Knee, Leg, Ankle and Foot Flashcards
What are the 3 most important structures within the popliteal fossa?
Popliteal artery and vein
Tibial nerve
Common fibular nerve
What kind of joint is the knee?
Synovial
What are the 3 structures of the knee joint?
Femur
Tibia
Patella
The patella articulates with which bones?
Femur ONLY
What are the 4 ligaments of the knee?
Medial collateral
Lateral collateral
Anterior cruciate
Posterior cruciate
Which of the collateral ligaments directly attaches to the meniscus?
MCL attaches to medial meniscus
LCL does NOT attach to lateral meniscus
The MCL connects which 2 structures?
Medial epicondyle of femur
Medial condyle of tibia
What separates the LCL from the lateral meniscus?
Popliteus tendon
What two structures does the LCL connect?
Lateral epicondyle of femur
Head of fibula
The MCL and LCL are tighter when the knee is flexed or extended?
Extended
The MCL and LCL primarily do what?
Stabilize knee in coronal plane
The ACL connects which 2 structures?
Notch of femur
Tibial plateau
What is the function of the ACL?
Prevent anterior displacement of tibia
What two structures does the PCL connect?
Medial condyle of femur
Posterior inercondylar tibia
What is the main function of the PCL?
Prevent posterior displacement of tibia
True or False. The ACL and PCL are part of the synovial cavity and joint capsule.
False. They are part of the joint capsule but NOT part of the synovial cavity.
When the knee is ____________, the femur rotates ___________ to lock the knee.
Extended, medially
Which of the 2 lower leg bones is more lateral? Medial?
Fibula- lateral
Tibia- medial
What separates the tibia and fibula?
Interosseus membrane
What are the 3 compartments of the leg?
Anterior
Lateral
Posterior
What 2 structures separate the compartments of the leg?
Intermuscular septa
Interosseus septa
Which compartment of the leg is further subdivided? Into what?
Posterior compartment subdivided into superficial and deep
What structure separates the two posterior compartments of the leg?
Transverse intermuscular septum
What are the 3 anterior muscles of the leg?
Tibialis anterior
Extensor digitorum longus
Extensor hallicus longus
What are the 3 main actions of the anterior leg muscles?
Doriflexion foot
Inversion foot
Flexion toes
What nerve innervates the anterior leg muscles?
Deep fibular nerve
Which nerve provides cutaneous innervation to the web between big and second toes?
Deep fibular nerve
What are the 2 lateral compartment leg muscles?
Fibularis longus
Fibularis brevis
What is the main action of the lateral compartment leg muscles?
Eversion foot
What are the lateral compartment leg muscles innervated by?
Superficial fibular nerve
What nerve provides cutaneous innervation to the lateral side and dorsum of foot?
Superficial fibular nerve
Trace the path of the fibularis longus tendon. What’s its relationship to the fibularis brevis? What 2 structures does it insert on?
Starts lateral and inferior to the fibularis brevis tendon
Goes across the plantar side of the foot
Inserts on medial cuneiform and base of 1st metatarsal
What are the 3 superficial muscles of the posterior compartment?
Gastrocnemius
Soleus
Plantaris
What do the superficial posterior muscles primarily do?
Plantarflex foot
All of the superficial posterior muscles flex the knee except?
Soleus
What innervates the superficial posterior muscles?
Tibial nerve
What are the 4 deep posterior muscles?
Popliteus
Flexor digitorum longus
Flexor hallicus longus
Tibialis posterior
3 of the 4 deep posterior muscles have the same actions. What are they? What muscle doesn’t?
All plantarflex the foot, invert the foot and flex the toes except for the popliteus
What is the primary action of the popliteus?
Lateral rotation of femur
What innervates the deep posterior muscles?
Tibial nerve
The sciatic nerve branches into which 2 nerves? Where?
Common fibular
Tibial
Superior to popliteal region
The common fibular nerve branches into which 2 nerves?
Deep and superficial fibular nerves
Which nerve travels laterally around the head of the fibula?
Common fibular nerve
Which sensory nerve travels posteriorly down the leg, around the lateral malleolus and on the lateral foot?
Sural nerve
What does the superficial fibular nerve innervate?
Lateral compartment muscles
What does the deep fibular nerve innervate?
Anterior muscles
Web between big and 2nd toe
Which artery would you find in the popliteal fossa? Where did it come from? When does it switch?
Popliteal artery
Femoral artery
When femoral goes through adductor hiatus on the adductor magnus muscle it becomes the popliteal
What 2 branches does the popliteal artery branch into?
Anterior and posterior tibial arteries
What does the anterior tibial artery supply?
Lateral muscles
What does the anterior tibial artery become?
Dorsalis pedis artery
The posterior tibial artery branches into which artery?
Fibular
The posterior tibial artery runs ________ to the _______ __________ onto the sole of the foot.
Posterior, medial malleolus
The fibular artery runs along the ______ border of the fibula and supplies?
Medial, lateral muscles
The great saphenous vein runs _____ to the ______ _______, medially up the thigh and drains into which vein?
Anterior, medial malleolus, femoral vein
What structure might you see next to the great saphenous vein?
Saphenous nerve
What connects the deep and superficial veins?
Perforating veins
Where does the great saphenous vein begin? Small saphenous vein?
Great= dorsal venous arch of foot Small= lateral venous arch of foot
The small saphenous vein runs _____ to the _______ ________ and drains into which vein?
Posterior, lateral malleolus, popliteal vein
What structure might you see running with the small saphenous vein?
Sural nerve
Which are the first lymph nodes seen in the leg?
Popliteal lymph nodes
Which muscle is key in pumping venous blood back up to the heart?
Soleus
Describe the body’s line of gravity at the hip, knee and ankle.
Posterior to hip
Anterior to knee
Anterior to ankle
When standing, how does one keep from falling forward?
Contraction of the soleus causes plantarflexion
What are the 6 structures that pass ______ to the _____ _______ and enter the plantar foot? From anterior to posterior?
Posterior, medial malleolus
Tibialis posterior tendon Flexor digitorum longus tendon Posterior tibial artery Posterior tibial vein Tibial nerve Flexor hallucis longus tendon
What are the 7 tarsal bones?
Calcaneus Talus Navicular Medial cuneiform Intermediate cuneiform Lateral cuneiform Cuboid
How many metatarsals and phalanges are in the foot?
5 metatarsals
14 phalanges
What are the 3 bones of the ankle joint?
Tibia
Fibula
Talus
What is the name of the ankle joint?
Talocrural joint
Which ankle ligament is most commonly sprained?
Anterior talofibular
Which movement is more stable for the ankle- dorsiflexion or plantarflexion? Why?
Dorsiflexion- the trochlea of the talus is wider anteriorly than posteriorly
What ankle joint promotes inversion and eversion?
Subtalar joint
What ankle joint promotes dorsiflexion and plantarflexion?
Talocrural joint
What are the 2 arches of the foot?
Longitudinal
Transverse
What are the 3 borders (medial, lateral, posterior) of the popliteal fossa?
Medial- semitendinosus, semimembranosus
Lateral- biceps femoris
Posterior- 2 heads of gastrocnemius