Anatomy of the leg and foot Flashcards
List the functions of the foot
Support body weight
Stability/standing
Locomotion/propulsion (lever)
Shock absorption
Name the two bones in the leg
Tibia
Fibular
What is between the tibia and fibula?
Interosseous membrane
Name the joints between the tibia and fibula
Superior tibiofibular joint
Inferior tibiofibular joint
Where is the inferior tibiofibular joint located?
Between the medial and lateral malleolus
List the groups of bones in the feet
Tarsals
Metatarsals
Phalanges
Where is the superior tibiofibular joint located?
Between the medial and lateral condyles
Name the 7 tarsal bones
Calcaneous Talus Cuboid Navicular Cuneiforms
Name the two landmarks of the calcaneous
Calcaneal tuberosity
Sustentaculum tali
What type of bones are the metatarsals?
Sesamoid bones
List the movements of the feet
Dorsiflexion/extension Plantarflexion/flexion Eversion Inversion Supination Pronation
Describe supination of the feet
Feet together - inversion of front of foot
Describe pronation of the feet
feet apart - eversion of front of foot
Name the joints in the foot
Ankle joint
Intertarsal joint
Metatarsophalangeal joint
Interphalangeal joint
What movement does the ankle joint do?
Dorsiflexion and plantar flexion
What movement does the intertarsal joint do?
Invert/evert
Supinate/pronate
What movements do the metatarsophalangeal joints do?
Extension/flexion
Limited abduction/adduction
What movements do the interphalangeal joints do?
Extension and flexion
What is the ankle joint?
Articulation between talus and tibia/fibula
What type of joint is the ankle joint?
Synovial hinge joint
List the ligaments that stabilize the ankle joint
Lateral collateral ligament
Medial/deltoid collateral ligament
Where is the lateral ligament located?
Lateral malleolus to talus/calcaneous
Where is the medial/deltoid ligament located?
Medial malleolus to talus/calcaneous/navicular
What is the clinical significance of the lateral ligament
Injury
Where is the subtalar joint?
Between talus and calcaneous and navicular
What does the subtalar joint allow?
Inversion and eversion during locomotion
Where is the transverse tarsal joint?
Between forefoot and hindfoot
What does the transverse tarsal joint allow?
Pronation and supination
Eversion and inversion of the forefoot
Important for standing on uneven ground
What is the plantar aponeurosis?
Thickening of the deep fascia
Protects underlying structure
Supports longitudinal arch
What is the clinical significance of the plantar aponeurosis?
Plantar fasciitis - inflammation due to overuse
Name the arches of the foot
Longitudinal and transverse arches
What are the functions of the arches of the foot?
Shock absorbers during locomotion
Act as springboards
Distribution of weight (to calcaneous + ball of foot)
Name the longitudinal arches
Medial and lateral
What are the longitudinal arches supported by?
long tendons, intrinsic plantar muscles, intrinsic ligaments and plantar aponeurosis
What is the clinical significance of the arches of the foot?
Fallen medial longitudinal arch can lead to pes planus (flat feet)
What is the transverse arch supported by?
Long tendons (mainly fibularis longus)
What action do the muscles of the anterior compartment do?
Extend(dorsiflex)/invert the foot
What action do the muscles of the posterior compartment do?
Flex/invert the foot
What action do muscles of the lateral compartment do?
Evert foot
Which nerve supplies the anterior compartment?
Deep fibular nerve
Which nerve supplies the posterior compartment?
Tibial nerve
Which nerve supplies the lateral compartment?
Superficial fibular nerve
How many muscles are in the anterior compartment of the leg
3
Name the 3 muscles of the anterior compartment of the leg
Tibialis anterior
Extensor digitorum longus
Extensor hallucis longus
Where do muscles of the anterior compartment of the leg originate?
Tibia and fibular
What action does tibialis anterior do?
Extends/inverts the foot
What action does extensor digitorum longus do?
Extends lateral 4 toes
What action does extensor hallucis longus do?
Extends the great toe
Where does extensor digitorum longus insert?
Middle and distal phalanges
Where does tibialis anterior insert?
Medial cuneiform and 1st metatarsal
Where does extensor hallucis longus insert?
Distal phalanx of the great toe
What is the function of the muscles in the superficial group of the posterior compartment of the leg?
Flex (plantar flex) the foot and leg
Name the muscles in the superficial group of the posterior compartment of the leg
Soleus
Gastrocnemius
Plantaris
Give the origin of plantaris
Femur
Give the origin of gastrocnemius
Condyles of femur
Give the origin of soleus
Tibia and fibular
What are the muscles in the superficial group of the posterior compartment of the leg supplied by?
Tibial nerve
What muscle actions do the deep group of the posterior compartment of the leg do?
Flex (plantar flex) and invert foot and flex toes
Give the origin of the deep group in the posterior compartment of the leg
Tibia and fibula
Name the muscles in the deep group of the posterior compartment of the leg
Flexor digitorum longus
Tibialis posterior
Flexor hallucis longus
What is the action of flexor digitorum longus
Flexor of lateral 4 toes
What is the action of tibialis posterior?
Inverter of the foot
What is the function of flexor hallucis longus?
Flexor of the big toe
Which nerve supplies the muscles of the deep group of the posterior compartment of the leg?
Tibial nerve
Where does flexor digitorum longus insert?
Distal phalanges
Where does flexor hallucis longus insert?
Distal phalanx of great toe
Where does tibialis posterior insert?
Medial cuneiform and navicular
What is the function of the lateral compartment of the leg?
Evert foot
Name the muscles in the lateral compartment of the leg
Fibularis longus
Fibularis brevis
What is the function of fibularis longus?
Everts and plantar flexes foot
Maintains transverse arch
Which nerve supplies the lateral compartment of the leg?
Superficial fibular nerve
Give the origin of the muscles in the lateral compartment of the leg
Fibula
Where does fibularis longus insert?
Medial cuneiform and 1st metatarsal
Where does fibularis brevis insert?
5th metatarsal
List the contents of the tarsal tunnel
Tibialis posterior Flexor digitorum longus Posterior tibial artery/vein Tibial nerve Flexor hallucis longus
What is the clinical significance of the tarsal tunnel?
Pulse
What does the lateral plantar artery form?
Deep plantar arch
Where does the dorsalis pedis artery sit?
Beside extensor hallucis tendon
What does the dorsalis pedis artery anastomose with?
Deep plantar arch
What is the clinical significance of the dorsalis pedis artery?
Pulse
Which nerves supply the leg?
Terminal branches of the sciatic nerve
Tibial nerve - posterior compartment
Deep fibular - Anterior compartment
Superficial fibular - lateral compartment
Give the clinical significance of the tibial nerve
Tarsal tunnel syndrome
What does the tibial nerve supply?
Motor to posterior compartment of leg and plantar intrinsic muscles
What does the common fibular nerve supply
Motor
- Deep - Anterior compartment of the leg and dorsal intrinsic muscles.
- Superficial - Lateral compartment of the leg
What is the clinical Significance of the common fibular nerve?
Trauma results in a foot drop
What is the function of the medial and lateral plantar (tibial) nerves?
Supply the sole of the foot