Leg and Ankle Flashcards
tibialis anterior origin
lateral condyle
lateral surface of upper 1/2 of tibia
interosseous membrane
crural fascia
tibialis anterior insertion
medial and plantar surfaces of 1st metatarsal bone
medial cuneiform
tibialis anterior action
dorsiflexes foot at ankle joint
inverts and adducts at subtalar and midtarsal joint
tibialis anterior innervation
deep fibular (peroneal) nerve (L4, L5)
extensor hallucis longus origin
medial surface of fibula
anterior part of interosseous membrane
crural fascia
extensor hallucis longus insertion
dorsal surface of base of distal phalanx of great toe
extensor hallucis longus action
extends great toe
dorsiflexes and inverts foot
extensor hallucis longus innervation
deep fibular (peroneal) (L5, S1)
extensor hallucis longus irrigation
anterial tibial artery
extensor digitorum longus origin
lateral condyle of tibia
upper 3/4 anterior surface of fibula
interosseous membrane
extensor digitorum longus insertion
distal phalanges of four lateral toes
extensor digitorum longus action
extends last four digits
dorsiflexes and everts foot
extensor digitorum longus innervation
deep fibular (peroneal) nerve (L5, S1)
extensor digitorum longus irrigation
anterior tibial artery
fibularis longus origin
head of fibula
upper 2/3 of fibula
intermuscular septum
fibularis longus insertion
lateral aspect of base of 1st metatarsal
medial cuneiform
fibularis longus action
everts foot
weak plantar flexor
fibularis longus innervation
superficial fibular (peroneal) nerve (L4-S2)
fibularis longus irrigation
anterial tibial and peroneal arteries
fibularis brevis origin
distal 2/3 of lateral surface of fibula
intermuscular septum
fibularis brevis insertion
lateral surface and base of 5th metatarsal
fibularis brevis action
everts foot
weak plantar flexor
fibularis brevis innervation
superficial fibular (peroneal) nerve (L4-S1)
fibularis brevis irrigation
muscular branches of peroneal artery
extensor hallucis brevis origin
dorsal aspect of calcaneus bone
extensor hallucis brevis insertion
lateral side of proximal phalanx of great toe
extensor hallucis brevis action
extend proximal phalanx of great toe
extensor hallucis brevis innervation
deep fibular nerve (L5, S1)
extensor hallucis brevis irrigation
dorsalis pedis artery
extensor digitorum brevis origin
dorsal and lateral aspect of calcaneus bone
extensor digitorum brevis insertion
lateral side of tendons of extensor digitorum longus
extensor digitorum brevis action
helps extend proximal phalanges of 2nd-4th toes
extensor digitorum brevis innervation
deep fibular nerve (L5, S1)
extensor digitorum brevis irrigation
dorsalis pedis artery
gastrocnemius origin
medial head: medial epicondyle of femur
lateral head: lateral epicondyle of femur
gastrocnemius insertion
posterior surface of calcaneus
gastrocnemius action
plantar flexes foot
flex leg at knee
supinate foot
gastrocnemius innervation
tibial nerve (S1-S2)
gastrocnemius irrigation
each head supplied by a sural branch of popliteal artery
soleus origin
posterior surface of head
upper 1/3 of fibula
soleal line
medial border of tibia
soleus insertion
joins tendon of gastroc to insert on calcaneus
soleus action
plantar flex foot
soleus innervation
tibial nerve (S1, S2)
soleus irrigation
posterior tibial, peroneal, and sural arteries
plantaris origin
posterior aspect of lateral epicondyle of femur
oblique popliteal ligament
plantaris insertion
into calcaneal tendon with gastroc and soleus muscles
plantaris action
plantar flexion
weak knee flexor
plantaris innervation
tibial nerve (S1, S2)
plantaris irrigation
posterior tibial, peroneal, and sural arteries
popliteus origin
lateral epicondyle of femur
lateral meniscus of knee joint
popliteus insertion
posterior surface of body of tibia proximal to soleal line
popliteus action
flex and internally rotate tibia when femur is fixed; externally rotate femur to unlock knee joint when tibia is fixed
popliteus innervation
tibial nerve (L4-S1)
popliteus irrigation
medial inferior genicular branch of popliteal artery
muscular branch of posterior tibial artery
tibialis posterior origin
posterior surface of interosseuos membrane
posterior surface of tibia
medial surface of fibula
tibialis posterior insertion
navicular tuberosity, slips to calcaneus, three cuneiforms, cuboid, and 2-4 metatarsals
tibialis posterior action
plantar flexion, invert and adducts foot
tibialis posterior innervation
tibial nerve (L5, S1)
tibialis posterior irrigation
muscular branches of sural, peroneal, and posterior tibial arteries
flexor digitorum longus origin
posterior surface of tibia and fascia over tibialis posterior
flexor digitorum longus insertion
bases of distal phalanx of the four lateral toes
flexor digitorum longus action
flexes distal phalanx of lateral four toes
plantar flexes and supinates foot
flexor digitorum longus innervation
tibial nerve (S1, S2)
flexor digitorum longus irrigation
muscular branch of posterior tibial artery
flexor hallucis longus origin
lower 2/3 of posterior fibula
lower part of interosseous membrane
flexor hallucis longus insertion
base of distal phalanx of great toe
flexor hallucis longus action
flexes distal phalanx of large toe
plantar flexes and supinates foot
flexor hallucis longus innervation
tibial nerve (S1, S2)
flexor hallucis longus irrigation
muscular branch of peroneal and posterior tibial artery
abductor hallucis origin
flexor retinaculum
medial process of calcaneal tuberosity
plantar aponeurosis
abductor hallucis insertion
medial side of base of proximal phalanx of large toe
abductor hallucis action
abducts and flexes large toe
helps maintain medial longitudinal arch
abductor hallucis innervation
medial plantar nerve (L5, S1)
abductor hallucis irrigation
medial plantar artery
flexor digitorum brevis origin
medial process of calcaneal tuberosity
planter aponeurosis
flexor digitorum brevis insertion
by four tendons onto the middle phalanx of lateral four toes
flexor digitorum brevis action
flexes lateral four toes
flexor digitorum brevis innervation
medial plantar nerve (L5, S1)
flexor digitorum brevis irrigation
medial plantar artery
abductor digiti minimi origin
medial and lateral processes of calcaneal tuberosity
plantar aponeurosis
abductor digiti minimi insertion
lateral side of base of proximal phalanx of small toe
abductor digiti minimi action
abducts and flexes little toe
abductor digiti minimi innervation
lateral plantar nerve (S2, S3)
abductor digiti minimi irrigation
lateral plantar artery
quadratus plantae origin
two heads of plantar surface of calcaneus
long plantar ligament
quadratus plantae insertion
lateral and deep surfaces of tendons of flexor digitorum longus muscle
quadratus plantae action
assists flexor digitorum longus
straightens pull of FDL along longitudinal axis of foot
quadratus plantae innervation
lateral plantar nerve (S2, S3)
quadratus plantae irrigation
lateral plantar artery
first lumbrical origin
medial side of first tendon (to second toe) of the flexor digitorum longus
first lumbrical insertion
passes long medial side of second toe and inserts on dorsal digital expansion
first lumbrical action
flex proximal phalanx at MTP joint
extend interphalangeal joint
first lumbrical innervation
medial plantar nerve (L5, S1)
first lumbrical irrigation
medial plantar artery
2nd-4th lumbrical origin
two heads from the adjacent surfaes of 2-4th tendons of the flexor digitorum longus muscle
2nd-4th lumbrical insertion
course along sides of 3-5 toes and insert on respective dorsal digital expansion
2nd-4th lumbrical action
flex proximal phalange at MTP joint
extend interphalangeal joint
2nd-4th lumbrical innervation
lateral plantar nerve (S2, S3)
2nd-4th lumbrical irrigation
lateral plantar artery
flexor hallucis brevis origin
plantar surface of cuboid and lateral cuneiform bones
tendon of tibialis posterior
flexor hallucis brevis insertion
two tendons on the sides of the base of proximal phalanx of large toe
flexor hallucis brevis action
flexes proximal phalanx of large toe at MTP
flexor hallucis brevis innervation
medial plantar nerve (L5, S1)
flexor hallucis brevis irrigation
medial plantar artery
flexor digiti minimi origin
base of 5th metatarsal bone
sheath of tendon of fibularis longus
flexor digiti minimi insertion
lateral side of base of proximal phalanx of small toe
flexor digiti minimi action
flexes proximal phalanx of small toe at MTP
flexor digiti minimi innervation
lateral plantar nerve (S2, S3)
flexor digiti minimi irrigation
lateral plantar artery
adductor hallucis origin
transverse head: plantar MTP ligaments of toes 3-5; deep transverse metatarsal ligaments
oblique head: base of 2-4 metatarsal; sheath of tendon of fibularis longus muscle
adductor hallucis insertion
common tendon to lateral aspect of base of proximal phalanx of large toe
adductor hallucis action
adducts large toe
flex large toe at MTP
adductor hallucis innervation
lateral plantar nerve (S2, S3)
adductor hallucis irrigation
lateral plantar artery
plantar interossei origin
bases and medial sides of 3-5 metatarsal bones
plantar interossei insertion
bases of proximal phalanx of 3-5th toes (medial side)
onto dorsal digital expansions
plantar interossei action
adduct 3-5th toes, flex MTP, extend IP joints
plantar interossei innervation
lateral plantar nerve (S2, S3)
plantar interossei irrigation
lateral plantar arch
dorsal interossei origin
each by two heads from adjacent sides of metatarsal bones
dorsal interossei insertion
proximal phalanx and dorsal digital expansion of 2-4th toes
dorsal interossei action
abducts 2-4th toes, flex MTP, extend IP joints
dorsal interossei innervation
lateral plantar nerve (S2, S3)
dorsal interossei irrigation
lateral plantar arch
Plantar Flexion
gastrocnemius, soleus, tibialis posterior, peroneus longus (assists), peroneus brevis (assists), flexor digitorum longus (weak), flexor hallucis longus (weak), plantaris (weak)
Dorsiflexion
tibialis anterior, extensor digitorum longus, extensor hallucis longus
Inversion
tibialis anterior, tibialis posterior, flexor digitorum longus, flexor hallucis longus, extensor hallucis longus
Eversion
peroneus longus, peroneus brevis, extensor digitorum longus
Flexion of 2nd-5th Toes
flexor digitorum longus, flexor digitorum brevis, lumbricals, quadratus plantae (assists), dorsal interossei (2nd-4th), plantar interossei (3rd-5th), abductor digiti minimi (5th), flexor digiti minimi brevis (5th)
Extension of 2nd-5th Toes
extensor digitorum longus, extensor digitorum brevis (2nd-4th), lumbricals
Flexion of 1st Toe
flexor hallucis longus, flexor hallucis brevis, abductor hallucis (assists), adductor hallucis (assists)
Extension of 1st Toe
extensor hallucis longus, extensor hallucis brevis