Vastus Medialis: Anatomical and Functional Considerations and Implications Based Upon Human and Cadaveric Studies
Bibliographic record
Abstract
OBJECTIVE: To provide an electrophysiological and functional description of the vastus medialis (VM) and contrast it to an anatomical description. METHODS: Motor points of all superficial portions of the quadriceps were identified on the dominant side of 8 human subjects and electrically stimulated to achieve a light contraction to trace and measure the orientation of the fibers. Electromyography of the VM was then recorded over 2 motor points during isometric and isokinetic maximum knee extensions. An independent laboratory dissected 39 cadaveric specimens focusing on fiber orientations and distal insertions of the VM. RESULTS: Results revealed 5 motor points for the quadriceps: 1 point for the vastus lateralis, 1 point for the rectus femoris (RF), and 3 points for the VM. The 3 VM motor points suggest 3 separate groups of fibers: proximal (pf), median (mf), distal (df). Fiber orientations ranged from 45 degrees for VMpfs to 55 degrees for VMdfs. Motor point stimulation and anatomical dissection clearly showed that the VMpfs and VMmfs were inserted on a tendon common to the RF, whereas VMdfs were attached directly to the medial aspect of the patella. Furthermore, the VMpfs were more active (P < .05) than VMdfs during maximum knee extensions. CONCLUSION: The anatomy, motor points, and electromyography clearly support an important distinction between the VMpfs and VMdfs. The role of the VMpfs would be one of assisting the RF in knee extension, whereas the VMdfs would track the patella medially without participating in knee extension. Because of these anatomical and functional differences, the VMpfs and VMdfs should be addressed very differently during quadriceps rehabilitation in patellofemoral dysfunctions.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".