2Muscles of the Knee Quadriceps (4) – - Vastus Medialis - Vastus Intermediate- Vastus Lateralis- Rectus FemorisInsertion/Origin:Distal insertion of all quadricep muscles are located at the tibial tuberosity via the quadricep tendon.The 3 vastus quadricep muscles attach superiorly to the proximal portion of the Femur WITHOUT crossing the hip joint.
3Muscles Vastus Muscles Do NOT cross the hip joint. Because of that, they are only responsible for knee extension.VMO (Vastus Medialis Oblique) is an important muscle to focus on rehabbing following major knee surgery.Responsible for the last 15 degrees of Knee Extension, also known as “Terminal Knee Extension”https://www.youtube.com/watch?v=ZscBVtoX62U
4Rectus Femoris Rectus Femoris: The most superficial of the quadricep musclesImportant to recognize when considering treatment options.Responsible for not only knee extension, like the rest of the quadricep muscles, but also HIP Flexion.This is because the Rectus Femoris crosses the hip joint and attaches proximally to the anterior inferior iliac spine of the hip bone.
5Muscles Rectus Femoris: The Rectus Femoris is the only Quadricep to cross both the knee AND hip joints.Therefore the Rectus Femoris not only is involved in Knee extension, but also Hip Flexion.Video showing hip flexion exercises and movements, along with techniques for stretching:https://www.youtube.com/watch?v=eVbmiI4YSdU
7Hamstring Hamstring Muscles (3): Biceps Femoris Lone lateral hamstring muscle“Biceps” meaning 2 headsDistally:the biceps femoris does cross the knee joint and both the short-head and long-head come together and attach to the Head of the Fibula.Proximally:Long-head crosses the hip joint and attaches to the pelvis.Short-head attaches to the posterior femur along the middle 1/3.* Both heads are active with knee flexion, but the long-head assists with Hip-extension as well.
8Hamstrings Semitendinosus and Semimembranosus Medial Hamstring muscles Both originate proximally to the ischial tuberosity of the pelvic bones.Both insert distally to the medial surface of the tibia.
9Hamstring Action (at the knee) Knee Flexion:All 3 of the Hamstring muscles have roles in Knee Flexion.C1 and C2 is an example of “bilateral knee flexion”E1 and E2 are examples of “unilateral knee flexion”F1 and F2 are examples of “bilateral knee flexion” (focusing on the eccentric contractions of the hamstring muscles)
10Pes AnserineThe Pes Anserine is located on the anterior, superior and medial aspect of the tibia just below the knee joint line. It is the location of the insertion of 3 important muscles. Pes Anserine is Latin for “Goose foot” The 3 muscles that insert at the Pes Anserine are abbreviated SGT. (Sartorius, Gracilis and SemiTendinosus)
11SartoriusThe “S” in SGT. The Sartorius is the longest muscle in the body. The proximal insertion is the ASIS of the hip (Anterior Inferior Iliac Spine) It creates a movement that is a combination of hip flexion and hip External rotation. (Figure – 4 position) Watch:
12GracilisThe “G” in SGT. The Gracilis is primarily a HIP ADDUCTOR. Due to the fact that the gracilis cross the knee joint, it also plays a major roll in assisting to stabilize the knee joint on the medial aspect. The proximal insertion point of the gracilis is along the ischium of the hip bone(s). Watch: https://www.youtube.com/watch?v=95MY5Xjvtqs
13SemiTendinosusThe “T” in SGT. We discussed the major points of the semitendinosus along with the other hamstring muscles on previous slides.
14PopliteusThe Popliteus is a very small muscle located in the posterior aspect of the knee. The popliteus crosses the knee joint, attaching to the femur laterally and wrapping around the posterior aspect of the leg to attach to the medial aspect of the Tibia. The popliteus assists in Knee Flexion. It is said to be the muscle that “unlocks” the knee from full extension when initiating knee flexion.