33. Anterior and Lateral Leg, Dorsum of Foot Flashcards
What is the name given to the fascia of the leg?
Crural fascia
What direction do the fibres of the interosseous membrane run in?
Inferolaterally from tibia to fibula
Functions of interosseous membrane?
Surface for muscle attachment
Help resist downward pull of the muscles attached to fibula
Classification of the superior tibiofibular joint?
Plane synovial
Articulations of superior tibiofibular joint?
Head of fibula
Facet on lateral tibial condyle
Movements possible at superior tibiofibular joint?
Slight sliding (plane joint) during dorsiflexion of ankle
How many muscles are in the anterior compartment of the leg?
4
How many muscles are in the lateral compartment of the leg?
2
Action of anterior compartment of leg?
Extend ankle joint (i.e. dorsiflexion) and digits
Action of lateral compartment of leg?
Evert foot
Where do the tendons of the muscles of the lateral compartment of the leg insert?
Posterior to lateral malleolus
What muscles are in the the lateral compartment of the leg?
Peroneus longus
Peroneus brevis
Origin of peroneus longus?
Head and upper 2/3 of lateral fibula
Insertion of peroneus longus?
Base of 1st metatarsal and medial cunieform
Innervation of of peroneus longus?
Superficial peroneal nerve L5, S1, S2
Origin of peroneus brevis?
Inferior 2/3 of lateral fibula
Insertion of peroneus brevis?
Tuberosity of lateral side of base of 5th metatarsal
Innervation of peroneus brevis?
Superficial peroneal nerve L5, S1, S2
Which muscles make up the anterior compartment of the leg?
Tibialis anterior
Extensor digitorum longus
Peroneus tertius
Extensor hallucis longus
Common innervation of anterior compartment of leg?
Deep peroneal nerve L4, L5
Origin of tibialis anterior?
Lateral condyle of tibia,
superior 1/2 of lateral tibial surface,
interosseous membrane
Insertion of tibialis anterior?
Medial and inferior surfaces of medial cuneiform and base of 1st metatarsal
Action of tibialis anterior?
Dorsiflexes ankle
Inverts foot
Origin of EDL?
Lateral condyle of tibia
Superior 3/4 of medial surface of fibula
Interosseous membrane
Instertion of EDL?
Middle and distal phalanges of lateral 4 digits
Action of EDL?
Extends lateral 4 digits
Dorsiflexes ankle
Origin of peroneus tertius?
Inferior 1/3 anterior fibula and interosseous membrane
Insertion of peroneus tertius?
Dorsum of base of 5th metatarsal
Action of peroneus tertius?
Dorsiflexes ankle
Assists in eversion of foot
Origin of EHL?
Middle anterior surface of fibula
Interosseous membrane
Insertion of EHL?
Dorsal aspect of distal phalanx of hallux
Action of EHL?
Extends hallux
Dorsiflexes ankle
Where does the superior extensor retinaculum run?
Anterior border of tibia
To lower end of fibula
Where does the inferior extensor retinaculum run?
Stem - lateral part of calcaneus
Upper part - medial malleolus
Lower part - medial part of foot to blend with fascia of abductor hallucis
What muscles are found in the dorsum of the foot?
Extensor hallucis brevis
Extensor digitorum brevis
Where do the muscles in the dorsum of the foot originate?
Superior surface of calcaneus and inferior extensor retinaculum
Where do the muscles in the dorsum of the foot insert?
EHB - base of proximal phalanx of hallux
EDB - long extensor tendons of toes 2 - 4
Innervation of muscles of dorsum of foot?
Deep peroneal nerve L5, S1
Where is the superficial peroneal nerve found?
Between peroneus longus and neck of fibula
What does the superficial peroneal nerve supply?
Muscles of lateral compartment of leg
Continues as cutaneous nerve to distal anterior surface of leg and most of dorsum of foot
Where is the deep peroneal nerve found?
Between peroneus longus and neck of fibula
Passes through extensor digitorum longus
What artery does the deep peroneal nerve travel with?
Anterior tibial artery
What does the deep peroneal nerve supply?
Anterior compartment muscles
Extensor digitorum brevis and extensor hallucis brevis
Cutaneous to skin between digits 1 and 2
What cutaneous nerve supplies innervation to the majority of the anterior leg?
Saphenous (from femoral)
What does the popliteal artery branch into at the level of popliteus?
Anterior and posterior tibial arteries
What does the posterior tibial artery branch into?
Fibular artery
What does the anterior tibial artery become once past the ankle?
Dorsalis pedis
What are the branches of the dorsalis pedis artery?
Lateral tarsal
Arcuate
Deep plantar
What two branches of the dorsalis pedis artery anastomose?
Lateral tarsal and arcuate