Vastus Muscles
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The vastus muscles are three of the four muscles that make up the
quadriceps femoris muscle The quadriceps femoris muscle (, also called the quadriceps extensor, quadriceps or quads) is a large muscle group that includes the four prevailing muscles on the front of the thigh. It is the sole extensor muscle of the knee, forming a large ...
of the
thigh In 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 bone tissu ...
. The three muscles are the vastus intermedius, the
vastus lateralis The vastus lateralis (), also called the vastus externus, is the largest and most powerful part of the quadriceps femoris, a muscle in the thigh. Together with other muscles of the quadriceps group, it serves to extend the knee joint, moving the ...
, and the
vastus medialis The vastus medialis (vastus internus or teardrop muscle) is an extensor muscle located medially in the thigh that extends the knee. The vastus medialis is part of the quadriceps muscle group. Structure The vastus medialis is a muscle presen ...
located in the middle, on the outside, and inside of the thigh, respectively. The fourth muscle is the
rectus femoris muscle The rectus femoris muscle is one of the four quadriceps muscles of the human body. The others are the vastus medialis, the vastus intermedius (deep to the rectus femoris), and the vastus lateralis. All four parts of the quadriceps muscle attach ...
a large fleshy
muscle Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
which covers the front and sides of the
femur The femur (; : femurs or femora ), or thigh bone is the only long bone, bone in the thigh — the region of the lower limb between the hip and the knee. In many quadrupeds, four-legged animals the femur is the upper bone of the hindleg. The Femo ...
.


Vastus intermedius

The vastus intermedius arises from the front and
lateral Lateral is a geometric term of location which may also refer to: Biology and healthcare * Lateral (anatomy), a term of location meaning "towards the side" * Lateral cricoarytenoid muscle, an intrinsic muscle of the larynx * Lateral release ( ...
surfaces of the body of the femur in its upper two-thirds, sitting under the rectus femoris muscle and from the lower part of the lateral intermuscular septum. Its fibers end in a superficial
aponeurosis An aponeurosis (; : aponeuroses) is a flattened tendon by which muscle attaches to bone or fascia. Aponeuroses exhibit an ordered arrangement of collagen fibres, thus attaining high tensile strength in a particular direction while being vulnerable ...
, which forms the deep part of the
quadriceps tendon In human anatomy Human anatomy (gr. ἀνατομία, "dissection", from ἀνά, "up", and τέμνειν, "cut") is primarily the scientific study of the morphology of the human body. Anatomy is subdivided into gross anatomy and micros ...
. The vastus medialis and vastus intermedius appear to be inseparably united, but when the rectus femoris has been reflected a narrow interval will be observed extending upward from the
medial Medial may refer to: Mathematics * Medial magma, a mathematical identity in algebra Geometry * Medial axis, in geometry the set of all points having more than one closest point on an object's boundary * Medial graph, another graph that repr ...
border of the
patella The patella (: patellae or patellas), also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in m ...
between the two muscles, and the separation may be continued as far as the lower part of the
intertrochanteric line The intertrochanteric line is a line upon the anterior aspect of the proximal end of the femur, extending between the lesser trochanter and the greater trochanter. It is a rough, variable ridge. Structure The intertrochanteric line marks the bound ...
, where, however, the two muscles are frequently continuous.


Vastus lateralis

The vastus lateralis is the largest and most powerful of the three vasti muscles. It arises from the several areas of the femur, including the upper part of the intertrochanteric line; the lower,
anterior Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position pro ...
borders of the
greater trochanter The greater trochanter of the femur is a large, irregular, quadrilateral eminence and a part of the skeletal system. It is directed lateral and medially and slightly posterior. In the adult it is about 2–4 cm lower than the femoral head.Sta ...
, to the outer border of the
gluteal tuberosity The gluteal tuberosity is the lateral one of the three upward prolongations of the linea aspera of the femur, extending to the base of the greater trochanter. It serves as the principal insertion site for the gluteus maximus muscle. Structure ...
, and the upper half of the outer border of the
linea aspera The linea aspera () is a ridge of roughened surface on the posterior surface of the shaft of the femur. It is the site of attachments of muscles and the intermuscular septum. Its margins diverge above and below. The linea aspera is a prominent ...
. These form an aponeurosis, a broad flat tendon which covers the upper three-quarters of the muscle. From the inner surface of the aponeurosis, many muscle fibres originate. Some additional fibres arise from the tendon of the
gluteus maximus The gluteus maximus is the main extensor muscle of the hip in humans. It is the largest and outermost of the three gluteal muscles and makes up a large part of the shape and appearance of each side of the hips. It is the single largest muscle in ...
muscle, and from the
septum In biology, a septum (Latin language, Latin for ''something that encloses''; septa) is a wall, dividing a Body cavity, cavity or structure into smaller ones. A cavity or structure divided in this way may be referred to as septate. Examples Hum ...
between the vastus lateralis and short head of the
biceps femoris The biceps femoris () is a muscle of the thigh located to the posterior, or back. As its name implies, it consists of two heads; the long head is considered part of the hamstring muscle group, while the short head is sometimes excluded from this ...
. The fibers form a large fleshy mass, attached to a second strong aponeurosis, placed on the deep surface of the lower part of the muscle. This lower aponeurosis becomes contracted and thickened into a flat tendon that attaches to the outer border of the
patella The patella (: patellae or patellas), also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in m ...
, and subsequently joins with the quadriceps femoris tendon, expanding the capsule of the knee joint.


Vastus medialis

The vastus medialis arises medially along the entire length of the femur, and attaches with the other muscles of the quadriceps in the quadriceps tendon. The vastus medialis muscle originates from a continuous line of attachment on the femur, which begins on the front and middle side (anteromedially) on the intertrochanteric line of the femur. It continues down and back (posteroinferiorly) along the pectineal line and then descends along the inner lip of the linea aspera and onto the medial supracondylar line of the femur. The fibers converge onto the medial part of the quadriceps tendon and the medial border of the patella. The ''obliquus genus'' muscle is the most distal segment of the vastus medialis muscle. Its specific training plays an important role in maintaining patella position and limiting injuries to the knee. With no clear delineation, it is simply the most distal group of fibers of the vastus medialis.


Additional images

File:Gray244.png, Right femur. Anterior surface. File:Gray245.png, Right femur. Posterior surface. File:Gray430.png, Muscles of the iliac and anterior femoral regions. File:Gray432 color.png, Cross-section through the middle of the thigh. File:Slide7CCCC.JPG, Vastus intermedius muscle File:Slide9WWWW.JPG, Vastus intermedius muscle File:Slide2EA.JPG, Muscles of thigh. Cross section. File:Slide1DEEA.JPG, Muscles of Thigh. Anterior views.


References

{{Muscles of lower limb Knee extensors Muscles of the quadriceps Anterior compartment of thigh Muscles of the lower limb