anatomy and physiology i muscles that move the thigh, lower leg, foot, and toes instructor: mary...
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![Page 1: Anatomy and Physiology I Muscles that Move the Thigh, Lower Leg, Foot, and Toes Instructor: Mary Holman](https://reader036.vdocument.in/reader036/viewer/2022062309/5697c0231a28abf838cd3bbc/html5/thumbnails/1.jpg)
Anatomy and Physiology I
Muscles that Move the Thigh, Lower Leg, Foot, and Toes
Instructor: Mary Holman
![Page 2: Anatomy and Physiology I Muscles that Move the Thigh, Lower Leg, Foot, and Toes Instructor: Mary Holman](https://reader036.vdocument.in/reader036/viewer/2022062309/5697c0231a28abf838cd3bbc/html5/thumbnails/2.jpg)
Muscles that Move the Thigh
2 Anterior• Psoas major
• Iliacus
5 Posterior/Lateral• Gluteus maximus *• Gluteus medius• Gluteus minimus• Tensor fasciae latae• Piriformis *
5 Medial• Pectineus• Adductor brevis• Adductor longus• Adductor magnus• Gracilis
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Muscles that Move the Thigh(the Femur)
1 Extensor (Posterior)• Gluteus maximus *
2 Flexors (Anterior)• Psoas major• Iliacus
5 Adductors (Medial)• Pectineus **• Adductor brevis **• Adductor longus• Adductor magnus **• Gracilis
4 Abductors (Post or Lat)• Gluteus medius• Gluteus minimus **• Tensor fasciae latae• Piriformis *
* = know O & I ** = not on your muscle list !
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Origin: T12 - L5
Insertion: Lessertrochanter of femur
Action: Flexes thigh
Fig. 9.37a
Psoas majorFig. 9.37f
Psoas minor
Anterior
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Origin: Iliac fossa of
ilium
Insertion: Lessertrochanter of femur
Action: Flexes thigh
Fig. 9.37a
IliacusFig. 9.37g
Anterior
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IliopsoasPsoas major Iliacus
Insertion: Lessertrochanter of femur
Fig. 9.37fFig. 9.37g
Fig. 9.37a
All Anterior
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Fig. 9.38c
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Gluteus maximus *Fig. 9.38a
Origin: Ilium, sacrum, & coccyx
Insertion: Glutealtuberosity of femur
Action: Extends hip,abducts and laterally rotates thigh
Lateral
Posterior
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Fig. 9.38b
Gluteus medius
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Fig. 9.38a
Origin: Lateral
surface of ilium
Insertion: Greatertrochanter of femur
Action: Abducts and rotates thighmedially
Lateral
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Fig. 9.38d
Gluteus minimus
Origin: Lateral
surface of ilium
Insertion: Greatertrochanter of femur
Action: Abducts and rotates thighmedially
Lateral
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Origin: Anterior superior
Iliac spine ASIS
Insertion: Through Iliotibial tract to lateral condyle of the tibia
Action: Abducts, flexes,and rotates thigh medially,tenses lateral fascia
Fig. 9.37aTensor fasciae latae
Fig. 9.38aAnterior
Lateral
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Origin: Anterior surface of sacrum
Insertion: Greater trochanter of femur
Action: Abducts and laterally rotates thigh
Fig. 9.38d
Piriformis
Lateral
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Origin: Spine of pubis
Insertion: Femur - distal tolesser trochanter
Action: Adducts thigh andflexes hip
Fig. 9.37a
Pectineus
Anterior
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Origin: Pubic bone
Insertion: Posterior surfaceof femur
Action: Flexes hip, adducts and laterally rotatesthe thigh
Fig. 9.37c
Adductor brevis
Anterior
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Origin: Pubic bone near
symphysis pubis
Insertion: Posterior surfaceof femur
Action: Adducts and laterally rotatesthe thigh and flexes hip
Fig. 9.37a
Adductor longusFig. 9.37d
Anterior
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Fig. 9.37e
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Adductor magnusFig. 9.37a
Origin: Ischial tuberosity
Insertion: Posterior femur
Action: Adducts thigh andposterior extends hip, anterior flexes hip, mediallyrotates the femur
Anterior
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Origin: Lower edge of
symphysis pubis
Insertion: Medial surface of tibia
Action: Adducts thigh, andflexes knee
Fig. 9.37a
Gracilis
Fig. 9.37c
Anterior
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Muscles that Move the Lower Leg
4 Flexors
Hamstring Group • Biceps femoris *• Semitendinosus• Semimembranosus
4 Extensors
Quadriceps Femoris Group• Rectus femoris *• Vastus lateralis• Vastus medialis• Vastus intermedius
• Sartorius
* = know O and I
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Origin: Short head - femurLong head - ischialtuberosity
Insertion: Head offibula and lateralcondyle of tibia
Action: Flexes knee,rotates leg laterally,and extends hip
Fig. 9.39c
Biceps femoris* Short head Long head
Fig. 9.39aFig. 9.39b
All Posterior
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Biceps femoris* Long head
Fig. 9.39a Fig. 9.38aPosterior
Lateral
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Origin: Ischial tuberosity
Insertion: Medial surfaceof tibia
Action: Flexes knee,
rotates leg medially, and extends hip
Fig. 9.39cFig. 9.39a
Semitendinosus
Posterior
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Origin: Ischial tuberosity
Insertion: Medial condyleof tibia and collateral ligament
Action: Flexes knee,
rotates leg medially, and extends hip
Fig. 9.39b
SemimembranosusFig. 9.39a
Posterior
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Origin: Anterior,
superior iliac spine ASIS
Insertion: Medial surface of the tibia
Action: Flexes the kneeand hip, abducts and rotates thigh laterallyand lower leg medially
Fig. 9.37a
SartoriusFig. 9.37b
Anterior
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Origin: Spine of ilium and
edge of the acetabulum
Insertion: By commontendon to patella and ontotibial tuberosity through thepatellar ligament
Action: Extends knee
Fig. 9.37a
Rectus femoris *Fig. 9.38a
Patella
Patellarligament
Quadriceps femoristendon (patellar tendon)
Anterior
Lateral
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Origin: Greater trochanterand posterior surface offemur
Insertion: By commontendon to patella and ontotibial tuberosity through thepatellar ligament
Action: Extends knee
Fig. 9.37a Fig. 9.38a
Vastus lateralisAnterior
Lateral
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Origin: Medial surface
of femur
Insertion: By commontendon to patella and ontotibial tuberosity through thepatellar ligament
Action: Extends knee
Fig. 9.37a
Vastus medialis
Anterior
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Fig. 9.37b
Vastus intermedius
Origin: Anterior and lateralsurfaces of femur
Insertion: By commontendon to patella and ontotibial tuberosity through thepatellar ligament
Action: Extends knee
Anterior
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Fig. 9.40b
Gracilis
Semimembranosus
Semitendinosus
Sartorius
Vastus medialis
Rectus femoris Adipose tissue
Skin
Adductor magnus
Adductor longus
Great saphenous v.
Femoral v. and a.
Vastus intermedius
Shaft of femur
Sciatic n.
Vastus lateralis
Lateral Medial
Anterior
Long head ofbiceps femoris
Short head ofbiceps femoris
Cross section of the Right Thigh
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Muscles that Move the Foot2 Dorsiflexors• Tibialis anterior• Fibularis tertius **
Dorsiflexion
PlantarFlexion
6 Plantar Flexors•Gastrocnemius *• Soleus• Plantaris **• Tibialis posterior**• Fibularis longus• Fibularis brevis**
* = know O and I ** = not on your muscle list !
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Origin: Lateral condyle
and lateral surface of tibia
Insertion: Medial cuneiform and first metatarsal
Action: Dorsiflexes and inverts foot
Fig. 9.41a
Tibialis anteriorFig. 9.41b
Anterior
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Origin: Anterior surface of fibula
Insertion: Dorsal surface5th metatarsal
Action: Dorsiflexes andeverts the foot
Fig. 9.41c
Fibularis tertius(Peroneus tertius)
Anterior
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Origin: Lateral and medial
condyles of the femur
Insertion: Posteriorsurface of the calcaneusvia Achilles or calcanealtendon
Action: Plantar flexesfoot, flexes knee
Fig. 9.43a
Gastrocnemius *Medial head
Lateral head
Fig. 9.42a
Lateral Posterior
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Origin: Head and shaftof fibula and posterior surface of tibia
Insertion: Posteriorsurface of calcaneus
Action: Plantar flexesfoot
Fig. 9.43c
SoleusFig. 9.42a
Lateral Posterior
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Origin: Posterior lateralcondyle of femur
Insertion: Calcaneus
Action: Plantar flexes foot,flexes knee
Fig. 9.43c Plantaris
Posterior
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Origin: Lateral condyle andposterior surface of tibia andposterior surface of fibula
Insertion: Tarsal and metatarsal bones
Action: Plantar flexes andinverts foot
Fig. 9.43d
Tibialis posterior
PosteriorView ofLower leg
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Origin: Head and shaft of fibula andlateral condyle oftibia
Insertion: Medialcuneiform & 1stmetatarsal bones
Action: Plantarflexes and evertsfoot, supportsarch
Fig. 9.42a Fibularis longus (Peroneus longus)
Fig. 9.42b
Lateral
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Origin: Fibula
Insertion: Base of thefifth metatarsal
Action: Plantar flexes and everts foot
Fig. 9.42c
Fibularis brevis(Peroneus brevis)
Lateral
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Muscles that Move the Toes
• Flexor digitorum longus
• Extensor digitorum longus
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Origin: Posterior surface of
tibia
Insertion: Distal phalangesof four lateral toes
Action: Flexes four lateraltoes, plantar flexes and inverts foot
Fig. 9.43e
Flexor digitorum longus
PosteriorView ofLower leg
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Origin: Lateral condyle of
tibia and anterior surface
of fibula
Insertion: Dorsal surfacesof 2nd and 3rd phalangesof four lateral toes
Action: Extends toes anddorsiflexes and everts foot
Fig. 9.41a
Extensor digitorum longusFig. 9.41d
Anterior
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Fig. 9.44b
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Gastrocnemius
Fibularis longus Deep fibular n.
Superficial fibular n.
Anterior tibial a.
Extensor digitorum longus
Extensor hallucis longus
Fibula
Soleus
Tibia
Great saphenous v.
Tibialis posterior m.
Flexor digitorum longus
Small saphenous v.
Posterior tibial a.
Flexor hallucis longus m.
Tibial n.
Tibialis anterior m.
Anterior
Cross section of the Right Lower Leg
H
H
Lateral Medial
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Extensor Retinacula
Continuous on its superior side with thefascia of the lower leg and on the inferior side with theplantar aponeurosis
Anterior
Lateral