lower leg and nerves Flashcards
anterior compartment includes
tibialis anterior, extensor digitorum lungus, extensor hallucis longus, fibularis tertius
tibialis anterior
stuck on tibia on medial side of foot, flexes ankle and inverts foot, deep fibular nerve
extensor digitorum longus
most lateral of anterior muscles, assists in dorsiflexion, deep fibular
extensor hallicus longus
thin, deep to TA and EDL, middle fibular, distal phalanx, dorsiflex and extend, deep fibular nerve
lateral compartment
fibularis longus, fibularis brevis; superficial fibular, fix ankle to prevent eversion
fibularis longus
lateral side of leg, runs underneath malleolis, steadies foot when on one foot
fibularis longus courses inferiorly to…
fibularis brevis and crosses under foot
fibularis brevis
deep to longus, inserts in medial side of foot, everter
posterior compartment
largest layer, in deep and superficial layer; flexion, inversion and toe flexion
muscles of superficial posterior compartment
gastrocnemius, soleus, plantaris; all innervated by tibial
gastrocnemeus
2 heads, lateral and medial condyle, plantarflexion, flexes leg
soleus
head of fibula and posterior tibula, postural action, plantar flexion
plantaris
absent in 10%, high density of spindle fibers
deep posterior leg
popliteus, flexor hallicus longus, flexor digitorum longus, tibialis posterior
popliteus
inserts in posterior medial tibia, inserts in lateral knee, laterally rotates femur, initiates unlocking of knee
flexor hallicus longus
flexes big toe, important for walking, tendon passes over distal tibia, deep to FDL, originates from fibular side
flexor digitorum longus
originates from medial surface, runsto lateral surface, flex toes, flex foot
tibialis posterior
deepest, in between FDL, FHL; inserts on tarsals, plantar flexes, invert foot
foot muscles
maintain weight bearing arches of foot, and support stance and gait
muscles in second layer act on?
tendons
muscles on dorsum of foot
extersor digitorum brevis, extensor hallucis brevis, innervated by deep fibular
femoral nerve
not within femoral sheath, course deep to inguinal ligament, contribute to sartorius, quadriceps, pectinus, iliacus, cutaneous branches are saphenous and cutateous
sciatic
enters through sciatic foramen, deep to glut max, between ishial and greater trochanter, branches to tibial and common fibular
obturator
pass through obturator canal, supplies gracilis, 3 adductors, obturator externus, cuttaneous middle 1/3 of thigh
tibial n
forms sural nerve with common fibular, tibia or fibular nerve can cause sensory loss
muscular innervation of tibial
gastrocnemius, plantaris, soleus, popliteus, lateral lateral lateral
common fibular
most commonly injured nerve, because it courses around end of fibula, result in foot drop, effects gait, deep and superficial branch, deep is Ta and EDL; superficial branch fibularis side, cutaneous lateral
deep fibular nerve
courses with ant tibial a, muscles extensor compartment and extensor dig and hallucis brevis
superficial fibular nerve
medial side of dorsum of foot, medial side of toe, funny presentation, if injure superficial will lose feeling everywhere but between big and 2nd toe
posterior tibial
runs between deep and superficial mm, innervate heal, medial and lateral plantar
medial plantar nerve
innervates foot, origin post tibial, innervate abductor hallucis, flexor dig brevis, flexor hallicus brevis, 1st lumbrical, sole of foot
lateral plantar nerve
from posterior tibial, supplies all muscles but four and cutaneous of little toe
hip joint
wide range of motion, less than shoulder, movement sacrificed to provide strength and stability, depends on strong ligaments, allows all movement
lunate surface
socket of hip joint
intertrochanteric line
formed by attachment of hip ligaments and joint capsule
3 important ligaments for supporting hip joint and upright posture
iliofemoral ligament (Y, prevents backward rotation), pubofemoral ligament (prevents hyper abduction), ishiofemoral (prevents medial rotation, extension)
head of femur ligament
capitis femoris, if damaged in kids, can lead to deteriorated femur, obturator supplies, radiated pain in knee
acetabular labrum
job to deepen joint capsule
transverse acetabular ligament
ligament to joint close acetabular labrum
which artery supplies head of femur
obturator, retinacular
lateral medial circumflex supplies
neck of femur
Articular capsule
lubricate hip joint