leg and dorsum of foot Flashcards
name the 7 tarsal bones
talus calcaneus navicular cuboid three cuneiforms
the patella is which dermatome?
L4
the great toe is which dermatome?
L4
the little toe is which dermatome
S1
the posterior surface of the leg is supplied by which dermatome
S1,S2
the saphenous nerve supplies cutaneous innervation to where?
medial side of the leg to the medial side of the foot
the medial and lateral sural nerves supply cutaneous innervation to where?
the upper calf (lateral side) before joining together to form the sural nerve
the sural nerve supplies cutaneous innervation to where
posterior and lateral leg and lateral foot
the superficial peroneal/fibular nerve supplies cutaneous innervation to where?
dorsum of foot except area between the first two toes
the deep peroneal/fibular nerve supplies cutaneous innervation to where?
area between two toes
what muscles are contained within the deep portion of the posterior osteofascial compartment of the leg?
popliteus
tibialis posterior
flexor digitorum longus
flexor hallucis longus
what muscles are contained within the superficial portion of the posterior osteogascial compartment of the leg?
gastrocnemius
soleus
plantaris
the muscles in the posterior compartment of the leg are innervated by what nerve?
tibial nerve
what muscles make up the triceps surae
gastrocnemius (2 heads)
soleus (1 head)
gastrocnemius
origin
two heads immediately above the two femoral condyles
gastrocnemius
inertion
through the calcaneal tendon to the back of the calcaneus
gastrocnemius
innervation
tibial nerve
gastrocnemius
action
flexor of the leg at the knee
strong plantar flexor of the foot at the ankle
soleus
origin
from the head and upper part of the fibula and from the soleal line of the tibia
soleus
insertion
with the gastrocnemius muscle; through the calcaneal tendon to the back of the calcaneus
soleus
innervation
tibial nerve
soleus
action
assists in plantar flexion
no action at the knee!
-doesnt cross the joint
plantaris
origin
next to the lateral head of the gastrocnemius m on the lateral condyle of the femur
plantaris
insertion
long thin tendon inserts on the medial side of the calcaneus adjacent to the calcaneal tendon
the muscles in the deep portion of the posterior osteofacial compartment are innervated by
tibial nerve
popliteus
origin
inside the capsule of the knee joint
from the lateral side of the lateral condyle of the femur
deep to the lateral collateral ligament
popliteus
insertion
on the back of the tibia above the soleal line
pierces the capsule of the knee joint under the arcuate ligament
popliteus
innervation
tibial nerve
popliteus
action
if the foot is not fixed: medially rotates leg
if the foot is fixed (as if standing on the floor): laterally rotates the femur
when knee is locked - unlocks the locked knee at the beginning of flexion (by rotating tibia relative to the femur)
when the knee is locked - the femur is medially rotated with respect to the leg
tibialis posterior
origin
from the interosseous membrane and adjacent bones
tibialis posterior
progression
from interosseous membrane, crosses between the flexor digitorum longus and tibia to lie adjacent to the medial malleolus, then enters the plantar surface of foot
popliteus
progression
lateral side to medial side across the back of the knee
tibialis posterior
insertion
sustenaculum tali, tubercle of navicular bone, three cuniform bones, cuboid bone
second, third, fourth metatarsal bones
tibialis posterior
innervation
tibial nerve
tibialis posterior
action
inverts the foot
adducts the foot
plantar flexes the foot
flexor digitorum longus
origin
the back of the tibia
flexor digitorum longus
progression
back of the tibia, crosses over tibialis posterior, and enters the foot
flexor digitorum longus
insertion
to the distal phalanx of the lateral four toes
flexor digitorum longus
innervation
tibial nerve
flexor hallucis longus
origin
from the fibula and posterior intermuscular septum
flexor hallucis longus
insertion
on the distal phalanx of the big toe (hallucis)
flexor hallucis longus
progression
from the fibula and posterior intermusuclar septum
enters the foot by grooving the inferior surface of the sustenaculum tali
passes deep to the tendon of the flexor digitorum longus
flexor hallucis longus
innervation
tibial nerve
the flexor retinaculum of the leg is attached to what structures?
medial malleolus anteriorly
calcaneus posteriorly
from anterior to posterior, what structures pass through the flexor retinaculum?
tendon of the tibialis posterior
tendon of the flexor digitorum longus
neurovascular bundle to the plantar surface of the foot (tibial nerve, posterior tibial artery)
tendon of the flexor hallucis longus
the muscles in the lateral osteofascial compartment of the leg are
fibularis/peroneus longus
fibularis/peroneus brevis
the function of the muscles in the lateral compartment is
eversion of the foot
abduction of foot
peroneal longus
peroneal brevis
the lateral osteofacial compartment is formed by
anterior intermuscular septum
posterior intermuscular septum
fibula
fibularis/peroneus longus
origin
the upper portion of the fibula
fibularis/peroneus longus
progression
upper portion of fibula
descends first superficial, then posterior to the peroneal brevis, passing posterior to the lateral malleolus
turns under the cuboid bone
then crosses the plantar surface of the foot
fibularis/peroneus longus
insertion
medial cuneiform, first metatarsal
fibularis/peroneus longus
innervation
superficial fibular/peroneal nerve
fibularis/peroneus brevis
origin
lower potion of the fibula
fibularis/peroneus brevis
progression
from the lower portion of the fibula
passes posterior to the lateral malleolus
fibularis/peroneus brevis
insertion
base of the fifth metatarsal
fibularis peroneus brevis
innervation
superficial fibular/peroneal nerve
the lateral compartment is supplied by branches from which arteries
fibular/peroneal artery
anterior tibuial arteries
both branches off the popliteal
the tendons of the lateral compartment are held in place by what structure
two fibular/peroneal retinaculum
superior fibular retinaculum
inferior fibular retinaculum
the superior fibular retinaculum attaches where
lateral mallelous and calcaneus
holds tendons in a common synovial sheath
the inferior fibular retinaculum attaches where
to the calcaneus near the inferior extensor retinaculum, crosses tendons and attaches to lateral surface of calcaneus
separate synovial sheaths
sort of a continuation of the inferior extensor retinaculum
the muscles in the anterior osteofascial compartment include:
tibialis anterior
extensor hallucis longus
extensor digitorum longus
peroneus tertius
the anterior osteofascial compartment is supplied by
deep peroneal nerve
anterior tibial artery
the function of the anterior osteofascial compartment is:
dorsiflexion of the foot
“flex the foot”
tibialis anterior
origin
from the tibia and the interosseous membrane
tibialis anterior
insertion
near the inferior surfaces of the medial cuneiform and first metatarsal bones
tibialis anterior
innervation
deep peroneal nerve
tibialis anterior
action
dorsiflex the foot
invert the foot
adducts the foot
extensor hallucis longus
origin
middle third of the leg from the interosseous membrane and fibula
extensor hallucis longus
insertion
distal phalanx of the great toe
extensor hallucis longus
innrevation
deep fibular/peroneal nerve
extensor hallucis longus
action
extends the big toe
extensor digitorum longus
origin
lateral condyle of the tibia, the fibula, anterior intermuscular septum, interosseous membrane
extensor digitorum longus
insertion
as the extensor expansion on the toe
peroneus tertius
progression
appears to be part of the extensor digitorum longus
but the tendon goes to the base of the fifth metatarsal rather than to the digit
the strucutres passing through the superior extensor retinaculum are
tibialis anterior
extensor hallucis longus
extensor digitorum longus
tibialis anterior passes thorugh superior retinaculum in a synovial sheath
the inferior extensor retinaculum : describe
Y shaped
stem of the y = attacehd to upper surface of calcaneus
attaches to the medial malleolus with one side of the Y
attaches to the deep fascia with the other limb of the Y
each muscle travels in a synovial sheath through the inferior extensor retinaculum
extensor digitorum brevis
origin
from the superior surface of the calcaneus
divides into four bellies each with a tendon
the first belly of the extensor digitorum brevis is sometimes known as the:
extensor hallucis brevis
extensor digitorum brevis
insertion
first belly = attaches to proximal phalanx of the great toe
other three = attaches to the extensor digitorum longus tendon
extensor digitorum brevis
innervation
deep peroneal nerve