Vastus Intermedius: Difference between revisions

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[[File:Vast intermedius.jpg|thumb]]
 
== Description ==
== Description ==
Vastus Intermedius  is located in the middle, underneath the Rectus femoris at the anterior compartment of the thigh and  on each side of it, is situated the Vastus medialis and Vastus Lateralis respectively. It is one of the muscles that made up the quadriceps Femoris muscle<sup>.</sup>  
Vastus Intermedius  is located centrally, underneath the [[Rectus Femoris|Rectus femoris]]<ref name=":0">Drake, RL, Vogl, W, Mitchell, AW, Gray, H. Gray's anatomy for Students 2nd ed.  Philadelphia : Churchill Livingstone/Elsevier, 2010</ref> at the anterior compartment of the thigh and  on each side of it, is situated the [[Vastus Medialis|Vastus medialis]] and [[Vastus Lateralis]] respectively<ref>Grob, K, Manestar, M, Filgueira, L, Kuster, MS, Gilbey, H, Ackland, T. The interaction between the vastus medialis and vastus intermedius and its influence on the extensor apparatus of the knee joint. Knee surgery, Sport Traumatology, Arthroscopy, 2018; 26(3):727-738. doi: 10.1007/s00167-016-4396-3.</ref>. It is one of the muscles that made up the quadriceps Femoris muscle. Tensor of Vastus Intermedius is a new muscle that is part of the Quadriceps<ref>Veeramani, R, Gnanasekaran, D. Morphometric study of tensor of vastus intermedius in South Indian population. Anatomy of Cell Biology, 2017; 50(1): 7–11. doi:  10.5115/acb.2017.50.1.7</ref>.


==== '''Origin''' ====
==== '''Origin''' ====
It originates from the upper two-thirds of anterior and lateral surfaces of the femur and the intermuscular septum.
It originates from the upper two-thirds of anterior and lateral surfaces of the [[Femur|femur and the intermuscular septum]]<ref name=":1">Drake, RL, Vogl, W, Mitchell, AW, Gray, H. Gray's anatomy for Students 2nd ed.  Philadelphia : Churchill Livingstone/Elsevier, 2010</ref>.


==== '''Insertion''' ====
==== '''Insertion''' ====
It joins the Quadriceps femoris tendon to form the deep part of the tendon and then insert into the lateral margins of the patella.
It joins the [[Quadriceps tendon tear|Quadriceps femoris tendon]] to form the deep part of the tendon and then insert into the lateral margins of the [[patella]]<ref name=":2">Miller, A, Heckert, KD, Davis, BA.The 3-Minute Musculoskeletal & Peripheral Nerve Exam. New York: Demos Medical Publishing. 2009; p.116-117</ref>.


== Function ==
== Function ==
Together with other muscles that are part of the Quadriceps femoris, it facilitates knee extension.
Together with other muscles that are part of the [[Quadriceps Muscle Strain|Quadriceps femoris]], it facilitates knee extension<ref>Moore, KL, Dalley, AF, Agur, AM. Clinically oriented anatomy. 7<sup>th</sup> ed. Baltimore, MD: Lippincott Williams & Wilkins, 2014</ref><ref>Hislop, HJ, Montgomery,J.  Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination. 8<sup>th</sup> ed.  Missouri: Saunders Elsevier, 2007; p201-204</ref>.


==== '''Blood supply''' ====
==== '''Blood supply''' ====
The descending branch of the lateral circumference femoral artery supplies this muscle.
The descending branch of the lateral circumference femoral artery supplies this muscle<ref name=":0" />.


==== '''Innervation''' ====
==== '''Innervation''' ====
The Vastus Intermedius muscle is innervated by the Femoral nerve, originating from lumbar nerve 2, 3, and 4 nerve roots.
The Vastus Intermedius muscle is innervated by a branch of the [[Lumbar Plexus|Femoral nerve]], originating from lumbar nerve 2, 3, and 4 nerve roots<ref name=":1" /><ref name=":2" />.


== Assessment ==
== Assessment ==
Assessment of the muscles individauly cannot be done; so, the test for knee extensor integrity is used to assess for it's power.
[[Rectus Femoris|See...]]


==== '''Power''' ====
==== '''Palpation''' ====
'''Other test'''
The Vastus Intermedius is difficult to palpate. It is the least superficial muscle in the thigh's anterior compartment muscles; thus, it cannot be isolated to be stretched and/or massage.


= Resources =
= Resources =

Revision as of 13:26, 29 June 2018

Description[edit | edit source]

Vastus Intermedius  is located centrally, underneath the Rectus femoris[1] at the anterior compartment of the thigh and  on each side of it, is situated the Vastus medialis and Vastus Lateralis respectively[2]. It is one of the muscles that made up the quadriceps Femoris muscle. Tensor of Vastus Intermedius is a new muscle that is part of the Quadriceps[3].

Origin[edit | edit source]

It originates from the upper two-thirds of anterior and lateral surfaces of the femur and the intermuscular septum[4].

Insertion[edit | edit source]

It joins the Quadriceps femoris tendon to form the deep part of the tendon and then insert into the lateral margins of the patella[5].

Function[edit | edit source]

Together with other muscles that are part of the Quadriceps femoris, it facilitates knee extension[6][7].

Blood supply[edit | edit source]

The descending branch of the lateral circumference femoral artery supplies this muscle[1].

Innervation[edit | edit source]

The Vastus Intermedius muscle is innervated by a branch of the Femoral nerve, originating from lumbar nerve 2, 3, and 4 nerve roots[4][5].

Assessment[edit | edit source]

Assessment of the muscles individauly cannot be done; so, the test for knee extensor integrity is used to assess for it's power.

See...

Palpation[edit | edit source]

The Vastus Intermedius is difficult to palpate. It is the least superficial muscle in the thigh's anterior compartment muscles; thus, it cannot be isolated to be stretched and/or massage.

Resources[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

>https://www.ncbi.nlm.nih.gov/pubmed/28124107 </rss>

>https://www.ncbi.nlm.nih.gov/pubmed/26732825>

>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386929/ >

https://www.ncbi.nlm.nih.gov/pubmed/29494011

References[edit | edit source]

  1. 1.0 1.1 Drake, RL, Vogl, W, Mitchell, AW, Gray, H. Gray's anatomy for Students 2nd ed.  Philadelphia : Churchill Livingstone/Elsevier, 2010
  2. Grob, K, Manestar, M, Filgueira, L, Kuster, MS, Gilbey, H, Ackland, T. The interaction between the vastus medialis and vastus intermedius and its influence on the extensor apparatus of the knee joint. Knee surgery, Sport Traumatology, Arthroscopy, 2018; 26(3):727-738. doi: 10.1007/s00167-016-4396-3.
  3. Veeramani, R, Gnanasekaran, D. Morphometric study of tensor of vastus intermedius in South Indian population. Anatomy of Cell Biology, 2017; 50(1): 7–11. doi:  10.5115/acb.2017.50.1.7
  4. 4.0 4.1 Drake, RL, Vogl, W, Mitchell, AW, Gray, H. Gray's anatomy for Students 2nd ed.  Philadelphia : Churchill Livingstone/Elsevier, 2010
  5. 5.0 5.1 Miller, A, Heckert, KD, Davis, BA.The 3-Minute Musculoskeletal & Peripheral Nerve Exam. New York: Demos Medical Publishing. 2009; p.116-117
  6. Moore, KL, Dalley, AF, Agur, AM. Clinically oriented anatomy. 7th ed. Baltimore, MD: Lippincott Williams & Wilkins, 2014
  7. Hislop, HJ, Montgomery,J.  Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination. 8th ed.  Missouri: Saunders Elsevier, 2007; p201-204