17: Musculo-neuro-vascular systems of the anterior and posterior compartments of the leg and popliteal fossa Flashcards
Where is the popliteal fossa?
Back of the knee
Boundaries of the popliteal fossa
Semimembranosus
Biceps femoirs (LH)
Gastrocnemius (medial + lateral heads)
Floor of the popliteal fossa
Popliteal surface of femur
Oblique popliteal ligament
Popliteus and popliteal fascia
Roof of the popliteal fossa
Skin + fasciae lata
Contents of the popliteal fossa
Superficial
Small saphenous vein
Intermediate
Tibial nerve
Common fibula (peroneal) nerve
Deep
Popliteal artery
Popliteal vein
Fat + lymphatic tissue
What are leg muscles and bones covered by?
Crural fascia
Where is crural fascia attached
Patellar ligament
Tibial tuberosity
Tibial condyles
Head of fibula
Anteriorly crural fascia blends with…
periosteum covering shin
The leg is divided into 3 compartments by…
anterior intramuscular septa
posterior intramuscular septa
interosseous membrane
Muscles of anterior compartment of leg
Tibialis anterior
Extensor digitorum longus
Extensor digitorum brevis
Fibularis tertius
Anterior compartment of leg is innervated by…
Deep fibular
What are the extensor retinacula of the anterior compartment
thickened bands of crural fascia
Inferior extensor retinaculum is… shaped
Y
Origin of tibialis anterior (3)
lateral tibial condyle
antero-supero-lateral surface of tibia
interosseus membrane
Insertion of tibialis anterior
medial and inferior surface of medial cuneiform
base of 1st metatarsal
Innervation of tibialis anterior
Deep fibular nerve
Actions of tibialis anterior
dorsiflexes ankle
inverts foot
Origin of extensor digitorum longus
lateral tibial condyle
superior anterior fibula and adjacent interosseus membrane
Insertion of extensor digitorum longus
4 slips which insert into middle and distal phalanges
Innervation of extensor digitorum longus
Deep fibular nerve
Actions of extensor digitorum longus
extends digits 2-5
dorsiflexes ankle
What are extensor expansions
triangular shaped expansions over MTP joints
What inserts into extensor expansions
extensor digitorum longus
foot lumbricals
foot interossei
Origin of extensor digitorum longus
middle 1/2 of anterior fibula
adjacent interosseus membrane
Insertion of extensor hallucis longus
dorsal aspect of base of distal phalanx of digit 1
Innervation of extensor digitorum longus
deep fibular nerve
Actions of extensor digitorum longus
extends digit 1
dorsiflexes ankle
Origin of fibularis tertius
Inferior 1/3 of anterior fibula and adjacent interosseus membrane
Insertion of fibularis tertius
dorsal surface of base of 5th metatarsal
Innervation of fibularis tertius
deep fibular nerve
Actions of fibularis tertius
dorsiflexes ankle
aids with foot eversion
What are the posterior compartment of the leg superficial muscles
Gastrocnemius
Soleus
Plantaris
All posterior compartment of the leg superficial muscles are innervated by
tibial nerve
All posterior compartment of the leg superficial muscles insert into
achilles tendon
Origin of lateral head of gastrocnemius
lateral condyle of femur
Origin of medial head of gastrocnemius
popliteal surface of femur
Insertion of gastrocnemius
achilles tendon
Innervation of gastrocnemius
tibial nerve
Actions of gastrocnemius
plantarflexes ankle
raises heel during walking
flexes knee
Origin of soleus
posterior head and prox. 1/4 of posterior fibula
soleal line and middle 1/3 of medial border of tibia
Insertion of soleus
achilles tendon
Innervation of soleus
tibial nerve
Actions of soleus
plantarflexes ankle
stabilises leg
Origin of plantaris
lat. supracondylar line of femur
oblique popliteal ligament
Insertion of plantaris
achilles tendon
Innervation of plantaris
tibial nerve
Actions of plantaris
weakly assists with plantar flexion of ankle
Posterior compartment deep muscles of leg
Popliteus
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
Posterior ankle tendons
Tibialis posterior
flexor Digitorum longus
posterior tibial Artery
posterior tibial Vein
tibial Nerve
flexor Hallucis longus
(Tom Dick And Very Nervous Harry)
Origin of popliteus
lateral femoral condyle and lateral meniscus
Insertion of popliteus
posterior tibial surface, superior to soleal line
Innervation of popliteus
tibial nerve
Actions of popliteus
weakly flexes knee
unlocks a fully extended knee
externally rotates femur by about 5 degrees on tibial plateau
Origin of tibialis posterior
posterior tibia, inferior to soleal line
posterior fibula
adjacent interosseus membrane
Insertion of tibialis posterior
Cuneiforms
Cuboid
Sustentaculum tali of calcaneus
Bases of metatarsals 2-4
Innervation of tibialis posterior
Tibial nerve
Actions of tibialis posterior
plantarflexes ankle
inverts foot
Origin of flexor digitorum longus
medial part of posterior tibial surface, inferior to soleal line
Insertion of flexor digitorum longus
base of distal phalanges 2-5
Innervation of flexor digitorum longus
tibial nerve
Actions of flexor digitorum longus
flexes digits 2-5
plantarflexes ankle
supports longitudinal arches
Origin of flexor hallucis longus
inferior 2/3 of posterior fibula + adjacent interoseous membrane
Insertion of flexor hallucis longus
base of distal phalanx of big toe
Innervation of flexor hallucis longus
tibial nerve
Actions of flexor hallucis longus
flexes digit 1
weakly plantarflexes ankle
supports medial longitudinal arch
Popliteal artery divides into
Anterior and posterior tibial arteries
After passing inferior extensor retinaculum, anterior tibial artery becomes known as…
dorsalis pedis artery
Arterial pulses of lower limb
Femoral artery
Popliteal artery
Posterior tibial artery
Dorsalis pedis
Cause of varicose veins
failure of valves in superficial venous systems (great saphenous area and small saphenous area)
Symptoms of varicose veins
Pain, itching, swelling, bleeding
what drains medial superficial leg
great saphenous vein (drains into femoral vein)
what drains lateral superficial leg
small saphenous vein (drains into popliteal vein)