Module 8 Leg/ankle/foot Flashcards
Sacral plexus Divides into 2 branches called
Common peroneal and tibial nerves
Common perennial (fibular nerve does what?
- wraps around head of fibula
- Divides into superficial and deep peroneal nerves
What is the clinical correlation for the common peroneal fibular nerve?
Common site for nerve injury
What does the superficial peroneal nerve supply?
Fibularis longus/brevis and skin and distal 1/3 of anterior surface of leg and dorsal foot
What does the deep peroneal nerve supply?
Anterior muscles of leg, dorm along web of foot
What does the tibial nerve branch of to?
Medial plantar nerve and Lateral plantar nerve.
What does the tibial nerve supply?
posterior muscles of leg, knee joint and sensation along posteriolateral leg and plantar surface of foot
Where does the tibial nerve divide?
in the foot (plantar side)
What does the tibial nerve divide in to?
Medial plantar-supplies medial plantar intrinsic m.
Lateral plantar-supplies lateral plantar intrinsic m.
What is Morton’s neuroma?
neuroma develops at the anastomosis between medial and lateral plantar nerves
What are the 3 major cutaneous branches that provide sensation of the SKIN of the leg?
Saphenous
Sural
Superficial branch of peroneal (fibular) nerve
What does the saphenous nerve innervate
Medial cutaneous surface of the leg and foot
The sural nerve is a branch of the ______ nerve and supplies what?
Sciatic nerve
Posterior region down to foot.
These two nerves are in the posterior compartment but one innervates the skin and one innervates the muscles?
Tibial nerve innervates the muscles
Sural nerve innervates the skin
What are the major branches of the ______ nerve that supply the DORSUM of the foot?
Peroneal nerve
Superficial peroneal nerve
Deep peroneal nerve
The major branches of the _______ nerve that supply the PLANTAR surface of the foot?
Tibial nerve
Medial plantar nerve
Lateral plantar nerve
What nerve supplies the cutaneous innervation for the 1st interdigital web?
Deep peroneal nerve
What does the superficial peroneal nerve supply?
Dorsum of the foot
What vessel passes through the adductor canal and becomes the popliteal?
the femoral artery
What does the popliteal divide into?
Anterior and posterior tibial artery
Anterior tibial artery descends anterior to the ______ membrane and terminates as the _______.
anterior to the interosseous membrane.
Dorsalis pedis artery
What is the clinical relevance of the dorsalis pedis?
Dorsalis pedis pulse
What vessels branch off the posterior tibial artery
Peroneal artery
Where does the peroneal artery come from and where does it go to and what does it supply?
- popliteal artery divides into posterior and anterior tib
- Posterior tib travels 1/3 of the way down the leg and then the peroneal artery branches off of that. This supplies the pulse that is felt behind the lateral malleolus.
when the posterior tib continues on after branching off to the peroneal what does it supply?
Medial plantar artery
Lateral plantar artery
What arteries supply the plantar arch?
Medial plantar artery
and Lateral plantar artery
What are the three regions of the foot?
Hindfoot
Midfoot
Forefoot
What are the bones of the hindfoot?
Talus
Calcaneous
What are the bones of the midfoot?
Navicular
Cuboid
Cuneiforms
What are the bones of the forefoot?
Metatarsals
Phalanges
What bone is the “key player” and drives mid and forefoot in pivoting?
Navicular
What forms the talocrural joint?
aka-mortise and tenon joint
Tibia, fibula form the mortise
Talus (trochlea) forms the tenon
What is the primary action of the ankle joint?
dorsiflexion and plantar flexion
When is the ankle more stable?
When in dorsiflexion
What are the 2 ligaments of the ankle
Deltoid (medial collateral) - (D’s)
Lateral Collateral
What are the 3 sections of the lateral collateral ligament?
- Anterior talofibular
- Posterior talofibular
- Calcaneofibular