Lower limb II Flashcards
What are the muscles in the anterior compartment of the leg
Tibialis anterior
Extensor digitorum longus
Extensor hallicus longus
Fibularis tertius
Name A-G
A- tibialis anterior
B- extensor digitorum longus
C- extensor hallicus longus
D- superior extensor retinaculum
E- lateral malleolus
F- Inferior extensor retinaculum
G- Medial malleolus
Function of tibialis anterior
Dorsiflexion of the ankle
Inversion of foot
Function of extensor digitorum longus
Extension of the 4 phalanges
Dorsiflexion of the ankle
Function of extensor hallicus longus
Extension of the 1st phalanx
Dorsiflexion of the ankle
Function of fibularis tertius
Dorsiflexion of the ankle
aids in eversion of the foot
Innervation of tibialis anterior
Deep fibular nerve L4-L5
Innervation of extensor digitorum longus
Deep fibular nerve L4-L5
Innervation of extensor hallicus longus
Deep fibular nerve L4-L5
Innervation of fibularis tertius
Deep fibular nerve L4-L5
Where does extensor digitorum longus insert into
Middle and distal phalanges of the lateral 4 digits
Where does extensor hallicus longus insert into
Base of distal phalanx of toe
Which anterior muscles of the leg origin from the lateral condyle of tibia
Tibialis anterior
Extensor digitorum longus
Where does tibialis anterior insert into
medial cuneform and base of 1st metatarsal
Where does fibularis tertius insert into
dorsum of base of 5th metatarsal
What causes foot drop
Damage to common fibular nerve
Anterior leg is innervated by deep fibular nerve and it is responsible for dorsiflexion of foot hence damage to common fibular nerve -> unopposed plantar flexion of foot
What are the muscles in the lateral leg compartment
fibularis longus
fibularis brevis
Name A-F
A- Head of fibula
B- Fibularis longus
C- Extensor digitorum longus
D- Tibialis anterior
E- Fibularis tertius
F- FIbularis brevis
Function of fibularis longus
everts foot
weakly plantarflexes ankle
Function of fibularis brevis
everts foot
weakly plantarflexes ankle
Innervation of fibularis longus
Superficial fibular nerve L5-S2
Innervation of fibularis brevis
Superficial fibular nerve L5-S2
Where does fibularis longus origin from
Head of fibula
Where does fibularis brevis origin from
inferior 2/3 of lateral surface of fibula
Where does fibularis longus insert into
base of 1st metatarsal and medial cuneiform (plantar surface)
Where does fibularis brevis insert into
lateral side of base of 5th metatarsal
What are the superficial muscles of posterior leg compartment
Gastrocnemius
Soleus
Plantaris
Name A-E
A- lateral head of gastrocnemius
B- medial head of gastrocnemius
C- Plantaris
D- Soleus
E- Achilles tendon
Function of gastrocnemius
Plantarflexion of ankle
Raises heel during walking
Function of soleus
Plantarflexion of ankle
Function of plantaris
Plantarflexion of ankle
Innervation of gastrocnemius
Tibial nerve
Innervation of soleus
Tibial nerve
Innervation of plantaris
Tibial nerve
Where do the superficial muscles of posterior leg compartment insert into
Achilles tendon -> posterior surface of calcaneus
What are the muscles of the deep posterior compartment of leg
Popliteus
Flexor hallicus longus
Flexor digitorum longus
Tibialis posterior
Function of popliteus
Flexion of leg - unlocks the knee joint allowing flexion
Function of flexor hallicus longus
Flexion of great toe at all joints
Plantarflexion of foot
Function of flexor digitorum longus
Flexion of the lateral 4 digits
Plantarflexion of foot
Function of tibialis posterior
Plantarflexion of foot
Inversion of foot
Name A-F
A- popliteal
B- fibularis longus
C- tibialis posterior
D- flexor digitorum longus
E- Flexor hallicus longus
F- fibularis brevis
Innervation of deep muscles of the posterior compartment of leg
Tibial nerve
Name A-B
A- flexor digitorum longus
B- Flexor hallicus longus
Why is the medial meniscus more prone to tearing
Because it is attached to the medial collateral ligament
What is the unhappy triad
Injury of
- medial meniscus
- anterior cruciate ligament
- medial collateral ligamnet
Function of anterior cruciate ligament
Resist internal rotation of tibia and anterior subluxation of tibia
Mechanism of injury of anterior cruciate ligament
Twisting mechanism - turning the upper body laterally on a planted foot
Function of posterior cruciate ligament
Prevent hyperextension of the leg and posterior subluxation of the tibia
Mechanism of injury of posterior cruciate ligament
direct blow to anterior tibia - dashboard injury
Usually occurs with other injuries
How does the anterior cruciate ligament attach
at the anterior intercondylar region of the tibia ascend posteriorly to attach to the lateral femoral condyle
How does the posterior cruciate ligament attach
At the posterior intercondylar region of tibia ascend anteriorly to attach to medial femoral condyle
Injury mechanism of meniscal tear
twisting force on a loaded knee