Leg Flashcards
Anterior compartment of leg boundaries
Anterior: skin and fascia
Medial: lateral surface of tibia
Posterior: interosseous membrane
Lateral: anterior intermuscular septum
4 muscles of anterior compartment of leg
Tibialis anterior
Extensor digitorum longus
Extensor hallicis longus
Peroneus tertius
Nerve of the anterior compartment of leg
Deep peroneal
Artery of anterior compartment of leg
Anterior tibial
Tibialis anterior origin
Superior 1/2 of lateral tibia and interosseous membrane
Tibialis anterior insertion
Medial cuneiform and base of 1st metatarsal
Tibialis anterior actions
Dorsiflexes ankle
Inverts foot at subtalar joint
Extensor digitorum longus origin
Lateral condyle of tibia, superior 1/2 of medial fibula and interosseous membrane
Extensor digitorum longus insertion
Middle and distal phalanges of lateral 4 toes
Extensor digitorum longus actions
Extends toes
Dorsiflexes ankle
Extensor hallucis longus origin
Middle anterior fibula and interosseous membrane
Extensor hallucis longus insertion
Base of distal phalanx of great toe
Extensor hallucis longus actions
Extends great toe
Dorsiflexes ankle
Peroneus tertius origin
Inferior 1/3 of anterior fibula and interosseous membrane
Peroneus tertius insertion
Base of 5th metatarsal
Peroneus tertius actions
Dorsiflexes ankle
Everts foot at subtalar joint
2 muscles of the lateral compartment of the leg
Peroneus longus
Peroneus brevis
Lateral component of the leg nerve supply
Superficial peroneal nerve
Peroneus longus origin
Superior 2/3 of lateral fibula
Peroneus longus insertion
Base of 1st metatarsal and medial cuneiform
Peroneus longus actions
Everts foot
Plantarflexes
Peroneus brevis origin
Inferior 2/3 of lateral fibula
Peroneus brevis insertion
Base of 5th metatarsal
Peroneus brevis actions
Everts foot
Plantarflexes
Superior extensor retinaculum
Band of deep fascia passing from tibia to fibula superior to malleoli
Binds down tendons of anterior compartment of the leg and prevents bowstringing
Inferior extensor retinaculum
Y shaped band of deep fascia with a lateral attachment to upper surface of calcaneus and a medial attachment to the medial malleolus and plantar aponeurosis
Superior peroneal retinaculum
Attached above to lateral malleolus and below to lateral surface of calcaneus
Inferior peroneal retinaculum
Continuous in front with cruciate crural ligament and attached behind to lateral surface of calcaneus
Malleoli
Bony prominences either side of the ankle
Calcaneus
Heel bone
Subtalar joint
A joint of the foot between the talus and calcaneus
Cruciate crural ligament
Another name for the inferior extensor retinaculum
7 key bones of the ankle/heel/foot
Talus (ankle) Calcaneus (heel) Navicular Cuboid 3 cuneiforms (lateral, intermediate and medial)
The sciatic nerve arises from:
L4 - S3
Two terminal branches of the sciatic nerve
Tibial nerve
Common peroneal nerve
The sciatic nerve divides into its terminal branches in the:
Posterior thigh
Two divisions of the common peroneal nerve
Deep peroneal nerve
Superficial peroneal nerve
The common peroneal nerve exits the ________ ______ laterally
Popliteal fossa
The deep peroneal nerve travels with:
The anterior tibial artery
The femoral artery becomes the popliteal artery:
As it enters the superior aspect of the popliteal fossa
After the popliteal artery exits the fossa inferiorly it divides into:
The anterior tibial artery, posterior tibial artery and peroneal artery
The anterior tibial artery at the ankle becomes the:
Dorsalis pedis artery
3 key branches of the dorsalis pedis artery
Deep plantar
Lateral tarsal
Arcuate
The posterior tibial artery at the ankle becomes the:
Medial and lateral plantar arteries
2 dorsal foot muscles
Extensor digitorum brevis
Extensor hallucis brevis
Nerve supply of dorsal foot muscles
Deep peroneal nerve
Origin of dorsal foot muscles
Calcaneous and inferior extensor retinaculum
Extensor digitorum brevis insertion
Middle and distal phalanges of lateral 4 toes
Extensor hallucis brevis insertion
Base of proximal phalanx of great toe
Dorsal foot muscle actions
Toe extension
Popliteal fossa
Diamond shaped space behind the knee through which many structures pass on their way from the thigh to the leg
Superior lateral margin of popliteal fossa
Biceps femoris
Superior medial margin of popliteal fossa
Semimembranosus and semitendonosus
Inferior margin of popliteal fossa
Medial and lateral heads of gastrocnemius
4 contents of popliteal fossa
Popliteal artery
Popliteal vein
Tibial nerve
Common peroneal nerves
Arterial tree of leg from aorta to dorsalis pedis
Aorta Right common peroneal Femoral Popliteal (continuation of femoral) Anterior tibial Dorsalis pedis
Arterial tree of leg from aorta to peroneal artery
Aorta Left common peroneal Femoral Popliteal Posterior tibial Peroneal
Order of position in ankle from medial malleolus to calcaneus
Tom, Dick And Very Naughty Harry
Tibialis posterior flexor Digitorum longus posterior tibial Artery posterior tibial Vein posterior tibial Nerve flexor Hallucis longus
3 superficial muscles of posterior compartment of leg
Gastrocnemius
Solues
Plantaris
Gastrocnemius origin
Medial and lateral condyles of the femur (for medial and lateral heads respectively)
Gastrocnemius insertion
Post calcaneus via Achilles Tendon
Gastrocnemius actions
Plantarflexes ankle and flexes knee
Soleus origin
Proximal tibia and proximal fibula
Soleus insertion
Post calcaneus via Achilles Tendon
Soleus action
Plantarflexes ankle
Plantaris origin
Superior to lateral head of gastrocnemius on femur
Plantaris insertion
Medial side of Achilles Tendon
Plantaris action
Plantarflexes ankle
Innervation of posterior compartment of leg
Tibial branch of sciatic nerve - this applies to both superficial and deep muscles
Achilles tendon insertion
Calcaneus
Achilles tendon purpose
Ankle plantarflexion
Injury to Achilles tendon presents as ability to push off from ground
Triceps surae
Medial head of gastrocnemius
Lateral head of gastrocnemius
Soleus
4 deep muscles of posterior compartment of leg
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
Popliteus
Tibialis posterior origin
Posterior tibia, fibula and interosseous membrane
Tibialis posterior insertion
Navicular bone of ankle
Tibialis posterior actions
Plantarflexes ankle
Inverts foot
Flexor digitorum longus origin
Middle tibia
Flexor digitorum longus insertion
Distal phalanges of lateral 4 toes
Flexor digitorum longus actions
Flexes toes
Plantarflexes ankle
Flexor hallucis longus origin
Distal fibula and interosseous membrane
Flexor hallucis longus insertion
Distal phalanx of great toe
Flexor hallucis longus actions
Flexes great toe
Plantarflexes ankle
Popliteus origin
Lateral condyle of the femur and lateral meniscus
Popliteus insertion
Posterior tibia
Popliteus actions
Medially rotates tibia
The main artery of the posterior compartment is:
The posterior tibial artery
The two terminal branches of the posterior tibial artery are:
Medial plantar artery and lateral plantar artery
Sural nerve
Formed from a branch of the tibial nerve with a branch of the common peroneal nerve
Supplies skin to lateral and posterior sides of inferior leg and heel