Leg, ankle and foot Flashcards

1
Q

What are the groups of bones of the foot and what are the individual bones

A

Tarsals

  • Talus
  • Calcaneus
  • Navicular
  • Cuboid
  • Three cuneiforms

Metatarsals - I-V (distal head and proximal base)

Phalanges - I-V consisting of 3 bones (proximal, intermediate and distal) with hallux having two

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2
Q

Which bones form the ankle joint and what type of joint is it

A

Tibia, fibular and talus

Hinge joint

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3
Q

What are the two movements allowed by the ankle joint and which is more stable and why

A

Dorsiflexion - more stable as broad anterior part of talus held in mortise

Plantarflexion - less stable as narrow part in mortise

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4
Q

What are the ligaments of the ankle joint, where do they originate and what are their functions

A

Medial - from medial malleolus, resists over-eversion

Lateral - from lateral malleolus, resists over-inversion, formed of three ligaments: anterior and posterior talofibular and calcaneofibular

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5
Q

Which muscles are involved in the two movements of the ankle

A

Dorsiflexion - tibialis anterior, extensor hallucis longus and extensor digitorum longus

Plantarflexion - gastrocnemius, soleus, plantaris and posterior tibialis

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6
Q

Which bones form the subtalar joint and what type of joint is it

A

Talus and calcaneus

Plane synovial joint

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7
Q

What ligaments stabilise the subtalar joint

A

Posterior talocalcaneal

Medial talocalcaneal

Lateral talocalcaneal

Interosseous talocalcaneal

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8
Q

What are the movements of the subtalar joints and what muscles produce them

A

Eversion and inversion

Muscles in lateral compartment of leg and tibialis anterior muscle

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9
Q

What the contents of the popliteal fossa from most deep to most superficial

A

Popliteal artery

Popliteal vein

Tibial nerve

Common fibular nerve

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10
Q

What are the muscles in the posterior compartment of the leg and which nerve innervates them

A

Tibial nerve

Gastrocnemius

Plantaris

Soleus

Popliteus

Tibialis posterior

Flexor digitorum longus

Flexor hallucis longus

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11
Q

What muscles plantarflex at the ankle

A

Gastrocnemius

Plantaris

Soleus

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12
Q

What are the bursa of the calcaneal tendon

A

Subcutaneous calcaneal bursa

Deep bursa of calcaneal tendon

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13
Q

What does the popliteus do

A

Laterally rotates femur

Unlocks the knee

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14
Q

What does the tibialis posterior do

A

Inverts and plantarflexes foot

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15
Q

What does the flexor digitorum longus do

A

Flexes lateral four toes

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16
Q

What does the flexor hallucis longus do

A

Flexes hallux

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17
Q

What are the muscles in the lateral compartment of the leg and what innervates them

A

Superficial fibular nerve

Fibularis (peroneus) longus

Fibularis (peroneus) brevis

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18
Q

What is the action of fibularis longus

A

Eversion and plantarflexion

19
Q

What is the action of the fibularis brevis

A

Eversion of foot

20
Q

What are the muscles in the anterior compartment of the leg and what are they innervated by

A

Deep fibular nerve

Tibialis anterior

Extensor digitorum longus

Extensor hallucis longus

Fibularis tertius

21
Q

What does the tibialis anterior do

A

Dorsiflexes and inverts foot

22
Q

What is the action of extensor digitorum longus

A

Dorsiflexion of foot and extension of lateral four toes

23
Q

What is the action of the extensor hallucis longus

A

Dorsiflexion of foot and extension of great toe

24
Q

What is the action of the fibularis tertius

A

Eversion and dorsiflexion of foot

25
What are the nerve roots of the common fibular nerve and what does it form when it terminates
Nerve roots - L4-S2 Bifurcates into superficial fibular and deep fibular nerves
26
What are the muscles innervated by the common fibular nerve and its branches
Innervates short head of biceps femoris Superficial fibular - fibularis longus and brevis Deep fibular - tibialis anterior, extensor digitorum longus, extensor hallucis longus, some intrinsic foot muscles
27
What are the sensory functions of the common fibular and its branches
Sural communicating - skin over lower posterolateral leg Lateral sural cutaneous - skin over upper lateral leg Superficial fibular - skin of anterolateral leg and dorsum of foot Deep fibular - skin between 1st and 2nd toes
28
What are the nerve roots of the superficial fibular nerves and what are the branches it terminates into
Nerve roots - L4-S1 Medial and intermedial dorsal cutaneous nerves
29
What are the muscles innervated by superficial fibular
Supplies fibularis longus and fibularis brevis
30
What are the sensory functions of the superficial fibular
Skin over anterolateral leg Skin of dorsum of foot (except between hallux and 2nd digit)
31
What are the nerve roots of the deep fibular nerve and what branches does it terminate into
Nerve roots - L4 and L5 Lateral branch Medial branch
32
What are the muscles innervated by the deep fibular
Tibialis anterior Extensor hallucis longus Extensor digitorum longus Fibularis tertius
33
What are the arteries of the thigh and gluteal region
Femoral artery Lateral and medial femoral circumflex artery Obturator artery - anterior and posterior branches Gluteal arteries - superficial and inferior
34
What are the arteries in the leg
Popliteal artery Anterior and posterior tibial arteries Fibular artrey
35
What are the arteries in the foot
Dorsalis pedis artery Posterior tibial artery Lateral and medial plantar arteries Deep plantar arch
36
What are the deep veins of the foot and leg
Dorsal venous arch Superficial veins in foot Anterior and posterior tibial vein Medial and lateral plantar veins Fibular vein Popliteal vein
37
What are the deep veins of the thigh
Femoral vein Profunda femoris vein
38
What are the deep veins of the gluteal region
Inferior and superior gluteal veins Internal and external iliac veins
39
What are the superficial veins of the lower limb
The great and small saphenous veins
40
What are the lymphatic vessels of the lower limb and where do they drain into
Superficial - medial drains into sub-inguinal nodes, lateral drains either into popliteal nodes or joins medial vessel Deep - anterior tibial, posterior tibial, peroneal. All drain into popliteal lymph nodes
41
What are the lymphatic nodes of the lower limb
Inguinal nodes * Superficial inguinal * Superficial sub-inguinal * Deep sub-inguinal Popliteal nodes
42
What are the arches of the foot and which bones form them
Medial longitudinal - calcaneus, talus, navicular, three cuneiforms, first three metatarsals Lateral longitudinal - calcaneus, cuboid, 4th and 5th metatarsals Anterior transverse - metatarsal bases, cuboid, three cuneiforms
43
What are the stages of walking/gait cycle and what muscles are involved in each stage
Heel-strike - gluteus maximus, quadriceps femoris, anterior compartment of leg Support - quadriceps femoirs, foot inverters and everters, gluteus maximus, gluteus medius and tensor fascia lata Toe-off - hamstring muscles, quadriceps femoris, posterior compartment of leg Leg-lift - ilipsoas, rectus femoris, hamsting muscles, anterior compartment of leg Swing - ilipsoas, rectus femoris, quadriceps femoris, anterior compartment of leg
44