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| |Tibia | | |Tibia |
| |It forms the knee joint with the femur and the ankle joint with the fibula and tarsus. | | |It forms the knee joint with the femur and the ankle joint with the fibula and tarsus. |
| |<figure-inline><figure-inline>[[File:Gray259_he.png|300px|Henry Vandyke Carter [Public domain], via Wikimedia Commons]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:250px-Tibia - frontal view.png|300px|Henry Vandyke Carter [Public domain], via Wikimedia Commons]]</figure-inline></figure-inline> |
| |- | | |- |
| |Patella | | |Patella |
Line 187: |
Line 187: |
| |Femur | | |Femur |
| |Supports the weight of the body and allowing motion of the leg. The femur articulates proximally with the acetabulum of the pelvis forming the hip joint, and distally with the tibia and patella to form the knee joint. | | |Supports the weight of the body and allowing motion of the leg. The femur articulates proximally with the acetabulum of the pelvis forming the hip joint, and distally with the tibia and patella to form the knee joint. |
| |<figure-inline><figure-inline>[[File:1200px-Human_leg_bones_labeled.svg.png|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:Femur_front.png|300px|By Henry Vandyke Carter - Henry Gray (1918) Anatomy of the Human Body (See "Book" section below)Bartleby.com: Gray's Anatomy, Plate 244, Public Domain, https://commons.wikimedia.org/w/index.php?curid=30613]]</figure-inline></figure-inline> |
| |- | | |- |
| |Tibia | | |Tibia |
| |It forms the knee joint with the femur and the ankle joint with the fibula and tarsus. | | |It forms the knee joint with the femur and the ankle joint with the fibula and tarsus. |
| |<figure-inline><figure-inline>[[File:fibuladownload.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:Tibia.jpg|300px|By Braus, Hermann - Anatomie des Menschen: ein Lehrbuch für Studierende und Ärzte, Public Domain, https://commons.wikimedia.org/w/index.php?curid=29934112]]</figure-inline></figure-inline> |
| |- | | |- |
| |Fibula | | |Fibula |
| |Long, thin and lateral bone of the lower leg. It runs parallel to the tibia, or shin bone, and plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg. | | |Long, thin and lateral bone of the lower leg. It runs parallel to the tibia, or shin bone, and plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg. |
| |<figure-inline><figure-inline>[[File:download-1.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:download-1.jpg|300px|By Anatomography - en:Anatomography (setting page of this image), CC BY-SA 2.1 jp, https://commons.wikimedia.org/w/index.php?curid=24719980]]</figure-inline></figure-inline> |
| |} | | |} |
|
| |
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| |Phalanges | | |Phalanges |
| |The phalanges of the foot help us balance, walk, and run. | | |The phalanges of the foot help us balance, walk, and run. |
| |<figure-inline><figure-inline>[[File:Images.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:Images.jpg|300px|By Mariana Ruiz Villarreal (LadyofHats); retouches by Nyks - Own work. Image renamed from Image:Human hand bones simple-edit1-2.svg, Public Domain, https://commons.wikimedia.org/w/index.php?curid=3949051]]</figure-inline></figure-inline> |
| |- | | |- |
| |Metatarsals | | |Metatarsals |
| |Metatarsals are convex in shape (arch upward), are long bones, and give the foot its arch. They work with connective tissues, ligaments, and tendons to provide movement in the foot | | |Metatarsals are convex in shape (arch upward), are long bones, and give the foot its arch. They work with connective tissues, ligaments, and tendons to provide movement in the foot |
| |<figure-inline><figure-inline>[[File:metatarsalsimages.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:metatarsalsimages.jpg|300px|By BodyParts3D is made by DBCLS. - Polygon data is from BodyParts3D, CC BY-SA 2.1 jp, https://commons.wikimedia.org/w/index.php?curid=28131678]]</figure-inline></figure-inline> |
| |- | | |- |
| |Cuneiform bones | | |Cuneiform bones |
| |This bone is cube-shaped and connects the foot and the ankle. It also provides stability to the foot. | | |This bone is cube-shaped and connects the foot and the ankle. It also provides stability to the foot. |
| |<figure-inline><figure-inline>[[File:cuniformbonedownload.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:500px-Gray268.png|300px|By Henry Vandyke Carter - Henry Gray (1918) Anatomy of the Human Body (See "Book" section below)Bartleby.com: Gray's Anatomy, Plate 268, Public Domain, https://commons.wikimedia.org/w/index.php?curid=792353]]</figure-inline></figure-inline> |
| |- | | |- |
| |Cuboid bone | | |Cuboid bone |
| |The cuboid bone is one of the seven tarsal bones located on the lateral (outer) side of the foot. This bone is cube-shaped and connects the foot and the ankle. It also provides stability to the foot. | | |The cuboid bone is one of the seven tarsal bones located on the lateral (outer) side of the foot. This bone is cube-shaped and connects the foot and the ankle. It also provides stability to the foot. |
| |<figure-inline><figure-inline>[[File:cuboidbonedownload.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:cuboidbonedownload.jpg|300px|By Henry Vandyke Carter - Henry Gray (1918) Anatomy of the Human Body (See "Book" section below)Bartleby.com: Gray's Anatomy, Plate 274, Public Domain, https://commons.wikimedia.org/w/index.php?curid=792356]]</figure-inline></figure-inline> |
| |- | | |- |
| |Navicular bone | | |Navicular bone |
| |The navicular is a boat-shaped bone located in the top inner side of the foot, just above the transverse. It helps connect the talus, or anklebone, to the cuneiform bones of the foot | | |The navicular is a boat-shaped bone located in the top inner side of the foot, just above the transverse. It helps connect the talus, or anklebone, to the cuneiform bones of the foot |
| |<figure-inline><figure-inline>[[File:navicularboneimage.jpg|300px]]</figure-inline></figure-inline> | | |<figure-inline><figure-inline>[[File:navicularboneimage.jpg|300px|By Anatomist90 - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=17431658]]</figure-inline></figure-inline> |
| |} | | |} |
|
| |
|
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Irfan Dotani
General Structures
|
Bones
|
List of Muscles
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Joints and Ligaments
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Arteries
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Veins
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Nerves
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Hip
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Ilium, Ischium, Pubic Bone, Acetabulum, Foramen obturatum
|
Piriformis, Superior gemellus, Inferior gemellus, Tensor fasciae latae, Sartorius, Gluteus medius, Gluteus minimus
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Iliofemoral ligament, Pubofemoral ligament, Ischiofemoral ligament, Hip joint capsule
|
Gluteal artery, Pudendal artery, Perforating arteries, Femoral artery, Obturator artery
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Great saphenous vein, Femoral vein
|
Saphenous nerve, Obturator nerve, Femoral nerve, Clunial nerve, Sciatic nerve, Cutaneous nerve, Gluteal nerve, Pudendal nerve
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Knee
|
Femur, Tibia, Patella
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Quadriceps femoris muscle, Hamstring, Gastrocnemius muscle, Vastus mediali, Vastus lateralis muscle, Popliteus muscle, Soleus muscle, Articularis genus muscle
|
Anterior cruciate ligament (ACL), Posterior cruciate ligament (PCL), Medial collateral ligament (MCL), Lateral collateral ligament (LCL), patellofemoral joint, tibiofemoral joint
|
Genicular artery, Popliteal artery, Tibial artery
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Varicose veins, Femoral veins
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Sciatic nerve, Tibial nerve, Peroneal nerve,
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Ankle
|
Fibula, Tibula, Talus, Medial malleolus, Lateral malleolus
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Anterior tibial, Posterior tibial, Peroneal tibial, Extensors, Flexors
|
Tibiofibular ligament, Deltoid ligament, Tibiofibular Syndesmosis joint, Motrise Joint, Plantar fascia
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Anterior tibial artery, Peroneal (fibular) artery, Anterior medial malieolar artery, plantar artery, communicating branch
|
Popliteal vein, saphenous vein, femoral vein, Tributaries of LSV
|
Peroneal vein, Sural nerve, Tibial nerve, Fibular nerve
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Thigh
|
Femur, Tibia, Fibula
|
Quadriceps femoris muscle, Hamstring, Biceps femoris muscle, Vastus medialis, Adductor longus muscle, Vastus lateralis muscle, Sartorius muscle, Semitendinosus muscle, Semimembranosus muscle, Gracilis muscle, Adductor magnus muscle, Pectineus muscle, Adductor brevis muscle, Illiopsoas, Illiacus muscle, Tensor fasciae latae muscle, External obturator muscle, Quadratus femoris muscle, Articularis genus muscle
|
Hip joint capsule, Iliofemoral ligament, Pubofemoral ligament, Ischiofemoral ligament
|
Gluteal artery, Pudendal artery, Perforating arteries, Femoral artery, Obturator artery\
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Great saphenous vein, Femoral vein
|
Saphenous nerve, Obturator nerve, Femoral nerve, Clunial nerve, Sciatic nerve, Cutaneous nerve, Gluteal nerve, Pudendal nerve
|
Foot
|
Phalanges, Metatarsals, Cuneiform bones, Cuboid bone, Navicular bone
|
Abductor hallucis muscle, Extensor digitorum brevis muscle, Flexor digitorum brevis muscle, Tibialis anterior muscle, Extensor hallucis longus muscle, Flexor hallucis brevis muscle, Plantar interossei muscles, Quadratus plantae muscle, Abductor digiti minimi muscle of foot, Lumbricals of the hand, Dorsal interossei of the foot, Extensor hallucis brevis muscle
|
Inferior (Distal) Tibiofibular Joint, Talocalcaneal Joint, Talocalcaneonavicular Joint, Calcaneocuboid Joint, Naviculocuneiform Joint, Cuboideonavicular Joint, Intercuneiform And Cuneocuboid Joints, Tarsometatarsal Joints, Intermetatarsal Joints, Metatarsophalangeal Joints, Interphalangeal Joints, Cuboideonavicular ligament, Intercuneiform ligament, Metatarsal ligament
|
Dorsalis pedis artery, Posterior tibial artery, Anterior tibial artery, Arcuate artery of the foot, Medial plantar artery, Plantar arc, Deep plantar artery, Plantar metatarsal arteries, Medial tarsal arteries, Proper plantar digital arteries
|
Superficial dorsal vein, Lateral plantar vein, Saphenous vein, Posterior tibial vein
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Lateral plantar nerve, Tibial nerve, Medial plantar nerve, Plantar digital nerves
|
Lower limb bony structures
|
Parts
|
Function
|
Image
|
Hip
|
Ilium
|
The ilium forms the sacroiliac joint with the sacrum along its medial side and forms the superior end of the hip joint at the acetabulum. The sacroiliac joint is a planar joint that allows a slight degree of gliding between the pelvis and the spinal column. The hip joint is a ball-and-socket joint that permits the thigh to have a free range of motion.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Ischium
|
Forms the lower and back part of the hip bone.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Pubic Bone
|
The ventral and anterior of the three parts that come together to create the pelvic bone.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Acetabulum
|
A cup-shaped opening on each side of the pelvic girdle formed where the ischium, ilium, and pubis all meet, and into which the head of the femur inserts.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Foramen obturatum
|
The large opening created by the ischium and pubis bones of the pelvis through which nerves and blood vessels pass.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
|
Parts
|
Function
|
Image
|
Knee
|
Femur
|
Supports the weight of the body and allowing motion of the leg. The femur articulates proximally with the acetabulum of the pelvis forming the hip joint, and distally with the tibia and patella to form the knee joint.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Tibia
|
It forms the knee joint with the femur and the ankle joint with the fibula and tarsus.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Patella
|
The patella increases the leverage that the quadriceps tendon can exert on the femur by increasing the angle at which it acts. Also acts as protection for the muscles underneath the patella.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
|
Parts
|
Function
|
Image
|
Ankle
|
Fibula
|
Long, thin and lateral bone of the lower leg. It runs parallel to the tibia, or shin bone, and plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Tibula
|
Known as the shinbone and is the second largest bone in the body. Helps with weight-bearing and stabilization.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Talus
|
The talus bone forms the primary connection between the lower leg and foot and is vital for mobility. In fact, the structure of the talus bone is so unique it can form the connection between numerous other bones such as the tibia, fibula, calcaneus (heel) and navicular or tarsal bones found in the foot.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Medial malleolus
|
The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Lateral malleolus
|
The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the tibia.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
|
Parts
|
Function
|
Image
|
Thigh
|
Femur
|
Supports the weight of the body and allowing motion of the leg. The femur articulates proximally with the acetabulum of the pelvis forming the hip joint, and distally with the tibia and patella to form the knee joint.
|
<figure-inline><figure-inline>By Henry Vandyke Carter - Henry Gray (1918) Anatomy of the Human Body (See "Book" section below)Bartleby.com: Gray's Anatomy, Plate 244, Public Domain, https://commons.wikimedia.org/w/index.php?curid=30613</figure-inline></figure-inline>
|
Tibia
|
It forms the knee joint with the femur and the ankle joint with the fibula and tarsus.
|
<figure-inline><figure-inline>By Braus, Hermann - Anatomie des Menschen: ein Lehrbuch für Studierende und Ärzte, Public Domain, https://commons.wikimedia.org/w/index.php?curid=29934112</figure-inline></figure-inline>
|
Fibula
|
Long, thin and lateral bone of the lower leg. It runs parallel to the tibia, or shin bone, and plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
|
Parts
|
Function
|
Image
|
Foot
|
Phalanges
|
The phalanges of the foot help us balance, walk, and run.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Metatarsals
|
Metatarsals are convex in shape (arch upward), are long bones, and give the foot its arch. They work with connective tissues, ligaments, and tendons to provide movement in the foot
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Cuneiform bones
|
This bone is cube-shaped and connects the foot and the ankle. It also provides stability to the foot.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Cuboid bone
|
The cuboid bone is one of the seven tarsal bones located on the lateral (outer) side of the foot. This bone is cube-shaped and connects the foot and the ankle. It also provides stability to the foot.
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Navicular bone
|
The navicular is a boat-shaped bone located in the top inner side of the foot, just above the transverse. It helps connect the talus, or anklebone, to the cuneiform bones of the foot
|
<figure-inline><figure-inline></figure-inline></figure-inline>
|
Lower limb muscles
|
Muscle
|
Function
|
Insertion/Arise
|
Innervation
|
Blood supply
|
Image
|
Hip
|
Piriformis
|
- Part of the lateral rotators of the hip, along with the quadratus femoris, gemellus inferior, gemellus superior, obturator externus, and obturator internus
- The piriformis laterally rotates the femur with hip extension and abducts the femur with hip flexion
|
Arise:
- The front of the sacrum by three fleshy digitations
- Attached to the portions of bone between the first, second, third, and fourth anterior sacral foramina, and to the grooves leading from the foramina
- A few fibers also arise from the margin of the greater sciatic foramen, and from the anterior surface of the sacrotuberous ligament.
Insertion:
- The muscle passes out of the pelvis through the greater sciatic foramen, the upper part of which it fills
- It is inserted by a rounded tendon into the upper border of the greater trochanter behind, but often partly blended with, the common tendon of the obturator internus and superior and inferior gemellus muscles.
|
Piriformis nerve:
- Arise from posterior division of the ventral rami of the first and second sacral nerves
|
Branches of the internal iliac artery:
- Inferior gluteal
- Superior gluteal
- Internal pudendal arteries
|
<figure-inline></figure-inline>
|
|
Superior gemellus
|
- Help to steady the femoral head in the acetabulum.
- Help to laterally rotate the extended thigh and abduct the flexed thigh at the hip.
|
Insertion:
- Medial surface of greater trochanter of the femur, in common with obturator internus.
Arise:
- The Gemellus inferior arises from the upper part of the tuberosity of the ischium, immediately below the groove for the Obturator internus tendon.
|
Innervation:
- Nerve to the obturator internus or nerve to quadratus femoris or both (L4-S1)
|
Arterial supply:
|
<figure-inline></figure-inline>
|
|
Inferior gemellus
|
- Help to laterally rotate the extended thigh and abduct the flexed thigh at the hip.
|
Insertion:
- Medial surface of greater trochanter of the femur, in common with obturator internus.
Arise:
- Arises from the outer (gluteal) surface of the spine of the ischium, blends with the upper part of the tendon of the Obturator internus.
|
Innervation:
- Nerve to the quadratus femoris or nerve to the obturator internus or both (L4-S1).
|
Arterial supply:
|
<figure-inline></figure-inline>
|
|
Tensor fasciae latae
|
- Works in synergy with the gluteus medius and gluteus minimus muscles to abduct and medially rotate the femur. The TFL is a hip abductor muscle.
- Helps stabilize and steady the hip and knee joints by putting tension on the iliotibial band of the fascia.
|
Insertion:
Arise:
- Anterior superior iliac spine, outer lip of anterior iliac crest and fascia latae
|
Innervation:
- Superior gluteal nerve (L4, L5, S1)
|
Arterial supply:
- Superior gluteal and lateral circumflex femoral artery.
|
<figure-inline></figure-inline>
|
|
Sartorius
|
- Flexes and laterally rotates the hip joint and flexes the knee.
|
Insertion:
- Superior aspect of the medial surface of the tibial shaft near the tibial tuberosity.
Arise:
- Anterior superior iliac spine.
|
Innervation:
|
Arterial supply:
- Muscular branches of the femoral artery.
|
<figure-inline></figure-inline>
|
|
Gluteus medius
|
- Major abductor of the thigh; anterior fibers help to rotate hip medially; posterior fibers help to rotate hip laterally
|
Insertion:
- Lateral and superior surfaces of the greater trochanter.
Arise:
- Dorsal ilium inferior to the iliac crest
|
Innervation:
- Superior gluteal nerve (L4, L5, S1)
|
Arterial supply:
|
<figure-inline></figure-inline>
|
|
Gluteus minimus
|
- Abducts and medially rotates the hip joint.
|
Insertion:
- Interior surface of the greater trochanter.
Arise:
- Dorsal ilium between inferior and anterior gluteal lines; also from the edge of the greater sciatic notch.
|
Innervation:
- Superior gluteal nerve (L4, L5, S1)
|
Arterial supply:
|
<figure-inline></figure-inline>
|
|
Gluteus maximus
|
- Major extensor of hip joint, assists in laterally rotating the thigh; upper and middle third section of the muscle are abductors.
|
Insertion:
- Primarily in fascia lata at the iliotibial band; also into the gluteal tuberosity on the posterior femoral surface.
Arise:
- Posterior aspect of dorsal ilium posterior to the posterior gluteal line, posterior superior iliac crest, a posterior inferior aspect of sacrum and coccyx, and sacrotuberous ligament.
|
Innervation:
- Inferior gluteal nerve (L5, S1, S2)
|
Arterial supply:
- Inferior and superior gluteal arteries and the first perforating branch of the profunda femoris artery.
|
<figure-inline></figure-inline>
|
|
Muscle
|
Function
|
Insertion/Arise
|
Innervation
|
Blood supply
|
Image
|
Knee
|
Quadratus Femoris
|
- Rotates the hip laterally; also helps adduct the hip.
|
Insertion:
- Quadrate tubercle and adjacent bone of intertrochanteric crest of the proximal posterior femur.
Arise:
- Lateral margin of obturator ring above ischial tuberosity.
|
Innervation:
- Quadratus femoris branch of nerve to the quadratus femoris and inferior gemellus (L5, S1)
|
Arterial supply:
- Medial circumflex femoral artery, inferior gluteal artery, 1st - 4th perforating arteries, obturator artery, and some superior muscular branches of popliteal artery.
|
<figure-inline></figure-inline>
|
|
Gastrocnemius muscle
|
- Powerful plantar flexor of the ankle.
|
Insertion:
- The two heads unite into a broad aponeurosis which eventually unites with the deep tendon of the soleus to form the Achilles tendon, inserting on the middle 1/3 of the posterior calcaneal surface.
Arise:
- Medial head from posterior nonarticular surface of medial femoral condyle; Lateral head from lateral surface of femoral lateral condyle.
|
Innervation:
|
Arterial supply:
- Each head supplied by a sural branch of the popliteal artery.
|
<figure-inline></figure-inline>
|
|
Vastus medialis
|
|
Insertion:
- Medial base and the border of the patella; also forms the medial patellar retinaculum and medial side of quadriceps femoris tendon.
Arise:
- Inferior portion of intertrochanteric line, spiral line, medial lip of linea aspera, superior part of medial supracondylar ridge of femur, and medial intermuscular septum.
|
Innervation:
- Muscular branches of femoral nerve.
|
Arterial supply:
- Femoral artery, profunda femoris artery, and superior medial genicular branch of popliteal artery.
|
<figure-inline></figure-inline>
|
|
Vastus lateralis muscle
|
|
Insertion:
- Lateral base and the border of the patella; also forms the lateral patellar retinaculum and lateral side of quadriceps femoris tendon.
Arise:
- Superior portion of the intertrochanteric line, anterior and inferior borders of the greater trochanter, superior portion of the lateral lip of linea aspera, and lateral portion of the gluteal tuberosity of femur.
|
Innervation:
- Muscular branches of the femoral nerve.
|
Arterial supply:
- Lateral circumflex femoral artery.
|
<figure-inline></figure-inline>
|
|
Popliteus
|
- Rotates knee medially and flexes the leg on the thigh.
|
Insertion:
- Posterior surface of the tibia in a fan-like fashion, just superior to the popliteal line.
Arise:
- Anterior part of the popliteal groove on the lateral surface of the lateral femoral condyle.
|
Innervation:
- Tibial nerve (L4, L5, S1)
|
Arterial supply:
- Medial inferior genicular branch of the popliteal artery and muscular branch of the posterior tibial artery.
|
<figure-inline></figure-inline>
|
|
Soleus
|
- Powerful plantar flexor of the ankle.
|
Insertion:
- Eventually unites with the gastrocnemius aponeurosis to form the Achilles tendon, inserting on the middle 1/3 of the posterior calcaneal surface.
Arise:
- Posterior aspect of the fibular head, upper 1/4 - 1/3 of the posterior surface of fibula, middle 1/3 of medial border of tibial shaft, and from the posterior surface of a tendinous arch spanning the two sites of bone origin.
|
Innervation:
|
Arterial supply:
- Posterior tibial, peroneal, and sural arteries.
|
<figure-inline></figure-inline>
|
|
Muscle
|
Function
|
Insertion/Arise
|
Innervation
|
Blood supply
|
Image
|
Ankle
|
Anterior tibial
|
- Dorsiflexor of ankle and invertor of foot
|
Insertion:
- Medial and plantar surfaces of 1st cuneiform and on the base of the first metatarsal.
Arise:
- Lateral condyle of tibia, proximal 1/2 - 2/3 or lateral surface of tibial shaft, interosseous membrane, and the deep surface of the fascia cruris.
|
Innervation:
- Deep peroneal nerve (L4, L5, S1)
|
Arterial supply:
|
<figure-inline></figure-inline>
|
|
Posterior tibial
|
- Principal invertor of the foot; also adducts foot, plantar flexes ankle, and helps to supinate the foot.
|
Insertion:
- Splits into two slips after passing inferior to a plantar calcaneonavicular ligament; superficial slip inserts on the tuberosity of the navicular bone and sometimes medial cuneiform; deeper slip divides again into slips inserting on plantar surfaces of metatarsals 2 - 4 and second cuneiform.
Arise:
- Posterior aspect of interosseous membrane, superior 2/3 of medial posterior surface of fibula, superior aspect of posterior surface of tibia, and from intermuscular septum between muscles of posterior compartment and deep transverse septum.
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Innervation:
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Arterial supply:
- Muscular branches of sural, peroneal and posterior tibial arteries.
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Extensor Digitorum Longus
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- Extend toes 2 - 5 and dorsiflexes ankle.
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Insertion:
- Splits into 4 tendon slips after inferior extensor retinaculum, each of which inserts on the dorsum of middle and distal phalanges as part of extensor expansion complex.
Arise:
- Lateral condyle of tibia, upper 2/3 - 3/4 of medial fibular shaft surface, upper part of interosseous membrane, fascia cruris, and anterior intermuscular septum.
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Innervation:
- Deep peroneal nerve (L4, L5, S1)
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Arterial supply:
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Extensor Hallucis Longus
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- Extends great toe and dorsiflexes ankle.
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Insertion:
- Base and dorsal center of distal phalanx of great toe.
Arise:
- Anterior surface of the fibula and the adjacent interosseous membrane.
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Innervation:
- Deep peroneal nerve (L4, L5, S1)
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Arterial supply:
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Flexor Digitorum Longus
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- Flexes toes 2 - 5; also helps in plantar flexion of the ankle.
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Insertion:
- Splits into four slips after passing through the medial intermuscular septum of the plantar surface of the foot; these slips then insert on a plantar surface of bases of 2nd - 5th distal phalanges.
Arise:
- Posterior surface of a tibia distal to the popliteal line.
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Innervation:
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Arterial supply:
- Muscular branch of the posterior tibial artery.
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Flexor Hallucis Longus
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- Flexes great toe, helps to supinate ankle, and is a very weak plantar flexor of the ankle.
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Insertion:
- Plantar surface of the base of distal phalanx of the great toe.
Arise:
- Inferior 2/3 of the posterior surface of fibula, the lower part of the interosseous membrane.
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Innervation:
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Arterial supply:
- Muscular branch of peroneal and posterior tibial artery.
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Muscle
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Function
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Insertion/Arise
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Innervation
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Blood supply
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Image
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Thigh
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Adductor Brevis
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- Adducts and flexes the thigh, and helps to laterally rotate the thigh.
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Insertion:
- Pectineal line and superior part of the medial lip of linea aspera.
Arise:
- Anterior surface of inferior pubic ramus, inferior to the origin of adductor longus.
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Innervation:
- Anterior or posterior division of obturator nerve.
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Arterial supply:
- Obturator artery and medial circumflex femoral artery.
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Adductor Longus
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- Adducts and flexes the thigh, and helps to laterally rotate the hip joint.
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Insertion:
- Middle third of linea aspera, between the more medial adductor Magnus and brevis insertions and the more lateral origin of the vastus medialis.
Arise:
- Anterior surface of the body of pubis, just lateral to the pubic symphysis.
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Innervation:
- Anterior division of obturator nerve.
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Arterial supply:
- Obturator artery and medial circumflex femoral artery.
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Gracilis
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- Flexes the knee, adducts the thigh, and helps to medially rotate the tibia on the femur.
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Insertion:
- Medial surface of the tibial shaft, just posterior to Sartorius.
Arise:
- Inferior margin of the pubic symphysis, inferior ramus of pubis, and adjacent ramus of the ischium.
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Innervation:
- Anterior division of obturator nerve.
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Arterial supply:
- Obturator artery, medial circumflex femoral artery, and muscular branches of profunda femoris artery.
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Iliacus
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- Flex the torso and thigh with respect to each other.
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Insertion:
Arise:
- Upper 2/3 of iliac fossa of the ilium, internal lip of iliac crest, lateral aspect of the sacrum, ventral sacroiliac ligament, and the lower portion of the iliolumbar ligament.
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Innervation:
- Muscular branch of the femoral nerve.
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Arterial supply:
- Lumbar branch of iliopsoas branch of the internal iliac artery.
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Obturator Externus
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- Rotates the thigh laterally; also helps adduct thigh.
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Insertion:
- Posteromedial surface of greater trochanter of the femur.
Arise:
- External surface of obturator membrane and anterior bony margins of the obturator foramen.
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Innervation:
- Posterior division of obturator nerve innervates most of the adductor magnus; vertical or hamstring portion innervated by tibial nerve.
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Arterial supply:
- Obturator and medial circumflex femoral arteries.
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Obturator Internus
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- Rotates the thigh laterally; also helps abduct the thigh when it is flexed.
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Insertion:
- Medial surface of greater trochanter of the femur, in common with superior and inferior Gemelli.
Arise:
- Internal surface of obturator membrane and posterior bony margins of the obturator foramen.
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Innervation:
- Nerve to the obturator internus and superior gemellus -- a branch of the sacral plexus (L5, S1).
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Arterial supply:
- Internal pudendal and superior and inferior gluteal arteries.
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Pectineus
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- Rotates the thigh laterally; also helps abduct the thigh when it is flexed.
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Insertion:
- Medial surface of greater trochanter of femur, in common with superior and inferior gemelli.
Arise:
- Internal surface of obturator membrane and posterior bony margins of the obturator foramen.
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Innervation:
- Nerve to the obturator internus and superior Gemellus -- a branch of the sacral plexus (L5, S1).
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Arterial supply:
- Internal pudendal and superior and inferior gluteal arteries.
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Piriformis
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- Lateral rotator of the hip joint; also helps abduct the hip if it is flexed.
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Insertion:
- Superior border of the greater trochanter.
Arise:
- Anterior surface of the lateral process of the sacrum and gluteal surface of ilium at the margin of the greater sciatic notch.
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Innervation:
- Piriformis nerve (L5, S1, S2).
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Arterial supply:
- Superior and inferior gluteal and internal pudendal arteries.
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Psoas
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- Flex the torso and thigh with respect to each other.
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Insertion:
Arise:
- Anterior surfaces and lower borders of transverse processes of L1 - L5 and bodies and discs of T12 - L5.
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Innervation:
- Direct fibers of L1 - L3 of lumbar plexus.
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Arterial supply:
- Lumbar branch of iliopsoas branch of the internal iliac artery.
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Semimembranosus
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- Extends the thigh, flexes the knee, and also rotates the tibia medially, especially when the knee is flexed.
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Insertion:
- Posterior surface of the medial tibial condyle.
Arise:
- Superior lateral quadrant of the ischial tuberosity.
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Innervation:
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Arterial supply:
- Perforating branches of profunda femoris artery, inferior gluteal artery, and the superior muscular branches of the popliteal artery.
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Semitendinosus
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- Extends the thigh and flexes the knee, and also rotates the tibia medially, especially when the knee is flexed.
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Insertion:
- Superior aspect of a medial portion of the tibial shaft.
Arise:
- From common tendon with long head of biceps femoris from the superior medial quadrant of the posterior portion of the ischial tuberosity.
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Innervation:
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Arterial supply:
- Perforating branches of profunda femoris artery, inferior gluteal artery, and the superior muscular branches of the popliteal artery.
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