Muscles of the Lower Extremity Grouped by Compartment and Action Compartment/Group Name of Muscle Principal Action(s) Attachments Innervation Muscles that act primarily on the hip joint Posterior Abdominal Wall Iliacus Flexion of the Hip Iliac fossa (p) Lesser trochanter (d) Femoral n. Psoas major Prime Flexor of the Hip Lesser trochanter (d) Spinal nn. (L2 – L4) Gluteus maximus Prime extensor of Hip Gluteal tuberosity & IT band (d) Inferior gluteal n. Abduction of Hip or Stabilization of Pelvis during gait Tenses the fascia lata (IT band) Greater trochanter (d) Lateral rotation of the Hip Greater trochanter(d) Gluteus medius Gluteus minimus Tensor fasciae latae Gluteal Region IT band(d) Superior gluteal n. Piriformis Obturator internus Superior & Inferior Gemelli Quadratus femoris Medial Thigh Superior gluteal n. Pectineus Adductor brevis Adductor longus Spinal nn. Intertronchanteric crest(d) Slight adduction and flexion of hip Pectineal line of pubis (p) Adduction of the hip Pubic bone (p) Linea aspera of Femur (d) Femoral n. and/or Obturator n. Obturator n. Adductor magnus (Adductor ‘fleshy’ part) Adductor magnus (Hamstring ‘tendinous’ part) Gracilis Ischial tuberosity (p) Adductor tubercle (d) Adduction of the hip and slight Medial rotation of thigh Adduction of the hip Pubic bone (p) Sciatic n. (Tibial part) Obturator n. Muscles that act primarily on the knee joint Sartorius Anterior Thigh Flexion, Abduction and Lateral rotation of the hip. Flexion of the Knee Quadriceps femoris (4 parts below) Prime extensor of knee Rectus femoris Plus some Hip Flexion Vastus lateralis Vastus intermedius Vastus medialis Posterior Thigh ASIS (Anterior Superior Iliac Spine) (p) Pes Anserinus (d) Tibial tuberosity via the Patellar ligament (d) (Parts of Quadriceps femoris) Head of Fibula (d) Long head Ischial tuberosity (p) Semimembranosus Femoral n. AIIS (Anterior Inferior Iliac Spine) (p) Biceps femoris (2 parts below) Short head Femoral n. Prime flexors of the Knee All except BF short head also extend Hip Shaft of femur (p) Ischial tuberosity (p) Medial Tibial Condyle (d) Semitendinosus Ischial tuberosity (p) Pes Anserinus (d) Muscles that act primarily on the Ankle joints Sciatic n. ( Tibial part) Anterior Leg Tibialis Anterior Lateral Leg Fibularis tertius Fibularis brevis Fibularis longus Posterior Leg (superficial group) (deep group) Gastrocnemius Soleus Plantaris Tibialis posterior Popliteus Dorsiflexion at Talocrural joint Base of 1st Metatarsal and Medial Cuniform (d) Inversion at Subtalar joint Eversion at Subtalar joint Eversion at Subtalar joint Base of 5th Metatarsal (d) Plantarflexion at Talocrural joint Plantarflexion at Talocrural joint Negligible Plantarflexion Plantarflexion at Talocrural joint Inversion at Subtalar joint ‘Unlocks’ knee (laterally rotates femur) Deep fibular n. Deep fibular n. Superficial fibular n. Base of 1 Metatarsal (d) st Calcaneus via the Achilles (Calcaneal) tendon (d) Tibial n. Tibial n. Muscles that act primarily on the Toes Anterior Leg Posterior Leg Dorsum of the Foot Plantar foot (superficial group) (intermediate group) Extensor Hallucis longus Extensor Digitorum longus Flexor Hallucis longus Flexor Digitorum longus Extensor Hallucis brevis Extensor Digitorum brevis Abductor Hallucis Flexor Digitorum brevis Abductor Digiti minimi Quadratus plantae Extends ‘Big’ toe Extends toes 2 - 5 Flexes ‘Big” toe Flexes toes 2 - 5 Extends ‘Big’ toe Extends toes 2 - 5 Abducts ‘Big’ Toe Flexes toes 2 - 5 Abducts toe #5 Redirects pull of Flexor Digitorum longus (FDL) parallel to the long axis of the foot FDL tendons Flexes ‘Big” toe Adducts ‘Big” toe Flexes toe #5 Adduct toes 3-5 Deep fibular n. Tibial n. Deep fibular n. Medial & Lateral Plantar nn. Lumbricals (1 – 4) (deep group) Flexor Hallucis brevis Adductor Hallucis Flexor Digiti minimi brevis Plantar interossei (1-3) [PADs] Dorsal interossei (1-4) Abduct toes 3 & 4 [DABs] Notes: This structure list is customized for the Nursing Anatomy Course (HLSC 2412), only information that you need to know is included. Do not use the terms ‘Origin’ and ‘Insertion’ for muscle attachment sites, instead refer to them as proximal (p) or distal attachment sites. If attachment sites are not listed in the table, you do not need to know them. Similarly, for most muscles only the major action is listed many of these muscles have multiple synergistic actions which you do not need to know.