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Knee Joint
- Quadriceps Muscle Group
- Rectus Femoris
- Vastus Lateralis
- Vastus Intermedius
- Vastus Medialis
- Popliteus
- Biceps Femoris
- Semimembranosus
- Semitendinosus
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Rectus Femoris
Origin:
- Anterior inferior iliac spine(straight head) & the ilium above acetabulum (reflected head)
Insertion:
- Quadriceps tendon to patella (via ligamentum patellae into tubercle of tibia)
Major Arteries:
- Lateral femoral circumflex artery
Neural Innervation:
- Femoral nerve(L4-L5, S1
- Concentric Functions:
Eccentric Functions:
- Decelerates hip extension & knee flexion during functional movements
- Decelerates knee flexion, adduction & internal rotation during heel strike of gait
Isometric Function:
- Dynamically stabilizes the knee during functional movements
Related Muscles
Antagonists:
Exercises:
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Vastus Lateralis
- Origin:
- Lateral surface of the femur (upper intertrochanteric line, base of greater trochanter, lateral linea aspera, lateral supracondylar ridge & lateral intermuscular septum)
- Insertion:
- Lateral quadriceps tendon to patella (via ligamentum patellae into tubercle of tibia)
- Neural Innervation:
- Posterior division of femoral nerve (L3-L4
- Concentric Functions:
- Eccentric Functions:
- Decelerates knee flexion, adduction & internal rotation during heel strike of gait
- Isometric Function:
- Dynamically stabilizes the knee during functional movements
- Related Muscles
- Vastus Intermedius
- Vastus Medialis
- Rectus Femoris
- Antagonists:
- Hamstrings
- Biceps Femoris
- Semimembranosus
- Semitendinosus
- Exercises:
-
Vastus Intermedius
- Origin:
- Anterior & lateral shaft of femur
- Insertion:
- Patellar tendon (quadriceps tendon to patella), via ligamentum patellae into tubercle of tibia
- Neural Innervation:
- Femoral nerve
- Concentric Functions:
- Eccentric Functions:
- Decelerates knee extension & internal rotation
- Isometric Function:
- Dynamically stabilizes the knee during functional movements
- Related Muscles
- Vastus Lateralis
- Vastus Medialis
- Rectus Femoris
- Antagonists:
- Hamstrings
- Biceps Femoris
- Semimembranosus
- Semitendinosus
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Vastus Medialis
- Origin:
- Medial surface of femur (lower intertrochanteric line, spiral line, medial linea aspera & medial intermuscular septum)
- Insertion:
- Medial patella (via ligamentum patellae into tubercle of tibia)
- Major Arteries:
- Lateral femoral circumflex artery
- Neural Innervation:
- Femoral nerve
- Concentric Functions:
- Eccentric Functions:
- Decelerates knee flexion, abduction & internal rotation
- Isometric Function:
- Dynamically stabilizes the knee during functional movements
- Stabilizes patella
- Related Muscles
- Vastus Intermedius
- Vastus Lateralis
- Rectus Femoris
- Antagonists:
- Hamstrings
- Biceps Femoris
- Semimembranosus
- Semitendinosus
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Popliteus
- Origin:
- Posterior shaft of tibia above soleal line & below tibial condyles
- Insertion:
- Middle of three facets on lateral surface of lateral condyle of femur.
- Neural Innervation:
- Tibial nerve (L5, S1
- Concentric Functions:
- Medial rotation & flexion of the knee
- Helps to withdraw the lateral meniscus during knee flexion
- Related Muscles
- Antagonists:
- Quadriceps
- Rectus Femoris
- Vastus Lateralis
- Vastus Medialis
- Vastus Intermedius
- Exercises:
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Semimembranosus
- Origin:
- Upper outer quadrant of posterior surface of ischial tuberosity
- Insertion:
- Posterior aspect of the medial condyle of tibia below articular margin (fascia over popliteus & oblique popliteal ligament)
- Major Arteries:
- Profunda femoris
- Gluteal artery
- Neural Innervation:
- Tibial portion of sciatic nerve (L5, S1-S2
- Concentric Functions:
- Knee flexion & internal rotation of the tibia
- Hip extension
- Eccentric Functions:
- Decelerates knee extension, hip flexion & tibial external rotation
- Assists to decelerate anterior pelvic rotation
- Isometric Function:
- Helps dynamically stabilize the lumbo-pelvic-hip complex during functional movement
- Related Muscles
- Biceps Femoris
- Semitendinosis
- Gluteus Maximus
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Semitendinosus
- Origin:
- Upper inner quadrant of posterior surface of ischial tuberosity & part of the sacrotuberous ligament
- Insertion:
- Proximal aspect of the medial tibial condyle (pes anserine)
- Major Arteries:
- Inferior gluteal artery
- Perforating arteries
- Neural Innervation:
- Tibial portion of sciatic nerve (L5, S1
- Concentric Functions:
- Knee flexion & internal rotation of the tibia
- Hip extension
- Eccentric Functions:
- Decelerates knee extension, hip flexion & tibial external rotation
- Assists to decelerate anterior pelvic rotation
- Isometric Function:
- Helps dynamically stabilize the lumbo-pelvic-hip complex during functional movements
- Related Muscles
- Semimembrinosis
- Rectus Femoris
- Gluteus Maximus
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Foot & Ankle
- Gastrocnemius
- Soleus
- TibialisPosterior
- Tibialis Anterior
- Peroneus Longus
- Peroneus Brevis
- Peroneus Tertius
- Flexor Digitorum Longus
- Flexor Hallucis Longus
- Extensor Digitorum Longus
- Extensor Hallucis Longus
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Gastrocnemius
- Origin:
- Lateral head:
- Posterior surface of lateral condyle of femur & highest of three facets on lateral condyle
- Medial head
- Posterior medial condyle of femur (posterior surface of femur above medial condyle)
- Insertion
- Achilles Tendon (calcaneus to middle of three facets on posterior aspect of calcaneus)
- Neural Innervation:
- Tibial nerve (S1-S2
- Concentric Functions:
- Flexion of the knee (primarily during swing phase of gait)
- Plantarflexion of the ankle
- Subtalar joint supination (at the end of mid-stance)
- Eccentric Functions:
- Decelerates ankle dorsiflexion
- Decelerates femoral internal rotation
- Decelerates subtalar joint pronation
- Isometric Function:
- Helps stabilize the foot & ankle complex
- Helps stabilize the subtalar joint & tibio-femoral joint during transitional movements
- Related Muscles
- Antagonist:
- Quadriceps (leg extension)
- Rectus Femoris
- Vastus Lateralis
- Vastus Medialis
- Vastus Intermedius
- Tibialis Anterior (dorsiflexion)
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Soleus
- Origin:
- Posterior surface of the fibular head & proximal one-third of its shaft & from the posterior side of the tibia near thesoleal line
- Insertion
- Achilles tendon (to middle of three facets on posterior surface of calcaneus)
- Neural Innervation:
- Tibial nerve (S1, S2)
- Concentric Functions:
- Plantar flexion of the ankle
- Eccentric Functions:
- Decelerates subtalar joint pronation
- Decelerates internal rotation of the lower leg
- Decelerates ankle dorsiflexion
- Isometric Function:
- Helps dynamically stabilize the foot & ankle complex
- Related Muscles
- Antagonist:
- Tibialis Anterior
- Extensor Digitorum Longus
- Extensor Hallucis Longus
- Exercises:
-
TibialisPosterior
- Origin:
- Upper half of posterior shaft of tibia & upper half of fibula and adjacent interosseus membrane
- Insertion
- Tuberosity of navicular bone, all tarsal bones (except talus) & plantar calcaneonavicular (spring) ligament
- Neural Innervation:
- Tibial nerve (L4, L5
- Concentric Functions:
- Plantarflexion & inversion (supination) of foot at ankle
- Eccentric Functions:
- Decelerates the dorsiflexion & eversion of the foot.
- Isometric Function:
- Stabilizes the(medial longitudinal) arch of the foot
- Related Muscles
- Peroneus Longus
- Peroneus Brevis
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Tibialis Anterior
- Origin:
- Lateral tibia (Upper half of lateral shaft of tibia & interosseous membrane)
- Insertion
- Medial & plantar aspect of medial cuneiform & base of 1st metatarsal
- Neural Innervation:
- Deep fibular (peroneal) nerve (L4-L5
- Concentric Functions:
- Dorsiflexion & inversion of the foot at ankle
- Eccentric Functions:
- Decelerates plantarflexion & eversion of the foot at ankle
- Isometric Function:
- Holds up medial longitudinal arch of foot
- Related Muscles
- Antagonists:
- Tibialis Posterior
- Gastrocnemius
- Soleus
- Exercises
-
Peroneus Longus
- Origin:
- Upper two thirds of lateral shaft of fibula , head of fibula and superior tibiofibular joint
- Insertion
- Lateral surface of the medial cuneiform & plantar aspect (lateral side) of base of 1st metatarsal
- Major Arteries:
- Fibular (peroneal) artery
- Neural Innervation:
- Superficial fibular (peroneal) nerve (L5,S1
- Concentric Functions:
- Plantar flexion & eversion (pronation) of the foot
- Eccentric Functions:
- Decelerates ankle dorsiflexion
- Isometric Function:
- Helps stabilizes the foot & ankle complex
- Supports the (lateral longitudinal & transverse) arches of the foot
- Related Muscles
- Peroneus Brevis
- Peroneus Tertius
- Antagonist:
- Tibialis Anterior
- Extensor Digitorum Longus
- Extensor Hallucis Longus
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Peroneus Brevis
- Origin:
- Lower two thirds lateral shaft of fibula
- Insertion
- Tuberosity of base of 5th metatarsal
- Neural Innervation:
- Superficial peroneal nerve (L5, S1
- Concentric Functions:
- Plantar flexion & eversion (pronation) the foot at ankle
- Eccentric Functions:
- Decelerates ankle dorsiflexion
- Isometric Function:
- . Supports (lateral longitudinal) arch of foot
- Related Muscles
- Peroneus Longus
- Peroneus Tertius
- Antagonist:
- Tibialis Anterior
- Extensor Digitorum Brevis
- Extensor Hallucis Brevis
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Peroneus Tertius
- Origin:
- Distal (third quarter) of anterior shaft of fibula
- Insertion
- Dorsal surface (shaft & base) of 5th metatarsal
- Neural Innervation:
- Deep peroneal nerve (L5,S1
- Concentric Functions:
- Dorsiflexion (weak) & eversion (pronation) of the foot
- Eccentric Functions:
- Decelerates ankle plantar flexion
- Isometric Function:
- Helps stabilize the foot & ankle complex
- Related Muscles
- Peroneus Brevis
- Peroneus Longus
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Flexor Digitorum Longus
- Origin:
- Posterior shaft of tibia below soleal line & by broad aponeurosis from fibula
- Insertion
- Base of distal phalanges of lateral four toes
- Neural Innervation:
- Tibial nerve (S1-S2
- Concentric Functions:
- Flexes distal phalanges of lateral four toes and
- Flexes foot at ankle
- Supports lateral longitudinal arch
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Digitorum Longus
- Origin:
- Upper 2/3 of the anterior shaft of fibula, interosseous membrane & superior tibiofibular joint
- Insertion
- Extensor expansion of lateral four toes
- Neural Innervation:
- Deep peroneal nerve (L5, S1)
- Concentric Functions:
- Extends toes and extends foot at ankle
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Hallucis Longus
- Origin:
- Middle half of anterior shaft of fibula
- Insertion
- Base of distal phalanx of great toe
- Neural Innervation:
- Deep peroneal nerve (L5, S1
- Concentric Functions:
- Extends big toe & foot.
- Inverts foot
- Tightens subtalar joints
- Eccentric Functions:
- Isometric Function:
- Related Muscles
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Elbow Joint
- Biceps Brachii
- Brachialis
- Brachioradialis
- Triceps Brachii
- Anconeus
- Supinator
- Pronator Teres
- Pronator Quadratus
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- Biceps Brachii
- Origin:
- Long Head
- Supra- glenoid tubercle of scapula.
- Short head
- Coracoid process of scapula (with coracobrachialis)
- Insertion:
- Posterior border of radial tuberosity (over bursa) & bicipital aponeurosis to deep fascia & subcutaneous ulna
- Neural Innervation:
- Musculocutaneous nerve (C5-C7
- Concentric Functions:
- Elbow flexion
- Forearm supination
- Shoulder flexion (weak)
- Eccentric Functions:
- Deceleration of elbow extension & pronation
- Shoulder extension
- Isometric Function:
- Assists in dynamically stabilizing the gleno-humeral joint and radioulnar joint during functional movements
- Related Muscles
- Brachialis
- Brachioradialis
- Antagonist:
- Triceps Brachii
- Pronator Teres
- Pronator Quadratus
- Exercises:
-
Brachialis
- Origin:
- Anterior lower half of humerus & medial and lateral intermuscular septa
- Insertion:
- Posterior border of radial tuberosity (over bursa) & bicipital aponeurosis to deep fascia & subcutaneous ulna
- Neural Innervation:
- Musculocutaneous nerve (C5-C6) (from lateral cord)
- Small supply from radial nerve (C7
- Concentric Functions:
- Eccentric Functions:
- Deceleration of elbow extension
- Related Muscles
- Biceps Brachii
- Brachioradialis
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Brachioradialis
- Origin:
- Upper two thirds of lateral supracondylar ridge of humerus & lateral intermuscular septum
- Insertion:
- Base of the styloid process (distal radius)
- Neural Innervation:
- Radial nerve (C5-C6
- Concentric Functions:
- Eccentric Functions:
- Deceleration of elbow extension
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Anconeus
- Origin:
- Lateral epicondyle of the humerus proximally (smooth surface at lower extremity of posterior aspect of lateral epicondyle)
- Insertion
- Lateral surface of the olecranon process (and the superior part of the posterior ulna distally)
- Major Arteries:
- Deep brachial artery
- Recurrent interosseous artery
- Neural Innervation:
- Radial nerve (C7-C8)
- Concentric Functions:
- Extends the elbow (weak)
- Abducts (moves) ulna in pronation
- Eccentric Functions:
- Helps stabilize the elbow joint
- Isometric Function:
- Helps stabilize the elbow joint
- Related Muscles
- Antagonist:
- Biceps Brachii
- Brachialis
- Brachioradialis
- Exercises:
-
Supinator
- Origin:
- Deep fibers (horizontal)
- Supinator crest and fossa of ulna
- Superficial fibers (downwards)
- Lateral epicondyle and lateral ligament of elbow and annular ligament
- Insertion
- Lateral proximal radial shaft (neck & shaft of radius, between anterior & posterior oblique lines)
- Neural Innervation:
- Deep branch of radial nerve (posterior interosseous nerve (C5, C6
- Concentric Functions:
- Assists forearm supination (only acts alone when elbow is fully extended)
- Eccentric Functions:
- Decelerates forearm pronation
- Isometric Function:
- Related Muscles
- Antagonist:
- Pronator Teres
- Pronator Quadratus
- Exercises
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Pronator Teres
- Origin:
- Humeral head
- Medial epicondyle, medial supracondylar ridge & medial intermuscular septum of the humerus
- Ulnar Head
- Medial border of the coronoid process of the ulnar
- Insertion
- Just posterior to most prominent part of lateral convexity of radius
- Major Arteries:
- Ulnar artery
- Radial artery
- Neural Innervation:
- Medial nerve (C6-C7
- Concentric Functions:
- Pronates forearm
- Assists during elbow flexion (weak)
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Pronator Quadratus
- Origin:
- Lower quarter of anteromedial shaft of ulna
- Insertion
- Lower quarter of anterolateral shaft of radius and some interosseous membrane
- Major Artery:
- Anterior interosseous artery
- Neural Innervation:
- Median (anterior interosseous) nerve (C8
- Concentric Functions:
- Pronation of the forearm
- Aids in wrist extension (weak)
- Eccentric Functions:
- Isometric Function:
- Related Muscles
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Hand & Wrist
- Flexor Carpi Radialis
- Flexor Carpi Ulnaris
- Flexor Pollicis Longus
- Flexor Digitorum Superficialis
- Extensor Carpi Radialis Brevis
- Extensor Carpi Ulnaris
- Extensor Digitorum Communis
- Extensor Pollicis Longus
- Extensor Carpi Radialis Longus
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Flexor Carpi Radialis
- Origin:
- Common flexor origin of medial epicondyle of humerus
- Insertion
- Bases of 2nd and 3rd metacarpals via groove in trapezium & slip to scaphoid
- Neural Innervation:
- Median nerve (from medial & lateral cords
- Concentric Functions:
- Wrist flexion & adduction
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Flexor Carpi Ulnaris
- Origin:
- Humeral head: Common flexor origin of medial epicondyle.
- Ulnar head: Aponeurosis from medial olecranon & upper three quarters subcutaneous border of ulna
- Insertion
- Pisiform, hook of hamate, base of 5th metacarpal via pisohamate & pisometacarpal ligaments
- Neural Innervation:
- Ulnar nerve (C8, T1) (with some C7 by communication from lateral cord
- Concentric Functions:
- Flexes and adducts wrist.
- Fixes pisiform during action of hypothenar muscles
- Eccentric Functions:
- Isometric Function:
- Related Muscles
- Flexor Carpi Radialis
- Flexor Carpi Ulnaris
- Flexor Pollicis Longus
- Flexor Digitorum Profundus
- Flexor Digitorum Superficialis
- Extensor Carpi Radialis Longus
- Extensor Carpi Radialis Brevis
- Extensor Digitorum Communis
- Extensor Carpi Ulnaris
- Extensor Pollicis Longus
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Flexor Pollicis Longus
- Origin:
- Anterior surface of radius below anterior oblique line & adjacent interosseous membrane
- Insertion
- Base of distal phalanx of thumb
- Major Arteries:
- Anterior interosseus artery
- Neural Innervation:
- Anterior interosseous nerve (C7-C8
- Concentric Functions:
- Flexes distal phalanx of thumb
- Assists in wrist flexion (when thumb is fixed)
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Flexor Digitorum Superficialis
- Origin:
- Humeral head: Common flexor origin of medial epicondyle of the humerus, medial ligament of elbow.
- Ulnar head: Medial border of coronoid process & fibrous arch
- Radial head: Entire length of the anterior oblique line
- Insertion
- Tendons split to insert onto sides of middle phalanges of medial four fingers
- Neural Innervation:
- Median nerve (C7-C8) (from medial & lateral cords)
- Concentric Functions:
- Flexes proximal interphalangeal joints
- Secondarily flexes metacarpophalangeal joints & wrist
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Carpi Radialis Brevis
- Origin:
- Common extensor origin on anterior aspect of lateral epicondyle of humerus
- Insertion
- Posterior base of 3rd metacarpal
- Neural Innervation:
- Posterior interosseous nerve (C7-C8
- Concentric Functions:
- Extends & abducts the hand at the wrist
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Carpi Ulnaris
- Origin:
- Common extensor origin on anterior aspect of lateral epicondyle of humerus
- Insertion
- Base of 5th metacarpal via groove by ulnar styloid
- Neural Innervation:
- Posterior interosseous nerve
- Concentric Functions:
- Extends & adducts the hand at the wrist
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Digitorum Communis
- Origin:
- Common extensor origin on anterior aspect of lateral epicondyle of humerus
- Insertion
- External expansion to middle & distal phalanges by four tendons (tendons 3 & 4 usually fuse & little finger just receives a slip)
Major Artery:
- Neural Innervation:
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- Posterior interosseous nerve (C7-C8
- Concentric Functions:
- Extends all joints of fingers
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Pollicis Longus
- Origin:
- Middle 1/3 of posterior the ulna (below abductor pollicis longus) & adjacent interosseous membrane
- Insertion
- Base of distal phalanx of thumb via Lister's tubercle (dorsal tubercle of radius)
- Neural Innervation:
- Posterior interosseous nerve (C7-C8
- Concentric Functions:
- Extends interphalangeal and metacarpophalangeal joints of the thumb
- Eccentric Functions:
- Isometric Function:
- Related Muscles
-
Extensor Carpi Radialis Longus
- Origin:
- Lower third of lateral supracondylar ridge of humerus & lateral intermuscular septum
- Insertion
- Posterior base of 2nd metacarpal
- Neural Innervation:
- Radial nerve (C6-C7
- Concentric Functions:
- Extends & abducts the hand at the wrist
- Eccentric Functions:
- Isometric Function:
- Related Muscles
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