Thigh, Leg and Gluteal Muscles Anatomy

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Questions and Answers

Based on the anatomical diagram, which muscle is located most proximally?

  • Sartorius
  • Rectus Femoris (correct)
  • Piriformis
  • Gracilis

Which of the following muscles is associated with both hip flexion and knee extension?

  • Sartorius (correct)
  • Biceps Femoris
  • Semimembranosus
  • Gracilis

Considering the anatomical arrangement, which muscle would be directly involved in both hip abduction and external rotation?

  • Piriformis (correct)
  • Semimembranosus
  • Gracilis
  • Rectus Femoris

If a patient has damage to the deep artery of the thigh, which compartment would be most affected by reduced blood supply?

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

Which muscle listed contributes primarily to knee flexion and is located in the posterior compartment of the thigh?

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

Which of the following muscles is innervated by the tibial nerve?

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

A patient presents with an inability to plantarflex their foot. Which nerve is most likely affected?

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

Following a hip replacement surgery, a patient has difficulty with adduction of the thigh. Which nerve might have been affected during the procedure?

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

A clinician assesses a patient who cannot extend their knee against resistance. Damage to which nerve is most likely the cause?

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

If the sartorius and gracilis muscles are both active, what combined movements would MOST likely result?

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

What is the MOST likely result of damage to the common fibular nerve?

<p>Inability to evert the foot (B)</p> Signup and view all the answers

If a patient is experiencing numbness along the medial aspect of their thigh, which nerve is MOST likely affected?

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

A patient has weakness in hip extension and knee flexion. Which muscle group is MOST likely affected?

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

Which of the following reflects the innervation pattern and action of the tibialis posterior muscle?

<p>Tibial nerve, ankle plantarflexion and inversion (A)</p> Signup and view all the answers

An athlete reports pain and limited function in hip extension and knee flexion after a sprinting injury. Which group of muscles is MOST likely involved and should be assessed?

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

Flashcards

Rectus Femoris

Muscle located in the anterior compartment of the thigh, responsible for knee extension and hip flexion.

Sartorius

Long, thin muscle that originates at the anterior superior iliac spine (ASIS) and crosses the thigh obliquely to insert on the medial side of the tibia; involved in hip flexion, abduction, and external rotation, as well as knee flexion.

Gracilis

Muscle located on the medial side of the thigh, adducts the thigh, flexes and medially rotates the leg at the knee.

Hamstrings

Muscles located on the posterior side of the thigh: Semitendinosus, Semimembranosus, and Biceps Femoris.

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Semitendinosus

Medial hamstring muscle located toward the midline of the thigh.

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Semimembranosus

Muscle that is part of the hamstrings group, located on the medial side of the posterior thigh, deeper than the semitendinosus.

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Piriformis

A small muscle located deep in the gluteal region, it laterally rotates and abducts the thigh.

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Gastrocnemius

The calf muscle is a two-headed muscle located on the posterior aspect of the lower leg. It plantarflexes the foot at the ankle joint and also weakly assists in knee flexion.

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Soleus

A flat muscle in the posterior compartment of the leg that plantar flexes the foot

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Flexor Digitorum Longus

Muscle in the posterior compartment of the leg responsible for flexing the digits of the foot.

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Flexor Hallucis Longus

Muscle located in the posterior compartment of the leg that flexes the great toe.

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Tibialis Anterior

Muscle on the anterior part of the leg that dorsiflexes and inverts the foot.

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Extensor Digitorum Longus

Muscle located in anterior compartment of lower leg, extends the toes.

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Extensor Hallucis Longus

Muscle in the anterior compartment of the leg, extends the big toe.

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Popliteus

Small muscle located behind the knee that helps with knee flexion and rotation.

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Study Notes

  • The image provides a detailed overview of muscles, attachments, innervations, blood supply, and actions related to the thigh, leg, and gluteal regions.

Attachments

  • Explains the attachments of muscles to bony landmarks around the hip, thigh, and leg.
  • Includes anterior and posterior thigh muscles.
  • Covers medial thigh and gluteal region muscles.
  • Details muscles of the posterior, lateral, and anterior leg.

Proximal Attachments

  • Lumber vertebrae
  • Iliac Fosa
  • AIIS
  • Greater Trochanter
  • ASIS
  • Pubic bone
  • Ischial tuberosity
  • Posterior Ilium
  • Sacrum

Distal Attachments

  • Anterior Thigh - vastus lateralis, intermedius, medialis, rectus femoris
  • Posterior Thigh - biceps femoris, semitendinosus, semimembranosus
  • Medial Thigh- adductor longus, brevis, magnus, gracilis
  • Gluteal Region - gluteus maximus, medius, minimus, piriformis, obturator internus.
  • Posterior leg - gastrocnemius, soleus, flexor hallucis
  • Lateral leg - fibularis longus & brevis
  • Anterior leg - tibialis anterior, extensor hallucis, extensor digitorum

Innervation: Muscles

  • Specifies the nerves responsible for each muscle or muscle group.
  • The lumbar spinal nerve innervates the psoas major.
  • The femoral nerve innervates the iliacus, sartorius, vastus medialis, intermedius and lateralis and rectus femoris.
  • The obturator nerve innervates the obturator externus, adductor magnus, longus and brevis, and gracilis.
  • The tibial division of the sciatic nerve innervates the semitendinosus, semimembranosus, biceps femoris (long head), gastrocnemius, soleus, flexor hallucis longus, flexor digitorum longus and tibialis posterior.
  • The common fibular (peroneal) nerve innervates the fibularis longus, brevis, anterior, and tertius.
  • The inferior gluteal nerve innervates the gluteus maximus.
  • The superior gluteal nerve innervates the gluteus medius, gluteus minimus, and tensor fascia latae.
  • The superficial fibular (peroneal) nerve innervates fibularis longus & brevis.
  • The deep fibular nerve innervates the tibialis anterior, extensor hallucis longus, extensor digitorum longus and fibularis tertius.

Blood Supply: Muscles

  • Describes the arterial supply for different muscle compartments.
  • Anterior thigh muscles are supplied by the femoral artery.
  • Posterior thigh muscles are supplied by the deep artery of the thigh.
  • Medial thigh muscles are supplied by the obturator artery.
  • Posterior leg muscles are supplied by the posterior tibial artery.
  • Anterior leg muscles are supplied by the anterior tibial artery.
  • Lateral leg muscles are supplied by the fibular artery.

Muscle Actions At Hip

  • Hip flexion is performed by the iliacus, psoas major, sartorius, and rectus femoris.
  • Hip extension is mainly done by the gluteus maximus (especially when flexed).
  • Hip abduction is facilitated by the gluteus medius, minimus, and tensor fascia latae.
  • Hip adduction is completed by the adductor longus, brevis, magnus, pectineus and gracilis.
  • External rotation is by the piriformis, superior gemellus, inferior gemellus and obturator internus.
  • Medial rotation is done by the gluteus medius and gluteus minimus.

Muscle Actions At Knee

  • Knee extension is completed by the vastus medialis, intermedius, lateralis, and rectus femoris.
  • Knee flexion is facilitated by the semimembranosus, semitendinosus and popliteus.
  • Gracilis and Sartorius are antagonists to Gluteus maximus.

Ankle and Foot

  • Plantarflexion involves the gastrocnemius, soleus and fibularis longus & brevis.
  • Dorsiflexion involves the tibialis anterior.
  • Inversion is done by the tibialis posterior and anterior.
  • Eversion is done by the fibularis longus, brevis, and tertius.
  • Flexion of digit 1 (big toe) is done by the flexor hallucis longus.
  • Flexion of digits 2-5 is done by the flexor digitorum longus.
  • Extension of digit 1 is done by the extensor hallucis longus.
  • The extensor digitorum longus extends digits 2-5.

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