Compartments of the Leg Flashcards
Describe the screw home mechanism of the knee.
When the knee is fully extended, the tibia rotates laterally (due to the medial condyle being longer) which locks the knee into a more stable position.
To flex the knee, the popliteus ________ rotates to ______ the knee and allow it to flex.
Medially
Unlock
Which muscle is the key to the knee?
Popliteus
Fascia that helps divide the leg into compartments, in correlation with the tibia, fibula, and interosseous membrane.
Intermuscular Septa
What are the 4 compartments of the leg?
1) Anterior Compartment
2) Lateral Compartment
3) Superficial Posterior Compartment
4) Deep Posterior Compartment
The muscles in a compartment of the leg share the same general ________, nerve supply, and _____ supply.
Function
Blood
What are the 4 muscles in the anterior compartment of the leg?
1) Tibialis Anterior
2) Extensor Hallucis Longus
3) Extensor Digitorum Longus
4) Peroneus Tertius
Proximal Attachment: anterior, lateral, superior 1/2 of tibia, interosseous membrane
Distal Attachment: base of 1st MT, 1st (medial) cuneiform on plantar surface
Tibialis Anterior
What are the 2 actions of tibialis anterior?
1) Dorsiflexion
2) Inversion
Proximal Attachment: anterior middle fibula and interosseous membrane
Distal Attachment: base of distal phalanx of 1st toe on dorsal surface
Extensor Hallucis Longus
What are the 3 actions of extensor hallucis longus?
1) Extension of MTP/IP of 1st digit
2) Assist in dorsiflexion
3) Assist in inversion
Proximal Attachment: proximal 3/4 of anterior fibula, interosseous membrane
Distal Attachment: middle and distal phalanges of lateral 4 toes on dorsal surface
Extensor Digitorum Longus
What are the 3 actions of extensor digitorum longus?
1) Extension of the MTPs/PIPs/DIPs of 2nd-5th digits
2) Dorsiflexion
3) Eversion
Proximal Attachment: anterior distal fibula
Distal Attachment: base of 5th MT on dorsal surface
Peroneus Tertius
What are the 2 actions of peroneus tertius?
1) Weak dorsiflexion
2) Weak eversion
What is the order of tendons from medial to lateral for the muscles of the anterior compartment of the leg?
1) Tibialis Anterior Tendon
2) Extensor Hallucis Longus Tendon
3) Extensor Digitorum Longus Tendon
A structure that prevents the tendons of the anterior compartment of the leg from bowing as the muscles contract.
Retinacula
A structure that surrounds the tendon where there is possibility of friction between the tendons and the retinacula. Consists of an outer layer of connective tissue for structure and protection with a synovial inner layer for lubrication as the tendon moves.
Tendon Sheath