Popliteus is a triangular shaped muscle that is found deep in the popliteal fossa at the back of the knee, just below the joint.
Often overlooked, it plays a very important role in knee function, both in unlocking the knee as it bends and protecting the lateral meniscus.
It also helps provide stability at the knee.
Here we will look at the origin and insertion of popliteus, its functions and common problems that can develop.
Popliteus arises from the outer surface of the lateral femoral condyle, from within the joint capsule, below the lateral epicondyle and the superior attachment of the lateral collateral ligament.
The stout tendon passes backwards, downwards and medially over the outer border of the lateral meniscus, to which it attaches. As the tendon leaves the joint capsule, fleshy fibers arise and continue downwards and medially attaching to a triangular area on the back of the tibia, just above the soleal (aka popliteal) line in a fan-like fashion.
The Popliteus muscle has a very important role to play in the initial stages of knee flexion by laterally rotating the femur on the tibia to unlock the knee when the foot is on the floor e.g. standing. This movement allows the femoral condyle to glide forwards, releasing the ligaments and muscles from the knee’s close packed, extended position to allow full knee flexion.
Additionally, if the foot is off the ground, it helps the medial hamstrings (semimembranosus and semitendinosus) to medially rotate the tibia.
Popliteus also attaches to the lateral meniscus, pulling it backwards slightly during knee flexion and rotation which helps to ensure the meniscus doesn’t get trapped between the moving bones. This may be one reason why the lateral meniscus is less prone to injury than the medial meniscus.
Popliteus minor is an additional small muscle, only present in a small percentage of individuals. It originates from the popliteal surface of the femur and attaches to posterior ligament of the knee.
Popliteus problems are fairly rare but usually present with pain behind the knee, particularly when bending the knee, straightening it against resistance e.g. coming up from squatting or on stairs, running and walking downhill. There may also be some swelling behind the knee.
The two most common problems related to popliteus are:
If you think you have a problem with your popliteus muscle, have a look at the following articles:
Page Last Updated: 03/16/22
Next Review Due: 03/16/24