Vastus Medialis Oblique: Difference between revisions

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== Description ==
== Description ==
The Vastus Medialis Oblique (VMO) muscle is the muscle that makes up the distal most fibres of the [[Vastus Medialis|Vastus Medialis (VM)]] muscle.<ref>El Sawy MM, Mikkawy DM, El-Sayed SM, Desouky AM. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017455/#ref11 Morphometric analysis of vastus medialis oblique muscle and its influence on anterior knee pain. Anatomy & cell biology]. 2021 Mar 1;54(1):1-9.</ref> There is anatomical evidence that the VMO and VM are functionally different due to dissimilar muscle fibre pennation angles. VMO runs obliquely and helps with medial translation of the patella where VM runs more longitudinally and contributes more to knee extension. Patellofemoral joint load is decreased by advanced and adequate medially directed force by the VMO. There has been speculation as to whether VMO and VM can be activated differentially but Peng et al (2018) showed that the two can be activated differentially and that sex and hip position impact their motor unit recruitment properties<ref name=":0">Peng YL, Tenan MS, Griffin L. [https://journals.physiology.org/doi/pdf/10.1152/japplphysiol.00702.2017 Hip position and sex differences in motor unit firing patterns of the vastus medialis and vastus medialis oblique in healthy individuals]. Journal of Applied Physiology. 2018 Jun 1;124(6):1438-46.</ref>.
The Vastus Medialis Oblique (VMO) muscle is the muscle that makes up the distal most fibres of the [[Vastus Medialis|Vastus Medialis (VM)]] muscle of the [[Quadriceps Muscle|Quadriceps]].<ref name=":2">El Sawy MM, Mikkawy DM, El-Sayed SM, Desouky AM. Mor[https://synapse.koreamed.org/articles/1146626 phometric analysis of vastus medialis oblique muscle and its influence on anterior knee pain]. Anatomy & cell biology. 2021 Mar 1;54(1):1-9.</ref> The VMO and VM muscles are functionally different due to different orientation of muscle fibres. VMO runs obliquely and helps with medial translation of the patella where VM runs more longitudinally and contributes more to knee extension. Patellofemoral joint load is decreased by advanced and adequate medially directed force by the VMO.<ref name=":0">Peng YL, Tenan MS, Griffin L. [https://journals.physiology.org/doi/pdf/10.1152/japplphysiol.00702.2017 Hip position and sex differences in motor unit firing patterns of the vastus medialis and vastus medialis oblique in healthy individuals]. Journal of Applied Physiology. 2018 Jun 1;124(6):1438-46.</ref>
[[File:VMO1.png|alt=|center|572x572px]]
[[File:VMO1.png|alt=|center|572x572px]]


=== Origin ===
=== Origin ===
VMO originates from the adductor magnus tendon<ref name=":1">Rajput HB, Rajani SJ, Vaniya VH. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5713709/pdf/jcdr-11-AC01.pdf Variation in morphometry of vastus medialis muscle]. Journal of Clinical and Diagnostic Research: JCDR. 2017 Sep;11(9):AC01.</ref><ref name=":2">El Sawy MM, Mikkawy DM, El-Sayed SM, Desouky AM. Mor[https://synapse.koreamed.org/articles/1146626 phometric analysis of vastus medialis oblique muscle and its influence on anterior knee pain]. Anatomy & cell biology. 2021 Mar 1;54(1):1-9.</ref>, the medial lip of linea aspera and the medial supracondylar line<ref name=":2" />.
The VMO has multiple points of origin. The muscle fibres largely originate from the pubic points of the [[Adductor Magnus]] tendon. The other points of origin include the medial lip of linea aspera and the medial supracondylar line.<ref name=":2" /><ref name=":1">Rajput HB, Rajani SJ, Vaniya VH. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5713709/pdf/jcdr-11-AC01.pdf Variation in morphometry of vastus medialis muscle]. Journal of Clinical and Diagnostic Research: JCDR. 2017 Sep;11(9):AC01.</ref>


=== Insertion ===
=== Insertion ===
VMO inserts onto the medial border of the patella<ref name=":1" /> <ref name=":2" />and the knee joint capsule<ref name=":2" />. It also has a small area where it directly continues with the patella tendon<ref name=":2" />.
VMO inserts onto the medial border of the patella and the knee joint capsule. It also has a small area where it directly continues with the patella tendon<ref name=":2" />.


=== Action ===
=== Action ===

Revision as of 13:54, 20 January 2024

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Description[edit | edit source]

The Vastus Medialis Oblique (VMO) muscle is the muscle that makes up the distal most fibres of the Vastus Medialis (VM) muscle of the Quadriceps.[1] The VMO and VM muscles are functionally different due to different orientation of muscle fibres. VMO runs obliquely and helps with medial translation of the patella where VM runs more longitudinally and contributes more to knee extension. Patellofemoral joint load is decreased by advanced and adequate medially directed force by the VMO.[2]

Origin[edit | edit source]

The VMO has multiple points of origin. The muscle fibres largely originate from the pubic points of the Adductor Magnus tendon. The other points of origin include the medial lip of linea aspera and the medial supracondylar line.[1][3]

Insertion[edit | edit source]

VMO inserts onto the medial border of the patella and the knee joint capsule. It also has a small area where it directly continues with the patella tendon[1].

Action[edit | edit source]

VMO assists with medial translation of the patella[2][1] and assists with the last phase of knee extension[1].

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 El Sawy MM, Mikkawy DM, El-Sayed SM, Desouky AM. Morphometric analysis of vastus medialis oblique muscle and its influence on anterior knee pain. Anatomy & cell biology. 2021 Mar 1;54(1):1-9.
  2. 2.0 2.1 Peng YL, Tenan MS, Griffin L. Hip position and sex differences in motor unit firing patterns of the vastus medialis and vastus medialis oblique in healthy individuals. Journal of Applied Physiology. 2018 Jun 1;124(6):1438-46.
  3. Rajput HB, Rajani SJ, Vaniya VH. Variation in morphometry of vastus medialis muscle. Journal of Clinical and Diagnostic Research: JCDR. 2017 Sep;11(9):AC01.