hip flexion and external rotation. Arises from lumbar vertebrae (T12-L5) and iliac fossa; inserts on lesser trochanter of femur.

Rectus Femoris Action & Origin

Hip flexion and knee extension. Originates from AIIS; inserts on tibial tuberosity via the patellar tendon.

Gluteus Maximus Action & Origin

Hip extension and external rotation. Originates from posterior iliac crest, sacrum, and coccyx; inserts on gluteal tuberosity of the femur and IT band.

Gluteus Medius Action & Origin

Hip abduction, internal rotation (anterior fibers), and external rotation (posterior fibers). Originates from lateral surface of ilium; inserts on greater trochanter of femur.

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Gluteus Minimus Action & Origin

Hip abduction and internal rotation. Originates from lateral surface of ilium (deep to gluteus medius); inserts on greater trochanter of femur.

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Adductor Group Actions & Origin

Hip abduction, flexion, and internal rotation. Originates from pubis and ischium; inserts on linea aspera of femur.

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Gracilis Action & Origin

Hip adduction, knee flexion, and internal rotation. Originates from the pubis; inserts on pes anserinus (medial tibia).

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Piriformis Action & Origin

External rotation and hip abduction. Originates from the anterior sacrum; inserts on the greater trochanter of the femur.

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Rectus Femoris (Knee) Action & Origin

Knee extension and hip flexion. Originates from AIIS; inserts on tibial tuberosity via patellar tendon.

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Vastus Muscles Action & Origin

Knee extension. Originates from linea aspera (VL & VM) and anterior femur (VI); inserts on tibial tuberosity.

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Biceps Femoris Action & Origin

Knee flexion and hip extension. Originates from ischial tuberosity (long head) and linea aspera (short head); inserts on fibular head.

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Semitendinosus/Semimembranosus Action & Origin

Knee flexion, hip extension, and internal rotation. Originates from ischial tuberosity; inserts on medial tibia (pes anserinus for ST, posterior tibia for SM).

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Sartorius Action & Origin

Hip flexion, knee flexion, and external rotation. Originates from anterior superior iliac spine (ASIS); inserts on pes anserinus (medial tibia).

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Popliteus Action & Origin

Knee flexion and internal rotation of tibia. Originates from lateral condyle of femur; inserts on posterior tibia.

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Anterior Pelvic Tilt

Hip flexion and lumbar extension.

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Posterior Pelvic Tilt

Hip extension and lumbar flexion.

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Lateral Pelvic Tilt

Hip abduction (on one side), adduction (on opposite side).

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Pelvic Rotation

Hip internal or external rotation depending on movement direction.

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Study Notes

Hip & Pelvis Movers

  • Iliopsoas consists of the Psoas Major and Iliacus.
  • Psoas Major originates from the lumbar vertebrae (T12-L5).
  • Iliacus originates from the iliac fossa.
  • Iliopsoas inserts on the lesser trochanter of the femur.
  • Iliopsoas causes hip flexion and external rotation.
  • Rectus Femoris originates from the anterior inferior iliac spine (AIIS).
  • Rectus Femoris inserts on the tibial tuberosity via the patellar tendon.
  • Rectus Femoris causes hip flexion and knee extension.
  • Gluteus Maximus originates from the posterior iliac crest, sacrum, and coccyx.
  • Gluteus Maximus inserts on the gluteal tuberosity of the femur and the iliotibial band (IT band).
  • Gluteus Maximus causes hip extension and external rotation.
  • Gluteus Medius originates from the lateral surface of the ilium.
  • Gluteus Medius inserts on the greater trochanter of the femur.
  • Gluteus Medius causes hip abduction and internal rotation (anterior fibers), and external rotation (posterior fibers).
  • Gluteus Minimus originates from the lateral surface of the ilium (deep to gluteus medius).
  • Gluteus Minimus inserts on the greater trochanter of the femur.
  • Gluteus Minimus causes hip abduction and internal rotation.
  • Tensor Fasciae Latae (TFL) originates from the anterior iliac crest.
  • Tensor Fasciae Latae (TFL) inserts on the iliotibial band (IT band).
  • Tensor Fasciae Latae (TFL) causes hip abduction, flexion, and internal rotation.
  • The Adductor Group (Magnus, Longus, Brevis) originates from the pubis and ischium.
  • The Adductor Group inserts on the linea aspera of the femur.
  • The Adductor Group causes hip adduction, flexion (except magnus), and internal rotation.
  • Gracilis originates from the pubis.
  • Gracilis inserts on the pes anserinus (medial tibia).
  • Gracilis causes hip adduction, knee flexion, and internal rotation.
  • Piriformis originates from the anterior sacrum.
  • Piriformis inserts on the greater trochanter of the femur.
  • Piriformis causes external rotation and hip abduction.

Knee Movers

  • The Quadriceps Femoris Group includes the Rectus Femoris, Vastus Lateralis, Medialis, and Intermedius.
  • Rectus Femoris originates from the anterior inferior iliac spine (AIIS).
  • Rectus Femoris inserts on the tibial tuberosity via the patellar tendon.
  • Rectus Femoris causes knee extension and hip flexion.
  • Vastus Lateralis, Medialis, and Intermedius originate from the linea aspera (VL & VM) and the anterior femur (VI).
  • Vastus Lateralis, Medialis, and Intermedius insert on the tibial tuberosity.
  • Vastus Lateralis, Medialis, and Intermedius cause knee extension.
  • The Hamstring Group includes the Biceps Femoris.
  • Biceps Femoris originates from the ischial tuberosity (long head) and the linea aspera (short head).
  • Biceps Femoris inserts on the fibular head.
  • Biceps Femoris causes knee flexion and hip extension.
  • Semitendinosus & Semimembranosus originate from the ischial tuberosity.
  • Semitendinosus & Semimembranosus insert on the medial tibia (pes anserinus for ST, posterior tibia for SM).
  • Semitendinosus & Semimembranosus cause knee flexion, hip extension, and internal rotation.
  • Sartorius originates from the anterior superior iliac spine (ASIS).
  • Sartorius inserts on the pes anserinus (medial tibia).
  • Sartorius causes hip flexion, knee flexion, and external rotation.
  • Popliteus originates from the lateral condyle of the femur.
  • Popliteus inserts on the posterior tibia.
  • Popliteus causes knee flexion and internal rotation of the tibia.

Pelvic Movements & Hip Joint Movements

  • Anterior Pelvic Tilt results in hip flexion and lumbar extension.
  • Posterior Pelvic Tilt results in hip extension and lumbar flexion.
  • Lateral Pelvic Tilt results in hip abduction (on one side) and adduction (on the opposite side).
  • Pelvic Rotation results in hip internal or external rotation, depending on the movement direction.

Agonist Muscles for Common Movements

  • Hip Flexion: Iliopsoas, Rectus Femoris, Sartorius, TFL
  • Hip Extension: Gluteus Maximus, Hamstrings
  • Hip Abduction: Gluteus Medius, Gluteus Minimus, TFL
  • Hip Adduction: Adductor Magnus, Longus, Brevis, Gracilis
  • Knee Flexion: Hamstrings, Sartorius, Gracilis
  • Knee Extension: Quadriceps Group
  • Hip External Rotation: Gluteus Maximus, Piriformis
  • Hip Internal Rotation: Gluteus Medius (anterior), Gluteus Minimus

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