93 - Bones, Muscles and Fascia of the Leg and Foot Flashcards
Landmarks of the tibia
1-5
- Condyles
- Intercondylar eminence
- Tibial tuberosity
- Soleal line
- Medial malleolus
Shape of tibia
Roughly triangular (apex is on anterior face)
Is the tibia or fibula more lateral?
Fibula
Tibial tuberosity
On anterior surface of tibia, just below tibial plateau.
Site of muscle attachment
Location of tibial line of epiphysis
Below tibial plateau, runs through tibial tuberosity anteriorly
Soleal line location and structures around it
Attachment of soleus.
On posterior aspect of tibia.
Runs from superior tibio-fibular joint to medial mid-tibia.
Above soleal line is where popliteus attaches.
Malleli
Medial mallelus is part of the tibia.
Lateral mallelus is part of the fibula.
Attachments of tibia to fibula
Attaches superiorly and inferiorly with facet joints
Borders of fibula
Sharp border is where interosseus membrane attaches.
Most proximal muscle insertion to the fibula
Biceps femoris
Compartments of the leg
1
2
3
Anterior (dorsiflexors, inverters)
Lateral (everters)
Posterior (superficial and deep parts, divided by deep fascia, plantarflexors and inverters)
Examples of inverters
Tibialis anterior and posterior
Aspects of fascia of leg
- Thick
- Continuous with:
- Fascia lata superiorly
- Periosteum of tibia anteriorly
- Intermuscular septa (deep)
- Ankle retinaculae inferiorly
Structures formed by deep fascia at ankle
Ankle retinaculae
Bind tendons.
One flexor retinaculum, two extensor retinaculae, two fibular retinaculae.
These create the tarsal tunnels (anterior and posterior)
Location of retinaculae of ankle
Flexor retinaculum on medial foot, attaching to hell (calcaneus)
Superficial and inferior fibular retinacula superior to ankle joint, on anterior surface.
Extensor retinaculum on lateral foot, dorsal surface
Part of foot that stores elastic energy
Particularly Achilles tendon, plantar aponeurosis and TFL
Muscles of anterior leg
1-4
Tibialis anterior
Extensor hallucis longus (EHL)
Extensor digitorum longus (EDL)
Fibularis tertius
Innervation of muscles of anterior leg
Deep fibular nerve (from L4, L5)
Foot slap
When tibialis anterior is not functioning properly (EG L4, L5 damage), can’t control heel-toe part of walking, so foot slaps on ground
Shin splints
Microtrauma at attachment of tibialis anterior to tibia.
From running on hard surfaces repeatedly.
Role of fibularis tertius
Vestigial.
Attaches to dorsum of fifth metatarsal, at the base.
Attachment of extensor hallucis longus
Most-distal phalange of big toe (hallux)