34. Posterior Leg and Ankle Joint Flashcards
How many muscles are in the posterior compartment of the leg?
7
3 superficial
4 deep
What is the common insertion of the superficial muscles of the posterior compartment of the leg?
Posterior surface of calcaneous via tendocalcaneous
Origin of gastrocnemius?
Medial - popliteal surface of femur superior to medial condyle
Lateral - lateral aspect of lateral condyle of femur
Innervation of gastrocnemius?
Tibial nerve S1, S2
Action of gastrocnemius?
Plantarflex ankle
Flexes knee
Origin of plantaris?
Lateral supracondylar line of femur
Innervation of plantaris?
Tibial nerve S1, S2
Action of plantaris?
Assists plantarflexion of ankle
Origin of soleus?
Soleal line of tibia
Upper 1/3rd posterior fibula
Tendinous arch between bony attachments
Innervation of soleus?
Tibial nerve S1, S2
Action of soleus?
Plantarflexes ankle joint
Origin of popliteus?
Lateral condyle of femur
Lateral meniscus
Insertion of popliteus?
Popliteal area of tibia
Innervation of popliteus?
Tibial nerve L4, L5, S1
Action of popliteus?
Unlocks knee joint - laterally rotates the femur on a fixed tibia
Origin of flexor digitorum longus?
Posterior surface of tibia
Insertion of flexor digitorum longus?
Base of distal phalanx of digits 2-5
Innervation of flexor digitorum longus?
Tibial L5, S1, S2
Action of flexor digitorum longus?
Flexes lateral 4 digits
Weak plantarflexor of ankle
Origin of flexor hallucis longus?
Posterior surface of fibula
Insertion of flexor hallucis longus?
Base of distal phalanx of hallux
Innervation of flexor hallucis longus?
Tibial nerve L5, S1, S2
Action of flexor hallucis longus?
Flexes hallux
Weak plantarflexor of ankle
Origin of tibialis posterior?
Posterior surface of tibia and fibula
Interosseous membrane
Insertion of tibialis posterior?
Tuberosity of navicular, cuneiforms, cuboid, sustentaculum tali of calcaneous, base of 2nd, 3rd, 4th metatarsals
Innervation of tibialis posterior?
Tibial nerve L4, L5
Action of tibialis posterior?
Plantarflexes ankle
Inverts foot
Describe the medial to lateral arrangement of tendons at the ankle joint
Tibialis posterior
FDL
FHL
(Tom, Dick and Harry)
Between which tendons are the posterior tibial vessels and tibial nerve found?
Between FDL and FHL
What is the terminal branch of the popliteal artery?
Posterior tibial (fibular branch then medial and lateral plantar)
Describe the course of the posterior tibial artery
Between heads of gastrocnemius
Deep to soleus
Surface of TP and FDL
Describe the course of the fibular artery?
Medial to fibula
Usually within flexor hallucis longus
What artery does the tibial nerve run with?
Posterior tibial
What are the terminal branches of the tibial nerve?
Medial and lateral plantar
Cutaneous innervation of medial side of posterior leg?
Saphenous (from femoral)
Cutaneous innervation of lateral side of posterior leg?
Sural nerve
What type of joint is the inferior tibiofibular joint?
Syndesmosis
What ligaments make up the inferior tibiofibular joint?
Anterior and posterior tibiofibular ligament
Interosseous membrane
Movements possible at the inferior tibiofibular joint?
SLIGHT movement to accommodate wedging of trochlea of talus during dorsiflexion
What does the malleolar mortise articulate with?
Trochlea of talus
ROM of ankle joint?
Dorsiflexion 20-30 degrees
Plantarflexion 30-50
Function of the medial and lateral collateral ligaments of ankle?
Strong ligaments - support the ankle joint medially and laterally
What are the 3 bands of lateral collateral ligament of ankle?
Anterior talofibular
Posterior talofibular
Calcaneofibular
What is the other name given to the medial collateral ligament?
Deltoid
What are the 4 parts of the deltoid ligament?
Anterior tibiotalar
Tibionavicular
Tibiocalcaneal
Posterior tibiotalar