Sartorius muscle

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Sartorius muscle
Sartorius.png
Muscles of the right leg, viewed from the front. (Rectus femoris removed to reveal the vastus intermedius.)
Details
Origin Anterior superior iliac spine of the pelvic bone
Insertion anteromedial surface of the proximal tibia in the pes anserinus
Artery femoral artery
Nerve femoral nerve (sometimes from the intermediate cutaneous nerve of thigh)
Actions Flexion, abduction, and lateral rotation of the hip, extension of the knee [1]
Identifiers
Latin musculus sartorius
TA98 A04.7.02.016
TA2 2610
FMA 22353
Anatomical terms of muscle

The sartorius muscle ( /sɑːrˈtɔːriəs/ ) is the longest muscle in the human body. [2] It is a long, thin, superficial muscle that runs down the length of the thigh in the anterior compartment. [3]

Contents

Structure

The sartorius muscle originates from the anterior superior iliac spine, [4] and part of the notch between the anterior superior iliac spine and anterior inferior iliac spine. It runs obliquely across the upper and anterior part of the thigh in an inferomedial direction. [3] It passes behind the medial condyle of the femur to end in a tendon. This tendon curves anteriorly to join the tendons of the gracilis and semitendinosus muscles in the pes anserinus, where it inserts into the superomedial surface of the tibia. [3]

Its upper portion forms the lateral border of the femoral triangle, and the point where it crosses adductor longus marks the apex of the triangle. Deep to sartorius and its fascia is the adductor canal, through which the saphenous nerve, femoral artery and vein, and nerve to vastus medialis pass. [3]

Innervation

Like the other muscles in the anterior compartment of the thigh, the sartorius is innervated by the femoral nerve. [3] [4]

Variation

It may originate from the outer end of the inguinal ligament, the notch of the ilium, the ilio-pectineal line or the pubis.

The muscle may be split into two parts, and one part may be inserted into the fascia lata, the femur, the ligament of the patella or the tendon of the semitendinosus.

The tendon of insertion may end in the fascia lata, the capsule of the knee-joint, or the fascia of the leg.

The muscle may be absent in some people. [5]

Function

The sartorius muscle can move the hip joint and the knee joint, but all of its actions are weak, making it a synergist muscle. [4] At the hip, it can flex, weakly abduct, and laterally rotate the femur. [4] At the knee, it can flex the leg; when the knee is flexed, sartorius medially rotates the leg. [3] [1] Sitting cross-legged demonstrates all four actions of the sartorius. [3]

Clinical significance

One of the many conditions that can disrupt the use of the sartorius is pes anserine bursitis, an inflammatory condition of the medial portion of the knee. This condition usually occurs in athletes from overuse and is characterized by pain, swelling and tenderness. [6] The pes anserinus involves the tendons of the gracilis, semitendinosus, and sartorius muscles; these tendons attach onto the anteromedial proximal tibia. When inflammation of the bursae underlying the tendons occurs, they separate from the head of the tibia.[ medical citation needed ]

History

The name sartorius comes from the Latin word sartor, meaning tailor, [7] and it is sometimes called the tailor's muscle. [3] This name was chosen in reference to the cross-legged position in which tailors once sat. [3] In French, a muscle name itself "couturier" comes from this specific position which is referred to as "sitting as a tailor" (in French: "s'asseoir en tailleur"). There are other hypotheses as to the origin of the name. One is that it refers to the location of the inferior portion of the muscle being the "inseam" or area of the inner thigh that tailors commonly measure when fitting trousers. Another is that the muscle closely resembles a tailor's ribbon. Additionally, antique sewing machines required continuous crossbody pedaling. This combination of lateral rotation and flexion of the hip and flexion of the knee gave tailors particularly developed sartorius muscles.

Additional images

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower limb extending from the knee to the ankle, also known as the crus or, especially in non-technical use, the shank. Legs are used for standing, and all forms of locomotion including recreational such as dancing, and constitute a significant portion of a person's mass. Female legs generally have greater hip anteversion and tibiofemoral angles, but shorter femur and tibial lengths than those in males.

<span class="mw-page-title-main">Thigh</span> Area between the pelvis and the knee; upper leg

In human anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb.

<span class="mw-page-title-main">Quadriceps</span> Group of human leg muscle

The quadriceps femoris muscle is a large muscle group that includes the four prevailing muscles on the front of the thigh. It is the sole extensor muscle of the knee, forming a large fleshy mass which covers the front and sides of the femur. The name derives from Latin four-headed muscle of the femur.

<span class="mw-page-title-main">Pectineus muscle</span> Adductor of the thigh

The pectineus muscle is a flat, quadrangular muscle, situated at the anterior (front) part of the upper and medial (inner) aspect of the thigh. The pectineus muscle is the most anterior adductor of the hip. The muscle does adduct and internally rotate the thigh but its primary function is hip flexion.

<span class="mw-page-title-main">Hip</span> Anatomical region between the torso and the legs, holding the buttocks and genital region

In vertebrate anatomy, hip refers to either an anatomical region or a joint.

The biceps femoris is a muscle of the thigh located to the posterior, or back. As its name implies, it has two parts, one of which forms part of the hamstrings muscle group.

<span class="mw-page-title-main">Adductor longus muscle</span> Skeletal muscle located in the thigh

In the human body, the adductor longus is a skeletal muscle located in the thigh. One of the adductor muscles of the hip, its main function is to adduct the thigh and it is innervated by the obturator nerve. It forms the medial wall of the femoral triangle.

<span class="mw-page-title-main">Adductor magnus muscle</span> Muscle in the thigh

The adductor magnus is a large triangular muscle, situated on the medial side of the thigh.

<span class="mw-page-title-main">Gracilis muscle</span> Most superficial muscle on the medial side of the thigh

The gracilis muscle is the most superficial muscle on the medial side of the thigh. It is thin and flattened, broad above, narrow and tapering below.

The semimembranosus muscle is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint.

<span class="mw-page-title-main">Semitendinosus muscle</span> One of Hamstring muscles: Posterior compartment of the thigh

The semitendinosus is a long superficial muscle in the back of the thigh. It is so named because it has a very long tendon of insertion. It lies posteromedially in the thigh, superficial to the semimembranosus.

<span class="mw-page-title-main">Iliopsoas</span> Joined psoas and the iliacus muscles.

The iliopsoas muscle refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name iliopsoas. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip.

<span class="mw-page-title-main">Tensor fasciae latae muscle</span> Muscle of the thigh

The tensor fasciae latae is a muscle of the thigh. Together with the gluteus maximus, it acts on the iliotibial band and is continuous with the iliotibial tract, which attaches to the tibia. The muscle assists in keeping the balance of the pelvis while standing, walking, or running.

<span class="mw-page-title-main">Femoral nerve</span> Long nerve down the thigh and inner leg

The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee.

<span class="mw-page-title-main">Fascia lata</span> Deep fascia of the thigh

The fascia lata is the deep fascia of the thigh. It encloses the thigh muscles and forms the outer limit of the fascial compartments of thigh, which are internally separated by the medial intermuscular septum and the lateral intermuscular septum. The fascia lata is thickened at its lateral side where it forms the iliotibial tract, a structure that runs to the tibia and serves as a site of muscle attachment.

Pes anserinus refers to the conjoined tendons of three muscles of the thigh. It inserts onto the anteromedial surface of the proximal tibia. The muscles are the sartorius, gracilis and semitendinosus sometimes referred to as the guy ropes. The name "goose foot" arises from the three-pronged manner in which the conjoined tendon inserts onto the tibia.

<span class="mw-page-title-main">Posterior compartment of thigh</span> One of the fascial compartments that contains the knee flexors and hip extensors

The posterior compartment of the thigh is one of the fascial compartments that contains the knee flexors and hip extensors known as the hamstring muscles, as well as vascular and nervous elements, particularly the sciatic nerve.

<span class="mw-page-title-main">Anterior compartment of thigh</span> Muscles which extend the knee and flex the hip

The anterior compartment of thigh contains muscles which extend the knee and flex the hip.

<span class="mw-page-title-main">Knee bursae</span>

The knee bursae are the fluid-filled sacs and synovial pockets that surround and sometimes communicate with the knee joint cavity. The bursae are thin-walled, and filled with synovial fluid. They represent the weak point of the joint, but also provide enlargements to the joint space. They can be grouped into either communicating and non-communicating bursae or, after their location – frontal, lateral, or medial.

<span class="mw-page-title-main">Pes anserine bursitis</span> Medical condition

Pes anserine bursitis is an inflammatory condition of the medial (inner) knee at the anserine bursa, a sub muscular bursa, just below the pes anserinus.

References

PD-icon.svgThis article incorporates text in the public domain from page 470 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Moore, Keith; Anne Agur (2007). Essential Clinical Anatomy. Lippincott Williams & Wilkins. p. 334. ISBN   978-0-7817-6274-8.
  2. Levin, Nancy (2019-10-26). "10 Largest Muscles in the Human Body". Largest.org. Retrieved 2020-12-15.
  3. 1 2 3 4 5 6 7 8 9 Moore, Keith L.; Dalley, Arthur F.; Agur, A. M. R. (2013-02-13). Clinically Oriented Anatomy. Lippincott Williams & Wilkins. pp. 545–546. ISBN   9781451119459.
  4. 1 2 3 4 Chaitow, Leon; DeLany, Judith (2011-01-01), Chaitow, Leon; DeLany, Judith (eds.), "Chapter 12 - The hip", Clinical Application of Neuromuscular Techniques, Volume 2 (Second Edition), Oxford: Churchill Livingstone, pp. 391–445, doi:10.1016/b978-0-443-06815-7.00012-7, ISBN   978-0-443-06815-7 , retrieved 2020-12-15
  5. Scott-Conner, Carol E. H.; David L. Dawson (2003). Operative Anatomy. Lippincott Williams & Wilkins. p. 606. ISBN   0-7817-3529-7.
  6. "Anterior Knee Pain: Symptoms, Causes & Treatment". Cleveland Clinic. Retrieved 2022-06-23.
  7. Mosby's medical, nursing, and allied health dictionary : illustrated in full color throughout. Anderson, Kenneth, 1921-2001., Anderson, Lois E., Glanze, Walter D. (4th ed.). St. Louis: Mosby. 1994. p. 1394. ISBN   0-8016-7225-2. OCLC   29185395.{{cite book}}: CS1 maint: others (link)