Knee, Ankle, Foot Flashcards
3 extracapsular ligaments of the knee
Patellar tendon
Medial (tibial) collateral ligament
Lateral (fibular) collateral ligament
3 intracapsular ligaments of the knee
Anterior cruciate ligament
Posterior cruciate ligament
Function of ACL
prevents tibia from displacing anteriorly
Function of PCL
prevents tibia from displacing posteriorly
Why don’t the ACL and PCL heal well?
They are bathed in synovial fluid where it is avascular
What are the two menisci of the knee?
Medial meniscus
Lateral meniscus
What are the 3 bursae of the knee?
Prepatellar
Infrapatellar
Pes anserine
What is the most injured ligament in ankle sprains?
Anterior talofibular ligament
What are the lateral ligaments of the ankle?
Anterior talofibular
Calcaneofibular
Posterior talofibular
What are the medial ligaments of the ankle?
Deltoid ligament
What are the tibiofibular ligaments of the ankle?
Anterior tibiofibular
Posterior tibiofibular
Where can you feel the posterior tibial pulse?
Posterior and inferior to the medial malleolus
Where can you feel the dorsalis pedis pulse?
Lateral to the extensor hallicus longus tendon, distal to prominence of navicular bone
Incompetent valves in the veins
Venous insufficiency
Clots deep in the veins of the leg that can travel to the heart/lungs as a pulmonary embolism
Deep vein thrombosis
What are the risk factors for deep vein thrombosis?
Lower extremity surgery Immobility Hyper-coagulable states Malignancy Trauma Pregnancy/oral contraceptives (estrogen)
What are the compartments of the leg muscles separated by?
Intermuscular septa
Elevation of interstitial pressure (as little as 20-30 mmHg) in closed fascial compartment that results in microvascular compromise; can lead to ischemia of tissue
Compartment syndrome
What is the treatment for compartment syndrome?
Urgent fasciotomy and debrisment
What are the knee extensors that form the quadriceps?
Rectus femoris
Vastus lateralis
Vastus intermedius
Vastus medialis
Nerve supply for rectus femoris
Femoral nerve
Blood supply for rectus femoris
Femoral artery
Action for rectus femoris
Extension of knee
Flexion of hip
Nerve supply for vastus lateralis
Femoral nerve
Blood supply for vastus lateralis
Femoral artery
Action for vastus lateralis
Extension of knee
Nerve supply for vastus medialis
Femoral nerve
Blood supply for vastus medialis
Femoral artery
Action for vastus medialis
Extension of knee
Nerve supply for vastus intermedius
Femoral nerve
Blood supply for vastus intermedius
Femoral artery
Action for vastus intermedius
Extension of knee
What are the hip flexors?
Biceps femoris
Iliopsoas
Pectineus
Tensor fascia lata
Nerve supply to tensor fascia lata
Superior gluteal nerve
Blood supply to tensor fascia lata
Superior gluteal artery
Action of tensor fascia lata
Stabilizes extended knee
Flexion of hip
ABduction of hip
Internal rotation of hip
Nerve supply of pectineus
Femoral nerve
Blood supply of pectineus
Femoral profunda artery
Action of pectineus
Flexion of hip
ADDuction of hip
What are the borders of the popliteal fossa?
Semitendinosus
Biceps femoris
Two heads of gastrocnemius
What are the contents of the popliteal fossa?
Popliteal artery and vein Anterior and posterior tibial arteries Tibial nerve Common fibular nerve Lymph nodes
What are the muscles of the anterior compartment of the lower leg?
Tibialis anterior
Extensor digitorum longus
Extensor hallicus longus
Nerve supply of tibialis anterior
Deep fibular nerve
Blood supply of tibialis anterior
Anterior tibial artery
Action of tibialis anterior
Dorsiflexion of ankle
Inversion of foot
Nerve supply of extensor hallicus longus
Deep fibular nerve
Blood supply of extensor hallicus longus
Anterior tibial artery
Action of extensor hallicus longus
Extension of great toe at IP joint
Action of extensor digitorum longus
Extension of toes 2-5
Blood supply of extensor digitorum longus
Anterior tibial artery
Nerve supply of extensor digitorum longus
Deep fibular artery
What are the muscles in the lateral compartment of the lower leg?
Fibularis longus
Fibularis brevis
Blood supply of fibularis longus
Fibular artery
Nerve supply of fibularis longus
Superficial fibular nerve
Action of fibularis longus
Foot eversion
Blood supply of fibularis brevis
Fibular artery
Nerve supply of fibularis brevis
Superficial fibular nerve
Action of fibularis brevis
Foot eversion
What are the muscles of the superficial posterior compartment of the lower leg?
Gastrocnemius
Soleus
Plantaris
What muscles make up the triceps surae?
Gastrocnemius
Soleus
Action of gastrocnemius
Plantarflexion of ankle
Nerve supply of gastrocnemius
Tibial nerve
Blood supply of gastrocnemius
Posterior tibial artery, fibular artery
Blood supply of soleus
Posterior tibial artery
Nerve supply of soleus
Tibial nerve
Action of soleus
Plantarflexion of ankle
Blood supply of plantaris
Posterior tibial artery
Nerve supply of plantaris
Tibial nerve
Action of plantaris
Plantarflexion of ankle
Flexion of knee
What are the muscles of the deep posterior compartment of the lower leg?
Tibialis posterior
Flexor digitorum longus
Flexor hallicus longus
Popliteus
Action of tibialis posterior
Inversion of foot
Plantarflexion of ankle
Blood supply of tibialis posterior
Posterior tibial artery
Nerve supply of tibialis posterior
Tibial nerve
Action of flexor digitorum longus
Flexion of toes 2-5 at DIP joints
Plantarflexion of ankle
Blood supply of flexor digitorum longus
Posterior tibial artery
Nerve supply of flexor digitorum longus
Tibial nerve
Action of flexor hallicus longus
Flexion of great toe at IP joint
Blood supply of flexor hallicus longus
Posterior tibial artery
Nerve supply of flexor hallicus longus
Tibial nerve
Action of popliteus
“Unlocks” extended knee to initiate knee flexion by internal rotation of the tibia or external rotation of the femur
Blood supply of popliteus
Popliteal artery
Nerve supply of popliteus
Tibial nerve
What structure makes up the tarsal tunnel?
Flexor retinaculum
What structures go through the tarsal tunnel, starting inferiorly from the medial malleolus?
“Tom, Dick, And, Nervous Harry”
(T)ibialis Posterior Flexor (Di)gitorum Longus Posterior Tibial (A)rtery Tibial (Nerv)e Flexor (Ha)llicus Longus
What is the most commonly damaged nerve in the leg?
Superficial fibular nerve