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Ilium Bones Ischium Pubis The Skeleton Sacro-iliac Joint Iliac Crest Anterior Superior Iliac Spine Superior Pubic Ramus Ischial tuberosity Anterior Inferior Iliac Spine Pubic Crest Acetabulum Obturator Foramen Ischio-pubic ramus Symphysis Pubis Sacrum head neck greater trochanter Sacro-iliac Joint intertrochanteric line lesser trochanter Posterior Superior Iliac Spine Posterior Inferior Iliac Spine Greater Sciatic Notch greater trochanter intertrochanteric crest lesser trochanter gluteal tuberosity pectineal line shaft linea aspera Ischial Spine Ischial Tuberosity Lesser Sciatic Notch adductor tubercle intercondyler fossa lateral epicondyle coccyx Obturator Foramen patellar surface lateral condyle medial epicondyle medial condyle intercondylar eminence tibial tuberosity lateral condyle calcaneous lateral condyle head of fibula medial condyle intercondylar eminence talus medial condyle navicular cuboid tibial tuberosity cuneiforms shaft of fibula anterior crest metatarsals shaft of tibia phalanges - proximal - middle - distal medial malleolus lateral malleolus MUSCLES OF THE HIP JOINT Name: Iliopsoas MUSCLES OF THE HIP JOINT The following muscles cross ONLY the Hip joint Origin: - sides of lumbar vertebrae - anterior sacrum - inner ilium Insertion: lesser trochanter Function: flex hip outward/lateral rotation of hip (soccer) Name: Pectineus Origin: Pubic crest Insertion: pectineal line of femur Function: flex hip outward rotation hip 'Deep Six' lateral rotators of the leg; Gemellus Superior and Inferior, Obturator Internus and Externus, Quadratus Femoris, Piriformis. Origin: sacrum posterior ischium obturator foramen Insertion: greater trochantor Function: outward rotation hip tarsals One of the Deep Six, the Piriformis muscle, is particularly important because of its tendency to cause sciatica pain. Sciatica pain starts in the lower back or the butt and often travels down the back or side of the leg or around the hip depending on the individual situation. Piriformis Syndrome is caused by pressure on the sciatic nerve where it exits the pelvis through the sciatic notch. If the Piriformis is tight and knotted then the nerve gets pinched between it and the hipbone. Often people will have one leg or the other that they tend to hitch up on. Some may sit for hours at a desk every day causing the entire pelvic girdle to be tight. Often truck drivers will get Piriformis Syndrome simply by driving long hours with a wallet in their hip pocket. By keeping the Piriformis and the Deep Six loose you can reduce the chance of lower back and sciatica pain and increase mobility. Name: Gluteus Medius Origin: outer ilium Insertion: greater trochantor Function: outward rotation hip abducts hip Name: Tensor Fasciae Latae Origin: anterior iliac crest Insertion: iliotibia tract Function: inward rotation hip flex hip abduction Name: Gluteus Minimus (deep to medius) Origin: outer ilium Insertion: greater trochantor Function: inward rotation hip abducts hip Name: Gluteus Maximus Origin: posterior crest ilium sacrum coccyx lumbar fascia Insertion: gluteal line iliotibial tract Function extend hip outward rotation hip lower fibre adduction MUSCLES OF THE HIP JOINT The following muscles cross the Hip AND Knee joints Name: Sartorius (Superficial) Origin: anterior superior iliac spine Insertion: medial condyle of tibia (front) *crosses hip and knee Function: flex hip outward rotation hip flex leg (tailor muscle) QUADRICEPS Origin: 1. Rectus Femoris - ant infer iliac spine 2. Vastus Lateralis - lateral lip of linea aspera 3. Vastus Intermedius - anterior shaft of femur 4. Vastus Medialis - medial lip of linea aspera Insertion: ALL attach at top of patella via the patella ligament to tibia tuberosity Function: knee extension HAMSTRINGS Name: Biceps femoris Origin: 1. tuberosity of ischium 2. linea aspera Insertion: lateral condyle of tibia head of fibula Function: extend hip knee flexion rotates knee outward Name: Semimembranosus Name: Semitendinosus Origin: ischial tuberosity Insertion: front of medial condyle of tibia Function: extend hip flex knee Pes Anserine Group: Origin: ischial tuberosity Insertion: posterior medial condyle of tibia Function: extend hip flex knee Semitendinosus Gracilis Sartorius * all muscles insert on the front of the medial condyle of tibia Name: Popliteus Origin: posterior lateral condyle of femur ADDUCTORS Insertion: posterior tibia below medial condyle Function: knee flexion medially rotates the tibia, unlocks the knee ADDUCTORS Name: Adductor Magnus Origin: ischiopubic ramus Insertion: linea aspera adductor tubercle Function: adducts hip inward rotation hip extend hip Name: Adductor Longus Origin: pubic crest Insertion: linea aspera (middle) Function: adducts hip inward rotation hip flex hip Name: Adductor brevis Name: Gracilis Origin: pubic crest (inferior) Origin: pubic ramus (descending) Insertion: linea apsera (upper) Function: adducts hip inward rotates hip Insertion: front of medial condyle Function: adducts hip flex knee (We have already done this one) Name: Pectineus A summary of all the adductors Origin: pubic crest (ascending) Insertion: pectineal line Function: adducts hip outward rotation flexes hip SUPERFICIAL MUSCLES OF LOWER LEG Name: Gastrocnemius Origin: posterior femoral condyles Insertion: posterior calcaneus (Achilles or calcanealtendon) Function: plantar flexion knee flexion Name: Soleus Origin: posterior upper tibia and fibula Insertion: posterior calcaneus (achilles tendon) Function: plantar flexion