The Knee and Patellofemoral Joints 247
Attachments and Primary Actions of Hamstring Muscles
Muscle Proximal attachment(s) Distal attachment(s) Primary action(s)
Hamstrings
Biceps femoris
(BI-seps FEM-o-ris)
Long head: ischial
tuberosity
Short head: linea aspera
of femur
Head of fibula
Lateral tibial condyle
Knee flexion
Knee external rotation
(Hip extension)
(Hip external rotation)
Semitendinosus
(sem-ee-ten-di-NO-sus)
Ischial tuberosity Medial surface of upper
tibia (pes anserinus)
Knee flexion
Knee internal rotation
(Hip extension)
(Hip internal rotation)
Semimembranosus
(sem-ee-mem-brah-NO-sus)
Ischial tuberosity Medial condyle of tibia Knee flexion
Knee internal rotation
(Hip extension)
(Hip internal rotation)
cause slight medial rotation of the tibia or knee. In contrast, the biceps femoris (bi, dual + L. capus,
head) inserts laterally on the fibula and tibia and so its action is slight external rotation of the tibia
or knee. In dance forms utilizing turnout, slight use of the biceps femoris is often encouraged to help
continue the turnout, primarily effected at the hip, through the lower leg.
FIGURE 5.7 The hamstrings and popliteus muscles (right knee, posterior view). (A) Superficial view of hamstrings, (B)
popliteus and long head cut to show short head of biceps femoris.