FOOT Flashcards
All sole muscles innervated by lateral plantar nerve EXCEPT
Abductor hallucis
Flexor digitorum brevis
Flexor hallucis brevis
1st lumbrical
Blood vessels: COMMON ILIAC
Internal iliac
External iliac (femoral, popliteal, anterior/posterior tibial, plantar arch)
Blood vessels: DORSALIS PEDIS ARTERY (dorsalis pedis pulse)
LATERALLY: tendons of extensor digitorum longus
MEDIALLY: tendon of extensor hallucis longus
LANDMARK: between malleoli or 1st intermetatarsal space
Vena Commitantes
Ant/Post tibial
Popliteal
Femoral
External iliac
Internal iliac
Common iliac
Muscles of the sole
FIRST LAYER:
Abductor hallucis
Flexor digitorum brevis
Abductor digiti minimi
SECOND LAYER: Flexor digitorum accessorius Flexor digitorum longus Lumbricals (4) Flexor hallucis longus
THIRD LAYER:
Flexor hallucis brevis
Adductor hallucis (oblique head, transverse head)
Flexor digiti minimi brevis
FOURTH LAYER:
Interossei: dorsal (4), plantar (3)
Peroneus longus
Tibialis posterior
Drains into FEMORAL
GREAT SAPHENOUS VEIN
Drains into POPLITEAL
SMALL SAPHENOUS VEIN
Branch of COMMON PERONEAL NERVE
Lateral cutaneous nerve
Superficial cutaneous nerve
Branch of FEMORAL NERVE
SAPHENOUS NERVE
PERONEUS vs TIBIALIS MUSCLE
PERONEUS muscles: evert foot and plantar flex
TIBIALIS muscles: invert foot and plantar flex
The nerve common injured in “foot drop”
COMMON PERONEAL NERVE
In patients with TIBIAL NERVE LESIONS in the gluteal region (hip fracture, dislocation of femur), weakness may be evident in the ability to flex the leg at the knee and plantarflex at the angle
CAN’T STAND ON TIPTOES
Paresthesia on skin of posterior leg, sole and lateral foot
TIBIAL NERVE LESIONS
Most frequently injured nerve in the lower limb
Compression at neck of fibula, hip fracture, dislocation of femur
FOOTDROP
“STEPPAGE” gait
Pain and paresthesia in the lateral leg and dorsum of the foot
COMMON PERONEAL/ FIBULAR NERVE LESIONS
Which results from a loss of dorsiflexion at the ankle and loss if eversion
FOOTDROP
Raise the affected leg high off the ground and the foot slaps the ground when walking
“STEPPAGE” gait