Leg and ankle joint Flashcards
What are the compartments of the lower leg
anterior
lateral
deep + superficial posterior
What separates the anterior and the posterior compartment
interosseous membrane
What separates the anterior and the lateral compartment
intermuscular septum
What separates the lateral and the posterior compartment
intermuscular septum
what separates the deep and superficial posterior comparments
deep transverse intermuscular septum
what surrounds all of the compartments of the lower leg
crurofascia
what is the neurovascular supply of the anterior compartment of the lower leg
deep fibular/perineal nerve
ant fibial artery and vein
what is the nerve supply of the lateral compartment of the lower leg
sup perineal nerve
what is the nerve supply of the posterior compartment of the leg
tibial nerve
What type of joint is the superior tibio fibular joint
synovial
What type of joint is the inferior tibio fibular joint
fibrous
What are the retinaculae of the ankle
superior and interior retinaculae
superior and inferior perineal retinaculae
What are the muscles of the anterior compartment of the leg
tibialis anterior
extensor hallucis longus
extensor digitorum longus
What is the origin of tibialis anterior
lateral surface of tibia
What is the attachment of tibialis anterior
medial cuneiform + base of 1st metatarsal
What is the innervation of tibialis anterior
deep fibular nerve
What is the function of tibialis anterior
dorsiflexion and inversion
Describe tibialis anterior
O: lateral surface of tibia
A: medial cuneiform and base of 1st metatarsal
I: deep fibular nerve
dorsiflextion
What is the origin of extensor hallucis longus
medial surface of fibular shaft
What is the attachment of extensor hallucis longus
distal phalanx of greater toe
What is the innervation of extensor hallucis longus
deep fibular nerve
What is the function of extensor hallucis longus
extension of great toe and dorsiflexion of foot
Describe extensor hallucis longus
O: medial surface of fibular shaft
A: distal phalanx of greater toe
I: deep fibular nerve
Fn; extension of great toe and dorsiflexion of foot
What is the origin of extensor digitorum longus
lateral condyle of tibia and medial surface of fibula
What is the attachment of extensor digitorum longus
tendon splits into 4 - inserting into the lateral 4 toes
What is the innervation of extensor digitorum longus
deep fibular nerve
What is the function of extensor digitorum longus
extension of 4 toes + dorsiflexion of feet
Describe extensor digitorum longus
O: lateral condyle of tibia and medial surface of fibula
A: tendon splits into 4 - inserting into the lateral 4 toes
I: deep fibular nerve
Fn: extension of 4 toes + dorsiflexion
What % of the population has peroneus tertius
85%, its involved in eversion
What are the muscles in the lateral compartment of the lower leg
fibularis longus and brevis
What is the origin of fibularis longus
superior and lateral surface of fibula + lateral tibial condyle
What is the attachment of fibularis longus
the fibres converge to a tendon which passes posteriorly to the malleolus the tendon crosses under the foot and attaches to medial cuneiform and base of metatarsal I
What is the innervation of fibularis longus
superficial fibular nerve (L4 - S1)
What is the function of fibularis longus
eversion and plantarflexion of foot
Describe fibularis longus
O: superior and lateral surface of fibula and latera tibial condyle
A: the fibres converge to a tendon which passes posteriorly to the malleolus the tendon crosses under the foot and attaches to medial cuneiform bones
I: superficial fibular nerve (L4 - S1)
Fn: eversion and plantar flexion of foot
What is the origin of fibularis brevis
inferolateral surface of fibular shaft
What is the attachment of fibularis brevis
tendon passes posteriorly to medial malleolus but under the tendon of fibularis longus; then attaches to metatarsal V
What is the innervation of fibularis brevis
superficial fibular nerve
What is the function of fibularis brevis
eversion of the foot
What are the superficial muscles of the posterior compartment of the leg
gastrocnemius
plantaris
soleus
What is the origin of gastrocnemius
lateral head: lateral femoral condyle
medial head: medial femoral condyle
What is the attachment gastrocnemius
calconeal tendon
What is the innervation of gastrocnemius
tibial nerve
What is the function of gastrocnemius
plantar flexion
Describe gastrocnemius
O: lateral head - lateral femoral condyle medial head - medial femoral condyle A: calconeal tendon I: tibial nerve Fn: plantar flexion
What is the origin of plantaris
lateral supracondylar line of femur
What is the attachment of plantaris
calconeal tendon
What is the innervation of plantaris
tibial nerve
What is the function of plantaris
plantar flexion
Describe plantaris
O: lateral supracondylar line of femur
A: calconeal tendon
I: tibial nerve
Fn: plantar flexion
What is the origin of soleus
soleal line of the tibia and proximal fibular area
What is the attachment of soleus
calconeal tendon
What is the innervation of soleus
tibial nerve
What is the function of soleus
plantar flexion
Describe soleus
O: soleal line of the tibia and proximal fibular area
A: calconeal tendon
I: tibial nerve
Fn: plantar flexion
What are the deep muscles of the posterior compartment of the lower leg
Popliteus
Tibialis posterior
flexor digitorum longus
flexor hallucis longus
What is the origin of popliteus
lateral condyle of femur
What is the attachment of popliteus
tibia - above soleal line
What is the innervation of popliteus
tibial nerve
What is the function of popliteus
laterally rotates femur on tibia, unlocking the knee beginning flexion
Describe popliteus
O: lateral condyle of femur
A: tibia above soleal line
I: tibial nerve
Fn: laterally rotates femur on tibia, unlocking the knee beginning flexion
What is the origin of tibialis posterior
interosseous membrane
What is the attachment of tibialis posterior
medial tarsal bones + plantar surfaces
What is the innervation of tibialis posterior
tibial nerve
What is the function of tibialis posterior
plantar flexion of foot and eversion of foot
Describe tibialis posterior
O: interosseous membrane
A: medial tarsal bones + plantar surfaces
I: tibial nerve
Fn: plantar flextion of foot and eversion of foot
What is the origin of flexor digitorum longus
medial surface of tibia
What is the attachment of flexor digitorum longus
plantar surfaces of lateral 4 digits
What is the innervation of flexor digitorum longus
tibial nerve
What is the function of flexor digitorum longus
plantar flexion of foot and eversion of foot
Describe flexor digitorum longus
O: medial surface of tibia
A: plantar surfaces of lateral 4 digits
I: tibial nerve
Fn: plantar flexion of foot and eversion of foot
What is the origin of flexor hallucis longus
posterior surface of fibula
What is the attachment of flexor hallucis longus
plantar surface if phalanx of greater toe
What is the innervation of flexor hallucis longus
tibial nerve
What is the function of flexor hallucis longus
flexion of lateral 4 digits
Describe flexor hallucis longus
O: posterior surface of fibula
A: plantar surface of phalanx of greater toe
I: tibial nerve
Fn: flexion of lateral 4 digits
What is the most likely ligament to be torn in the ankle?
anterior talofibular
What is the ligament that snaps in a forced eversion injury
deltoid ligament