250 Dance Anatomy and Kinesiology
Muscle Proximal attachment(s) Distal attachment(s) Primary action(s)
Posterior muscles (continued)
Hamstrings (continued)
Semimembranosus
(sem-ee-mem-brah-NO-sus)
Ischial tuberosity Medial condyle of tibia Knee flexion
Knee internal rotation
(Hip extension)
(Hip internal rotation)
Popliteus
(pop-LIT-ee-us)
Tripartite tendon:
- Lateral femoral condyle
- Head of fibula
- Posterior aspect of lateral
meniscus
Medial posterior aspect of
upper tibia
External rotation of
femur (when foot fixed)
Internal rotation of tibia
(when foot free)
“Unlocking” knee
Additional secondary muscles
Gracilis Just below symphysis
on pubis, inferior rami of
ischium and pubis
Medial surface of upper
tibia (pes anserinus)
Knee flexion
(Hip adduction)
(Hip flexion)
Sartorius Anterior superior iliac spine
(ASIS) and area just below
Medial surface of upper
tibia (pes anserinus)
Knee flexion
(Hip flexion)
(Hip abduction)
(Hip external rotation)
Tensor fasciae latae Anterior outer crest of ilium,
lateral aspect of anterior
superior iliac spine
Tibia via iliotibial band Lateral support of knee
(Terminal knee extension)
(Knee external rotation)
(Hip abduction)
(Hip flexion)
(Hip internal rotation)
Gastrocnemius Medial and lateral femoral
condyles
Calcaneus (foot) via
Achilles tendon
Knee flexion
(Ankle plantar flexion)
*Special circumstances for action or action at other joints given in parentheses
Knee Alignment and Common Deviations
Knee alignment can be evaluated relative to the
frontal, sagittal, or transverse plane. Appropriate
alignment of the bones involved in the knee joint can
have important implications in terms of how stresses
are borne and the resultant injury predispositions,
as well as for one’s ability to meet the performance
and aesthetic demands of dance. Common align-
ment deviations include valgus angulation, genu
recurvatum, and tibial torsion.
Valgus Angulation
As discussed in chapter 4, when one views the legs
from the front or back, the shafts of the femur are not
totally vertical but rather angle slightly inward, with
the knees more medial than either the femoral head
or greater trochanter. Due to this femoral obliquity
in the frontal plane, it is normal for the tibia to angle
outward slightly relative to the femur. This angula-
tion functions to help establish an approximately
vertical positioning of the tibia, desirable for transfer
of body weight. The angle between the femur and
tibia, which opens out laterally, is termed a valgus
angle or valgus angulation. In adults, an angle of
about 170° to 174° is considered normal (Magee,
1997; Smith, Weiss, and Lehmkuhl, 1996), and such a
normal alignment of the tibia relative to the femur is
termed genu rectum (L. genu, knee + rectus, straight)
as seen in figure 5.11A.
Genu Valgum
However, in some cases this relative lateral deviation
of the tibia is exaggerated and the angle between the
TABLE 5.1 Summary of Attachments and Primary Actions* of Knee Muscles (continued)