Anatomy- Knee, Anterior and Lateral Leg Flashcards
what are the roles of the muscles in the lateral component of the leg
evert foot and weakly plantarflex the ankle
what muscles are in the lateral compartment of the leg
fibularis longus
finbularis brevis
what nerve supplies the lateral compartment of the leg
superficial fibular nerve (L5, S1, S2)
what separates the anterior and lateral leg compartments
anterior intermuscular septum
which is the smallest component of the leg
lateral
where do the fibularis brevus and longus attach to proximally
upperlateral surface of fibula
what is the path and insertions of the fibularis longus and fibularis brevis
pass from fibula to the plantar surface of the bases to the plantar surface of the bases of the 1st (longus) and 5th (brevis) metatarsal
where does the distal tendon of the fibularis longus go
passes beneath sole of foot to reach the base of the 1st metatarsal
what is the main function of fibularis muscles
to evert the foot
what is the main role of the muscles in the anterior compartment of the leg
dorsiflexion of the ankle, great toe and digits
inversion (tibialis inferior in combo with tibialis posterior)
eversion (fibularis tertius with fibrularis longus and brevis)of the foot
what nerve supplies the anterior compartment of the leg
all deep fibular nerve (L4, L5)
what are the muscles of the anterior compartment of the leg
tibialis anterior, extensor digitorum longus, extensor hallucislongus, fibularis tertius
what type of joint is the knee
synovial hinge joint
what are the articulations in the knee joint
3 articulations
2 x femerotibial
1 x femeropatellar
what is the main movement of the knee joint
flexion-extension
some medial-lateral rotation can occur when knee is flexed
what is stronger the hip or knee joint
hip
what is the knee joint strengthened by
ligaments
what are the extracapsular (outside joint capsules) knee joint ligaments
lateral (fibular) collateral ligament
medial (tibial) collateral ligament
patellar ligament
what are the intra-articular (within knee joint) knee joint ligaments
anterior cruciate (ACL)
posterior cruciate (PCL)
describe the mensici
cresent shaped fibrocartilage
medial and lateral
what is the pes anserinus
combined tendon of the gracillis, sartorius and semitendinosus
is the fibula involved withe the knee joint
no
what can the knee joint do when its flexed at 90 degrees
a degree of medial and lateral rotation
what are the main muscles and nerves involved in flexion of the knee joint
hamstrings and gastrocnemius
tibial and common fibular nerve
what are the main muscles and nerves involved in extension of the knee joint
quadriceps
femoral nerve
what are the main muscles and nerves involved in medial rotation of the knee joint
hamstrings and gracilis
tibial and obturator nerves
what are the main muscles and nerves involved in lateral rotation of the knee joint
biceps femoris
tibial and common fibular nerve
describe the fibrous capsule of the knee joint
attached round the margins of the articular cartilage and encloses the synovial cavity
what strengthens the fibrous capsule
strengthened by ligaments
which ligaments help to stabilise the knee joint
iliotibial tract
tibial (medial) and fibular (lateral) collateral ligaments
cruciate ligaments (anterior and posterior)
describe the menisci and their role
(medial and lateral)
crescentic discs of fibrocartilage that act as shock absorbers as well as assisting with stabilisation of the curved femoral condyles upon the relatively flatter tibial condyles
name two common abnormalities of knee alignment
genu varum (bandy/ bow legs)
genu valgam (knock knees)
what can predispose to knee alignment abnormalities
loss of medial or lateral meniscus
where are the menisci thickest
peripherally where they are attached to the fibrous capsule
what is the medial meniscus attached to peripherally and what does this make it more vulnerable to
tibial (medial) collateral ligament
tearing in a knee injury caused a blow to the lateral side of the knee that distracts and twists the medial aspect of the joint
what is an unhappy triad knee injury
one that ruptures the ACL, tears the medial meniscus and distracts and twists the medial aspect of the joint tearing the MCL
how are the menisci attached to the tibia
anchored anteriorly and posteriorly by attachment to the tibial intercondylar area
what are the inner (deep) edged of the menisci like
unattached to the bone and very thin
what determines the names of the cruciate ligament
anterior and posterior depending on their site of attachment to the intercondylar eminence of the tibia
where does the anterior cruciate ligament attach to
lateral femoral condyle to the anterior intercondylar eminence (goes superiorly, laterally and posteriorly)
what does the the anterior cruciate ligament so
prevents the anterior displacement of the tibia on the femur and the hyperextension of the knee joint
what test the integrity of the ACL
anterior drawer test
where does the Posterior cruciate ligament attach to
medial femoral condyle and the posterior intercondylar eminence of the tibia
(lies medial to the ACL and passes superiorly and anteriorly
what does the PCL do
prevents posterior displacement of the tibia on the femur and helps hyperflexion of the joint
what can test the integrity of the PCL
posterior draw test
what is the suprapatellar bursa
an extension of the synovial cavity
what is the role of the suprapatellar bursa
reduces friction on the quadriceps tendon during knee movements
what can happen if abnormal fluid in the knee joint (blood, inflammatory exudate or pus) fills the suprapatellar bursa
causes a visible swelling in the lower third of the anterior thigh
what is the path of the common fibular nerve
enters the anterior leg from the popliteal fossa superficial to the neck of the fibular (vulnerable to injury)
where does the common fibular nerve divide
at the fibular neck
what does the fibular nerve divide into
superficial fibular nerve and the deep fibular nerve
what does the superficial fibular nerve supply
the muscles of the lateral compartment of the leg and the skin/ fascia of the dorsum of the foot
what does the deep fibular nerve supply
the muscles of the anterior compartment of the leg and skin of the first interdigital cleft
where does the tibialis anterior attach to distally and proximally
lateral side of tibia and interosseous membrane
base of 1st metatarsal and medial cuneifrom
where does the extensor hallucis longus attach to distally and proximally
middle half of tibia and interosseous membrane
distal phalanges of great toe
where does the extensor digitorum longus attach to distally and proximally
medial surface of proximal tibia
all digits
where does the fibularis tertius attach to distally and proximally
medial surface of tibia
base of 5th metatarsal
what are the main actions of the group of muscles in the anterior compartment of the leg (be specific)
dorsiflexion of the ankle, great toe and digits
inversion of the foot (tibialis anterior (in combo with tibialis posterior))
eversion of the foot (fibularis tertius with fibularis longus and brevis