|Henry Gray (18251861). Anatomy of the Human Body. 1918.|
|impression on the back part of the tuberosity of the ischium, by a tendon common to it and the Semitendinosus, and from the lower part of the sacrotuberous ligament; the other, the short head, arises from the lateral lip of the linea aspera, between the Adductor magnus and Vastus lateralis, extending up almost as high as the insertion of the Glutæus maximus; from the lateral prolongation of the linea aspera to within 5 cm. of the lateral condyle; and from the lateral intermuscular septum. The fibers of the long head form a fusiform belly, which passes obliquely downward and lateralward across the sciatic nerve to end in an aponeurosis which covers the posterior surface of the muscle, and receives the fibers of the short head; this aponeurosis becomes gradually contracted into a tendon, which is inserted into the lateral side of the head of the fibula, and by a small slip into the lateral condyle of the tibia. At its insertion the tendon divides into two portions, which embrace the fibular collateral ligament of the knee-joint. From the posterior border of the tendon a thin expansion is given off to the fascia of the leg. The tendon of insertion of this muscle forms the lateral hamstring; the common personeal nerve descends along its medial border.|
Variations.The short head may be absent; additional heads may arise from the ischial tuberosity, the linea aspera, the medial supracondylar ridge of the femur or from various other parts. A slip may pass to the Gastrocnemius.
| The Semitendinosus, remarkable for the great length of its tendon of insertion, is situated at the posterior and medial aspect of the thigh. It arises from the lower and medial impression on the tuberosity of the ischium, by a tendon common to it and the long head of the Biceps femoris; it also arises from an aponeurosis which connects the adjacent surfaces of the two muscles to the extent of about 7.5 cm. from their origin. The muscle is fusiform and ends a little below the middle of the thigh in a long round tendon which lies along the medial side of the popliteal fossa; it then curves around the medial condyle of the tibia and passes over the tibial collateral ligament of the knee-joint, from which it is separated by a bursa, and is inserted into the upper part of the medial surface of the body of the tibia, nearly as far forward as its anterior crest. At its insertion it gives off from its lower border a prolongation to the deep fascia of the leg and lies behind the tendon of the Sartorius, and below that of the Gracilis, to which it is united. A tendinous intersection is usually observed about the middle of the muscle.|
| The Semimembranosus, so called from its membranous tendon of origin, is situated at the back and medial side of the thigh. It arises by a thick tendon from the upper and outer impression on the tuberosity of the ischium, above and lateral to the Biceps femoris and Semitendinosus. The tendon of origin expands into an aponeurosis, which covers the upper part of the anterior surface of the muscle; from this aponeurosis muscular fibers arise, and converge to another aponeurosis which covers the lower part of the posterior surface of the muscle and contracts into the tendon of insertion. It is inserted mainly into the horizontal groove on the posterior medial aspect of the medial condyle of the tibia. The tendon of insertion gives off certain fibrous expansions: one, of considerable size, passes upward and lateralward to be inserted into the back part of the lateral condyle of the femur, forming part of the oblique popliteal ligament of the knee-joint; a second is continued downward to the fascia which covers the Popliteus muscle; while a few fibers join the tibial collateral ligament of the joint and the fascia of the leg. The muscle overlaps the upper part of the popliteal vessels.|
Variations.It may be reduced or absent, or double, arising mainly from the sacrotuberous ligament and giving a slip to the femur or Adductor magnus.
| The tendons of insertion of the two preceding muscles form the medial hamstrings.|