Leg Anatomy Flashcards
What are the 2 longitundinal arches of the foot?
Medial longitudinal arch
Lateral longitudinal arch
What forms the medial longitudinal arch?
Calcaneus
Talus
Navicular
Cuneiforms
1st 3 Metatarsals
What forms the lateral longitudinal arch?
Calcaneus
Cuboid
4th & 5th metatarsal bones
What forms the transverse arch of the foot?
Metatarsal bases
Cuboid
Cuneiform bones
What is the problem with high arches?
High medial longitudinal arch so no ability to absorb shock
What is the problem with flat footed people?
Lost longitudinal arch
Normal during infancy
Which nerve supplies the anterior medial leg?
Femoral nerve
Which nerve supplies the anterior lateral leg?
Common fibular nerve
What supplies the dorsal surface of the foot?
Common fibular nerve
What nerve supplies the 5th metatarsal?
Tibial nerve
What supplies the anterior lateral skin of the thigh?
Lateral cutaenous nerve of thigh
Which nerve supplies the medial thigh?
Obturator nerve
What nerve supplies the middle of the thigh?
Femoral nerve
Which nerve supplies the posterior heel?
Tibial nerve
Which nerve supplies the posterior lateral aspect of the leg?
Femoral nerve
Which nerve supplies the medial posterior leg?
Common fibular nerve
Which nerve supplies the middle posterior thigh?
Posterior cutaneous nerve of thigh
Which nerve supplies the buttocks?
Posterior rami (L1-S3)
Which muscles make up the anterior compartment of the leg?
Tibialis anterior
Extensor hallucis longus
Extensor digitorum longus
Fibularis tertius
What muscles make up the lateral compartment of the leg?
Fibularis brevis
Fibularis longus
What muscles make up the posterior compartment of the leg?
Flexor digitorum longus
Tibialis posterior
Plantaris
Gastrocnemius muscle
Soleus
Flexor hallucis longus
What are the 4 septa found in the leg separating compartments?
Posterior intermuscular septum of leg
Transverse intermuscular septum
Interosseous membrane
Anterior intermuscular septum of leg
What is the general action of the anterior compartment of the leg?
What nerve innervates it?
Dorsiflexion of ankle
Deep fibular nerve - L4, L5
What is the general action of the lateral compartment of the leg?
What nerve innervates this compartment?
Eversion of foot
Superficial fibular nerve L5, S1, S2
What is the general action of the Posterior compartment of the leg?
What nerve innervates this compartment?
Plantarflexion of the ankle
Tibial nerve
What is the origin and insertion of Tibialis anterior?
What is its action?
Lateral condyle of tibia — Medial cuneiform
Dorsiflexion
What is the origin and insertion of Extensor digitorum longus?
What is its action?
Lateral condyle of tibia — Phalanges
Dorsiflexion
What is the origin and insertion of Extensor hallucis longus?
What is its action?
Anterior tibia — Base of great toe phalanx
Dorsiflexion of ankle
What is the origin and insertion of Fibularis tertius?
What is its action?
Anterior surface of fibula — Base of 5th metatarsal
Dorsiflexion
What is the origin and insertion of Fibularis longus?
What is its action?
Head of fibula — Base of 1st metatarsal
Plantarflexion
What is the origin and insertion of Fibularis brevis?
What is its action?
Lateral surface of fibula — Lateral side of 5th metatarsal
Plantarflexion
What is the origin and insertion of fibularis longus muscle?
What is its action?
Shaft of fibula — Sole of foot
Eversion of foot
What is the origin and insertion of Fibularis brevis muscle?
What is its action?
Lateral fibula — Base of 5th metatarsal
Eversion
What is the origin and insertion of Gastrocnemius?
What is its action?
Lateral condyle of femur & Medial condyle— Calcaneal tendon
Plantarflexion
What is the origin and insertion of Soleus?
What is its action?
Medial tibia — Calcaneal tendon
Plantarflexion
What is the origin and insertion of Plantaris?
What is its action?
Supracondylar ridge — Calcaneal tendon
Plantarflexion
What is the origin and insertion of Popliteus?
What is its action?
Lateral condyle of femur — Posterior surface of tibia
Weak flexion of knee
What is the origin and insertion of Flexor hallucis longus?
What is its action?
Fibula — Base of phalanx of great toe
Flexion of great toe
What is the origin and insertion of Flexor digitorum longus?
What is its action?
Medial part of posterior tibia — Base of phalanges
Flexion of 4 digits, Plantarflexion of ankle
What is the origin and insertion of Tibialis posterior?
What is its action?
Posterior surface of tibia — Navicular, cuneiform, cuboid, base of metatarsals
Plantarflexion
What nerve supplies Popliteus, Flexor hallucis longus, Flexor digitorum longus, and Tibialis posterior?
Tibial nerve
What are the 3 branches of the popliteal artery?
Superior genicular arteries
Middle genicular arteries
Inferior genicular arteries
What does the popliteal artery branch of?
Where does the popliteal artery pass through?
Femoral artery
Popliteal fossa
What artery does the anterior tibial artery arise from?
What is the lower branch of the anterior tibial artery?
Popliteal artery
Dorsalis pedis artery
What does the posterior tibial artery branch from?
What is a branch of the posterior tibial artery?
Popliteal artery
Fibular artery
What 2 arteries supply the sole of the foot?
Medial plantar artery
Lateral plantar artery
What is the action of the plantar interossei?
What is the action of the dorsal interossei?
Adduct
Abduct
What muscles make up the 1st layer of the sole?
Abductor hallucis
Flexor digitorum brevis
Abductor digiti minimi
What is the origin and insertion of Abductor hallucis?
What is its action?
Medial calcaneus — Proximal 1st phalanx
Abduction of 1st digit
What is the origin and insertion of flexor digitorum brevis?
What is its action?
Medial calcaneus — Middle phalanges of 4 digits
Flexion of 4 digits
What is the origin and insertion of Abductor digiti minimi?
What is its action?
Medial calcaneus — Lateral 5th phalanx
Abduction and flexion of 5th toe
What nerve supplies the layers of the sole?
Plantar nerve (Lateral & Medial)
What are the 2 muscles of the 2nd layer of the sole?
Quadratus plantae
Lumbricals
What is the origin and insertion of Quadratus plantae?
What is its action?
Plantar surface of calcaneus — Tendon of FDL
Flexion of lateral 4 digits
What is the origin and insertion of the lumbricals?
What is its action?
Tendons of FDL — Medial 4th digits
Flexion of phalanges
What are the 3 muscles of the 3rd layer of the sole?
Flexor hallucis brevis
Adductor halluces
Flexor digiti minimi brevis
What is the origin and insertion of Flexor hallucis brevis?
What is its action?
Plantar cuboid and cuneiform — 1st digit phalanx
Flexion
What is the origin and insertion of Adductor Hallucis?
What is its action?
Base of metarsals — Base of proximal phalanx
Adduction
What is the origin and insertion of Flexor digiti minimi brevis?
What is its action?
Base of metatarsal 5 — proximal phalanx of 5th digit
Flexion
What are 2 muscles in the 4th layer of the sole?
Plantar interossei
Dorsal interssei
What is the origin and insertion of the Plantar interossei?
What is its action?
Plantar side of medial metatarsals — Medial side of base of phalanges
Adduction & Flexion of MTP joints
What is the origin and insertion of dorsal interossei?
What is its action?
Sides of shaft of metatarsals — Proximal phalanx
Abduction of digits & Flexion of MTP joints
What are the 2 muscles of the dorsum of the foot?
Extensor digitorum brevis
Extensor hallucis brevis
What is the origin and insertion of Extensor digitorum brevis?
What is its action?
What nerve supplies it?
Calcaneus — Extensor tendons of medial digits
Extension
Deep fibular nerve
What is the origin and insertion of Extensor hallucis brevis?
What is its action?
What nerve innervates it?
Calcaneus — Base of phalanx of big toe
extension
Deep fibular nerve
Which main artery supplies the branches for the foot?
Anterior tibial artery
Which veins drain the foot?
Which main vein drains the foot?
Dorsal venous network
Great saphenous vein
What are the compartments of the thigh muscles?
Anterior compartment
Medial compartment
Posterior compartment
What is the action of the muscles of the anterior compartment of the thigh?
Flexion of the thigh
What is the action of the medial muscles of the thigh?
Adduction of the thigh
What is the action of the posterior muscles of the thigh?
Extension of the thigh
Lateral rotation of the thigh
What nerve supplies the anterior compartment of the thigh?
Femoral nerve
What nerve supplies the medial compartment of the thigh?
Which muscle is not supplied by this nerve?
Obturator nerve
Hamstring part of Adductor magnus - Tibial nerve
Which nerve supplies the posterior thigh muscles?
What nerve supplies the short head of biceps femoris?
Tibial nerve except short head of biceps femoris
Common fibular nerve
What is the origin and insertion of Pectineus?
What is its action?
Pubis — Femur
Flexion of thigh
What is the origin and insertion of Illipsoas?
What is its action?
Iliac crest, T12-L5 vertebrae — Femur, Pectineal line
Flexion of thigh
What 3 muscles make up iliopsoas?
Iliacus
Psoas major
Psoas minor
What is the origin and insertion of Sartorius?
What is its action?
ASIS — Medial tibia
Flexion of thigh
What is the origin and insertion of Quadriceps femoris?
What is its action?
anterior and sides of femur — Quadriceps tendon
Flexion of thigh
What 4 muscles make up Quadriceps femoris?
Rectus femoris
Vastus lateralis
Vastus intermedius
Vastus medialis
What goes through the adductor hiatus?
Where do they travel to?
Femoral artery
Femoral vein
Popliteal fossa?
What is the origin and insertion of Adductor longus?
What is its action?
Pubis — Linea aspera
Adduction
What is the origin and insertion of Adductor brevis?
What is its action?
Pubis — Pectineal line
Adduction of thigh
What is the origin and insertion of Adductor magnus (Adductor & Hamstring)
What is its action?
Pubis & Ischial tuberosity — Gluteal tuberosity & Adductor tubercle of femur
Adduction of thigh
What is the origin and insertion of Gracilis?
What is its action?
Pubis — Medial tibia
Adduction of thigh
What is the origin and insertion of Obturator internus?
What is its action?
Margin of obturator foramen — Trochanteris fossa of femur
Lateral rotation & Stabilise head of femur
What are the boundaries of the femoral triangle?
Inguinal ligament
Lateral border of adductor longus
Sartorius
Iliopsoas
Fascia lata
What does the femoral triangle contain?
Femoral nerve
Femoral artery
Femoral vein
Deep inguinal lymph nodes
What are the origins of the femoral nerve?
L2 - L4
Where does the femoral artery branch from?
External iliac artery
Where does the femoral vein drain into?
What is it a continuation of?
External iliac vein
Popliteal vein
What are the 3 superficial muscles of the gluteal region?
Gluteus maximus
Gluteus medius
Gluteus minimus
What nerve supplies the Gluteus maximus?
What nerve supplies Gluteus minimus, and medius?
inferior gluteal nerve
Superior gluteal nerve
What is the origin and insertion of Gluteus maximus?
What is its action?
Sacrum & Coccyx — gluteal tuberosity of femur
Extension of thigh
What is the origin and insertion of Gluteus medius?
What is its action?
Ilium — Greater trochanter of femur
Abduction of thigh
What is the origin and insertion of Gluteus minimus?
What is its action?
Ilium — Greater trochanter of femur
Abduction of thigh
What are the 5 deep gluteal muscles?
Piriformis
Obturator internus
Superior gemelli
Inferior gemelli
Quadratus femoris
What is the action of the deep gluteal muscles?
Lateral rotation of thigh
What is the origin and insertion of Piriformis?
What nerve innervates it?
Sacrum — Greater trochanter
Nerve to piriformis
What is the origin and insertion of Obturator internus?
What nerve innervates it?
Obturator membrane — Greater trochanter
Nerve to obturator internus
What is the origin and insertion of Superior Gemelli & Inferior Gemelli?
What nerve innervates them?
Ischial spine — Greater trochanter
Nerve to obturator internus & Nerve to quadratus femoris
What is the origin and insertion of Quadratus femoris?
What nerve innervates it?
Ischial tuberosity — Intertrochanteric crest
Nerve to quadratus femoris
What are the 3 posterior thigh muscles?
Semitendinosus
Semimembranosus
Biceps femoris
What is the origin and insertion of Semitendinosus?
What is its action?
Ischial tuberosity — Superior tibia
Extension of thigh
What is the origin and insertion of Semimembranosus?
What is its action?
Ischial tuberosity — Medial condyle of tibia
Extension of thigh
What is the origin and insertion of Biceps femoris?
What is its action?
Ischial tuberosity & Linea aspera — Lateral head of fibula
Extension of thigh
Which arteries supply the gluteal region?
Superior gluteal artery
Inferior gluteal artery
Which 2 veins drain the gluteal region?
Superior gluteal vein
Inferior gluteal vein
What are the boundaries of the popliteal fossa?
Biceps femoris
Semimembranosus
Medial heads of gastrocnemius
What are the contents of the popliteal fossa?
Small saphenous vein
Popliteal arteries
Tibial and common fibular nerves
Popliteal lymph nodes
What is the joint between the femur and patella?
What is the joint between the tibia and fibula?
Femoropatellar joint
Tibiofibular joint
What do the metatarsophalangeal joints join?
What do the interphalangeal joints join?
Metatarsals to phalanges
Phalanges
What artery supplies the head of the femur?
Artery to head of femur
What is the function of the iliofemoral ligament?
What is the function of the pubofemoral ligament?
Prevent hyperextension of the hip joint
Prevents overabduction of the hip joint
What are the 5 extracapsular ligaments of the knee joint?
Patellar ligament
Fibular collateral ligament
Tibial collateral ligament
Oblique popliteal ligament
Arcuate popliteal ligament
What are the 2 intercapsular ligaments of the knee?
Anterior cruciate ligament
Posterior cruciate ligament
What is the function of the ACL?
Limits posterior displacement of femur on tibia
Hyperextension of knee joint
What is the function of the PCL?
Prevents anterior displacement of the femur on the tibia
Hyperflexion of the knee joint
What is the function of the menisci of the knee joint?
Shock absorption
What are the 6 knee bursae?
Suprapatellar
Popliteus
Anserine
Gastrocnemius
Semimembranosus
Infrapatellar
What 5 arteries supply the knee joint?
Superior lateral genicular artery
Inferior lateral genicular artery
Middle genicular artery
Inferior medial genicular artery
Superior medial genicular artery
What are the different ligaments attaching the talus to fibula?
Anterior talofibular ligament
Posterior talofibular ligament
What attaches calcaneus to the fibula?
Calcaneofibular ligament
What is the medial ligament of the ankle?
stabilises the ankle joint during eversion and prevents dislocation of the joint
What are eversion and inversion?
Eversion - movement of the sole laterally
Inversion - movement of the sole medially