lower extremity 2 Flashcards
Sciatic nerve divides into
common peroneal nerve
tibial nerve
common peroneal (fibular) nerve divides into
superficial peroneal nerve (fibularis longus/brevis-skin of distal 1/3 anterior surface of leg)
deep peroneal nerve (anterior muscles of leg)
Tibial Nerve
posterior muscles of leg, knee, sensation along medial plantar surface of foot
Tibial nerve divides into
medial plantar and lateral plantar nerve
Saphenous nerve
branch of femoral nerve – supplies “medial” surfaces of the leg and foot
Sural nerve
branch of the sciatic nerve – supplies “posterior” regions down to the foot
medial plantar nerve
intrinsics of foot, sensation on medial surface
lateral plantar nerve
intrinsic muscles of foot, sensation on lateral side
popliteal artery divides into
anterior tibial artery and posterior tibial artery
anterior tibial artery
- anterior to interossius membrane
- terminates at dorsal pedic artery–> anastomos with plantar arch
dorsal pedis pulse
posterior tibial artery
gives off peroneal artery
passes posterior to medial malleolus
splits into medial plantar and lateral plantar–> supply bottom of foot
forms plantar arch which communicates with dorsal side of foot (via dorsal pedis from anterior tibial artery)
Proximal tibiofibular joint
head of fibular articulates with lateral condyle of tibia
distal tibiofibular joint
medial surface of fibula with facet on inferior end of tibia
functions of ankle/foof joint
a. Provide stability and mobility
b. provide stable base for weight bearing forces
c. absorb shock as foot hits the ground
d. provide lever system for gait (acts as rigid lever for push off)
e. permit foot to conform to different surfaces
f. absorb rotational forces of LE
ER = supination
IR = pronation)
motion of sagittal plane of ankle jt
dorsiflex/plantar flex
motion of frontal place of ankle jt
eversion/inversion
motion of transverse plane of ankle jt
abduction
adduction
Supination
inversion of hind foot
adduction forefoot
plantarflexion of ankle
pronation
eversion of hindfoot
abduction forefoot
dorsiflex ankle
motion of ankle jt
dorsiflex and plantar flex
most stable in dorsiflex
MCL-deltoid ligament
protects against eversion of ankle
LCL
opposes inversion of ankle
sections of MCL
tibionavicular
anterior tibiotalar
posterior tibiotalar
tibiocalcaneal
sections of LCL
anterior talofibular
posterior talofibular
calcaneofibular
Subtalar jt
dampens rotational forces of the leg and force
transverse tarsal jt
connects mid foot and hind foot
TCN (talocalcaneonavicular jt)
critical for foot movement (ball bearing)
moving calcaneous & talus forces forefoot to move
Tarsal metatarsal joint
divides midfoot and forefoot
site of lisfranc amputation or sprain
MTP jt
flexion/extension of phalanges