LEA Lateral Compartment of the Leg Flashcards
the lateral compartment of the leg is formed from
the fibula and anterior/posterior intermuscular septum
muscles of the lateral compartment attach proximally to
lateral fibular shaft
tendons are visible at the
lateral ankle, posterior to lateral malleolus (retromalleolar groove)
lateral compartment muscle of the leg are __ and aid in ___
everters, plantarflexion
lateral compartment muscles are innervated by
superficial fibular nerve
blood supply to the lateral compartment muscles
perforating branches from fibular artery and anterior tibial
branches to the lateral muscles pierce the
intermuscular septum
there is no major artery located __
in the lateral compartment of the leg
fibularis longus origin
fibular head
proximal 1/2 of lateral fibular shaft
crural fascia
fibularis longus insertion
- lateral/plantar aspect of medial cuneiform
- 1st metatarsal (tuberosity)
path of the fibularis longus
- Posterior to lateral malleolus within fibular groove
- deep to superior fibular retinaculum
- inferior to peroneal (fibular) trochlea, deep to inferior fibular retinaculum,
- fibular sulcus and groove of cuboid (inferior surface),
- crosses sole of foot to insert on medial side
the fibular groove is converted to tunnel by
the long plantar ligament
function of the fibularis longus
- eversion and plantar flexion
- pronates subtalar and mid tarsal joints
- helps support 1st metatarsal during propulsion
Fibularis Brevis origin
distal 1/2 of lateral fibular shaft and crural fascia
the Fibularis Brevis originates __ to the fibularis longus
medial and inferior
when Fibularis Brevis and Longus pass around the lateral malleolus, Fibularis Brevis is __
anterior
the insertion of the Fibularis Brevis
styloid process of 5th metatarsal
path of the Fibularis Brevis
- Posterior to lateral malleolus (anterior to fibularis longus tendon)
- Deep to superior fibular retinaculum
- Superior to peroneal trochlea, deep to inferior fibular retinaculum
- Heads anteriorly toward its insertion
Fibularis Brevis tendon is __ to Longus tendon at the ankle
anterior
the function of Fibularis Brevis
eversion and plantarflexion (pronation of subtler joint)
Peroneus (fibularis) quartus
common accessory muscle (10-26%)
origin of peroneus quartus
the muscle belly of either fibularis brevis or fibularis longus
AND lateral fibular shaft between origins of the fibularis longus and brevis
the insertion of peroneus quartus
cuboid, 5th met base
the peroneus quartus can cause
overcrowding of the retromalleolar region/fibular groove which can cause degradation/dislocation of fibularis brevis
fibular synovial sheath begins
immediately superior to lateral malleolus (4cm above)
tendons share a sheath proximally as the pass
posterior to lateral malleolus in retromalleolar groove
the fibular synovial sheath divides at the __ and is separated by
fibular trochela;
fascial extensions of the inferior fibular retinaculum that attaches to peroneal trochlea
the fibular synovial sheath ends at
the level of the cuboid
the fibularis longus tendon has a synovial sheath as is passes
along the plantar foot
the fibularis longus tendon may or may not communicate with
the proximal fibular synovial sheath
fibular (personal retinacula)
thickening of crural fascia and deep fascia of the foot (pedis fascia)
superior fibular retinaculum is continuous with
superior extensor retinaculum (transverse crural ligament)
the superior fibular retinaculum attaches
posteroinferior lateral malleolus and retrotrochlear eminence
creates a pulley for tendons as they pass posterior to lateral malleolus
superior fibular reticulum attachment
inferior fibular retinaculum is continuous with
stem (frondiform ligament) of inferior extensor retincaulum
inferior fibular retinaculum attaches
sinus tarsiperoneal trochlea and lateral calcaneus
branches from fibular and anterior tibial arteries penetrate through
the anterior and posterior inter muscular septa
common fibular nerve roots
L4-S2
common fibular nerve is from
sciatic
common fibular nerve passes
around fibular neck
common fibular nerve enters lateral compartment by passing through
posterior intermuscular septum
common fibular nerve pierces
fibularis longus
common fibular nerve bifurcates
into terminal branches, deep fibular and superficial fibular nerves
superficial fibular nerve roots
L4-S1
superficial fibular nerve arises from
common fibular in the lateral compartment
superficial fibular nerve descends between ___ to supply lateral compartment muscles
the fibularis muscles
superficial fibular nerve pierces
anterolateral crural fascia in the distal 1/3 of leg
superficial fibular nerve supplies __ innervation to __
cutaneous; distal anterolateral leg, dorsum of foot
branches of superficial fibular nerve
medial dorsal cutaneous
intermediate dorsal cutaneous
medial dorsal cutaneous nerve supplies
cutaneous to medial hallux and adjacent 2nd and 3rd digit (branches will give rise to 3 digital branches)
intermediate dorsal cutaneous supplies
cutaneous innervation to adjacent 3rd and 4th, 4th and 5th digits. (branches gives rise to 4 digital branches)
superficial fibular nerve and its branches do not provide innervation to
lateral side of 5th digit
medial dorsal cutaneous nerve crosses ankle
centrally
intermediate dorsal cutaneous nerve is __ to lateral malleolus
anterior
supplies dorsomedial mid foot
medial dorsal cutaneous nerve and intermediate dorsal cutaneous nerve
branches of medial dorsal cutaneous
- proper dorsal digital nerve 1
- 1st common dorsal digital nerve
- communicating branch of deep fibular nerve
proper dorsal digital nerve
dorsomedial hallux
1st common dorsal digital nerve branches
4th proper dorsal digital nerve
5th proper dorsal digital nerve
4th proper dorsal digital nerve
dorsolateral 2nd toe
5th proper dorsal digital nerve
dorsomedial 3rd toe
branches of intermediate dorsal cutaneous nerve
2nd common dorsal digital nerve and 3rd common dorsal digital nerve
2nd common dorsal digital nerve
3rd intermetatarsal space
3rd common dorsal digital nerve
4th intermtatarsal space
2nd common dorsal digital nerve branches
6th and 7th proper dorsal digital nerves
3rd common dorsal digital nerve branches
8th and 9th dorsal digital nerves
6th proper dorsal digital nerve
dorsolateral 3rd toe
7th proper dorsal digital nerve
dorsomedial 4th toe
8th proper dorsal digital nerve
dorsolateral 4th toe
9th proper dorsal digital nerve
dorsomedial 5th toe
lateral dorsal cutaneous (after lateral malleolus) is a continuation of
sural
lateral dorsal cutaneous (after lateral malleolus) supplies
lateral foot border
lateral dorsal cutaneous branch
10th proper dorsal digital nerve (continuous)
10th proper dorsal digital nerve
dorsolateral 5th toe
Saphenous nerve supplies
medial midfoot/arch and medial ankle