Semimembranosus
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The semimembranosus muscle () is the most medial of the three
hamstring In human anatomy, a hamstring () is any one of the three posterior thigh muscles in between the hip and the knee (from medial to lateral: semimembranosus, semitendinosus and biceps femoris). The hamstrings are susceptible to injury. In quadrupe ...
muscles in the
thigh In human anatomy, the thigh is the area between the hip ( pelvis) and the knee. Anatomically, it is part of the lower limb. The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of ...
. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the
semitendinosus muscle 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. Structure The semitendinosus, r ...
. It extends the
hip joint In vertebrate anatomy, hip (or "coxa"Latin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) in medical terminology) refers to either an anatomical region or a joint. The hip region is ...
and flexes the
knee joint In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the hu ...
.


Structure

The semimembranosus muscle, so called from its membranous tendon of origin, is situated at the back and medial side of the
thigh In human anatomy, the thigh is the area between the hip ( pelvis) and the knee. Anatomically, it is part of the lower limb. The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of ...
. It is wider, flatter, and deeper than the semitendinosus (with which it shares very close insertion and attachment points). The muscle overlaps the upper part of the popliteal vessels.


Origin

The semimembranosus muscle originates by a thick tendon from the superolateral aspect of the
ischial tuberosity The ischial tuberosity (or tuberosity of the ischium, tuber ischiadicum), also known colloquially as the sit bones or sitz bones, or as a pair the sitting bones, is a large swelling posteriorly on the superior ramus of the ischium. It marks th ...
. It arises above and medial to the
biceps femoris muscle 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 (the long head) forms part of the hamstrings muscle group. Structure It has two heads of origin: *the ''long h ...
and
semitendinosus muscle 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. Structure The semitendinosus, r ...
. The tendon of origin expands into an
aponeurosis An aponeurosis (; plural: ''aponeuroses'') is a type or a variant of the deep fascia, in the form of a sheet of pearly-white fibrous tissue that attaches sheet-like muscles needing a wide area of attachment. Their primary function is to join musc ...
, which covers the upper part of the anterior surface of the muscle; from this aponeurosis, muscular fibers arise, and converge to another aponeurosis which covers the lower part of the posterior surface of the muscle and contracts into the tendon of insertion.


Insertion

The semimembranosus muscle inserts on the: * medial condyle of the
tibia The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects ...
. * medial margin of the tibia. *
lateral condyle of femur The lateral condyle is one of the two projections on the lower extremity of the femur. The other one is the medial condyle. The lateral condyle is the more prominent and is broader both in its front-to-back and transverse diameters. Clinical sign ...
. * fascia of the
popliteus muscle The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the bipedal gait cycle, gait cycle (one with the foot in contact with the ground). In op ...
. The tendon of insertion gives off certain fibrous expansions: one, of considerable size, passes upward and laterally to be inserted into the posterior lateral condyle of the femur, forming part of the
oblique popliteal ligament The oblique popliteal ligament (posterior ligament) is a broad, flat, fibrous band on the posterior knee representing an expansion of the tendon of the semimembranosus muscle. It attaches onto the intercondylar fossa and lateral condyle of the f ...
of the
knee-joint In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the hu ...
; a second is continued downward to the fascia which covers the
popliteus muscle The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the bipedal gait cycle, gait cycle (one with the foot in contact with the ground). In op ...
; while a few fibers join the
medial collateral ligament The medial collateral ligament (MCL), or tibial collateral ligament (TCL), is one of the four major ligaments of the knee. It is on the medial (inner) side of the knee joint in humans and other primates. Its primary function is to resist out ...
of the joint and the fascia of the leg.


Nerve supply

The semimembranosus is innervated by the tibial part of the sciatic nerve. The sciatic nerve consists of the anterior divisions of ventral nerve roots from L4 through S3. These nerve roots are part of the larger nerve network–the
sacral plexus In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar verte ...
.Saladin, Kenneth S. Anatomy & Physiology: the unity of form and function. 5th ed. New York: McGraw-Hill, 2010. Print. The tibial part of the sciatic nerve is also responsible for innervation of
semitendinosus 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. Structure The semitendinosus, r ...
and the long head of
biceps femoris 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 (the long head) forms part of the hamstrings muscle group. Structure It has two heads of origin: *the ''long h ...
.


Variation

The semimembranosus muscle may be reduced or absent, or double, arising mainly from the sacrotuberous ligament and giving a slip to the femur or
adductor magnus Adductor may refer to: * One of the anatomical terms of motion Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminolo ...
.


Function

The semimembranosus muscle extends (straightens) the
hip joint In vertebrate anatomy, hip (or "coxa"Latin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) in medical terminology) refers to either an anatomical region or a joint. The hip region is ...
. It also flexes (bends) the
knee joint In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the hu ...
. It also helps to
medially rotate Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative ...
the knee: the
tibia The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects ...
medially rotates on the
femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with ...
when the knee is flexed. It medially rotates the
femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with ...
when the hip is extended. The muscle can also aid in counteracting the forward bending at the
hip joint In vertebrate anatomy, hip (or "coxa"Latin ''coxa'' was used by Celsus in the sense "hip", but by Pliny the Elder in the sense "hip bone" (Diab, p 77) in medical terminology) refers to either an anatomical region or a joint. The hip region is ...
.


Clinical significance

The semitendinosus muscle may be dry needled.


Additional images

Image:Gray235.png, Right hip bone. External surface. Image:Gray259.png, Bones of the right leg. Posterior surface. Image:Gray551.png, The popliteal, posterior tibial, and peroneal arteries. Image:Gray1239.png, Back of left lower extremity. Image:Femoral biceps muscle.jpg, Semimembranosus muscle File:Slide4j.JPG, Semimembranosus muscle File:Slide2DADE.JPG, Muscles of thigh. Lateral view. File:Slide2EA.JPG, Muscles of thigh. Cross section. File:Slide1BIBI.JPG, Muscles of thigh. Anterior views.


See also

*
Semitendinosus 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. Structure The semitendinosus, r ...
*
Biceps femoris 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 (the long head) forms part of the hamstrings muscle group. Structure It has two heads of origin: *the ''long h ...


References


External links

* * - "Muscles (hamstrings) of the posterior compartment of the
thigh In human anatomy, the thigh is the area between the hip ( pelvis) and the knee. Anatomically, it is part of the lower limb. The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of ...
." * - "Muscles that form the superficial boundaries of the
popliteal fossa The popliteal fossa (also referred to as hough, .html" ;"title="/sup>">/sup> or kneepit in analogy to the cubital fossa) is a shallow depression located at the back of the knee joint. The bones of the popliteal fossa are the femur and the tibia ...
."
knee/surface/surface4
at the
Dartmouth Medical School The Geisel School of Medicine at Dartmouth is the graduate medical school of Dartmouth College in Hanover, New Hampshire. The fourth oldest medical school in the United States, it was founded in 1797 by New England physician Nathan Smith. It is o ...
's Department of Anatomy
PTCentral
{{DEFAULTSORT:Semimembranosus Muscle Hip extensors Hip medial rotators Knee flexors Knee medial rotators Thigh muscles Posterior compartment of thigh Muscles of the lower limb Hamstring