Lecture 8.1 Flashcards

1
Q

What are the structures found in the popliteal fossa?

A
Sciatic nerve (splits to become tibial and common fibular nerve within the fossa)
popliteal artery
Popliteal vein
Sural nerve
small saphenous vein
popliteal lymph nodes
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2
Q

which nerve gives off the communicating sural nerve branch?

A

common fibular nerve

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3
Q

What is the deepest structure of the popliteal fossa?

A

The popliteal artery

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4
Q

What are the superficial muscles of the posterior compartment of the leg?

A

Gastrocnemeus and soleus

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5
Q

What structures are present in posterior compartment of the leg?

A

muscles tibial nerve and posterior tibial vessels

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6
Q

What happens to the posterior tibial artery in the posterior compartment?

A

Posterior tibial artery gives off fibular artery (perforating branches to the lateral compartment)

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7
Q

Where in the posterior compartment is the tibial nerve?

A

deep to soleus and superficial to tibialis posterior

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8
Q

How do posterior structures continue after the leg?

A

the tarsal tunnel

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9
Q

What causes posterior compartment syndrome in the leg?

A

Loss of elasticity of veins returning blood to the heart followed by inactivity causing pooling of blood

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10
Q

What are complications that can result from posterior compartment syndrome?

A

deep vein thrombosis followed by pulmonary embolism

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11
Q

Can shin splints occur posteriorly?

A

Yes

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12
Q

What is significant about the plantaris muscle?

A

It has a separate tendon that joins with the gastrocnemius and soleus tendons.
It is absent in 7% and has a very long tendon (35-40cms!)

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13
Q

What is the significance of the soleus muscle?

A

It contains soleal sinuses and superficial veins go to deep veins through perforating veins that cross the soleus muscle.

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14
Q

What is a potential cause of achilles tendinitis?

A

Running suddenly without a warm up

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15
Q

What are the roles of the soleus and gastrocnemius in maintaining upright posture?

A

soleus contains slow twitch fibers and assists gastrocnemeus in maintainig upright posture while standing or walking.
Gastrocnemeus contains fast twitch fibers and is important in maintainign upright posture.

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16
Q

What nerve innervates posterior muscles?

A

tibial nerve

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17
Q

What are the deep muscles of the posterior leg compartment?

A

popliteus
Tibialis Posterior
Flexor digitorum longus
Flexor hallucis longus

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18
Q

What are the proximal tarsal bones?

A

calcaneus

talus

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19
Q

What are the middle row tarsal bones?

A

navicular

cuboid

20
Q

What are the distal row tarsal bones?

A

cuneiforms

21
Q

Where are the sesamoid bones of the foot found?

A

Flexor hallucis brevis tendon

22
Q

What structures allow the foot to survive the tremendous forces acting on it?

A

Arches
tendons
plantar aponeurosis
ligaments

23
Q

What are the muscle and ligament attachments of the calcaneus on the plantar side?

A

Calcaneal tuberosity

Peroneal tubercle

24
Q

How many articular surfaces does the calcaneus have for the talus?

A

3

25
Q

What structures are found in the sinus tarsi?

A

Vascular sling

26
Q

What are the blood vessels that supply the talus?

A

Anteriorly: Dorsalis pedis
Posteriorly: posterior tibial and fibular arteries

27
Q

What does the head of the talus articulate with?

A

The navicular

28
Q

What sulci form the tarsal sinus?

A

The calcaneal and talo sulci

29
Q

What can be said about the blood supply to the talus?

A

It is poor particularly to the posterior tubercle. (fracture is similar to scaphoid fracture)

30
Q

What could happen to posterior tubercle of talus if blood supply was occluded?

A

avascular necrosis

31
Q

What is the name of the structure within the talus that articulates with the malleolar mortise?

A

the trochlear surface

32
Q

What muscle attaches to navicular’s tuberosity?

A

Tibialis posterior

33
Q

What attaches to cuboid’s tuberosity?

A

fibularis longus

34
Q

What is a tarsal coalition?

A

Tarsal bones fuse together

35
Q

What is a pott’s fracture?

A

A pott’s fracture is a fracture of the medial and lateral malleoli. It is caused by a laterally rolled ankle being hit from the lateral side

36
Q

Which metatarsals are most commonly injured?

A

2nd and 5th

37
Q

What are the origin and insertion of Abductor Hallucis brevis?

A

origin:medial tubercle of calcaneum; flexor retinaculum
Insertion: medial side, base of proximal phalanx of big toe

38
Q

What is the origin and insertion of flexor digitorum brevis?

A

origin: medial tubercle of calcaneum
Insertion: middle phalanx of four lateral toes

39
Q

What is the origin and insertion of abuctor digiti minimi?

A

origin:medial & lateral tubercles of calcaneum
Insertion:lateral side base of proximal phalanx 5th toe

40
Q

What is the origin and insertion of quadratus plantae?

A

origin:medial and lateral sides of calcaneum
Insertion: tendons flexor digitorum longus

41
Q

What is the origin and insertion of the lumbricals?

A

origin: tendons of flexor digitorum longus
Insertion: dorsal extensor expansion of lateral four toes

42
Q

What structures are present with the second layer of muscles? Which muscles are in the second layer?

A

Second layer contains the lumbricals and quadratus plantae.

FDL and FHL tendons.

43
Q

What is the origin and insertion of flexor hallucis brevis?

A

origin:cuboid, lateral cuneiform bones; tibialis posterior insertion
Insertion:medial & lateral sides of base of proximal phalanx of big toe

44
Q

What is the origin and insertion of adductor hallucis?

A

origin: bases of 2nd, 3rd & 4th metatarsal bones
Insertion:lateral side base of proximal phalanx big toe

45
Q

What is the origin and insertion of flexor digiti minimi

A

origin:base of 5th metatarsal bone
Insertion: lateral side of base of proximal phalanx of big toe

46
Q

What muscles are present on the dorsal side of the foot?

A

Interossei muscles
Extensor digitorum brevis
Extensor hallucis brevis

47
Q

Deficiencies in which muscles cause claw toes?

A

fibularis longus
lumbricals
flexor digitorum longus