AMA REVIEW Flashcards
common fibula n. clinical relevance
- paralysis of all anterior and lateral leg muscles
- loss of sensation along the anterolateral leg and dorsum of the foot
- loss of dorsiflexion and eversion
- loss of “heel strike”
- high stepping/ waddling/ swing-out gait
- watch for “clop”
sural cutaneous n. supplies
distal posterior leg & lateral aspect of ankle & foot
treatment for Compartment syndrome
trauma ==> hemorrhage, edema & inflammation ==> increased intra-compartmental pressure => ischemia/ permanent injury
TREAT using fasciotomy (incising fascia) to relieve pressure
muscles in each compartment of leg?
anterior - tibialis anterior m. EHL m. EDL m. Fibularis Tertius M. LATERAL - fibularis longus m. fibularis brevis m. POSTERIOR - Triceps Surae: Gastroc M. + Soleus M. Plantaris M. DEEP POSTERIOR- Tom Dick Harry and Popliteus Tibialis Posterior FDL FHL Popliteus
innervation of each compartment of leg
Pos. - Tibial N.
Ant - Deep Fibular N.
Lat. - Superficial Fibular N.
vascularization of each leg compartmnet
Post - Pos. Tibial A. & Fibular A.
Ant - Anterior Fibular A.
Lateral - Branches from Fibular A. (ONLY ONE WITHOUT DISTINCT ARTERIAL BRANCH)
repetitive microtrauma to the tibialis anterior m. causes
shin splints
Fx of articularis genu
pulls suprapatellar bursa superiorly during knee extension
Fx of posterior compt. muscles
gastroc - knee AND plantar flexion
soleus - ONLY plantar flexion
plantaris - propriceptive input for foot position
commonly injured in bball players, sprinters and ballet dancers
AND used in reconstructive surgery of hand tendons
Plantaris m. tendon
fx. of tibialis posterior m.
INVERSION and plantar flexion
popliteus fx.
unlocks EXTENDED leg by LATERALLY rotating FEMUR on a stationary tibia
posterior tibial pulse clinical relevance
taken between pos. surface of medial malleolus and medial border of calcaneal tendon
important to have patient INVERT foot to relax FLEXOR retinaculum
examines patients with Occlusive Peripheral Artery Disease - (s/s pain/ leg cramps during walking, gets better with rest)
pain most severe after getting out of bed/ sitting
running/ high impact exercise, shoes, overweight leading to bony processes/ heel spurs ===> plantar fascitis ==> inflammation of plantar aponeurosis at attachment with calcaneus
flexion at DIP joint called
Mallet toe
extension at MP joint and Flexion at PIP joint
usually 2nd toe = hammer toe
at large toe = trigger toe
flexion of DIPs and PIPs
hyperextension of MP joints
Claw toes
innervation of all intrinsic muscles of plantar foot and plantar skin
medial plantar n.
lateral plantar n.
(divisions of tibial n.)
these 4 innervated by medial plantar n.
ABductor Hallucis M.
FDB m.
FHB m.
Medial ONE lumbrical of FDL
these 6 innervated by lateral plantar n.
ABductor digiti minime M. quadratus plantae lateral three lumbricals of FDL ADductor Hallucis Flexor digiti minime M. Plantar Interosseus Ms. (PADs)