Anterior and Lateral Leg Flashcards

1
Q

what is the crural fascia

A

deep fascia of the leg, covers leg muscles, part of the proximal attachment of the underlying muscles
thickens distally to form extensor retinaculum, prevents bowstringing during dorsiflexion

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2
Q

muscles of the the anterior compartment

A

tibialis anterior, extensor hallucis longus, extensor digitorum longus, fibularis tertius

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3
Q

actions of the anterior compartment

A

dorsiflexion and toe extension

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4
Q

origin of tibialis anterior muscle

A

lateral tibial condyle and superolateral 1/2 of tibia

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5
Q

insertion of tibialis anterior muscle

A

medial surface of first (medial) cuneiform and first metatarsal base

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6
Q

action of tibialis anterior muscle

A

dorsiflexion and inversion of foot, does not run to the digits

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7
Q

origin of extensor digitorum longus muscle

A

lateral tibial condyle, anterior fibular surface, interosseus membrane

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8
Q

insertion of extensor digitorum longus muscle

A

extension of the four tendons forms an extensor expansion over dorsum of lateral four proximal phalangs that divide into two lateral slips and central slip

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9
Q

action of extensor digitorum longus muscle

A

extends lateral four digits and dorsiflexion

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10
Q

fibularis tertius muscle origin

A

anterointerfior fibular surface and distally, dorsum of fifth metatarsal base

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11
Q

action of the fibularis tertius muscle

A

dorsiflexion and eversion

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12
Q

origin of extensor hallucis muscle

A

anteromedial fibular surface and interosseus membrane. medial to distal half of the proximal attachment of extensor digitorum longus

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13
Q

insertion of extensor hallucis muscle

A

base of distal phalanx of hallux

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14
Q

action of extensor hallucis muscle

A

extend hallux, dorsiflex ankle

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15
Q

what does deep fibular nerve supply

A

anterior compartment muscles, ankle joint and metacarpal phalangeal joints, dorsal instrinsic foot muscles, skin between first and second digits

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16
Q

anterior tibialis artery desends with what nerve

A

deep fibular nerve

17
Q

where does the anterior tibialis artery end

A

ends at ankle between malleoli to become dorsalis pedis artery

18
Q

lateral compartment of leg muscles

A

fibularis brevis, superficial fibular nerve, and fibularis longus muscle

19
Q

origin of fibularis longus muscle

A

head and superolateral 2/3 of fibula, passes interior just posterior to lateral malleolus

20
Q

insertion of fibularis longus muscle

A

runs obliquely and distally across sole of foot to attach distally to first metatarsal and medial cuneiform bone

21
Q

action of fibularis longus muscle

A

eversion and plantar flexion

22
Q

ridge on lateral surface of the calcaneus

A

fibular trochlea

23
Q

cuboid bone articulates with what

A

posteriorly, calcaneus,
anteriorly, 4th and 5th metatarsal
medially, navicular and lateral cuneiform

24
Q

what is the cuboid sulcus

A

groove for the fibularis longus

25
Q

origin of fibularis brevis muscle

A

inferolateral 2/3 of tibia

26
Q

insertion of fibularis brevis muscle

A

dorsal surface of tuberosity on lateral side of fifth metatarsal

27
Q

action of fibularis brevis muscle

A

eversion and plantarflexion

28
Q

superfical fibular nerve is branch of what nerve

A

common fibular nerve

29
Q

what does the superficial fibular nerve supply

A

anteroinferior leg, nearly the entire dorsal surface of the foot
most of the dorsal aspect of the digits

30
Q

what does common fibular nerve injury casue

A

paralysis of all anterior and lateral crural muscles
loss of dorsiflexion and eversion causes foot drog
difficult to have heel strike
high stepping out gait, waddling gait, or swing out gait

31
Q

lateral compartment arterial supply

A

one one compartment without a a distinct arterial branch accompanying the compartment nerve, has fibular artery which is brach of the posterior tibial artery

32
Q

crural fascia clinical anatomy

A

leg compartmental syndrome
septa are very tough
trauma may lead to hemorrhage, edema, and inflammation
intracompartmental pressure may lead to ischemia and permanent injury,
incising fascia may be performed to relieve pressure

33
Q

what are shin splints

A

repettitive microtrauma to tibialis anterior
inducing small tears to periosteum over tibia
possibly tears to deep fascia
mild form of compartmental syndrome, swelling of tibialis anterior due to repettitive ground reaction force