Leg Flashcards
muscles of the posterior compartment are divided into superficial and deep groups. what is the most superficial muscle of the superficial group?
gastrocnemius
origin of gastrocnemius
medial head- from proximal and posterior part of femoral condyles
lateral head- from a depression on the lateral side of the lateral condyle
insertion of gastrocnemius
fibers of the 2 heads approach each other in the midline to join in a tendinous raphe which forms the aponeurosis of the muscle –> to attach to central part of posterior surface of calcaneus
nerve supply to gastroc
tibiali nerve
function of gastroc
plantar flexor of the ankle
supinator of intertarsal joints
flexes at the knee
what muscles form the triceps surae?
2 heads of gastrocnemius + soleus
origin of soleus
posterior surface of the head and body of the fibula, from the soleal line, middle third of tibia and from the tendinous arch btwn tibula and fibula
insertion of soleus
tendo calcaneus into the calcaneus
nerve supply to soleus
tibial nerve
function of soleus
plantarflexor of the ankle
plantaris muscle is absent in what % of cases?
plantaris
origin of plantaris
takes origin from the lateral supracondylar line of the femur and the oblique popliteal ligament
insertion of plantaris
medial side of the posterior surface of calcaneus
*on occasion it may join the tendo calcaneus
innervation of plantaris
tibial nerve
function of plantaris
plantar flexor at the ankle
flexor at the knee
origin of popliteus
groove on teh lateral condyle of femur
arcuate popliteal ligament
lateral meniscus
insertion of popliteus
proximal to the soleal line on the body of the tibia
nerve supply of popliteus
tibial nerve
functions of popliteus
flexor and rotator at the knee
unlocks the knee
*with weight on the limb, it rotates thigh laterally
*with NO weight, it rotates the leg medially
origin of FHL
arises from the distal 2/3 of posterior surface of the fibula, the IO mb, and the posterior IM septum
insertion of FHL
base of distal phalanx of 1st digit
innervation of FHL
tibial nerve
function of FHL
flexor of the IP joint of the first digit
plantarflexor of the ankle
supinator at the intertarsal joints
origin of FDL
posterior surface, medial to the vertical line, of the proximal 2/3 of the body of the tibia below the soleal line
insertion of FDL
divides into 4 tendons that are inserted into the bases fo the distal phalanges of digits 2-5
innervation of FDL
tibial nerve
function of FDL
flexes DIPJ
plantarflexes the ankle joint
supinates teh intertarsal joints
origin of tibialis posterior
posterior surface of IO mb
posterior surface, lateral to the vertical line, of thetibia below the soleal line
upper 2/3 of the medial surface of fibula
insertion of tibialis posterior
navicular tubersoity, 3 cuneiforms, cuboid, and bases of mets 2-4, sustentaculum tali
innervation of tibialis posterior
tibial nerve
function of tibialis posterior
supinator of intertarsal joints
plantar flexor at the ankle
What is the longest branch of the femoral nerve?
saphenous nerve
which structure in the adductor canal does NOT pass thru the adductor hiatus?
saphenous nerve- it leaves the canal by passing to the surface on the medial side of the knee
describe the course of the saphenous nerve after it leaves the adductor canal?
- passes btwn tendons of sartorius and gracilis muscles
- then runs with the great saphenous vein along the medial side of the leg
in the proximal third of the leg, the saphenous nerve divides into 2 branches:
- subsartorial nerve plexus
- infrapatellar branch, which provides cuaneous innervation to skin over patella
what are the terminal branches of the tibial nerve?
divide into medial and lateral plantar nerves the the flexor retinaculum
what makes up the sural nerve?
medial sural cutaneous nerve (from tibial n.) + lateral sural cutaneous nerve (from common peroneal n.)
what nerves make up the sciatic nerve?
common peroneal n. + tibial n.
what is the deep fascia of the leg continuous with?
fascia lata of the thing
what is the deep fascia of the leg attached to?
patella patellar ligament tibial tuberosity condyles of the tibia fibular head
the deep leg of the fascia receives fibers from the tendons of which muscles?
tendons of biceps femoris sartorius gracilits semitendinosus semimembranosus
O/I of tibialis anterior
origin- lateral condyle of tibia; upper 2/3 of lateral surface of tibia; IO mb; deep crural fascia
insertion- medial plantar surface of medial cuneiform and to base of 1st met
nerve supply of tibialis anterior
deep peroneal nerve
functions of tibialis anterior
dorsiflexor and inverter at the ankle
also a supinator at intertarsal joints
what relationship does extensor hallucis longus have to the tibialis anterior?
lies just lateral to the tibialis anterior
what structures lie in between extensor hallucis longus and tibialis anterior?
anterior tibial artery (& vein)
deep peroneal nerve
O/I of extensor hallucis longus
origin: middle 2/3 of anterior surface of fibula; accessory origin from IO mb
insertion: base of distal phalanx of 1st digit
innervation of extensor hallucis longus
deep peroneal nerve
function of extensor hallucis longus
extension at 1st MPJ
dorsiflexion of ankle joint
supination at the intertarsal joints
what is the extensor hallucis capsularis? (origin/insertion?)
is an accessory muscle which arises as an extension of the Extensor hallucis longus tendon (origin)
*inserts on the medial surface of the capsule of the 1st MPJ
function of extensor hallucis capsularis
lift the capsule out of the joint to prevent entrapment of the capsule
O/I of extensor digitorum longus
O- lateral condyle of tibia; head and upper 3/4 of the anterior surface of the fibula; IO mb; deep fascia and from the anterior IM septum between it and peroneus longus
I-extensor expansion of the 2nd-4th digits
function of extensor digitorum longus
extension of MPJ of the lateral 4 digits
dorsiflexes and everts the ankle
pronation of intertarsal joints
O/I of peroneus tertius
O- lower 1/3 of anterior surface of the fibula
I-base of 5th met
function of peroneus tertius
dorsiflexor and evertor of the ankles
pronator of intertarsal joints
what is the blood supply and innervation to the anterior compartment of the leg?
anterior tibial artery
deep peroneal nerve
Name the muscles that lie in the anterior compartment of the leg.
- tibialis anterior
- extensor digitorum longus
- extensor hallucis longus
- peroneus tertius
- (extensor hallucis capsularis)
Name the muscles that lie in the lateral compartment of the leg.
peroneus longus
peroneus brevis
O/I of peroneus longus
origin- head and upper 2/3 of the body, lateral surface of the fibula; lateral tibial condye; crural fascia and both IM septum
insertion- lateral side of the base of the 1st met and the lateral side of the medial cuneiform
function of peroneus longus
plantar flexion and eversion at the ankle
pronates the intertarsal joints
innervation of peroneus longus
superficial fibular nerve
what is the relationship of the lateral compartment msucles in the leg?
peroneus longus is superficial to the peroneus brevis
O/I of peroneus brevis
Origin- lower 2/3 of the body, lateral surface of the fibula, crural fascia and both IM septa
insertion- tuberosity of the 5th met
function of peroneus brevis
plantar flexor and evertor at the ankle
pronates the intertarsal joints
what is the innervation and blood supply to lateral compartment?
superficial peroneal nerve
peroneal artery
Name the muscles of the posterior compartment of the leg.
- gastrocnemius- superficial group
- soleus - superficial group
- plantaris- superficial group
- popliteus- deep group
- flexor hallucis longus- deep group
- flexor digitorum longus- deep group
- tibialis posterior- deep group
what is the blood supply and innervation to the posterior compartment of the leg?
posterior tibial artery
tibial nerve