Hamstring
Hams | |
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![]() Posterior view of left lower extremity.
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Details | |
Origin | tuberosity of the ischium, linea aspera |
Insertion | tibia, fibula |
inferior gluteal artery, profunda femoris artery | |
sciatic nerve (tibial nerve and common fibular nerve)[1][2] | |
Actions | flexion of knee, extension of hip |
Antagonist | Rectus femoris muscle |
Identifiers | |
Dorlands /Elsevier |
h_02/12407578 |
TA | Lua error in Module:Wikidata at line 744: attempt to index field 'wikibase' (a nil value). |
TH | {{#property:P1694}} |
TE | {{#property:P1693}} |
FMA | {{#property:P1402}} |
Anatomical terms of muscle
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In human anatomy, a hamstring is any of the three[citation needed] tendons contracted by three posterior thigh muscles (semitendinosus, semimembranosus and biceps femoris), and the term is often also used to refer to the muscles themselves. The hamstring tendons make up the borders of the space behind the knee; the muscles are involved in knee flexion and hip extension.
In quadrupeds, the hamstring is the single large tendon found behind the knee or comparable area.
Contents
Structure
The three muscles of the posterior thigh (semitendinosus, semimembranosus, biceps femoris long & short head) flex (bend) the knee, while all but the short head of biceps femoris extend (straighten) the hip. The three 'true' hamstrings cross both the hip and the knee joint and are therefore involved in knee flexion and hip extension. The short head of the biceps femoris crosses only one joint (knee) and is therefore not involved in hip extension. With its divergent origin and innervation it is sometimes excluded from the 'hamstring' characterization.[3]
Muscle | Origin | Insertion | Nerve |
semitendinosus | ischial tuberosity | medial surface of tibia | sciatic |
semimembranosus | ischial tuberosity | medial tibial condyle | sciatic |
biceps femoris - long head | ischial tuberosity | lateral side of the head of the fibula | sciatic |
biceps femoris - short head | linea aspera and lateral supracondylar line of femur | lateral side of the head of the fibula (common tendon with the long head) | common peroneal |
A portion of the adductor magnus is sometimes considered a part of the hamstrings.[3]
Function
The hamstrings cross and act upon two joints - the hip and the knee.
Semitendinosus and semimembranosus extend the hip when the trunk is fixed; they also flex the knee and medially (inwardly) rotate the lower leg when the knee is bent.
The long head of the biceps femoris extends the hip as when beginning to walk; both short and long heads flex the knee and laterally (outwardly) rotates the lower leg when the knee is bent.
The hamstrings play a crucial role in many daily activities, such as, walking, running, jumping, and controlling some movement in the trunk. In walking, they are most important as an antagonist to the quadriceps in the deceleration of knee extension.
Clinical significance
Imaging
Imaging the hamstring muscles is usually performed with an ultrasound and/or MRI.[4] The biceps femoris is most commonly injured, followed by semitendinosus. Semimembranosus injury is rare. Imaging is useful in differentiating the grade of strain, especially if the muscle is completely torn.[5] In this setting, the level and degree of retraction can be determined, serving as a useful roadmap prior to any surgery. Those with a hamstring strain of greater than 60mm in length have a greater risk of recurrence.[6]
Use in surgery
The distal semitendinosus tendon is one of the tendons that can be used in the surgical procedure ACL reconstruction. In this procedure, a piece of it is used to replace the anterior cruciate ligament (ACL). The ACL is one of the four major ligaments in the knee.
Society and culture
Training
In strength training, squats, leg curls and the Romanian deadlift are combined with other lower body exercises to develop the hamstrings.
Hamstring extension is key to determining flexibility, assessed by performing a sit and reach test.
History
Etymology
The word "ham" is derived from the Old English ham or hom meaning the hollow or bend of the knee, from a Germanic base where it meant "crooked". It gained the meaning of the leg of an animal around the 15th century.[7] String refers to tendons, and thus, the hamstrings are the string-like tendons felt on either side of the back of the knee.[8]
See also
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References
- ↑ University of Glasgow :: Biomedical & Life Sciences :: Biomedical & Life Sciences
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ 3.0 3.1 postthigh at The Anatomy Lesson by Wesley Norman (Georgetown University)
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- ↑ Lua error in package.lua at line 80: module 'strict' not found.
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- ↑ Brown, Lesley, ed. (2007). Shorter Oxford English Dictionary II (Sixth ed.). Oxford: Oxford University press. p. 3611.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.