Muscles of the Lower Limb

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Questions and Answers

What is the primary action of the gluteus maximus?

  • Hip abduction
  • Knee stabilization
  • Hip flexion
  • Hip extension (correct)

Which muscle is crucial for maintaining pelvic stability during walking?

  • Gluteus Medius (correct)
  • Biceps Femoris
  • Rectus Femoris
  • Gluteus Minimus

Which muscle primarily acts as a knee extensor?

  • Tensor Fascia Latae
  • Vastus Intermedius (correct)
  • Sartorius
  • Semitendinosus

What is the role of the tensor fascia latae (TFL) in lower limb movement?

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

Which muscle originates from the anterior inferior iliac spine and acts on both hip and knee joints?

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

What is the primary function of the semitendinosus muscle?

<p>Knee flexion and hip extension (C)</p> Signup and view all the answers

Which statement about the gluteus minimus is accurate?

<p>It assists in hip abduction. (B)</p> Signup and view all the answers

Which muscle inserts into the iliotibial tract?

<p>Tensor Fascia Latae (B)</p> Signup and view all the answers

Which artery branches off the abdominal aorta and becomes the femoral artery?

<p>External iliac artery (B)</p> Signup and view all the answers

Which nerve is responsible for innervating the adductor muscles of the thigh?

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

What is the role of the dorsalis pedis artery?

<p>Supplies the dorsal surface of the foot (D)</p> Signup and view all the answers

Which muscle originates from the ischial tuberosity?

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

The anterior tibial artery is responsible for supplying which compartment of the leg?

<p>Anterior compartment (D)</p> Signup and view all the answers

Which nerve controls foot eversion and provides sensory feedback?

<p>Superficial fibular nerve (C)</p> Signup and view all the answers

Which muscle is primarily responsible for hip adduction and flexion?

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

What does the popliteal artery branch into?

<p>Anterior tibial and posterior tibial arteries (D)</p> Signup and view all the answers

Which artery supplies the plantar aspect of the foot?

<p>Posterior tibial artery (D)</p> Signup and view all the answers

What is the primary action of the Extensor Digitorum muscle?

<p>Extension of the toes (A)</p> Signup and view all the answers

Which muscle originates from the lateral condyle of the tibia?

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

Which muscle's action mainly involves pointing the toes downward?

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

Which of the following statements about muscle locations and actions is correct?

<p>Muscles on the front of a joint typically act as flexors. (D)</p> Signup and view all the answers

Which muscles attach to the medial proximal tibia?

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

Which ligament attaches the femur to the ischium of the pelvis?

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

What is the insertion point of the iliopsoas muscle?

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

Which action is primarily performed by the knee joint?

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

Identify the muscle whose origin is the anterior superior iliac spine.

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

What type of joint is the ankle joint classified as?

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

Which muscle acts as a hip abductor and inserts into the iliotibial band?

<p>Tensor Fascia Latae (C)</p> Signup and view all the answers

Which muscle primarily acts to bring the hip back into extension?

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

Which of the following muscles originates from the ischial tuberosity?

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

What is the primary action of the Sartorius muscle?

<p>Flexion, abduction, and lateral rotation of the hip joint (A)</p> Signup and view all the answers

Which of the following muscles originates from the iliac fossa?

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

What action does the Adductor Magnus perform?

<p>Extension and adduction of the hip joint (B)</p> Signup and view all the answers

Which nerve innervates the Psoas major muscle?

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

Which muscle group is primarily responsible for flexion of the knee joint?

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

The muscle that inserts at the lesser trochanter is responsible for which action?

<p>Flexion of the hip joint (C)</p> Signup and view all the answers

Which muscle acts to extend the hip joint?

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

Which of the following muscles is primarily responsible for flexing both the hip and knee joints?

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

What is the nerve supply to the quadratus femoris muscle?

<p>Nerve to quadratus femoris (C)</p> Signup and view all the answers

Which muscle originates from the ischial tuberosity and has a dual head?

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

Which action is NOT performed by the semitendinosus muscle?

<p>Lateral rotation of the leg (B)</p> Signup and view all the answers

Where does the biceps femoris insert?

<p>Head of the fibula (A)</p> Signup and view all the answers

Which muscle contributes to lateral rotation of the hip joint?

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

Which part of the biceps femoris receives its nerve supply from a different source?

<p>Long head supplied by the common peroneal part of the sciatic nerve (A)</p> Signup and view all the answers

What is the primary action of the Adductor Longus muscle?

<p>Adduction of the hip joint (D)</p> Signup and view all the answers

Which structure serves as the upper attachment point for the tendon of obturator internus?

<p>Lesser sciatic notch (C)</p> Signup and view all the answers

Which nerve innervates the Gracilis muscle?

<p>Obturator nerve (D)</p> Signup and view all the answers

Which muscle has its insertion on the medial surface of the tibia?

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

Where does the Soleus muscle insert?

<p>Posterior surface of calcaneus (C)</p> Signup and view all the answers

What additional action does the Adductor Magnus muscle perform besides hip adduction?

<p>Extension of the hip joint (A)</p> Signup and view all the answers

Which muscle acts as a powerful plantar flexor of the ankle joint?

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

What is the origin of the Plantaris muscle?

<p>Lateral condyle of the femur (A)</p> Signup and view all the answers

Which muscle flexes the knee joint and also contributes to plantar flexion?

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

Which of the following actions is performed primarily by the Gracilis muscle?

<p>Adduction of the hip joint (C)</p> Signup and view all the answers

What is the primary action of Tibialis Anterior?

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

Which muscle originates from the fibula and acts to dorsiflex the ankle?

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

Which muscle is responsible for the extension of the big toe?

<p>Extensor Hallucis Longus (A)</p> Signup and view all the answers

Which nerve innervates the muscles of the anterior compartment of the leg?

<p>Deep peroneal nerve (D)</p> Signup and view all the answers

What is the origin of the Peroneus Longus?

<p>Lateral surface of fibula (C)</p> Signup and view all the answers

Which action is NOT performed by the Extensor Digitorum Longus?

<p>Plantar flexion (D)</p> Signup and view all the answers

What role does the Peroneus Tertius play in foot movement?

<p>Eversion of the foot (B)</p> Signup and view all the answers

Which muscle's primary action includes supporting the medial longitudinal arch?

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

What is the primary action of the popliteus muscle?

<p>Unlocking the knee joint (D)</p> Signup and view all the answers

What is the insertion point of the flexor digitorum longus muscle?

<p>Base of the distal phalanx of the lateral four toes (B)</p> Signup and view all the answers

Which muscle is responsible for supporting the medial and lateral longitudinal arches of the foot?

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

What action does the flexor hallucis longus primarily perform?

<p>Plantar flexion at the ankle joint (C)</p> Signup and view all the answers

Which structure is not directly involved in the actions of the flexor digitorum longus?

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

What action is performed by the tibialis posterior muscle?

<p>Plantar flexion and inversion of the foot (A)</p> Signup and view all the answers

From which origin does the flexor hallucis longus muscle arise?

<p>Post. surface of the shaft of the fibula (A)</p> Signup and view all the answers

What is the role of the Peroneus Brevis muscle?

<p>Eversion of the foot (B)</p> Signup and view all the answers

Which layer of the foot muscles contains the Flexor Hallucis Brevis?

<p>3rd layer (D)</p> Signup and view all the answers

Which muscle's primary function includes supporting the lateral longitudinal arch?

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

What is the insertion point for the Peroneus Longus muscle?

<p>Base of the 1st metatarsal (A)</p> Signup and view all the answers

Which of the following muscles is NOT part of the 1st layer of the foot muscles?

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

Which nerve is associated with the Peroneus muscles?

<p>Superficial peroneal nerve (D)</p> Signup and view all the answers

What is the function of the Quadratus Plantae in the foot?

<p>Assists in toe flexion (C)</p> Signup and view all the answers

Which statement accurately describes the 4th layer of the foot muscles?

<p>Contains the Interossei muscles (C)</p> Signup and view all the answers

Flashcards

What is the Gluteus Maximus?

This muscle originates from the posterior ilium, sacrum, and coccyx and inserts into the gluteal tuberosity of the femur and the iliotibial tract. It is mainly responsible for extending the hip and rotating it outward.

What is the Gluteus Medius?

It originates from the outer surface of the ilium and inserts into the greater trochanter of the femur. It is crucial for hip abduction (lifting the leg sideways) and external rotation, and plays a role in maintaining pelvic stability during walking.

What is the Gluteus Minimus?

Originating from the outer surface of the ilium, inferior to the Gluteus Medius, it inserts into the greater trochanter of the femur. It's mainly involved in hip abduction, and contributes to medial rotation of the hip.

What is the Tensor Fascia Latae (TFL)?

This muscle originates from the anterior superior iliac spine and inserts into the iliotibial tract. It's mainly responsible for hip abduction and flexion, but also assists in knee stabilization.

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What is the Rectus Femoris?

Originating from the anterior inferior iliac spine and upper acetabulum, it inserts into the tibial tuberosity via the patellar tendon. It acts on both hip and knee joints, extending the knee and assisting hip flexion.

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What is the Vastus Lateralis?

This muscle originates from the greater trochanter and intertrochanteric line of the femur and inserts into the tibial tuberosity via the patellar tendon. It is a major knee extensor.

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What is the Vastus Medialis?

It originates from the intertrochanteric line and the medial surface of the femur, and inserts into the tibial tuberosity via the patellar tendon. It is a significant knee extensor.

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What is the Vastus Intermedius?

Originating from the anterior and lateral surfaces of the femur's shaft, it inserts into the tibial tuberosity via the patellar tendon. It is a deep muscle primarily responsible for knee extension.

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Semimembranosus

A muscle that originates from the ischial tuberosity and inserts onto the medial condyle of the tibia, responsible for knee flexion and hip extension.

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Adductor Longus

Originates from the pubis and inserts onto the linea aspera of the femur, primarily responsible for hip adduction and flexion.

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Adductor Magnus

A major hip adductor originating from the pubic ramus and ischial tuberosity, and inserts onto the linea aspera of the femur. It also contributes to hip flexion and extension.

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Gracilis

Originates from the pubis and inserts on the medial surface of the proximal tibia. Important for hip adduction and flexion, and also contributes to knee flexion.

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Femoral Artery

The main artery supplying blood to the thigh, continuing from the external iliac artery in the groin and branching into the popliteal artery.

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Popliteal Artery

The artery that travels behind the knee, branching into the anterior tibial and posterior tibial arteries.

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Femoral Nerve

Arises from the lumbar plexus and innervates the quadriceps femoris group and provides sensory function to the anterior part of the thigh.

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Obturator Nerve

Emerges from the lumbar plexus and innervates the adductor muscles of the thigh.

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Sciatic Nerve

The largest nerve in the body, originating from the sacral plexus, and branching into the tibial and common fibular nerves.

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Tibial Nerve

Branches off the sciatic nerve and innervates the posterior compartment muscles of the leg and foot, including the plantar flexors.

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What is the hip joint?

A ball and socket joint in which the femur sits within the acetabulum of the pelvis. It allows for a wide range of motion, including flexion, extension, abduction, adduction, medial rotation, and lateral rotation.

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What is the knee joint?

A hinge joint located at the knee, similar to the elbow. It primarily allows for flexion and extension.

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What is the ankle joint?

A hinge joint that connects the leg and the foot, allowing for plantar flexion (pointing toes down), dorsiflexion (lifting toes up), inversion (turning sole of foot inward), and eversion (turning sole of foot outward).

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What is the pubofemoral ligament?

A ligament that connects the pubis and femur, helping to stabilize the hip joint.

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What is the iliofemoral ligament?

A strong ligament that connects the iliac bone of the pelvis and the femur. It functions as a key stabilizer for the hip joint, preventing excessive extension and rotation.

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What is the ischiofemoral ligament?

A ligament that attaches to the ischium of the pelvis and the femur. It plays a role in limiting hip rotation.

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What is the sartorius muscle?

A muscle that originates from the anterior superior iliac spine (ASIS) and inserts onto the proximal medial tibia. It is responsible for flexing the hip, abducting (moving away from the midline) the thigh, and rotating the thigh laterally.

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What are the hamstrings?

A group of muscles that extends the hip (brings thigh backwards) and flexes the knee.

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Dorsiflexion muscle

The muscle that helps you lift your toes up, it's located in the front of your lower leg.

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Extensor digitorum

The muscle that extends your toes, it's located on the top of your foot.

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Soleus muscle

It helps point your toes towards the ground, it's found in the back of your calf.

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Gastrocnemius

The big muscle on the back of your calf responsible for pointing your toes down.

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Muscle joint action

Muscles that cross a joint have an effect on that joint.

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Quadratus Femoris

A muscle located in the deep gluteal region, attaching to the lateral border of the ischial tuberosity and inserting onto the quadrate tubercle and intertrochanteric crest of the femur; it primarily helps in lateral rotation of the hip.

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Hamstring Muscles

A group of muscles found in the posterior thigh, responsible for knee flexion and hip extension. They consist of three muscles: biceps femoris, semitendinosus, and semimembranosus.

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Semitendinosus

One of the hamstring muscles, originating from the ischial tuberosity and inserting onto the medial surface of the tibia above the semimembranosus; it plays a role in knee flexion and hip extension, and also helps rotate the leg medially.

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Biceps Femoris

A hamstring muscle, starting from the ischial tuberosity and inserting onto the head of the fibula; it helps with knee flexion and hip extension, and also laterally rotates the flexed leg.

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Gemelli Muscles

A deep muscle found in the gluteal region, aiding in lateral rotation of the hip. It has two parts: the superior and inferior gemelli.

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Obturator Internus

This muscle is part of the deep gluteal group, responsible for lateral rotation of the hip. It originates from the internal surface of the obturator membrane and the bony margin of the obturator foramen. It inserts into the medial surface of the greater trochanter of the femur.

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Nerve to Quadratus Femoris

A nerve that innervates the quadratus femoris muscle. It branches off the sacral plexus.

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Nerve to Obturator Internus

A nerve that innervates the obturator internus muscle. It is a branch of the sacral plexus.

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What is the function of the Semimembranosus muscle?

The Semimembranosus muscle originates from the Ischial tuberosity and inserts onto the medial condyle of the tibia. Its primary action is to flex the knee joint and extend the hip joint, while also contributing to medial rotation of the leg at the knee joint.

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What are the actions of the Adductor Magnus muscle?

The Adductor Magnus is a large, powerful muscle that originates from the ischial tuberosity and pubic ramus and inserts onto the linea aspera of the femur. Its main role is adduction of the hip joint (bringing the thigh towards the midline). It also contributes to extension and flexion of the hip joint.

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Describe the function of the Sartorius muscle.

The Sartorius muscle is a long, thin muscle that originates from the anterior superior iliac spine and inserts on the medial surface of the tibia. It is responsible for flexion and lateral rotation of the hip joint. Additionally, it assists with flexion of the knee joint and abduction (moving the leg away from the midline) of the hip joint.

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What are the muscles within the Quadriceps femoris group?

The quadriceps femoris is a group of four muscles: the rectus femoris, vastus medialis, vastus lateralis, and vastus intermedius. They originate from various points on the pelvis and femur and insert onto the tibial tuberosity through the patellar tendon. Their primary action is extension of the knee joint. The rectus femoris also assists with flexion of the hip joint.

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What muscles make up the Iliopsoas group and what is their function?

The Iliacus muscle originates from the iliac fossa and the Psoas major muscle originates from the T12 and lumbar vertebrae. They both insert onto the lesser trochanter of the femur and work together to perform flexion of the hip joint. They are both innervated by the femoral nerve.

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What nerve innervates the Semimembranosus muscle and what is its function?

The Tibial portion of the sciatic nerve innervates the Semimembranosus muscle. It is involved in flexion and medial rotation of the leg at the knee joint.

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What does the femoral nerve innervate and what is its function?

The femoral nerve innervates the quadriceps femoris group, which is responsible for extension of the knee joint. This nerve also provides sensory function to the anterior part of the thigh.

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What does the obturator nerve innervate and its function?

The obturator nerve emerges from the lumbar plexus and innervates the adductor muscles of the thigh, which are responsible for adduction of the hip joint (bringing the leg toward the midline).

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Adductor Brevis

Originates from the body of the pubis and the inferior ramus of the pubis. It inserts onto the linea aspera of the femur, essentially pulling your leg towards your other leg.

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Soleus

This muscle originates from the shaft of the tibia and fibula and inserts into the calcaneus via the Achilles tendon. It assists in plantar flexing the foot (pointing toes down).

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Plantaris

This small, weak muscle, starts from the lateral ridge of the femur and inserts into the calcaneus via a long tendon. It helps plantarflex the foot and flex the knee.

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Tibialis Posterior

This muscle lies deep within the posterior compartment of the leg, originating from the posterior surface of the fibula and tibia and inserting into the calcaneus via the Achilles tendon. It's a major plantar flexor.

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What is the Popliteus muscle?

A muscle located in the posterior compartment of the leg, responsible for flexing the leg at the knee and unlocking the joint by laterally rotating the femur on the tibia. It originates from the lateral condyle of the femur (intracapsular) and inserts onto the posterior surface of the tibial shaft.

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What is the Flexor Digitorum Longus muscle?

A muscle that originates from the posterior surface of the tibial shaft, plantar flexes the foot at the ankle, and flexes the distal phalanges of the lateral four toes. It also supports the medial and lateral longitudinal arches of the foot. Its insertion is on to the base of the distal phalanx of the lateral four toes.

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What is the Flexor Hallucis Longus muscle?

A muscle that originates from the posterior surface of the fibular shaft, plantar flexes the foot at the ankle, and flexes the big toe. It supports the medial longitudinal arch of the foot and inserts onto the base of the distal phalanx of the big toe.

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What is the Tibialis Posterior muscle?

A muscle that originates from the posterior surface of the tibia and fibula, plantar flexes the foot at the ankle, inverts the foot at the subtalar joint, and supports the medial longitudinal arch. It inserts onto the navicular tuberosity and the three cuneiform bones.

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What is the Tibial Nerve?

The nerve that innervates the popliteus muscle.

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What is the unlocking action of the Popliteus muscle?

The action of the popliteus muscle in unlocking the knee joint.

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What is the role of the Flexor Digitorum Longus in foot support?

The function of the Flexor Digitorum Longus muscle in supporting the medial and lateral longitudinal arches of the foot.

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What is the role of the Flexor Hallucis Longus in foot support?

The function of the Flexor Hallucis Longus muscle in supporting the medial longitudinal arch of the foot.

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Tibialis Anterior

A muscle located on the front of the lower leg that helps lift your toes upwards - a key player in dorsiflexion.

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Extensor Digitorum Longus

The muscle that extends your toes, located on the top of your foot.

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Peroneus Longus

A muscle that helps evert the foot (turn the sole outward).

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Extensor Hallucis Longus

A muscle that extends the big toe and helps with dorsiflexion - located on the top of the foot.

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Peroneus Tertius

This muscle originates from the anterior surface of the fibula and inserts into the base of the 5th metatarsal. It helps in dorsiflexion (lifting foot upwards), everting the foot (turning sole outward), and controlling the ankle joint.

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Extensor Digitorum Brevis

The muscle that extends your toes, located on the top of your foot.

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Peroneus Brevis

This long muscle runs along the lateral side of the leg, originating from the fibula and attaching to the base of the 5th metatarsal. It is responsible for everting the foot, supporting the lateral longitudinal arch, and assisting in plantar flexion.

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Muscles of the 1st layer in foot's posterior compartment

The abductor hallucis, flexor digitorum brevis, and abductor digiti minimi are part of the first layer of muscles in the foot's posterior compartment. They support the arch, flex the toes, and help with foot abduction.

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Muscles of the 2nd layer in foot's posterior compartment

The quadratus plantae, lumbricals, flexor digitorum longus tendon, and flexor hallucis longus tendon make up the second layer muscles in the foot's posterior compartment. These muscles are located deeper in the foot and help with toe flexion and arch stability.

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Muscles of the 3rd layer in foot's posterior compartment

The flexor hallucis brevis, adductor hallucis, and flexor digiti minimi brevis muscles form the third layer of muscles in the foot's posterior compartment. They are responsible for toe flexion and fine movements.

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Muscles of the 4th layer in foot's posterior compartment

The interossei (plantar and dorsal) muscles are located in the fourth layer of the foot's posterior compartment. They contribute to toe movements, specifically abduction (spreading the toes apart) and adduction (drawing the toes together).

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Peroneus Longus Tendon

The Peroneus longus tendon runs along the lateral side of the foot and plays a crucial role in supporting the arch, everting the foot, and assisting in plantar flexion.

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Study Notes

Muscles of the Lower Limb

  • Gluteus Maximus: Originates from the posterior ilium, sacrum, and coccyx; inserts into the gluteal tuberosity of the femur and the iliotibial tract. Primarily responsible for hip extension and external rotation.
  • Gluteus Medius: Originates from the outer surface of the ilium; inserts into the greater trochanter of the femur. Essential for hip abduction and external rotation, significantly contributing to pelvic stability during walking.
  • Gluteus Minimus: Originates from the outer surface of the ilium, inferior to gluteus medius; inserts into the greater trochanter of the femur. Primarily involved in hip abduction, with a minor role in medial rotation.
  • Tensor Fascia Latae (TFL): Originates from the anterior superior iliac spine; inserts into the iliotibial tract. Primarily responsible for hip abduction and flexion, and assists in knee stabilization.
  • Rectus Femoris: Originates from the anterior inferior iliac spine and upper acetabulum; inserts into the tibial tuberosity via the patellar tendon. Acts on both hip and knee joints, extending the knee and assisting hip flexion.
  • Vastus Lateralis: Originates from the greater trochanter and intertrochanteric line of the femur; inserts into the tibial tuberosity via the patellar tendon. A major knee extensor.
  • Vastus Medialis: Originates from the intertrochanteric line and medial surface of the femur; inserts into the tibial tuberosity via the patellar tendon. A crucial knee extensor.
  • Vastus Intermedius: Originates from the anterior and lateral surfaces of the femur's shaft; inserts into the tibial tuberosity via the patellar tendon. A deep muscle, primarily responsible for knee extension.
  • Sartorius: Originates from the anterior superior iliac spine; inserts into the medial aspect of the proximal tibia. A long, strap-like muscle, acting on both hip and knee joints, flexing and abducting the hip, and flexing the knee.
  • Biceps Femoris: Originates in two heads; one from the ischial tuberosity (long head) and one from the linea aspera of the femur (short head); inserts into the head of the fibula and the lateral condyle of the tibia. Primarily responsible for knee flexion, hip extension, and external rotation.
  • Semitendinosus: Originates from the ischial tuberosity; inserts into the medial aspect of the proximal tibia. Acts on both knee and hip joints, flexing the knee and extending the hip.
  • Semimembranosus: Originates from the ischial tuberosity; inserts into the medial condyle of the tibia. Crucial for knee flexion and hip extension.
  • Adductor Longus: Originates from the pubis; inserts into the linea aspera of the femur. Contributes to hip adduction and flexion.
  • Adductor Magnus: Originates from the pubic ramus and ischial tuberosity; inserts into the linea aspera of the femur. A major hip adductor, also contributing to flexion and extension.
  • Gracilis: Originates from the pubis; inserts into the medial surface of the proximal tibia. A significant hip adductor and flexor, also assisting in knee flexion.

Hip Flexors

  • Sartorius: Origin: ASIS, Insertion: Proximal medial tibia.
  • Rectus Femoris: Origin: AIIS, Insertion: Tibial Tuberosity
  • Iliopsoas: Origin: Iliacus (anterior iliac fossa) and Psoas Major (lumbar vertebrae); Insertion: Lesser trochanter.

Hip Extensors

  • Gluteus Maximus: Origin: Posterior iliac fossa; Insertion: Gluteal tuberosity.
  • Hamstrings: Origin: Ischial tuberosity; Insertion: varies.
    • Biceps femoris (long and short heads): Insertion: Lateral side, Fibular head.
    • Semitendinosus: Insertion: Proximal medial tibia.
    • Semimembranosus: Insertion: Medial condyle of the tibia.

Hip Abductors

  • Tensor Fascia Latae (TFL): Origin: ASIS and anterior iliac crest, Insertion: Iliotibial (IT) band.
  • Gluteus Medius: Origin: Lateral surface of ilium; Insertion: Greater trochanter.

Hip Adductors

  • Pectineus: Origin: Superior pubic ramus; Insertion: Proximal medial femur, linea aspera.
  • Adductor Group: (adductor magnus, adductor longus, and adductor brevis) Origin: Pubic ramus, ischial ramus, and body of the pubis; Insertion: Adductor tubercle.
  • Gracilis: Origin: Inferior pubic ramus; Insertion: Proximal medial tibia.

Lateral Hip Rotators

  • Piriformis: Origin: Anterior sacrum; Insertion: Greater trochanter (and other lateral rotators also insert here).

Arteries of the Lower Limb

  • External Iliac Artery: Branches off the abdominal aorta, supplying the lower limb; becomes the femoral artery in the groin.
  • Femoral Artery: Primary artery of the thigh, supplying muscles and tissues; continues as the popliteal artery.
  • Popliteal Artery: Travels behind the knee; branches into the anterior tibial and posterior tibial arteries.
  • Anterior Tibial Artery: Supplies the anterior compartment of the leg; becomes the dorsalis pedis artery after passing over the ankle.
  • Posterior Tibial Artery: Supplies the posterior compartment of the leg; branches into the medial and lateral plantar arteries.
  • Dorsalis Pedis Artery: Supplies the dorsal surface of the foot.
  • Plantar Arteries (Medial and Lateral): Provide blood supply to the bottom of the foot.

Nerves of the Lower Limb

  • Femoral Nerve: Arises from the lumbar plexus; innervates the quadriceps femoris muscle group and provides sensory input to the anterior thigh.
  • Obturator Nerve: Emerges from the lumbar plexus, innervating the adductor muscles of the thigh.
  • Sciatic Nerve: Largest nerve of the body, originating from the sacral plexus; divides into the tibial and common fibular nerves.
  • Tibial Nerve: Branches from the sciatic nerve, innervating posterior compartment muscles (plantar flexors).
  • Common Fibular Nerve: Branches from the sciatic nerve; supplies anterior and lateral leg and foot compartments; branches into the superficial and deep fibular nerves.
  • Superficial Fibular Nerve: Innervates muscles controlling foot eversion and some sensory areas.
  • Deep Fibular Nerve: Innervates muscles involved in dorsiflexion and toe extension, plus certain sensory areas.

Important Considerations

  • Detailed muscle origins and insertions are essential for understanding their functions in movement.
  • The arterial system ensures consistent blood flow, crucial for complex muscle activity.
  • Nerve pathways control muscle contractions and sensory feedback.
  • Understanding anatomical relationships is vital for clinical diagnosis and treatment.

Joints of the Lower Extremity

  • Hip Joint: Ball and socket joint; femur sits in the acetabulum; allows for flexion, extension, abduction, adduction, medial rotation, and lateral rotation.
  • Knee Joint: Hinge joint; similar to the elbow; allows for flexion and extension.
  • Ankle Joint: Hinge joint; allows for plantar flexion (pointing toes down), dorsiflexion (lifting toes up), inversion (turning sole of foot inward), and eversion (turning sole of foot outward).

Ligaments of the Hip

  • Pubofemoral Ligament: Attaches to the pubis and femur.
  • Iliofemoral Ligament: Attaches to the iliac bone and femur.
  • Ischiofemoral Ligament: Attaches to the ischium and femur.

Ankle Muscles

  • Tibialis Anterior: Origin: Lateral condyle of the tibia; Insertion: Medial cuneiform bone; Action: Dorsiflexion (lifts toes up).
  • Extensor Digitorum: Origin: Lateral condyle of the tibia; Insertion: Phalanges (toes); Action: Extend the toes.
  • Soleus: Origin: Posterior surface of the tibia; Insertion: Calcaneus bone (heel); Action: Plantar flexion (points toes down).
  • Gastrocnemius: Origin: Medial and lateral condyles of the femur; Insertion: Calcaneus bone (heel); Action: Plantar flexion (points toes down).

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