Human leg of the tibia, thus acting on two joints. It share its distal insertion with the sartorius and semitendinosus, all three muscles forming the pes anserinus. It is the most medial muscle of the adductors, and with the thigh abducted its origin can be clearly seen arching under the skin. With the knee extended, it adducts the thigh and flexes the hip. The pectineus has its origin on the iliopubic eminence laterally to the gracilis and, rectangular in shape, extends obliquely to attach immediately behind the lesser trochanter and down the pectineal line and the proximal part of the linea aspera
Spontaneous osteonecrosis of the knee Spontaneous osteonecrosis of the knee Spontaneous osteonecrosis of the Knee, also known as Ahlback's disease is the result of vascular arterial insufficiency to the medial femoral condyle of the knee resulting in necrosis and destruction of bone. It is often unilateral and can be associated with a meniscal tear. The condition is usually characterized by a sudden onset of knee pain, worse at night. Examination reveals tenderness of the medial femoral condyle, joint effusion, and occasional locking of the knee joint. It is more common in females over the age of 50 with possible risk factors of corticosteroid use, Lupus,