Lower Limb 4 Leg Flashcards
What artery supplies anterior compartment of leg?
Anterior Tibial Artery
What are the 4 muscles of anterior compartment of the leg?
Tibialis Anterior
Extensor Digitorum Longus
Extensor Hallucis Longus
Fibularis Tertius
Tibialis Anterior - Origin
Lateral condyle of tibia
Upper half of tibia
Tibialis Anterior - Insertion
Medial Cuneiform
1st Metatarsal bone
Tibialis Anterior - Innervation
Deep Fibular Nerve (L5-S2)
Tibialis Anterior - Action
Dorsiflexion of foot
Inversion of foot
Extensor Digitorum Longus - Origin
Anterior lateral condyle of tibia
anterior shaft of fibula
Superior 3/4 of interosseous membrane
Extensor Digitorum Longus - Insertion
Dorsal surface - Middle and distal phalanges of digits 2-5
Extensor Digitorum Longus - Innervation
Deep Fibular Nerve (L5-S2)
Extensor Digitorum Longus - Action
Extension of toes 2-5
Dorsiflexion of foot
Extensor Hallucis Longus - Origin
Middle portion of anterior fibula
Middle portion of interosseous membrane
Extensor Hallucis Longus - Insertion
Dorsal side of base of distal phalanx of big toe
Extensor Hallucis Longus - Innervation
Deep Fibular nerve (L5-S2)
Extensor Hallucis Longus - Action
Extends big toe
Dorsiflexion of foot
Fibularis Tertius - Origin
Distal anterior surface of fibula
Adjacent interroseous membrane
Fibularis Tertius - Insertion
Dorsal Surface of Metatarsal 5
Fibularis Tertius - Innervation
Deep Fibular Nerve (L5-S2)
Fibularis Tertius - Action
Eversion
Dorsiflexion of foot
Describe the origin and course of anterior tibial artery
Arises from popliteal artery and passes from posterior to anterior compartment via hiatus in interroseous membrane
Lies deep to extensor digitorum longus and continues as dorsalis pedis artery
What artery supplies the lateral compartment?
Fibular Artery
Name the muscles of lateral compartment
Fibularis Longus
Fibularis Brevis
Fibularis Longus - Origin
Superior and lateral surface of fibula and lateral tibial condyle
Fibularis Longus - Insertion
Plantar side of metatarsal 1 and medial cuneiform
Fibularis Longus - Innervation
Superficial Fibular Nerve (L4-S1)
Fibularis Longus - Action
Eversion of foot
Plantarflexion of foot
Supports lateral and transverse arch of foot
Fibularis Brevis - Origin
Inferior and lateral surface of fibular shaft
Fibularis Brevis - Insertion
Tubercle of metatarsal 5
Fibularis Brevis - Innervation
Superficial Fibular Nerve (L4-S1)
Fibularis Brevis - Actions
Eversion of foot
Describe symptoms of common fibular nerve damage and where is it commonly injured?
Wraps around neck of fibula Symptoms - Decreased sensation, numbness, tingling in foot - Footdrop - Slapping Gait - Loss of muscle mass
What artery supplies posterior compartment of leg?
Posterior Tibial Artery
Name the muscles of posterior compartment of leg
Superficial - Gastrocnemius, Soleus, Plantaris
Deep - Popliteus, Flexor Digitorum Longus, Flexor Hallucis Longus, Tibialis Posterior
What divides the deep and superficial compartments of posterior leg?
Transverse Intermuscular Septum
Gastrocnemius - Origin
Lateral Head - Lateral femoral condyle
Medial Head - Medial Femoral Condyle
Gastrocnemius - Insertion
Muscle belly combines and forms calcaneal tendon with soleus
Inserts onto calcaneus
Gastrocnemius - Innervation
Tibial Nerve (L4-S3)
Gastrocnemius - Action
Plantarflexes foot
Flexes knee
Soleus - Origin
Soleal Line of tibia
Soleus - Insertion
Joins calcaneal tendon into calcaneus
Soleus - Innervation
Tibial Nerve (L4-S3)
Soleus - Action
Plantarflexes foot
Plantaris - Origin
Lateral Supracondylar line of femur
Plantaris - Insertion
Tendon runs in gastrocnemius and soleus and blends into calcaneal tendon medially
Plantaris - Innervation
Tibial Nerve (L4-S3)
Plantaris - Action
Plantarflexes foot
Flexor of knee
Popliteus - Origin
Posterior surface of proximal tibia
Popliteus - Insertion
Lateral condyle of femur
Popliteus - Innervation
Tibial Nerve (L4-S3)
Popliteus - Action
Laterally Rotates femur on tibia
Flexor Digitorum Longus - Origin
Medial side of posterior surface of tibia
Flexor Digitorum Longus - Insertion
Plantar surfaces of bases of distal phalanges of lateral 4 toes (2-5)
Flexor Digitorum Longus - Innervation
Tibial Nerve ( L4-S3)
Flexor Digitorum Longus - Action
Plantarflexes lateral 4 toes
Flexor Hallucis Longus - Origin
Posterior surface of fibula and adjacent interosseous membrane
Flexor Hallucis Longus - Insertion
Plantar surface of distal phalanx of great toe
Flexor Hallucis Longus - Innervation
Tibial Nerve (L4-S3)
Flexor Hallucis Longus - Action
Plantarflexes great toe
Tibialis Posterior - Origin
Posterior proximal surface of interosseous membrane and adjacent tibia and fibula
Tibialis Posterior - Insertion
Tuberosity of navicular and medial cuneiform on plantar surface
Tibialis Posterior - Innervation
Tibial Nerve (L4-S3)
Tibialis Posterior - Action
Inverts foot
Plantarflexes foot
Supports medial longitudinal arch
Describe the course of the posterior and lateral compartment tendons into the foot
Posterior - Posterior to medial malleolus
Lateral Compartment - Posterior to lateral malleolus
Give the order of the tendons that pass the medial malleolus (anteriorly to posteriorly)
Tibialis Posterior Flexor Digitorum Longus Posterior Tibial Artery Tibial Nerve Flexor Hallucis Longus (Tom, Dick And Nervous Harry)