Leg bones and muscles Flashcards

1
Q

Describe the shape of the tibial shaft?

A

Triangular in cross section

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2
Q

Describe the surfaces of the tibia, and the important features of each?

A

Medial, lateral and posterior surfaces

Medial surface is subcutaneous

Posterior surface - soleal line

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3
Q

What does the soleal line delineate?

A

Attachment of soleus and popliteus

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4
Q

Which muscular compartments are present in the leg?

What are their actions?

A

Anterior compartment: dorsiflex foot, extend toes

Posterior compartment: plantarflex foot, flex toes

Lateral compartment: evert foot

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5
Q

Describe the fascia that creates the three muscular compartments of the leg?

A

Deep fascia continuous with fascia lata - attached directly to tibia

Pair of intermuscular septa (anterior and posterior) arise from deep fascia to divide into three compartments

Interosseous membrane also contributes to divisions

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6
Q

Describe the arrangement of the muscle compartments in the leg?

A

Anterior

Lateral

Posterior (deep) - mirror of anterior

Posterior (deep)

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7
Q

List the muscles in the anterior compartment of the leg?

A

Tibialis anterior

EDL

EHL

(Fibularis tertius)

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8
Q

Describe the borders of the anterior compartment of the leg?

A

Between tibia, interosseous membrane, anterior intermuscular septum and deep fascia

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9
Q

Describe the actions of the muscles in the anterior compartment of the leg?

A

DORSIFLEXION AND EXTEND TOES

Tibialis anterior: dorsiflexion and inversion (on medial side of foot)

EDL: extends smaller toes

EHL: extends big toe

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10
Q

Why is tibialis anterior important in inversion?

A

Inserts on medial side of foot

(medial cuneifrom and base of first metatarsal)

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11
Q

Describe the insertion of tibialis anterior?

A

Medial cuneiform and base of first metatarsal

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12
Q

Describe the fibularis tertius muscle?

A

Spilts off from EDL

Small tendon

Inserts into base of fifth metatarsal

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13
Q

Describe the arrangement of muscles on the dorsum of the foot?

A

Run under extensor retinaculum

TIMOTHY HAS A NASTY DIRTY TOE

Medial to lateral: tibialis anterior, EHL, anterior tibial artery, deep fibular nerve, EDL, fibularis tertius

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14
Q

List the muscles in the lateral compartment of the leg?

A

Fibularis longus

Fibularis brevis

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15
Q

Describe the boundaries of the lateral compartment of the leg?

A

Between anterior and posterior septa, deep fascia and fibula

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16
Q

Describe the actions of the muscles in the lateral compartment of the leg?

A

Eversion

17
Q

Describe the pathway of the fibularis longus muscle?

A

Proximal shaft of fibula > beneath sole of foot > tendon grooves cuboid bone > medial insertion: medial cuneiform and base of first metatarsal

18
Q

Describe the insertion of fibularis brevis?

A

Base of fifth metatarsal

19
Q

Describe the arrangement of the fibularis longus and brevis muscles as they pass along the side of the foot?

A

Pass behind lateral malleolus (brevis grooves the bone)

20
Q

List the muscles of the superficial posterior compartment of the leg?

A

Gastrocnemius

Soleus

(Popliteus)

(Plantaris)

21
Q

Describe the plantaris muscle?

A

Short belly, long slender tendon > vestigial

22
Q

Describe the realtionhip of the plantaris muscle to gastrocnemius?

A

Lies edge to edge with lateral head

Disappears from view as it passes behind medial head

23
Q

Describe the gastrocnemius muscle?

A

Two fleshy bellies

One from each condyle of femur

Comon tendon of insertion - achilles

24
Q

Describe the origin of the soleus muscle?

A

Arises from soleal line

Oblique line with fibrous arch

Horseshoe shape origin across both tibia and fibula

25
Q

Other than movements of the ankle joint, what is the important function of soleus?

A

Muscular pump

26
Q

List the muscles in the deep posterior compartment of the leg?

A

Tibialis posterior

FHL

FDL

27
Q

Describe the actions of the muscles in the deep posterior compartment of the leg?

A

Tibialis posterior: plantarflexion and inversion

FDL: flexes little toes

FHL: flexes big toe

28
Q

Describe how inversion of the foot is achieved?

A

Contraction of both tibialis anterior and tibialis posterior

29
Q

Describe the insertion of tibialis posterior?

A

Medial cunieform and base of first metatarsal

(same as tibialis anterior)

30
Q

Describe the arrangement of structures that pass beneath the flexor retinaculum?

A

TOM DICK AND VERY NAUGHTY HARRY

Medial malleolus to calcaneus: Tibialis posterior, FDL, posterior tibial artery, posterior tibial vein, tibial nerve, FHL

31
Q

Describe how FDL and FHL are positioned relative to each other along their pathways?

A

FDL tendon lies above FHL tendon in flexor retinaculum

FDL passes over FHL tendon to reach smaller toes