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SemimembranosusMusculus semimembranosus

Broad, flat inner hamstring muscle lying under semitendinosus that bends the knee, extends the hip and turns the leg inwards.

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LatinMusculus semimembranosus
Origin
  • Upper, outer part of the ischial tuberosity, by a thick flat tendon
Insertion
  • Back of the medial condyle of the tibia
  • Medial margin of the tibia
  • Expansions to the back of the knee joint capsule (oblique popliteal ligament), the fascia over popliteus and the medial collateral ligament
Action
  • Flexes the knee
  • Extends the hip
  • Medially rotates the leg when the knee is bent
  • Medially rotates the thigh when the hip is extended
NerveSciatic nerve (tibial part) (L5–S2)
GroupHamstrings
NameLatin semi, 'half', and membranosus, 'membranous' — named for its flat, sheet-like tendon of origin.

Palpation

  1. Client prone with the knee bent to about 90° and the foot supported; stand beside the thigh.
  2. Find the pencil-like semitendinosus tendon on the inner side of the back of the knee.
  3. Place your fingers just either side of that tendon, slightly higher up; the broader, softer mass here is semimembranosus.
  4. Ask the client to bend the knee against light resistance; feel the wide muscle firm around the semitendinosus tendon.

Landmarks: Ischial tuberosity

Semimembranosus is the deepest and most medial of the Hamstrings. It lies under Semitendinosus but is wider, so its edges can be felt on either side of the semitendinosus tendon above the knee. Its tendon spreads out at the back of the knee into several expansions, one of which helps form the ligament across the back of the joint capsule.

Wikipedia lists the root levels as L5–S2 in its summary box, but describes the whole sciatic nerve as coming from L4–S3. The narrower L5–S2 range is the one usually given for this muscle.

Treat it together with semitendinosus in a routine. Near the back of the knee, keep your pressure broad and avoid the centre of the hollow, where the main nerve and blood vessels run.

Sources

  1. Wikipedia: Semimembranosus muscle
  2. Wikipedia: Hamstring