Lecture 29 (16-7-14) Flashcards
1
Q
What are the parts of the tibia?
A
- Weight bearing
- medial condyle
- lateral condyle
- proximal tibfib joint
- tibialis anterior
- extensor digirotum longus
- tibial tuberosity
- petellar ligament/tendon (i)
- anterior crest (“shin”)
- interosseous border
- tibialis anterior
- extensor digitorum longus
- extensor hallicus longus
- tibalis posterior
- medial malleolus
- soleal line
- solues
- intercondylar eminence
- Tibial platue
- lateral part- tibialis anterior
2
Q
What are the parts of the fibula?
A
- Non-weight bearing
- Head of fibula
- biceps femorus (Insetrion)
- fibularis longus
- proximal tibfib joint
- neck of fibula
- lateral malleolus
muscles
- soleus
- externsor hallicul longus
- extensor digitorum longus
- fibularis brexis
- flexor digitorum longus
- tibialis posterior
3
Q
What are the parts of the tibiofibular joints?
A
-
Superior (proximal tibiofibular joint)
- plane synovial
- articulation- head of fibular–> lateral tibial condylear
- ligaments ant and post. superior tibiofibular lige
-
Interosseous membrane
- intermediante tibifib joint
- syndesmosis joint
-
inferior (distal) tibiofibular joint
- continuation of innerossesour membrane
- syndesmosis fibrous joint
- anterior and posterior inferior tibial fibular ligaments
- inferior transverse lighametn( helps stabalize between disal tibia and fibula
4
Q
What are the fasciae and retinacula of the ankle
A
-
Superior and inferior retinacula
- hold down anterior leg (extenor) tendons
- inverters
-
superior and inferior fibular retinacula
- lateral
- hold down lateral leg tendons
- evertors
-
flexor retinaculum
- hold down deep posterior leg muscles
- flexors
5
Q
What is the fascial compartments of the leg?
A
- Anterior: Anterior intermuscular septum
- Lateral: Posterior intermuscular septum
-
Posterior:
- Superior: Transverse intermuscular septum
- Deep: interosseois membrane
6
Q
What are the cutaneous nerves of the leg?
A
Sural n F/ common fib and tibular
saphenous n (f/ fibular)
superficial fibular n (from common fibular)
7
Q
What is the innervation of the leg?
A
-
Lateral leg
- superfical fubular (L5-S2)
- common fibular n (L5-S2)
-
Anterior leg
- Deep fibular (L4-S1)
-
Posterior Leg
- Tibial Nerve (L4-S3)
8
Q
What are the arteries of the leg?
A
From popliteal a.
- Anterior leg anterior tibial
- Lateral leg fibular (peroneal) a.
- Posterior leg posteior tibial a
9
Q
- What are the muscles of the anterior compartment of the leg.
- What actions do they do?
- What is the nerve supply?
A
- muscles
- Extensory digitorum longus
- Extensor halliculs longus
- Tibialis anterior
- Fibulars Tertius
- dorsiflexors (extensors) and inverter of the foot
- deep fibular n (L4-S1)
10
Q
- What is this muscle? (second from the left)
- What is its insertion and orgin
- What is its innervation?
- What is its action?
A
- tibialis anterior
- lateral tib condyle, lat tibia, im–> medial cuneiform, base of 1st metarsal
- deep fibular nerve
- dorsiflexes and inverts foot
over use can cause shin splints
11
Q
- What is this muscle?
- What is its insertion and orgin
- What is its innervation?
- What is its action?
A
- Extensor digitorum longus
- lateral tibia condly, fibula, IM–> extensor expansion of digits 2-5
- deep fibular (L4-S1)
- Dorsiflex foot, extend 2-5
12
Q
- What is this muscle?
- What is its insertion and orgin
- What is its innervation?
- What is its action?
A
- Extensor hallicous longus
- anterior fibular, im–> distal phalenx of great toes
- deep femoral
- dorsi flex, extend great toe
13
Q
Fibularis tertius
- What is its insertion and orgin
- What is its innervation?
- What is its action?
A
- fibula, im–> 5th metatarsal
- deep fibular (L4-S1)
- dorsiflexes everts the foot
14
Q
What are shin spints and why do they happen?
A
over work tibialis anterior–> and it pulls on the bone–> micro trauma
mild for of anterior compartment syndrome
strain
15
Q
- What are the muscles of the lateral leg?
- What do they do?
- What is the nerve supply?
A
- fibularis longus, fibularis brevis
- Everters of the foot
- superficial fibular (L5-S2)