Lateral Posterior Leg Flashcards
Innervates the entire medial side of the leg in the front
Saphenous nerve
Innervates posterior, lateral, inferior aspect of the leg
Sural Nerve
Tendon Sheaths of the Ankle
Superior Extensor Retinaculum
Inferior Extensor Retinaculum
Peroneal and Flexor Retinaculum
Fibularis Longus/Brevis has the same sheath in the ____ retinaculum but separate sheaths in the _____ retinaculum
Superior Peroneal Retinaculum, Inferior Peroneal Retinaculum
Which takes its origin more proximally the fibularis longs or the fibularis brevis
fibularis longus
Two muscles in the lateral compartment
Fibularis longus and Fibularis Brevis
Nerve of the lateral compartment
superficial fibula nerve
Artery of the lateral compartment
fibula (peroneal) artery
Fibularis Longus
Origin: proximal 2/3 of the fibula
Runs down lateral side of the leg down the sole of your foot
Inserts: First metatarsal and lateral aspect of the medial cuneiform
Function: eversion, planar flexion (synergist- because at the talar crural joint it is posterior t the axis of rotation)
Innervated: Superficial fibular nerve (L5,S1,S2)
Blood Supply: Fibular Artery
Fibularis Brevis
Origin: Inferior 2/3 of the Fibula- there is some overlap between the longus and brevis
Insertion: Tuberosity of the 5th metatarsal - does not trace under the sole of the foot
Function: eversion, plantar flexion
Innervation: superficial fibular nerve (L5,S1,S2)
Blood Supply: Fibular Artery
Three types of stability
Passive- ligaments, capsules, etc.
Active- muscles
Proprioception- neuromuscular control
Size order of compartments of the leg
lateral compartment smallest, posterior compartment largest, anterior compartment in the middle
3 Muscles of the Leg Superficial Posterior
Gastrocneumius 2 headed muscle
Soleus (anti-gravity muscle)
Plantaris(muscle spindles)
Gastrocnemius
Origin:
medial head: medial femoral condyle
lateral head: lateral femoral condyle
Insertion: Achilis tendon which inserts onto the posterior aspect of the calcareous
Innervated: Tibial Nerve (S1 and S2)
Function: at the ankle does plantar flexion at the knee it does knee flexion
Soleus
Origin: posterior aspect of the fibula including the head of the posterior medial border of the tibia (does not touch the interosseus membrane since it is not deep enough)
Insertion: achilis tendon which inserts on the posterior aspects of the calcareous
Innervation: Tibial Nerve (S1 and S2)
Function: Plantar Flexion
This is a type I postural muscle especially when you stand- antigravity muscle- gravity would make you fall back on your butt
Stretch this muscle in dorsiflexion with knee bent to isolate the soles stretch in dorsiflexion and knee extension to also stretch the gastrocneius
Plantaris
Origin: Oblique popiteal ligament- lateral posterior distal femur
Insertion: Achilis tendon which inserts on the posterior aspect of the calcaneous
Innervated: Tibia Nerve
Function: Don’t really know what this muscle does - some say Plantar Flexion
Has muscle spindles that respond to changes in length- muscle spindle stretch reflex
Femoral artery becomes the
Popiteal artery
Popiteal artery goes through the hiatus in the ____ and splits into the ____ and _____
Soleus, Anterior tibial artery, posterior tibial artery
Anterior tibial artery blood supply to the ____ compartment
anterior
Posterior tibial artery blood supply _____ compartment
Posterior
Posterior tibial artery runs down back of the leg gives off largest branch to the _____ artery
Peroneal
Peroneal Artery heads posterior to the ____ and pierces flexor retinaculum 4 compartments which contain
medial malleolus Compartments: Tibialis Posterior Flexor Digitorum Longus Artery, Vein, Nerve Flexor Hallucis Longus (Tom, Dick, A Very Nervous, Harry
Superficial posterior compartment is separated from the deep posterior compartment by
transverse intermuscular septum
3 Deep muscles in Deep Posterior Leg
Flexor Hallucis Longus: lateral
Flexor Digitorum Longus: Medial
Tibialis Posterior: Middle Deepest
Flexor Hallucis Longus
Origin: Inferior Posterior Lateral Surface of the fibula and the interosseus membrane
Insertion: Distal Phalanx digit 1
Innervated: Tibia Nerve (S1, S2)
Function: Flex big toe, plantar flex ankle (synergist)
Flexor Digitorum Longus
Origin: Posterior Surface of the tibia and fibula (does not touch the interosseous membrane)
Insertion: inserts distal phalanges of digits 2-5
Innervated: Tibia Nerve (S2, S3)
Function: Flexes digits - can assist with plantar flexion
Tibialis Posterior
Origin: Posterior Fibula, interossus membrane and posterior aspect of the tibia inferior to the soleal line
Insertion: metatarsal 1, navicular, cuboid, all the cuneiforms and sometimes metatarsals 2,3, and 4
Innervated: Tibia Nerve
Function: Plantar flexion and innervsion
Medial Tibial Stress Syndrome
Shin Splints
Popliteus
above posterior compartment above the knee (not in posterior compartment)
Origin: lateral condyle of the femur, lateral meniscus
Insertion: posterior surface of the tibia superior to soleal line (only one that is superior to the soleal line)
Innervation: Tibial Nerve (L4, L5, S1)
Action: Unlocks the knee, flexes it