Chapter 8: Lower Limb And Foot Flashcards
Tarsals
7 bones
Metatarsals
5 bones
Phalanges
14 bones
Talus
Articulated with tibia and fibula
Calcaneus
The largest and strongest heel bone
Tarsal bones
- talus
- calcaneus
- navicular
- cuboid
- 3 cuneiform
Tarsus
Ankle
Function of arches
- provides spring and leverage to the foot when walking
Flatfoot
- arches decrease or “ fall”
Clawfoot
- too much arch occurs due to various pathologies
Medial longitudinal arch
- extends from the heel to the great toe
Lateral longitudinal arch
- is not as high as the medial longitudinal arch. Extends between the heel and the little toe
Transverse arch
- runs perpendicular to the longitudinal arches, and form between navicular and cuneiform bones
Anterior extensor muscles
Quadriceps femoris group
- recuts femoris
- vastus lateralis
- vastus medialis
- vastus intermedius
Posterior flexor muscles
Hamstrings femoris group
- biceps femoris
- semimembraneous
- Semitendinosus
Anterior extensor muscle functions
Extends the leg at the knee joint and flexes thigh at the hip
Recuts femoris
Superficial muscle
O: anterior inferior iliac spine
I: tibial tuberosity
Vastus lateralis
O: greater trochanter and line aspera of femur
I: tibial turberosity
Vastus medialis
O: Linea aspera of femur
I: tibial tuberosity
Vastus intermedius
O: anterior and lateral surface of the body of the femur
I: tibial tuberosity
What is the common insertion for the anterior extensor muscles (quadriceps and femoris group)
Tibial tuberosity
Biceps femoris
O: ischial tuberosity
I: head and lateral condyle of fibula
Semimembranosus
O: ischial tuberosity
I: medial condyle of tibia
Semitendinosus
O: ischial tuberosity
I: shaft of tibia
What is the function of the posterior group of muscles
Commonly flexes the leg at the knee joint and extends the thigh at the hip
What is the common organ for the posterior flexor muscles (hamstrings femoris group)
Ischial tuberosity
Gracilis
Addicted thigh at hip joint, rotate thigh medially and flexes leg at knee joint
O: the body and inferior ramus of the pubis
I: medial surface of the body of the tibia
Anterior compartment leg muscles
- extensor hallucinations longus
- tibialis anterior
- extensor digitorium longus
Anterior leg muscles common action
Extend the great toe and dorsiflex the foot at the ankle joint
Lateral compartment muscles
- finularis longus and brevis
Fibularis longus and brevis action
Both muscles everts foot and are weaker in flexing plantar
Posterior compartment superficial layer leg muscles
- gastrocnemius
- soleus
- plantaris
Posterior compartment superficial layer common action
Flexes leg at knee and plantar flex the foot at the ankle joint
Extensor hallucinations longus
Extends greet toe and dorsiflexes foot at the ankle joint
Tibialis anterior
Dorsiflexes and inverts foot
Extensor digitorum longus
- extends toes 2-5
- dorsiflexes foot at the ankle joint
Gastrocnemius
- flexes leg at knee
- plantar plexus foot at ankle
Soleus
Planter flexes foot at ankle
Plantaris
Weak leg flexor plantaris flexes foot at the ankle joint
Posterior compartment deep layer leg muscles
- flexor digitorium longus
- flexor hallicus longus
- tibialis posterior
- popliteus
Flexor digitorium longus
Plantar flexes the foot at the ankle
Flexor hallicus longus
- plantar flexes foot at the ankle joint
Tibialis posterior
Plantar flexes and inverts foot
Popliteus
Flexes leg, medially rotates tibia to unlock the knee
Plantar muscles of foot
First layer
- flexor digitorium brevis
- abductor hallicus
- abductor digiti minimi
Flexor digitorium brevis
- attaches to middle phalanges of toes
- flexes toes 2-5 at IP and metatarsophlangeal joint
Abductor hallicus
Abducts and flexes the great toe 1
Abductor digiti minimi
Abducts and flexes the little toe 5
Plantar group
Second layer of muscles
- quadratus plantae
- lumbricales muscles
Quadratus plantae
Attach tot he tendons of the digitorium longus to flex toes 2-5
Lumbricals muscles
- attach to the tendons of flexor digitorium longus
- flex MP joint
- extend toes 2-5 at IP joints
Plantar group of muscles
The third layer
- adductors hallucis
- flexor hallucis brevis
- flexor digiti minimi brevis
Adductors hallucis
- adducts and flexes great toe 1
Flexor hallucis brevis
- flexes great toe at MTP joint
Flexor digiti minimi brevis
- flexes little toe (5) at MTP joint
Plantar muscle group
Forth layer
- dorsal interossei
- plantar interossei
Dorsal interossei
Adducts and flexes the toes 2-5 at MTP and extends toes at IP
Plantar interossei
Adducts and flexes proximal MTP and extends at IP joint
Sacral plexus
L4-L5 and S1-S4
Innervates
- lower back
- pelvis
- perineum
- posterior surface of thigh and leg
- dorsiflexes and plantar of the foot
What nerve arises form the sacral plexus
Sciatic nerve
What nerves form the coccygeal plexus
Coccygeal nerves
Common fib. Nerve innervates
Anterior, lateral leg and dorsum of the foot
Common tubular nerve is made of of what nerves
Superficial gluteal nerve
Inferior gluteal nerve
Nerve to piriformis
Pudendal
What inenrvates the superficial gluteal region
Sciatic nerve
What interfered the inferior gluteal region
Sciatic nerve
What innervstes the posterior femoral cutaneous
Sciatic nerve
What innervates the pudendal
Sciatic nerve
- sex organs including the skin of the scrotum, clitoris, labia majora and minora, and vagina