Lower Limb 2 Flashcards
Which bone forms the medial malleolus?
The tibia.
Which bone forms the lateral malleolus?
The fibula.
What is the action of the anterior compartment of the leg?
Dorsiflexion of the foot.
What type of joint is the proximal tibiofibular joint?
Synovial plane joint.
What type of joint is the distal tibiofibular joint?
Fibrous joint.
What holds the tibia and fibula together?
Interosseus membrane.
What are the muscles of the anterior compartment?
Tibialis anterior
Extensor digitorum longus
Extensor hallicus longus
Fibularis tertius.
What are the 4 main movements of the ankle?
Dorsiflexion
plantarflexion
inversion
eversion
What is the strongest dorsiflexor of the ankle?
Tibialis anterior
What are the two divisions of the sciatic nerve?
Tibial nerve
Common fibular nerve
What are the two divisions of the popliteal artery?
Anterior tibial artery
Posterior tibial artery
What is the division of the common fibular nerve? where does the division occur?
The deep fibular nerve.
The superficial fibular nerve.
Lateral side of head of fibula.
Which nerve innervates the anterior compartment of the leg?
Deep fibular nerve
What nerve innervates the lateral compartment of the leg?
The superficial fibular nerve.
Which artery runs with the deep fibular nerve?
Anterior tibial artery.
What are the muscles of the lateral compartment?
Fibularis longus, Fibularis brevis.
What is the action of the lateral compartment?
Eversion
assist with plantar flexion (but weak compared to posterior compartment).
What is the blood supply to the lateral compartment of the leg?
Perforating arteries from arteries nearby (doesn’t have its own unique supply).
Which nerve is damaged in foot drop?
The common fibular nerve.
Which side of the leg does the lesser saphenous vein descend on?
posterior aspect of the leg
Which side of the leg does the greater saphenous vein descend on?
the medial side.
Which artery does the dorsals pedis arise from?
The anterior tibial artery.
Where is the dorsalis pedis palpated?
In between the 1st and 2nd metatarsal bones.
Where is the popliteal pulse located?
Posterior to the medial malleolus.
What is the nerve supply of the dorsal of the foot?
Deep fibular nerve (carries on from anterior compartment).
What are the muscles on the dorsal side of the foot?
extensor digitorum brevis
extensor hallicus brevis
extensor digiti minimi
dorsal Interosseus
Where do the tendons of extensor hallicus brevis and extensor digitorum brevis insert to?
The tendons of the longus muscles (extensor digitorum longus, extensor hallicus longus).
Which ligaments hold the distal tibia and fibular together?
The anterior tibiofibular ligament
posterior tibiofibular ligament,
Which bones create the ankle joint?
Tibia
fibula
talus
When do the malleoli grip the talus tightest?
Dorsiflexion.
the ankle is more free to movement on plantar flexion.
What are the main bones of the foot?
Talus calcaneus navicular cuboid cuneiform 1st, 2nd, 3rd.
What are the names of the ankle ligaments?
Medial:
Deltoid
Lateral:
posterior talofibular
anterior talofibular
calcaneofibular
Which ligaments of the ankle are weakest?
The lateral ligament
What are the lateral ligaments?
anterior talofibular
posterior talofibular
calcaneofibular
Which movement of the foot causes most ligament sprains?
Inversion - stresses the lateral ligament.
What is the function of tibialis anterior?
Dorsiflexion
Inversion
What is the function of extensor hallicus longus?
Dorsiflex the foot
extend the big toe
extensor hallicus brevis just extends the toe
What is the function of extensor digitorum longus?
Dorsiflex the foot
extend the 2nd-5th toes.
extensor digitorum brevis just extends the toes.
Which muscles invert the foot?
tibialis anterior
tibialis posterior
Which muscles evert the foot?
Fibularis longus
Fibularis brevis.
Which nerve supplies the posterior compartment of the leg?
The tibial nerve
What is the blood supply to the posterior compartment of the leg?
The posterior tibial artery
What are the borders of the popliteal fossa?
Superior medial - semitendinosus
superior lateral - biceps femoris
inferior - lateral and medial head of gastrocnemius.
What is the position of the popliteal artery and vein?
the popliteal artery lies medial to the popliteal vein.
What are the contents of the popliteal fossa?
fat popliteal artery popliteal vein common fibular nerve tibial nerve popliteal lymph nodes
What is the function of plantaris muscle?
Knee flexion
foot plantar flexion
Which muscles Create the Achilles Tendon?
Gastrocnemius
soleus
plantaris
Where does the Achilles Tendon insert?
The posterior aspect of the calcaneus bone.
Which muscles are in the posterior compartment?
superficial: gastrocnemius
soleus
plantaris
deep: popliteus flexor hallicus longus flexor digitorum longus tibialis posterior
Which muscles enter the foot posterior to the lateral malleolus?
flexor digitorum longus
flexor hallicus longus
tibialis posterior
What structures pass through the tarsal tunnel?
Tom dick and very nervous harry.
tibialis posterior flexor digitorum longus posterior tibial artery posterior tibial vein tibial nerve flexor hallicus longus
Which muscle creates an arch for the popliteus vessels and tibial nerve to run through?
The tibial and fibular head of soleus.
What is the other name of the Achilles Tendon?
Calcaneal tendon.
What is the function of the popliteus muscle?
It initiates flexion of the knee.
Which joints of the foot allow for inversion and eversion?
The subtler joints talonavicular joint (balla and socket) talocalcaneal joint
What are the arches of the foot?
the spring ligament - plantar calcaneonavicular ligament.
short plantar ligament
long plantar ligament
plantar aponeurosis.
What is the 1st layer of the plantar foot?
abductor hallicus
abductor digiti minimi
flexor digitorum brevis
What is the 2nd layer of the plantar foot?
flexor digitorum longus tendon flexor hallicus longus tendon flexor digitorum accessoris medial plantar nerve and artery lateral plantar nerve and artery
Which nerve innervates the plantar foot muscles?
two branches of the tibial nerve:
medial plantar nerve
lateral plantar nerve
Which arteries innervates the plantar foot?
Branches of posterior tibial artery:
medial plantar artery
lateral plantar artery
what structures hold the muscles of the foot in place on the dorsal side?
Superior extensor retinaculum and inferior extensor retinaculum.
where does the tendon of tibialis anterior inset?
It goes medial to the medial cuneiform. it is the most medial of the extensor tendons.
what is the function of Fibularis tertius?
Dorsiflexion
+ complements the lateral compartment to evert the foot.
What muscles are on the dorsum of the foot?
Extensor digitorum brevis
extensor hallicus brevis.
What is the dorsalis pedis artery?
an extension of the anterior tibial artery. runs with the deep tibial nerve.
What 4 bones makes up the transverse tarsal joint?
Talonavicular.
calcaneocuboidal.
+ subtler joint
^these joints allow for inversion and eversion.
What is the action of the gastrocnemius?
On its own - flexion of the knee joint
with the soleus and plantaris - plantar flexion of the foot.
what is the plantaris?
A muscle deep to the soleus and gastrocnemius - its ascent in 10-15% of people.
Popliteus?
1st 15 degrees of flexion at the knee, unlocks the joint.