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   » » Wiki: Popliteus Muscle
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The popliteus muscle in the leg is used for unlocking the when walking, by laterally rotating the on the during the closed chain portion of the gait cycle (one with the foot in contact with the ground). In open chain movements (when the involved limb is not in contact with the ground), the popliteus muscle medially rotates the tibia on the femur. It is also used when sitting down and standing up. It is the only muscle in the posterior (back) compartment of the lower leg that acts just on the knee and not on the . The gastrocnemius muscle acts on both .


Structure
The popliteus muscle originates from the lateral surface of the lateral condyle of the femur by a rounded tendon. Its fibers pass downward and medially. It inserts onto the posterior surface of , above the . The popliteus tendon runs beneath the lateral collateral ligament and tendon of . The muscle also runs above the but has no connection with the meniscus in 45% of the cases, but has strong connection with it in 17.5% of the cases. Therefore, popliteus muscle is extrasynovial, extra-articular, and intracapsular.


Nerve supply
The popliteus muscle is supplied by the , from spinal roots L5 and S1.


Variation
There is sometimes an additional head from the in the lateral (outer) head of the gastrocnemius muscle.

Rarely an additional inconstant muscle; the is seen. It originates from the femur on the inner side of the and inserts into the posterior ligament of the knee-joint.

Peroneotibialis, 14% of population. Origin is inner side of the head of the fibula, insertion into the upper end of the oblique line of the tibia, it lies beneath the popliteus. Gray, Henry. 1918. Anatomy of the Human Body. Page 485

Another variant, the cyamella, is a small sesamoid bone embedded in the tendon of the popliteus muscle. It is rarely seen in humans, with prevalence rates from 0.57–1.8%, but has been described more often in other primates and certain other animals.


Function
The popliteus assists in flexing the leg upon the ; when the leg is flexed, it will rotate the tibia inward.

It is especially called into action at the beginning of the act of bending the knee, in as much as it produces the slight of the tibia, which is essential in the early stage of this movement.

When the knee is in full extension, the femur slightly medially rotates on the tibia to lock the knee joint in place. Popliteus is often referred to as the "Key" to unlocking the knee since it begins knee flexion by laterally rotating the femur on the tibia.

Popliteus is also attached to the lateral meniscus in the knee and draws it posteriorly during knee flexion to prevent crushing the meniscus between the tibia and femur as the knee flexes.

==Additional images==


Surgery
Injury to the Popliteus causes posterolateral rotatory instability of knee. This can be treated with Arthroscopic Popliteus Sling reconstruction using the popliteus portal.


See also
  • Posterolateral knee


External links

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