Vastus Medialis Oblique: Difference between revisions

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== Description ==
== Description ==
Prime mover for screw home movement with Vastus Lateralis.
There is anatomical evidence that vastus medialis oblique (VMO) and vastus medialis (VM) are functionally different due to dissimilar muscle fibre pennation angles<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>. VMO runs obliquely and helps with medial transaltion of the patella where VM runs more longitudinally and contributes more to knee extension<ref name=":0" />. Patellofemoral joint load is decreased by advanced and adequate medially directed force by the VMO<ref name=":0" />.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" />.


=== Origin ===
=== Origin ===
Medial side of femur
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" />.


=== Insertion ===
=== Insertion ===
Quadirceps tendon
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" />.


=== Action ===
=== Action ===
Increase mechanical advantage of knee joint to perform knee extention by other heads of quadriceps.
VMO assists with medial translation of the patella<ref name=":0" /><ref name=":2" /> and assists with the last phase of knee extension<ref name=":2" />.
 
=== Function ===
Increase mechanical advantage of knee joint to perform knee extention by other heads of quadriceps.
 
== Other Important Information ==
===Is it a real muscle or a gost? ===
For physiotherapist vastus medialis oblique (VMO) is a well known muscle. But some anatomist do not accept VMO as real muscle. The first paper I have seen was a letter to editor [ref needed]. In this letter it is clearly stated that VMO is not an independent muscle. It is a part of vastus medilis.
 
Recent years the topic is still unclear.  You can find a list of articles below;
*Smith TO, Nichols R, Harle D, Donell ST. Do the vastus medialis obliquus and vastus medialis longus really exist? A systematic review. Clin Anat. 2009 Mar;22(2):183-99.
*Pattyn E, Verdonk P, Steyaert A, Vanden Bossche L, Van den Broecke W, Thijs Y, Witvrouw E. Vastus medialis obliquus atrophy: does it exist in patellofemoral pain syndrome? Am J Sports Med. 2011 Jul;39(7):1450-5. Epub 2011 Apr 12.
*Günal I, Araç S, Sahinoğlu K, Birvar K. The innervation of vastus medialis obliquus. J Bone Joint Surg Br. 1992 Jul;74(4):624. 
*Holt G, Nunn T, Allen RA, Forrester AW, Gregori A. Variation of the vastus medialis obliquus insertion and its relevance to minimally invasive total knee arthroplasty. J Arthroplasty. 2008 Jun;23(4):600-4. Epub 2008 Mar 4.
*Lin YF, Lin JJ, Cheng CK, Lin DH, Jan MH. Association between sonographic morphology of vastus medialis obliquus and patellar alignment in patients with patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2008 Apr;38(4):196-202. Epub 2007 Nov 21


== References  ==
== References  ==

Revision as of 14:51, 20 March 2023

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Description[edit | edit source]

There is anatomical evidence that vastus medialis oblique (VMO) and vastus medialis (VM) are functionally different due to dissimilar muscle fibre pennation angles[1]. VMO runs obliquely and helps with medial transaltion of the patella where VM runs more longitudinally and contributes more to knee extension[1]. Patellofemoral joint load is decreased by advanced and adequate medially directed force by the VMO[1].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[1].

Origin[edit | edit source]

VMO originates from the adductor magnus tendon[2][3], the medial lip of linea aspera and the medial supracondylar line[3].

Insertion[edit | edit source]

VMO inserts onto the medial border of the patella[2] [3]and the knee joint capsule[3]. It also has a small area where it directly continues with the patella tendon[3].

Action[edit | edit source]

VMO assists with medial translation of the patella[1][3] and assists with the last phase of knee extension[3].

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 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.
  2. 2.0 2.1 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.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 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.