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Vastus medialis. Patellofemoral pain syndrome may also result from overuse or overload of the PF joint. For this reason, knee activity should be reduced until the pain is resolved. [26] [27] There is consistent but low quality evidence that exercise therapy for PFPS reduces pain, improves function and aids long-term recovery. [28]
Knee pain is thought to be primarily associated with specific quadriceps muscle weakness or fatigue, especially in the vastus medialis obliquus (VMO).It is known that fatigue can be caused by many different mechanisms, ranging from the accumulation of metabolites within muscle fibers to the generation of an inadequate motor command in the motor cortex. [4]
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. [1] 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.
The vastus medialis obliquus muscle courses over the anteromedial thigh, attaching along the adductor magnus anterior border and to the quadratus femoris tendon. The medial gastrocnemius tendon arises proximal and posterior to the gastrocnemius tubercle of the medial femoral condyle. [ 2 ]
It can also result from soft-tissue abnormalities, such as a torn medial patellofemoral ligament, or a weakened vastus medialis obliquus. [2] Symptoms are regulated by the amount of activity. Such pain is commonly caused by running and jumping sports and activities that place large forces on the patellofemoral joint. [1]
The anterior compartment is one of the fascial compartments of the thigh that contains groups of muscles together with their nerves and blood supply. The anterior compartment contains the sartorius muscle (the longest muscle in the body) and the quadriceps femoris group, which consists of the rectus femoris muscle and the three vasti muscles – the vastus lateralis, vastus intermedius, and ...
The quadriceps muscles consist of the rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius. These quadriceps muscles are innervated by the femoral nerve. [ 1 ] The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when ...
Between the vastus lateralis and the adductor magnus two muscles are attached: the gluteus maximus muscle inserted above, and the short head of the biceps femoris muscle originating below. Between the adductor magnus and the vastus medialis four muscles are inserted: the iliacus muscle and pectineus muscle above;