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All four parts of the quadriceps muscle attach to the patella (knee cap) by the quadriceps tendon. The rectus femoris is situated in the middle of the front of the thigh; it is fusiform in shape, and its superficial fibers are arranged in a bipenniform manner, the deep fibers running straight (Latin: rectus) down to the deep aponeurosis.
Affected quadriceps (rectus femoris) in IBM. sIBM causes progressive muscle weakness. [1] How sIBM affects individuals is variable, including the age of onset (which generally varies from the forties upwards) and rate of progression. Because of this variability, there is no "textbook case". [13]
Those with femoral nerve dysfunction may present problems of difficulties in movement and a loss of sensation. [medical citation needed] The patient, in terms of motor skills, may have problems such as quadriceps wasting, loss of knee extension and a lesser extent of hip flexion given the femoral nerve involvement of the iliacus and pectineus muscles. [3]
In the thigh, the nerve lies in a groove between iliacus muscle and psoas major muscle, outside the femoral sheath, and lateral to the femoral artery. After a short course of about 4 cm in the thigh, the nerve is divided into anterior and posterior divisions, separated by lateral femoral circumflex artery .
Many large and small muscles have relationships with the ligaments of the sacroiliac joint including the piriformis (see "piriformis syndrome", a condition often related with sacroiliac joint dysfunction), rectus femoris, gluteus maximus and minimus, erector spinae, latissimus dorsi, thoracolumbar fascia, and iliacus. [1]
Both active and passive stretching exercises that include hip and knee extension should be the focus of the program. Stretching the hip into extension and limiting excessive knee flexion avoids placing the rectus femoris in a position of passive insufficiency, thereby maximizing the stretch to the iliopsoas tendon.
Sartorius muscle, Quadriceps (Rectus femoris, Vastus lateralis, Vastus intermedius and Vastus medialis), Articularis genus: Femoral nerve: Medial compartment (inner thigh/groin) Pectineus, [2] External obturator, Gracilis muscle, Adductors (longus, brevis, and magnus) Obturator nerve: Posterior compartment (back of the thigh)
The external obturator muscle or obturator externus muscle (/ ˌ ɒ b tj ʊəˈr eɪ t ər ɪ k ˈ s t ɜːr n ə s /; OE) is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis. It is sometimes considered part of the medial compartment of thigh, [1] and sometimes considered part of the gluteal region. [2]