Give me a chart of all the muscles in lower limb with origin insertion innervation and action
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Psoas major | T12-L5 vertebral bodies, transverse processes L1-L5, intervertebral discs | Lesser trochanter of femur (via iliopsoas tendon) | Lumbar plexus direct branches (L1-L3) | Flexion of hip; lateral flexion of lumbar spine |
| Psoas minor | T12-L1 vertebral bodies | Iliopubic eminence, pectineal line | L1 | Weak trunk flexion (inconstant muscle) |
| Iliacus | Iliac fossa, anterior sacroiliac ligament | Lesser trochanter (with psoas major) | Femoral nerve (L2-L3) | Flexion and medial rotation of hip |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Gluteus maximus | Posterior ilium (posterior gluteal line), sacrum, coccyx, sacrotuberous ligament | Gluteal tuberosity of femur; iliotibial tract | Inferior gluteal nerve (L5, S1-S2) | Extension and lateral rotation of hip; stabilizes knee via IT tract |
| Gluteus medius | Ilium between anterior and posterior gluteal lines | Greater trochanter (lateral surface) | Superior gluteal nerve (L4-S1) | Abduction of hip; medial rotation (anterior fibers); stabilizes pelvis during gait |
| Gluteus minimus | Ilium between anterior and inferior gluteal lines | Greater trochanter (anterior surface) | Superior gluteal nerve (L4-S1) | Abduction and medial rotation of hip; pelvis stabilization |
| Tensor fasciae latae (TFL) | Anterior superior iliac spine (ASIS), anterior iliac crest | Iliotibial tract (IT band) | Superior gluteal nerve (L4-S1) | Flexion, abduction, medial rotation of hip; tenses IT tract |
| Piriformis | Anterior sacrum (S2-S4), sacrotuberous ligament | Greater trochanter (apex) | Nerve to piriformis (S1-S2) | Lateral rotation of hip (extended); abduction when hip flexed |
| Obturator internus | Inner surface of obturator membrane, bony margins of obturator foramen | Greater trochanter (medial surface) | Nerve to obturator internus (L5, S1) | Lateral rotation of extended hip; abduction of flexed hip |
| Superior gemellus | Ischial spine | Greater trochanter (with obturator internus tendon) | Nerve to obturator internus (L5, S1) | Lateral rotation of hip |
| Inferior gemellus | Ischial tuberosity | Greater trochanter (with obturator internus tendon) | Nerve to quadratus femoris (L4-S1) | Lateral rotation of hip |
| Quadratus femoris | Lateral ischial tuberosity | Quadrate tubercle on intertrochanteric crest | Nerve to quadratus femoris (L4-S1) | Lateral rotation of hip; weak adduction |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Obturator externus | Outer surface of obturator membrane and bony obturator foramen margin | Trochanteric fossa of femur | Obturator nerve (L3-L4) | Lateral rotation of hip |
| Pectineus | Pectineal line of pubis, superior pubic ramus | Pectineal line of femur (between lesser trochanter and linea aspera) | Femoral nerve (L2-L3); sometimes obturator nerve | Adduction and flexion of hip |
| Adductor longus | Body of pubis (anterior, below pubic tubercle) | Middle third of linea aspera | Obturator nerve (L2-L4) | Adduction and flexion of hip |
| Adductor brevis | Body and inferior ramus of pubis | Proximal linea aspera, pectineal line | Obturator nerve (L2-L4) | Adduction and flexion of hip |
| Adductor magnus | Inferior pubic ramus, ischial ramus (adductor part); ischial tuberosity (hamstring part) | Linea aspera, medial supracondylar line (adductor part); adductor tubercle (hamstring part) | Obturator nerve L2-L4 (adductor part); tibial nerve L4 (hamstring part) | Adduction of hip; adductor part flexes, hamstring part extends hip |
| Gracilis | Body and inferior ramus of pubis | Upper medial surface of tibia (pes anserinus) | Obturator nerve (L2-L3) | Adduction of hip; flexion and medial rotation of knee |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Sartorius | Anterior superior iliac spine (ASIS) | Upper medial surface of tibia (pes anserinus) | Femoral nerve (L2-L3) | Flexion, abduction, lateral rotation of hip; flexion and medial rotation of knee ("tailor's muscle") |
| Rectus femoris | Anterior inferior iliac spine (AIIS); acetabular rim (reflected head) | Tibial tuberosity via patellar ligament | Femoral nerve (L2-L4) | Extension of knee; flexion of hip |
| Vastus lateralis | Greater trochanter, lateral lip of linea aspera, lateral intertrochanteric line | Tibial tuberosity via patellar ligament | Femoral nerve (L2-L4) | Extension of knee |
| Vastus medialis | Medial lip of linea aspera, medial intertrochanteric line | Tibial tuberosity via patellar ligament | Femoral nerve (L2-L4) | Extension of knee; stabilizes patella medially |
| Vastus intermedius | Anterior and lateral femur shaft | Tibial tuberosity via patellar ligament | Femoral nerve (L2-L4) | Extension of knee |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Biceps femoris - long head | Ischial tuberosity (common tendon with semitendinosus) | Head of fibula | Tibial division of sciatic nerve (L5-S2) | Extension of hip; flexion and lateral rotation of knee |
| Biceps femoris - short head | Lateral lip of linea aspera, lateral supracondylar line | Head of fibula | Common fibular (peroneal) division of sciatic nerve (L5-S2) | Flexion and lateral rotation of knee |
| Semitendinosus | Ischial tuberosity | Upper medial surface of tibia (pes anserinus) | Tibial division of sciatic nerve (L5-S2) | Extension of hip; flexion and medial rotation of knee |
| Semimembranosus | Ischial tuberosity | Posterior medial condyle of tibia; oblique popliteal ligament | Tibial division of sciatic nerve (L5-S2) | Extension of hip; flexion and medial rotation of knee |
| Popliteus | Lateral condyle of femur, lateral meniscus | Posterior surface of tibia above soleal line | Tibial nerve (L4-S1) | Medial rotation and flexion of knee; "unlocks" the knee |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Tibialis anterior | Lateral tibial condyle, upper 2/3 of lateral tibial shaft, interosseous membrane | Medial cuneiform, base of 1st metatarsal | Deep fibular (peroneal) nerve (L4-L5) | Dorsiflexion of ankle; inversion of foot |
| Extensor hallucis longus | Middle 1/2 of fibula (medial surface), interosseous membrane | Dorsal surface of distal phalanx of great toe | Deep fibular nerve (L4-L5) | Extension of great toe; dorsiflexion; inversion |
| Extensor digitorum longus | Lateral tibial condyle, upper 3/4 of fibula, interosseous membrane | Dorsal digital expansions of toes 2-5 | Deep fibular nerve (L4-L5) | Extension of toes 2-5; dorsiflexion; eversion |
| Fibularis (peroneus) tertius | Lower 1/3 of fibula (medial surface) | Base of 5th metatarsal (dorsal surface) | Deep fibular nerve (L5-S1) | Dorsiflexion; eversion (often considered part of EDL) |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Fibularis (peroneus) longus | Head and upper 2/3 of fibula (lateral surface) | Medial cuneiform, base of 1st metatarsal (plantar surface, crossing under foot) | Superficial fibular (peroneal) nerve (L5-S1) | Plantarflexion; eversion; supports transverse arch |
| Fibularis (peroneus) brevis | Lower 2/3 of fibula (lateral surface) | Tuberosity at base of 5th metatarsal | Superficial fibular nerve (L5-S1) | Plantarflexion; eversion |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Gastrocnemius - medial head | Medial femoral condyle (posterior aspect) | Calcaneus via calcaneal (Achilles) tendon | Tibial nerve (S1-S2) | Plantarflexion of ankle; flexion of knee |
| Gastrocnemius - lateral head | Lateral femoral condyle (posterior aspect) | Calcaneus via calcaneal tendon | Tibial nerve (S1-S2) | Plantarflexion; flexion of knee |
| Soleus | Posterior head and upper shaft of fibula; soleal line and middle 1/3 of tibia | Calcaneus via calcaneal tendon | Tibial nerve (S1-S2) | Plantarflexion of ankle (most powerful; active while standing) |
| Plantaris | Lateral supracondylar line of femur | Calcaneus (medial side of Achilles tendon) | Tibial nerve (S1-S2) | Weak plantarflexion and knee flexion (vestigial) |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Tibialis posterior | Posterior interosseous membrane, adjacent tibia and fibula | Navicular tuberosity; all cuneiforms; cuboid; bases of 2nd-4th metatarsals | Tibial nerve (L4-L5) | Plantarflexion; inversion; supports medial longitudinal arch |
| Flexor digitorum longus | Posterior tibial shaft (middle 2/3) | Plantar surface of distal phalanges of toes 2-5 | Tibial nerve (L5-S2) | Flexion of toes 2-5; plantarflexion; inversion |
| Flexor hallucis longus | Posterior fibula (lower 2/3), interosseous membrane | Plantar surface of distal phalanx of great toe | Tibial nerve (L5-S2) | Flexion of great toe; plantarflexion; inversion; "push-off" |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Extensor digitorum brevis | Calcaneus (dorsal surface, lateral part) | Tendons of EDL to toes 2-4; base of proximal phalanx toe 1 (extensor hallucis brevis) | Deep fibular nerve (L5-S1) | Extension of toes 1-4 |
| Extensor hallucis brevis | Calcaneus (dorsal surface) - often considered part of EDB | Base of proximal phalanx, great toe | Deep fibular nerve (L5-S1) | Extension of great toe |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Abductor hallucis | Calcaneal tuberosity (medial process), flexor retinaculum | Medial base of proximal phalanx, great toe | Medial plantar nerve (L5-S1) | Abduction and flexion of great toe |
| Flexor hallucis brevis | Cuboid, lateral cuneiform (plantar surface) | Proximal phalanx of great toe (both sesamoids) | Medial plantar nerve (L5-S1) | Flexion of great toe at MTP joint |
| Adductor hallucis - oblique head | Bases of 2nd-4th metatarsals, cuboid, lateral cuneiform | Lateral base of proximal phalanx, great toe | Lateral plantar nerve (S2-S3) | Adduction and flexion of great toe; maintains transverse arch |
| Adductor hallucis - transverse head | Plantar MTP ligaments of toes 3-5 | Lateral base of proximal phalanx, great toe | Lateral plantar nerve (S2-S3) | Adduction of great toe; supports transverse arch |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Flexor digitorum brevis | Medial calcaneal tuberosity, plantar aponeurosis | Middle phalanges of toes 2-5 (splits to allow FDL through) | Medial plantar nerve (L5-S1) | Flexion of toes 2-5 at PIP joints |
| Quadratus plantae (Flexor accessorius) | Medial and lateral calcaneus (plantar surface) | Posterolateral margin of FDL tendon | Lateral plantar nerve (S2-S3) | Straightens oblique pull of FDL; aids toe flexion |
| Lumbricals (4 muscles) | Tendons of FDL (1st from medial side of 2nd tendon; 2nd-4th from adjacent FDL tendons) | Medial side of proximal phalanx + dorsal digital expansion, toes 2-5 | 1st: medial plantar nerve (L5-S1); 2nd-4th: lateral plantar nerve (S2-S3) | Flexion at MTP; extension at IP joints of toes 2-5 |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Abductor digiti minimi | Calcaneal tuberosity (medial and lateral processes), plantar aponeurosis | Lateral base of proximal phalanx of 5th toe | Lateral plantar nerve (S2-S3) | Abduction and flexion of 5th toe |
| Flexor digiti minimi brevis | Base of 5th metatarsal (plantar surface) | Lateral base of proximal phalanx of 5th toe | Lateral plantar nerve (S2-S3) | Flexion of 5th toe at MTP joint |
| Opponens digiti minimi | Long plantar ligament, base of 5th metatarsal | Lateral surface of 5th metatarsal shaft | Lateral plantar nerve (S2-S3) | Draws 5th metatarsal plantarly; deepens lateral arch |
| Muscle | Origin | Insertion | Innervation | Action |
|---|---|---|---|---|
| Dorsal interossei (4) | Adjacent sides of 2 metatarsals (bipennate) | Proximal phalanges and dorsal digital expansions; 1st to medial side of 2nd toe, 2nd-4th to lateral sides of toes 2-4 | Lateral plantar nerve (S2-S3) | Abduction of toes from 2nd toe axis; flexion at MTP, extension at IP |
| Plantar interossei (3) | Medial side of metatarsals 3-5 (unipennate) | Medial side of proximal phalanges + digital expansions, toes 3-5 | Lateral plantar nerve (S2-S3) | Adduction of toes toward 2nd toe; flexion at MTP, extension at IP |
| Nerve | Spinal Levels | Primary Territory |
|---|---|---|
| Femoral nerve | L2-L4 | Anterior thigh (quads, sartorius, iliacus, pectineus) |
| Obturator nerve | L2-L4 | Medial thigh (adductors, gracilis, obturator externus) |
| Superior gluteal nerve | L4-S1 | Gluteus medius, minimus, TFL |
| Inferior gluteal nerve | L5-S1-S2 | Gluteus maximus |
| Sciatic nerve | L4-S3 | Hamstrings (tibial div.), short head biceps (peroneal div.) |
| Tibial nerve | L4-S3 | Posterior leg, plantar foot |
| Deep fibular (peroneal) nerve | L4-S1 | Anterior leg, dorsal foot |
| Superficial fibular nerve | L5-S1 | Lateral leg (fibularis longus/brevis) |
| Medial plantar nerve | L5-S1 | Medial 3.5 toes, medial plantar intrinsics |
| Lateral plantar nerve | S2-S3 | Lateral 1.5 toes, most intrinsic foot muscles |