Contents
Anatomy
General Information
- This section is strictly limited to anatomy, you might be looking for clinical relevant information which is found under the clinical chapters -- muscles section, click here to go to that page
Position
- Deep to both the gastrocnemius and plantaris
Origin
- Lateral condyle femur
- Lateral aspect
- Oblique popliteal ligament at knee joint
Insertion
- Posterior surface of tibia
- Triangular area proximal to the soleal line
- Fascia sorrounding the muscle
Main function
- Knee
- Flexion
- Medial rotation
Secondary function
- Knee
- Lateral rotation
Nerve innervation
- Segmental
- L4-S1
- Peripheral
- Tibial nerve
Arterial supply
- Popliteal artery
Palpation
- Patient position
- Sitting
- Place your one hand proximal at the posterior aspect of the tibia
- Palpate deep to the gastrocnemius
- While palpating, ask the patient to medially rotate the knee and feel for contraction in the muscle
- Keep palpating the muscle inferiorly along the tibia
- The insertion can be difficult to palpate
Strength test
- Patient position
- Sitting
- Have the patient's foot hang freely above the floor
- Ask the patient to hold the knee in a laterally rotated position
- Ask the patient to medially rotate the knee
- It is not necessary to add resistance
- Note that there are 4 other muscles which medially rotate the knee
- Sartorius
- Gracilis
- Semimembranosus
- Semitendinosus