Innervation of lower limb muscles

Anatomy

Gluteal region

  • Gluteus maximus, inferior gluteal nerve (L5, S1, S2)
  • Gluteus medius, superior gluteal nerve (L4, L5, S1)
  • Gluteus minimus, superior gluteal nerve (L4, L5, S1)
  • Tensor fasciae latae, superior gluteal nerve (L4, L5, S1)
  • Piriformis, nerve to piriformis (S1, S2)
  • Obturator internus and superior gemellus, nerve to obturator internus (L5, S1, S2)
  • Quadratus femoris and inferior gemellus, nerve to quadratus femoris (L4, L5, S1)

Anterior thigh

  • Psoas major, lumbar plexus anterior rami (L1, L2, L3)
  • Iliacus, femoral nerve (L2, L3)
  • Sartorius, femoral nerve (L2, L3)
  • Rectus femoris, femoral nerve (L2, L3, L4)
  • Vastus lateralis, medialis and intermedius, femoral nerve (L2, L3, L4)
  • Pectineus, femoral nerve (L2, L3)

Medial thigh

  • Adductor longus, obturator nerve anterior division (L2, L3, L4)
  • Adductor brevis, obturator nerve (L2, L3, L4)
  • Gracilis, obturator nerve anterior division (L2, L3)
  • Adductor magnus adductor part, obturator nerve posterior division (L2, L3, L4)
  • Adductor magnus hamstring part, tibial division of sciatic nerve (L4)
  • Obturator externus, obturator nerve posterior division (L3, L4)

Posterior thigh

  • Semitendinosus, tibial division of sciatic nerve (L5, S1, S2)
  • Semimembranosus, tibial division of sciatic nerve (L5, S1, S2)
  • Biceps femoris long head, tibial division of sciatic nerve (L5, S1, S2)
  • Biceps femoris short head, common peroneal division of sciatic nerve (L5, S1, S2)

Anterior leg

  • Tibialis anterior, deep peroneal nerve (L4, L5)
  • Extensor hallucis longus, deep peroneal nerve (L5, S1)
  • Extensor digitorum longus, deep peroneal nerve (L5, S1)
  • Peroneus tertius, deep peroneal nerve (L5, S1)

Lateral leg

Superficial posterior leg

Deep posterior leg

  • Popliteus, tibial nerve (L4, L5, S1)
  • Tibialis posterior, tibial nerve (L4, L5)
  • Flexor digitorum longus, tibial nerve (S2, S3)
  • Flexor hallucis longus, tibial nerve (S2, S3)

Foot

  • Extensor digitorum brevis and extensor hallucis brevis, deep peroneal nerve (L5, S1)
  • Abductor hallucis, FDB, FHB and first lumbrical, medial plantar nerve (S2, S3)
  • Abductor digiti minimi and quadratus plantae, lateral plantar nerve (S2, S3)
  • Adductor hallucis, interossei and lumbricals 2 to 4, lateral plantar nerve (S2, S3)

Myotomes

  • Hip flexion L2, knee extension L3, ankle dorsiflexion L4
  • Great toe extension L5, ankle plantarflexion S1

Reviewed by Professor Phong Tran, Head of Orthopaedic Surgery, Western Health. Last updated 10 October 2026.