Origin and insertion
- Origin (O): originates from the anterior superior iliac spine (spina iliaca anterior superior).
- Course of fibers: runs obliquely downward and medially, crossing the anterior region of the thigh, and passes anteriorly to the medial surface of the knee joint.
- Insertion (I): attaches medially to the tibial tuberosity. In this region, its tendon merges with the tendons of the gracilis (m. gracilis) and semitendinosus (m. semitendinosus) muscles, forming a structure known as the pes anserinus (pes anserinus). 2 to 3 subtendinous bursae of the sartorius muscle are often described at the insertion site.
Functions
- Flexion: flexes the thigh and also flexes the leg at the knee joint.
- Rotation and abduction: abducts the thigh and rotates it laterally (externally rotates). It rotates the flexed leg inward (medially rotates).
- Complex movements: due to its functions, the muscle participates in a specific movement — crossing the legs.
Blood supply and innervation
- Innervation (N): supplied by the femoral nerve — n. femoralis (spinal segments L2–L3).
- Blood supply: provided by branches of the femoral artery (a. femoralis), the lateral femoral circumflex artery (a. circumflexa femoris lateralis), and the descending genicular artery (a. genus suprema).
Topography and adjacent structures
- Fascial compartment: the muscle is surrounded by the fascia lata (fascia lata), which forms an isolated sheath for it. The outer surface of the fascia is particularly dense. The sartorius muscle is located medial to the tensor fasciae latae (m. tensor fasciae latae).
- Relation to the adductor canal: the sartorius muscle acts as the roof of the adductor canal (Hunter's canal, canalis adductorius). The saphenous nerve (n. saphenus) and descending genicular vessels (a. et v. descendens genus) emerge into the fatty tissue directly beneath the sartorius muscle through the anterior opening of the canal in the septum intermusculare vastoadductoria.
- Subcutaneous layer: subcutaneous tissue is well developed above the fascia in this area, containing the trunks of the great saphenous vein (v. saphena magna). The anterior cutaneous branches of the femoral nerve (rr. cutanei anteriores n. femoralis) penetrate the fascia along the medial margin of the sartorius muscle.
- On transverse section: in the upper third of the thigh, the muscle is visualized as part of the anterior compartment along with the rectus femoris and vasti muscles.
Clinical significance
- Surgical landmark: the medial margin of m. sartorius and the superior opening of the adductor canal are used as landmarks for access to the femoral artery (a. femoralis) during bypass surgery.
- Neurological assessment: to detect paresis in mononeuropathies, the strength of the sartorius muscle is assessed using the MRC (Medical Research Council) scale.
- Pain syndrome: the bursa (bursa anserina) located near the muscle insertion site is a frequent cause of pain on the medial surface of the knee.
The function of the muscle is easy to remember by its characteristic complex movement — it participates in crossing the legs.
Class and exam questions
What is the pes anserinus and how does the sartorius muscle contribute to it?
The pes anserinus (pes anserinus) is the common insertion site of the tendons of the sartorius, gracilis, and semitendinosus muscles on the medial tibia.
Which wall of the adductor canal is formed by the sartorius muscle?
The sartorius muscle forms the roof of the adductor canal. Beneath it lies the intermuscular fascial partition (lamina vastoadductoria).
Which nerves innervate the sartorius muscle?
The muscle is innervated by branches of the femoral nerve (n. femoralis) from spinal segments L2–L3.
What else to study on this topic
- Adductor canal (canalis adductorius)
- Femoral nerve (n. femoralis)
- Pes anserinus (pes anserinus)
- Fascia lata of the thigh (fascia lata)
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