Anatomy of leg and foot Flashcards
What are the functions of the foot?
- support body weiight
- stability/standing
- locomotion/propulsion (lever)
- shock absorption
State the names of the bones of the foot
Tarsals: Calcaneus, talus, cuboid, navicular, medial cuneiform, middle cuneiform, lateral cuneiform
Metartarsals
(Sesamoid bones)
Phalanges
What movements are permitted by the foot/
- dorsiflexion/extension
- plantarflexion/flexion
- eversion
- inversion
- supination (feet together on irregular surface)
- pronation (feet apart on irregular surface)
What movements are permitted by the joints of the foot?
Ankle joint- dorsi/plantarflexion
Intertarsal joints- invert/evert, supinate/pronate
MTP joints- extension/flexion, limited abduction/adduction
IP joints- extension/flexion
What kind of joint is the ankle?
Which bones form its articulation?
Articulation between the throchlea of the talus and the lateral malleolus (fibula) and medial malleolus (tibia)
Synovial hinge joint
Which ligaments stabilise the ankle?
What happens in injury?
- Lateral collateral ligament from lateral malleolus to talus and calcaneus
- Medial collateral ligament from medial malleolus to talus, calcaneus and navicular
- Injury to lateral ligament (usually anterior talofibular ligament)
The subtalar joint is between which bones?
Allows for which movements?
- between talus and calcaneus (+ navicular)
- allows inversion and eversion during locomotion
The transverse tarsal joint is between which bones?
Allows for which movements?
Between calcaneus/talus and cuboid and navicular
Allows eversion and inversion, pronation and supination
- Important for standing on uneven ground
What is the plantar aponeurosis?
Clinical significance?
- Thickening of deep fascia which protects underlying structure and supports longitudinal arch
- Originates from calcaneus with longitudinal bands to toes
- Plantar fasciitis is inflammation due to overuse
Briefly describe the arches of the foot and their functions
- Longitudinal and transverse arches
- shock absorbers during locomotion
- act as springboards
- distribution of weight (to calcaneus + ball of foot)
Which longitudinal arch is most defined?
How are the longitudinal arches supported?
What is the clinical relevance of them?
Medial longitudinal arch is most defined
- Supported by long tendond, intrinsic plantar muscles, intrinsic ligaments and plantar aponeurosis
- Fallen medial longitudinal arch can lead to pes planus (flat feet)
Where is the transverse arch?
What structure supports the transverse arch?
Base of metatarsals
- Supported by long tendons (mainly fibularis longus)
For each muscle compartment of the leg state:
- function
- innervation
Anterior
- dorsiflexion, inversion
- deep fibular nerve
Posterior
- plantarfllexion, invert
- tibial nerve
Lateral
- evert foot
- superficial fibular nerve
State the three muscles of the anterior compartment, their origin, insertion and innervation
Tibialis anterior
- origin: tibia
- dorsiflexion/invert foot
Extensor digitorum longus
- fibula
- extends lateral 4 toes
Extensor hallucis longus
- fibula
- extends great toe
Insert into flexor retinaculum
Supplied by deep fibular nerve
In the foot, outline the insertion of the extensor tendons of the anterior compartment of leg
Tibialis anterior
- medial cuneiform and 1 st metartarsal
Extensor digitorum logus
- middle and distal phalanges of toes 2-5
Extensor hallucis longus
- distal phalanx of great toes