ANAKINES | M

Tuesday, 9 April 2024 7:56 am

Posterior Compartment
• G max: O-I-I-E Remember:
• G min: O-Ant-S-Ab Quads: femoral n. & quadriceps LUMBOSACRAL PLEXUS
• G med: O-Lat-S-Ab Hams: tibial por of sciatic n
• TFL: I-I-S-Assists Add: obturator n & post surf
Anterior Compartment
• Sartorius: ASIS-U-F-F
• Iliacus: I-L-F-F
• Psoas: T-L-L-F
• Pectineus: S-U-F-F
(quads)
• Rectus femoris: AIIS-I-Q-F-E
• V lats: U-Q-F-Ex.
• V med: U-Q-F-Ex & stab
• V int: AL-Q-F-Ex & articularis genus
Medial Compartment
(adductors)
• Gracilis: IR-U-O-Ad thigh & Fl leg
• Add longus: B-P-O-Ad thigh & lat rot
• Add brevis: I-P-O-Ad thigh & lat rot
• Add Mag-IRI-Padd-OS-Ad thigh & lat rot (ham) ex thigh
(non add afaik)
• Piriformis: A-U-O-L
Posterior Compartment
(hamstrings)
• Biceps femoris: ILL-H-TC-Flex & lat rot leg, (long) ex thigh
• Semitendinosus: I-U-T-Flex & med rot leg, ex thigh
• Semimembranosus: I-M-T-Flex & med rot leg, ex thigh
(non hams)
• Gastrocnemius: LM-V-T-P
Non-Palpables
• Gemellus Sup.: Spine of ischium
• Gemellus Inf.: Ischial tube
• Quadratus Femoris: Lat of ischial tub
• Obturator Internus: Inner mem
• Obturator Externus: Outer mem, rami of p & isch
• Popliteus: Lat of lat condyle
• Plantaris: Lat supracondylar

Palpation • Vastus Medialis, Lateralis

• Iliopsoas `look for rectus femoris then isolate
` iliac crest, last costal cartilages, umbilical region and `medial side is vm
then forms a triangle OR iliac crest and belly button `lateral side is vl
forms oblique line `cup rf to feel vi from fingertips
` inhale, place hand, exhale `let pt do knee extension and resist if needed
`pt flex hip and knee then resist (SUPINE) (SHORT SITTING)
• Tensior Fascia Latae • Gastrocnemius
`look for sartorius then pt is while be side lying `pt is sitting while Pt is standing
`move laterally from the sartorius `resist knee flexion while pt is plantar flexing
`medially rotate and flex knee `muscle belly is very obvious, soleus is below it
`pt will abduct and resist `if pt is standing, let pt bend knees while tiptoe
(SIDE LYING) `for soleus just bending knees will make it contract
!make sure patient's posture is straight and pelvis is not (SHORT SITTING OR STANDING)
flexed! • Gluteus Maximus
• Pectineus, Add Longus and Add Brevis `if prone: shape outer surface of ilium to sacrum and
 `for soleus just bending knees will make it contract
!make sure patient's posture is straight and pelvis is not (SHORT SITTING OR STANDING)
flexed! • Gluteus Maximus
• Pectineus, Add Longus and Add Brevis `if prone: shape outer surface of ilium to sacrum and
`pt and Pt are sitting coccyx
`pt will adduct leg and flex hip `look for g trochanter
`reists add and flex to find longus, above longus is brevis `move towards bulk and pt will extend thigh
then above is pectineus `resist thigh extension whie stabilizing pelvis and knee
(SHORT SITTING) `if standing: pt will hold on bed to balance, extend thigh
!can also be in supine, flexed hip, add pillow between and dont forget to stabilize pelvis and posture itself
bring knees to chest! (PRONE OR STANDING)
• Add Magnus • Gluteus Medius
`iliac crest, ASIS `iliac crest, g trochanter
`flex hip then locate add longus `if standing, same position but leg is moved sideward or
`1 finger down AL is gracilis then move anteromedially abducts (OKC: distal to proximal)
`pt will adduct and knee flexion is resisted by putting one `if CKC: prox to dis, ask pt to stand on the leg you are
leg of the Pt between legs of pt palpating
` can be palpated more posteriorly `if side lying: flex knee but extend hip, resist abduction
(SHORT SITTING) !locating the g troch: iliac crest, go down then lateral!
• Gracilis (STANDING OR SIDE LYING)
`pt andd Pt are sitting • Piriformis
`look for add longus by flex hip and knee while adduction is `g trochanter then posteriorly
resisted `slightly flex knee then laterally rotate (number 4)
` 1 finger down add longus is gracilis `from med to lat rot to appreciate
(SHORT SITTING) (PRONE)
• Sartorius • Semitendinosus
`iliac crest, ASIS, 2-3 finger breadths below ` flex the knee then one in medial side
`passively 90'-90' flex leg and thigh then laterally rotate `resist knee flexion
`let the pt hold the position (PRONE)
`resist lateral rotation while pf is at ASIS down to • Semimebranosus
insertion `flex knee then one in medial side but below the
(SUPINE) semitendinosus so pinch its bulk to feel semimem
• Rectus Femoris (PRONE)
`iliac crest, ASIS, AIIS • Biceps Femoris
`pt will be in supine while Pt is standing `flex knee then one in lateral side
`knee is flexed while hip is flexed `resist knee flexion
`resist hip flexion while pf is below AIIS following muscle (PRONE)
belly
!can also place hand under popliteal area of pt then let pt
push the hand down!
(SUPINE)