FOOT AND ANKLE INTRINSIC MUSCLE ORIGIN INSERTION Deep Peroneal Nerve Tendons of EDL Phalanx 1 of Digit 1 ACTION

NERVE N. ROOT

Ext. Digit Brevis Ext Hallicus Brevis

Dorsal Calcaneous Dorsal Calcaneous

Extend Digits II-IV Extend Digit I

Deep Pero Deep Pero

S1,S2 S1,S2

Abductor Hallicus Flexor Digit Brevis Abd Digit Minimi Quadratus Plantae Lumbricles

Calcaneal Tuberosity Calcaneal Tuberosity Calcaneal Tuberosity Calcaneal Tuberosity Tendons of FDL

Tibial Nerve: Medial and Lateral Plantar Ph 1-I; Medial Sesmoid Abduct and Flex Digit I Phalanx 2, Digit II-V Phalanx 1, Digit V Tendon of FDL Extensor Hood Expansions of EDL, Phalanx 1 of Digits II-V Phalanx 1 of Digit 1 (Med. & Lat. Heads) Phalanx 1, Digit 1; Lateral Sesmoid Base of Phalanx 1 of Digit 5 1st: Medial Surface Ph III, 2nd-4th: Lateral Ph1 Digit III-V Medial Surfaces Ph 1 of Digit III-V Flex Digits II-V Abducts Digit V Flexes Digits II-V Flex Mt-Ph joints, Extension Ph-Ph Joints Flex Digit I @ (Mt-Ph Jt.) Adduct Digit 1; Transverse Arch Flex Digit V Abduct Digits II-IV Weak Flexion Adducts Digits III-V Weak Flexion

Medial Plantar Medial Plantar Lateral Plantar Lateral Plantar

1st Lumb: Medial Plantar 2nd 4th Lumb: Lateral Plantar

S1,S2,S3 S1,S2,S3 S1,S2,S3 S1,S2,S3 S2,S3

Flex Hallicus Brevis Adductor Hallicus

Cuboid and Lateral Cuneiform Oblique Head: Mt II-IV (base) Transverse Head: Plantar Lig of Mt-Ph III-V Base of MtV Shafts of Mt I-V

Medial Plantar Lateral Plantar Lateral Plantar

Lateral Plantar: 1st & 2nd also Deep Peroneal

S1,S2 S2,S3

Flex Digiti Minimi Doral Interossei

S2, S3 S2,S3

Plantar Interossei

Bases of Mt III-V

Lateral Plantar

S2,S3

FOOT AND ANKLE EXTRINSIC (CRUS) MUSCLE ORIGIN INSERTION ACTION NERVE N. ROOT

Peroneus Longus Peroneus Brevis

Lateral Compartment: Superficial Peroneal Nerve Proximal 2/3 of Lateral Fibula Base of MTL, Med Plantarflexion, Eversion Cuneiform Distal 2/3 of Lateral Fibula Tuberosity of MtV Plantarflexion, Exersion

Superficial L5,S1,S2 Peroneal Superficial L5,S1,S2 Peroneal

Anterior Compartment: Deep Peroneal Nerve Tibialis Anterior Prox. Lat. Surface of Tibia; Medial Cuneiform; Base Dorsiflexion, Inversion Interosseous Membrane of MtI Ext. Digit Longus Prox. Ant. Shaft of Fibula; Phalanx 2,3 of digits II-V Dorsiflexion, Eversion Interosseous Membrane Extend Digits II-V Ext. Hallicus Longus Middle Ant. Shaft of Fibula Phalanx 2 of Digit 1 Dorsiflexion, Inversion, Interosseous Membrane Extend Digit 1 Peroneous Tertius Medial Surface of Distal Fibula Base of MtV Dorsiflexion, Eversion

Deep Peroneal Deep Peroneal Deep Peroneal Deep Peroneal

L4,L5 L5,S1 L5,S1 L5,S1

Gastrocnemius Plantaris Soleus Popliteus Tibialis Posterior Flex Digit Longus Flex Hallicus Longus

Posterior Compartment: Tibial Nerve Femoral Condyles Calcaneous (Via Tendon) Plantarflexion, Knee Flexion Lat. Femoral Condyle Calcaneous (Via Tendon) Plantarflexion, Knee Flexion Sol Line, Post. Tib, Prox Distal Calcaneous (Via Tendon) Plantarflexion Fib Lat. Femoral EpiCondyle Post. Surface Proc Tibia Unlock Knee, Lat Rot Tibia of Fibula. Med Rot Tibia Prox Post Tib & Fib, Inteross Navicular, Cunieform, Inversion, Plantarflexion Cuboid, MT 2-4 (Bases) Middle Post. Surface of Tibia Phalanx 3 of Digits II-V Flex Digits II-V, PF, Inversion Middle Half of Post. Fibula Phalanx 2 of Digit 1 Flex Digit 1, PF, Inversion

Tibial Tibial Tibial Tibial Tibial Tibial Tibial

S1,S2 S1,S2 S1,S2 L4, L5 L4, L5 S2,S3 S2,S3

CRUS Nerves L4

L5

S1

S2

S3

Intrinsic Nerves S1

S2

S3

Muscles that Insert or Originate in other Muscles

Tarsal Tunnel y Impingement affects intrinsic foot only, extrinsic receives a different nerve supply

Medial Malleolus Tibialis Posterior (Tom) Flexor Digitorum Longus (Dick) Flexor Hallicus Longus (Harry) Posterior Tibial Artery

THIGH MUSCLE

ORIGIN

INSERTION

ACTION

NERVE

N. ROOT

Rectus Femoris

Vastus Medicalis

Vastus Intermedius Vastus Lateralis

Sartorius

Anterior Compartment: Femoral N. Straight Head: AIIS Quadriceps Tendon Hip Flexion, Knee Extension Reflected Head: Sup Ilium to Acetabulum Interotrochanteric Line, Quadriceps Tendon, Knee Extension, Patellar Pectineal Line, Linea Aspera, Medial Patella Stabilization Med Supracondylar Line Upper 2/3 of anterior and lateral Quadriceps Tendon, Knee Extension femur Lateral Patella Intertrochanteric Line, Margin Quadriceps Tendon Knee Extension of Greater Throchanter, Gluteal Tuberosity, Linea Aspera Medial Surface of Tibia ASIS Hip Flexion, Knee Flexion, inferomedial to Tibial Little Rotation
Tuberosity (Pes Anserinus)

Femoral

L2,L3,L4

Femoral

L2,L3,L4

Femoral Femoral

L2,L3,L4 L2,L3,L4

Femoral

L2,L3

Medial Compartment: Obturator N. Gracilis Inferior Pubic Ramus, Ramus of Pes Anserinus Adduct Hip, Knee Flexion Ischium Pectineus Pectineal Line Base of Lesser Troch to Adduct Hip, Hip Flexion Linea Aspera Obturator Externus External Surface of Obturator Trochanteric Fossa External Hip Rotation Membrane Adductor Brevis Inferior Pubic Ramus Pect Line, Linea Aspera Add, Flex, IR of Hip Adductor Longus Pubic Tubrecle Linea Aspera Add, Flex, IR of Hip Adductor Magnus Inferior Pubic Ramus, Ramus of Linea Aspera Add, Flex, IR of Hip (Adductor) Ischium Adductor Magnus Ischial Tuberosity Adductor Tubrecle and Add and Extend Hip (Hamstring) Supracondylar Line

Obturator Obturator Obturator Obturator Obturator Obturator Sciatic

L2,L3 L2,L3 L3,L4 L2,L3 L2,L3,L4 L2,L3,L4 L4

THIGH MUSCLE

ORIGIN

INSERTION

ACTION

NERVE

N. ROOT

Biceps Femoris Semitendinosus Semimembranosus

Posterior Compartment: Sciatic N. Long Head: Ischial Tuberosity Head of Fibula Knee Flexion, Hip Extension Sciatic Short Head: Linea Aspera ER of Knee and Hip Ishcial Tuberosity Pes Anserinus Knee Flexion, Hip Extension Sciatic IR of Knee and Hip Ishcial Tuberosity Medial Condyle of Tibia Knee Flexion, Hip Extension Sciatic IR of Knee and Hip Hip Abductors: Gurdys Tubercle of Anterolateral Tibia Gluteal Tuberosity IT Band

L5,S1,S2 L5,S1,S2 L5,S1,S2

Tensor Fascia Latae Gluteus Maximus

Lateral aspect of Ilium between ASIS, and Iliac Tubercle

Coccyx, Lateral Edge and Dorsal Surface of Sacrum, PSIS, Sarcotuberous and Sarcoiliac Ligaments, Glute Med and Erector Spinae Fascia

Hip Extension, ER, Abd

Superior Gluteal Inferior Gluteal

L4,L5,S1 L5,S1,S2

Gluteus Medius Anterior Fibers Gluteus Medius Posterior Fibers Gluteus Minimus

Illium b/tw Iliac Crest and Gluteal Lines Illium b/tw Iliac Crest and Gluteal Lines Illium b/tw Iliac Crest and Gluteal Lines

Lateral Surface of Greater Trochanter Lateral Surface of Greater Trochanter Anterior Surface of Greater Trochanter Hip External Rotators: Greater Trochanter Greater Trochanter Greater Trochanter Greater Trochanter Intertrochanteric Crest

Hip Abduction, Hip Flexion and IR Hip Abduction, Hip Extension and ER Hip Abduction, Hip Flexion and IR

Superior Gluteal Superior Gluteal Superior Gluteal

L4,L5,S1 L4,L5,S1 L4,L5,S1

Piriformis Superior Gemellus Obturator Internus Inferior Gemellus Quadratus Femoris

Anterior Surface of Sacrum Ischial Spine Obturator Membrane Ischial Tuberosity Ischial Tuberosity

Hip ER, Abd a Flexed HIP Hip ER Hip ER, Minor Abd Hip ER Hip ER, Minor Add

Obt. Int Obt. Int Obt. Int Quad Fem

L5,S1,S2 L5,S1 L5,S1 L5,S1 L5,S1

THIGH MUSCLE

ORIGIN

INSERTION Hip Flexors: Lesser Trochanter Pectineal Line L1,L4 tp, and Rib 12 Lesser Trochanter

ACTION

NERVE

N. ROOT

Psoas Major Psoas Minor Quad. Lumborum Iliacus

Bodies and Discs of T12 to L5 and Transverse Process of L1-5 Bodies and Discs of T12 to L1 Transverse Process of LV, Iliolumbar Ligament, Iliac Crest Upper 2/3 Iliac Fossa, Ant Sacroiliac and Iliolumbar Ligaments, Upper Sacrum Straight Head: AIIS ASIS

Hip Flexion Weak Lumbar Flexion Trunk Side Bending, Depresses &Stabilize Rib 12 Hip Flexion

Ventral Rami Ventral Ramus Ventral Ramus Femoral N.

L1-L3 L1 T12-L4

Rectus Femoris Sartorius

Quadriceps Tendon
Medial Surface of Tibia inferomedial to Tibial Tuberosity (Pes Anserinus)

Hip Flexion, Knee Extension Femoral Hip Flexion, Knee Flexion, Little Rotation Femoral

L2,L3,L4 L2,L3

L1

L2

L3

L4

L5

S1

S2

S3