18: Musculo-neuro-vascular systems of lateral leg and foot Flashcards
Muscles of lateral compartment of the leg
Fibularis longus
Fibularis brevis
Innervation of lateral compartment of the leg
Superficial fibular nerve
Actions of lateral compartment of the leg
Everts foot
Active during plantar flexion
Blood supply of lateral compartment of the leg
No major vessels
Origin of fibularis longus
Head + superior 2/3 of lateral surface of fibula
Insertion of fibularis longus
Base of first metatarsal
Medial cuneiform
innervation of fibularis longus
Superficial fibular nerve
Action of fibularis longus
Eversion of foot
Weak ankle plantarflexion
Course of tendon of fibularis longus
Crosses sole of foot and inserts onto the base of the first metatarsal + medial cuneiform
Function of tendon of fibularis longus
Supports arches of the foot
Origin of fibularis brevis
Lower 2/3 of lat. surface of fibula
Insertion of fibularis brevis
Dorsal surface of tuberosity on lateral side of base of 5th metatarsal
Innervation of fibularis brevis
Superficial fibular nerve
Action of fibularis brevis
Eversion of foot
Weak ankle plantarflexion
What supplies lateral compartment of leg
Superficial fibular nerve
Other name for ankle joint
Talocrural joint
Superficial fibular nerve supplies what cutaneously
Distal inferior surface of leg
Dorsal of foot
Intrinsic muscles of the foot are important in…
propulsion of foot
adjustment to uneven ground
fixing foot to maintain balance
Muscles of sole are supplied by…
medial and lateral plantar nerves and arteries
How many layers of plantar muscles are there
4
Plantar muscles in layer 1:
Abductor hallucis
Flexor digitorum brevis
Abductor digiti minimi
Origin of Abductor hallucis
medial tubercle of tuberosity of calcaneus
flexor retinaculum
plantar aponeurosis
Insertion of Abductor hallucis
medial side of base of proximal phalanx of big toe
Innervation of Abductor hallucis
medial plantar nerve
Action of Abductor hallucis
abducts and flexes big toe
Origin of Flexor digitorum brevis
medial tubercle of tuberosity of calcaneus
flexor retinaculum
plantar aponeurosis
Insertion of Flexor digitorum brevis
both sides of middle phalanges of digits 2-5
Innervation of Flexor digitorum brevis
medial plantar nerve
Action of Flexor digitorum brevis
flexes lateral 4 digits
Origin of Abductor digiti minimi
medial and lateral tubercles of tuberosity of calcaneus
plantar aponeurosis
intermuscular septa
Insertion of Abductor digiti minimi
lateral side of base of proximal phalanx of digit 5
Innervation of Abductor digiti minimi
lateral plantar nerve
Action of Abductor digiti minimi
abducts and flexes little toe
Plantar muscles in layer 2
Quadratus plantae
Lumbricals
Origin of Quadratus plantae
medial surface and lateral margin of plantar surface of calcaneus
Insertion of Quadratus plantae
posterolateral margin of tendon of flexor digitorum longus
Innervation of Quadratus plantae
lateral plantar nerve
Action of Quadratus plantae
assists FDL in flexing toes 2-5
Origin of Lumbricals
tendons of FDL
Insertion of Lumbricals
medial part of expansion over digits 2-5
Innervation of Lumbricals
1st = medial plantar nerve
2nd = lateral plantar nerve
Actions of lumbricals
flexes proximal phalanges
extends middle and distal phalanges of digits 2-5
Plantar muscles in layer 3
flexor hallucis brevis
adductor hallucis
flexor digiti minimi brevis
Origin of flexor hallucis brevis
plantar surface of cuboid and lateral cuneiforms
Innervation of flexor hallucis brevis
medial plantar nerve
Action of flexor hallucis brevis
flexes prox. phalanx of big toe
Insertion of flexor hallucis brevis
base of prox. phalanx of big toe
what does the flexor hallucis brevis tendon contain
2 sesamoid bones
Origin of oblique head of adductor hallucis
bases of metatarsals 2-4
Origin of transverse head of of adductor hallucis
plantar ligaments of MTP joints
Insertion of adductor hallucis
lat. side of base of prox. phalanx of big toe
Innervation of adductor hallucis
deep branch of lat. plantar nerve
Action of adductor hallucis
adducts big toe
assists in transverse arch by pulling metatarsals medially
Action of flexor digiti minimi brevis
flexes proximal phalanx of little toe
Origin of flexor digiti minimi brevis
base of metatarsal 5v
Insertion of flexor digiti minimi brevis
base of prox. phalanx 5
Innervation of flexor digiti minimi brevis
superficial branch of lateral plantar nerve
Action of plantar interossei PAD
adducts toes 3-5 and flexes MTP joints
Origin of plantar interossei
plantar aspect of medial sides of metatarsals 3-5
Insertion of plantar interossei
medial sides of bases of prox. phalanges 3-5v
Innervation of plantar interossei
lateral plantar nerve
Plantar muscles of layer 4
Plantar interossei + Dorsal interossei
Origin of dorsal interossei
adjacent sides of metatarsals 1-5
Insertion of dorsal interossei
1st - medial side of prox. phalanx of 2nd digit
2nd - lateral side of digit 2-4
Innervation of dorsal interossei
lateral plantar nerve
Action of dorsal interossei DAB
Abduction of toes 2-4 and flexion of MTP joints
Origin of EDB
Calcaneus (interosseus talocalcaneal ligament, stem of inferior extensor retinaculum)
Insertion of EDB
Tendons of extensor digitorum 2-4
Innervation of EDB
deep fibular nerve ( peroneal)
Action of of EDB
Aids EDL in extending toes 2-4 at MTP and IP joints
Origin of Extensor hallucis brevis
same as EDB
Insertion of Extensor hallucis brevis
dorsal aspect of base of proximal phalanx of big toe
Innervation of Extensor hallucis brevis
deep fibular nerve (peroneal)
Action of Extensor hallucis brevis
Aids EHL in extending big toe at MTP joint
2 arteries of foot
Dorsalis pedis
Medial and lateral plantar arteries
Continuations of dorsalis pedis
Deep plantar artery
Lateral tarsal artery
1st dorsal metatarsal artery
Arcuate artery
2nd 3rd and 4th dorsal metatarsal arteries
Dorsal digital arteries
Posterior tibial artery continues as
Medial and lateral plantar arteries
Continuations of lateral plantar artery
Larger terminal branch
Deep plantar arch
Joins deep plantar artery
Plantar metatarsal arteries
Plantar digital arteries