6) Dorsum of the Foot Flashcards
Origin of Extensor Digitorum Brevis
Sinus Trasi
Superolateral calcaneus
Interosseus talocalcanea ligament
Cruciate crural ligament
Insertion of Extensor Digitorum Brevis
Lateral aspect of EDL tendons (2-4)
Innervation to Extensor Digitorum Brevis
Lateral terminal branch of deep fibular
Blood supply to Extensor Digitorum Brevis
Lateral tarsal artery
Function of Extensor Digitorum brevis
Dorsiflexion of toes 2-4
Origin of Extensor Hallucis Brevis
Sinus Trasi
Superolateral calcaneus
Interosseus talocalcanea ligament
Cruciate crural ligame
Insertion of Extensor Hallucis Brevis
Dorsal aspect of proximal phalnx of hallux
Innervation to Extensor Hallucis Brevis
Lateral terminal branch of deep fibular
Blood supply to Extensor Hallucis Brevis
Lateral tarsal artery
Function of Extensor Hallucis Brevis
Dorsiflexion of Hallux
Dorsalis pedis is a continuation of what artery?
Anterior tibial artery
Dorsalis pedis can arise from what artery?
Perforating fibular artery
Dorsalis pedis is located between
Tendons of EHL and EDL
lateral to EHL
Dorsalis pedis is located deep tp
Muscles/tendons
Cruciate crural ligament (inf to ext retinaculum)
Branches of Dorsalis pedis
Lateral tarsal Medial tarsal Arcuate 1st dorsal metatarsal Deep plantar Artery of sinus tarsi
Lateral tarsal artery is deep to/supplies
EDB and EHB
bones/joints/ligaments it passes by
Lateral tarsal artery anastomoses with
Lateral malleolar plexus
Perforating fibular
Arcuate
Lateral plantar
Medial tarsal artery supplies/anastomoses with
Bones/joints/ligs it passes by
Medial malleolar network
Medial plantar artery
Arcuate artery path
Passes laterally across met bases
Arcuate artery gives off how many branches?
2 to 4 metatarsal arteries
What artery takes over if Arcuate artery is absent?
Lateral tarsal artery can take over the area
What are the two terminal branches of Dorsalis pedis?
1st dorsal metatarsal
Deep plantar
1st dorsal metatarsal
Terminal branch
Deep plantar artery path
Passes through proximal end of intermetatarsal space
Deep plantar artery anastomoses with
Lateral plantar artery
on plantar side of foot
Artery of the sinus tarsi arises as a product of
Anastomotic connection with lateral tarsal and perforating fibular artery
Dorsal metatarsal arteries branches are on paper cause it’s too hard for here
fuuuuuuuuuuuuc
How many Dorsal metatarsal arteries are there?
1st dorsal metatarsal 2nd 3rd 4th Proper dorsal digital artery of 5th digit
Dorsal metatarsal arteries are found in
the intermetatarsal space on top of dorsal interossei
Common fibular nerve root level
L4-S2
Common fibular nerve path
From sciatic
Around fibular neck
Enters lateral compartment through POSTERIOR IM septa
Common fibular nerve bifurcates into what two terminal branches?
Deep fibular nerve
Superficial fibular nerve
Lateral terminal branch of deep fibular nerve provides innervation to?
EHB
EDB
Joints of lateral foot
Medial terminal branch of deep fibular nerve communicates with?
Superficial fibular nerve
communicating branch of superficial fibular nerve
Medial Terminal branch of deep fibular nerve follows what two arteries?
Dorsalis pedis
1st dorsal metatarsal artery
Medial terminal branch of deep fibular nerve provides innervation to?
1st dorsal interossei muscle
Joints of medial foot
What are the two branches off medial terminal branch of deep fibular nerve?
Proper dorsal digital nerve 2
Proper dorsal digital nerve 3
Proper dorsal digital nerve 2 provides
Cutaneous innervation to dorsolateral Hallux
Proper dorsal digital nerve 3 provides
Cutaneous innervation to dorsomedial 2nd toe
Two pathologies associated with injury Deep fibular nerve?
Footdrop Weak toe extension Weak ankle dorsiflexion Steppage gait Altered sensation to 1st web space
Footdrop is characterized by
Increased tripping with gait
Steppage gait is characterized by
Raising leg to compensate for dragging foot????
Superficial fibular nerve root level
L4-S1
Superficial fibular nerve path
Arises from common fibular in the lateral compartment
Descends between fibularis muscles
Superficial fibular nerve pierces
Anterolateral crural facia in distal 1/3 of leg
Superficial fibular nerve provides innervation to what AFTER piercing through crural fascia?
Cutaneous innervation to distal anterolateral leg. dorsum of the foot
What are the two branches of superficial fibular nerve?
Medial dorsal cutaneous
Intermediate dorsal cutaneous
Media dorsal cutaneous nerve supplies
Cutaneous to medial hallux and adjacent 2nd/3rd digit
Medial dorsal cutaneous branches into
3 digital branches
Intermediate dorsal cutaneous supplies
Cutaneous to adjacent 3rd /4th and 4th/5th digits
Lateral ankle
Intermediate dorsal cutaneous branches into
4 digital branches
True/False: The lateral side of the 5th digit is innervated by Intermediate dorsal cutaneous
F A L S E
Injury to superficial fibular nerve results in
Loss of eversion
Altered sensation on dorsum of foot
Dorsal digital nerve branches are on paper cause it’s too hard for here
also fuuuuuuuuuuuuuuc
Medial dorsal cutaneous nerve crosses
Ankle centrally
Intermediate dorsal cutaneous nerve lies
Anterior to lateral malleolus
What is the continuation of Sural nerve AFTER the lateral malleolus, and what does it supply?
Lateral dorsal cutaneous
Supplies lateral foot border
What are the two branches of lateral dorsal cutaneous nerve?
10th proper dorsal digital nerve (dorsolateral 5th toe)
Continuation of lateral dorsal cutaneous
in the superior leg, Anterior tibial artery and deep fibular nerve lie
Between TA and EDL
In the inferior leg, Anterior tibial artery and deep fibular nerve lie
Between TA and EDL?
Distal to the ankle joint, Dorsalis pedis and deep fibular nerve lie
Between EHL and EDL