Module 8 Leg/ankle/foot Flashcards

1
Q

Sacral plexus Divides into 2 branches called

A

Common peroneal and tibial nerves

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2
Q

Common perennial (fibular nerve does what?

A
  • wraps around head of fibula

- Divides into superficial and deep peroneal nerves

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3
Q

What is the clinical correlation for the common peroneal fibular nerve?

A

Common site for nerve injury

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4
Q

What does the superficial peroneal nerve supply?

A

Fibularis longus/brevis and skin and distal 1/3 of anterior surface of leg and dorsal foot

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5
Q

What does the deep peroneal nerve supply?

A

Anterior muscles of leg, dorm along web of foot

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6
Q

What does the tibial nerve branch of to?

A

Medial plantar nerve and Lateral plantar nerve.

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7
Q

What does the tibial nerve supply?

A

posterior muscles of leg, knee joint and sensation along posteriolateral leg and plantar surface of foot

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8
Q

Where does the tibial nerve divide?

A

in the foot (plantar side)

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9
Q

What does the tibial nerve divide in to?

A

Medial plantar-supplies medial plantar intrinsic m.

Lateral plantar-supplies lateral plantar intrinsic m.

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10
Q

What is Morton’s neuroma?

A

neuroma develops at the anastomosis between medial and lateral plantar nerves

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11
Q

What are the 3 major cutaneous branches that provide sensation of the SKIN of the leg?

A

Saphenous
Sural
Superficial branch of peroneal (fibular) nerve

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12
Q

What does the saphenous nerve innervate

A

Medial cutaneous surface of the leg and foot

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13
Q

The sural nerve is a branch of the ______ nerve and supplies what?

A

Sciatic nerve

Posterior region down to foot.

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14
Q

These two nerves are in the posterior compartment but one innervates the skin and one innervates the muscles?

A

Tibial nerve innervates the muscles

Sural nerve innervates the skin

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15
Q

What are the major branches of the ______ nerve that supply the DORSUM of the foot?

A

Peroneal nerve
Superficial peroneal nerve
Deep peroneal nerve

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16
Q

The major branches of the _______ nerve that supply the PLANTAR surface of the foot?

A

Tibial nerve
Medial plantar nerve
Lateral plantar nerve

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17
Q

What nerve supplies the cutaneous innervation for the 1st interdigital web?

A

Deep peroneal nerve

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18
Q

What does the superficial peroneal nerve supply?

A

Dorsum of the foot

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19
Q

What vessel passes through the adductor canal and becomes the popliteal?

A

the femoral artery

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20
Q

What does the popliteal divide into?

A

Anterior and posterior tibial artery

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21
Q

Anterior tibial artery descends anterior to the ______ membrane and terminates as the _______.

A

anterior to the interosseous membrane.

Dorsalis pedis artery

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22
Q

What is the clinical relevance of the dorsalis pedis?

A

Dorsalis pedis pulse

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23
Q

What vessels branch off the posterior tibial artery

A

Peroneal artery

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24
Q

Where does the peroneal artery come from and where does it go to and what does it supply?

A
  • 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.
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25
Q

when the posterior tib continues on after branching off to the peroneal what does it supply?

A

Medial plantar artery

Lateral plantar artery

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26
Q

What arteries supply the plantar arch?

A

Medial plantar artery

and Lateral plantar artery

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27
Q

What are the three regions of the foot?

A

Hindfoot
Midfoot
Forefoot

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28
Q

What are the bones of the hindfoot?

A

Talus

Calcaneous

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29
Q

What are the bones of the midfoot?

A

Navicular
Cuboid
Cuneiforms

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30
Q

What are the bones of the forefoot?

A

Metatarsals

Phalanges

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31
Q

What bone is the “key player” and drives mid and forefoot in pivoting?

A

Navicular

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32
Q

What forms the talocrural joint?

A

aka-mortise and tenon joint
Tibia, fibula form the mortise
Talus (trochlea) forms the tenon

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33
Q

What is the primary action of the ankle joint?

A

dorsiflexion and plantar flexion

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34
Q

When is the ankle more stable?

A

When in dorsiflexion

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35
Q

What are the 2 ligaments of the ankle

A

Deltoid (medial collateral) - (D’s)

Lateral Collateral

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36
Q

What are the 3 sections of the lateral collateral ligament?

A
  1. Anterior talofibular
  2. Posterior talofibular
  3. Calcaneofibular
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37
Q

What does the deltoid ligament protect against

A

eversion

38
Q

What does the lateral collateral ankle ligament protect against

A

inversion

39
Q

What is the classic site of the ankle sprain?

A

Anterior talofibular

40
Q

What joint divides the hindfoot and midfoot?

A

TCN and transverse tarsal joint

41
Q

What is the site of a Lisfanc amputation or sprain?

A

Tarsal metatarsal joint

42
Q

What is the action of the metatarsalphalangeal joint?

A

Primary flexion/extension of phalanges but can abduct/adduct

43
Q

What are the 3 compartments of the leg?

A

Anterior Crural Dorsiflexor extensor compartment
lateral crural compartment
posterior crural compartment

44
Q

what is the largest of the 3 compartments?

A

Posterior crural compartment

45
Q

What are the components of the lateral compartment?

A

Peroneal longus and brevis

Superficial peroneal nerve

46
Q

What are the components of the superficial posterior compartment

A

Gastrocnemius
soleus
plantaris (tendon)

47
Q

What are the components of the anterior compartment?

A
Anterior tibialis
Extensor hallicis longus
Extensor digitorum longus
peroneus tertius
Deep peroneal nerve
48
Q

What are the components of the deep posterior compartment?

A
Posterior tibialis
Flexor hallucis longus
Flexor digitorum Longus
Popliteus
Tibial nerve
49
Q

What innervates ALL of the anterior compartment?

A

Deep Fibular nerve

50
Q

What supplies blood to ALL of the anterior compartment?

A

Anterior tibial artery (becomes dorsalis pedis)

51
Q

Attachments for the Anterior tibialis

A

Lateral condyle tibia –> Medial surface of cuneiform and base of 1st metatarsal

52
Q

Attachments for Extensor digitorum longus

A

Lateral condyle of tibia —>Middle and distal phalange of lateral four digits

53
Q

Attachments for Extensor Hallucis longus

A

Middle of fibula and interosseous membrane —>Dorsal side base of great toe

54
Q

Attachments for Fibularis Tertius

A

Anterior third of fibula and inteross. membrane —>Dorsum of base of 5th toe

55
Q

What artery goes through the lateral crural compartment?

A

There is NO artery in the lat. crural compartment

56
Q

What nerve supplies the lateral crural compartment?

A

Superficial fibular nerve

57
Q

Attachments for fibularis longus

A

Head of superior lat surface of fibula—>plantar side of great toe.

58
Q

Attachment for Fibularis brevis

A

Distal second 1/2 of the fibula—>Dorsal surface of tuberosity on lat side of 5th metatarsal

59
Q

sooooo….the Lateral compartment attachments are all…

A

On the fibula.
1 runs to the great toe on plantar-Fibularis longus
the other funs to the lateral side of 5th toe

60
Q

Anterior compartment attachments

2 and 2

A

2– on lateral tibia-tibialis anterior and extensor digitorum longus
2– on the anterior tibia-extensor hallucis longus, and fibularis tertius
ALL of the anterior compartment lands on the dorsal side of the foot

61
Q

Attachments of the medial and lateral gastroc.

A

Lateral gastroc-lateral aspect of femoral condyle
Medial gastroc-Popliteal surface of femur
—–>Posterior surface of calcaneus via calcaneal tendon

62
Q

Attachment of the soleus

A

Posterior tib and medial tib —>Posterior surface of calcaneus via calcanceal tendon

63
Q

Attachment of the plantaris

A

distal femur (supracondylar line)—>posterior surface of calcaneus via calcaneal tendon

64
Q

Attachment of the popliteus

A

Looks like the supinator

Lateral condyle of the femur—>wraps around and lands on the posterior Tibia

65
Q

Attachments for Flexor Hallucis longus

A

Inferior 2/3 of post fibula and interosseous—->Plantar portion of distal phalanx of great toe

66
Q

Attachments for Flexor Digitorum Longus

A

Posterior tibia and interosseous–>plantar part of all the digits

67
Q

Attachment for tibialis posterior

A

Interosseous membrane and the fib and tib–>Weird meshy stuff at the plantar part of the Navicular, cuneiform and cuboid and bases of metatarsals 2, 3,4

68
Q

What innervates the entire posterior crural layer?

A

Tibial nerve - muscles

Sural nerve supplies the skin

69
Q

Where does the longitudinal arch extend from-to?

A

from calcaneus to metatarsal heads (2 portions medial and lateral)

70
Q

What muscles provide support for the longitudinal arch?

A

Fibularis longus and tibialis posterior

71
Q

What is the difference between the Long plantar ligament and the plantar fascia?

A

Plantar fascia is much more superficial

72
Q

What ligaments support the arch?

A

Long plantar
Short plantar
Spring ligament
Plantar aponeurosis

73
Q

Which ligament bears most of the load in maintaining the arch?

A

Plantar aponeurosis

74
Q

What muscular sling provides support for the Transverse arch?

A

Fibularis longus and tibialis posterior

75
Q

What muscles are in the dorsum of the foot?

A

Extensor Hallucis Brevis

Extensor Digitorum Brevis

76
Q

What is the attachment for the Extensor Hallicus Brevis?

A

Dorsal calcaneus–>Lateral side of base prox phalanx of big toe

77
Q

What is the attachment for Extensor Digitorum brevis?

A

Dorsal and lateral calcaneus–>Lateral side of tendon of EDL for 2, 3, 4th toe

78
Q

What innervates the 2 dorsal foot muscles?

A

Deep fibular nerve

79
Q

What is the blood supply for the Dorsum of the foot?

A

Dorsalis pedis artery which comes off of the Anterior tibia

80
Q

What muscles are in the 1st layer of the plantar side of the foot?

A

Abductor Hallucis
Flexor digitorum Brevis
Abductor Digit Minimi

81
Q

Attachment-Abductor Hallucis

A

Med tubercle of calcaneus, flexor retinaculum, and plantar aponeurosis—>Medial base of prox phalanx of 1st digit

82
Q

Attachment-Flexor digitorum Brevis

A

Medial tubercle of calcaneus, plantar aponeurosis, and inter muscular septa–>Both sides of middle phalanges of lateral 4 toes

83
Q

Attachment -Abductor digiti minimi

A

Med and lat tubercles of calcaneus, plantar aponeurosis and inter muscular septa–>lateral side of base of prox phalanx of 5th digit

84
Q

SO-as far as attachments go the First layer of the foot attaches on the ______ and goes to ____ ____ ____

A
Calcaneus , plantar aponeurosis ----
1st
2-4
5th digit 
respectively
85
Q

The second layer of the Plantar foot muscles is?

A

Quadratus plantae

Lumbricals

86
Q

Attachment-Quadratus plantae

A

Medial surface of lateral plantar surface of calcaneus—>Post-lat margin of FDL tendon

87
Q

Attachment-Lumbricals

A

Tendons of FDL–>medial aspect of expansion over lateral 4 digits

88
Q

What innervates the first layer of the plantar portion of the foot?

A

plantar nerves (which comes off of the tibial nerve)

Median-Abductor Hallucis and Flexor Digitorum Brevis

Lateral-Abductor digiti minimi

89
Q

What innervates the second layer of the plantar portion of the foot?

A

Plantar nerves (which comes off of the tibial nerve)

Lateral-Quadratus plantae, and lumbrical 1

Median-Lumbricals 2-4

90
Q

Which is the larger of the 2 terminal tibial nerve branches?

A

Medial plantar nerve

91
Q

What is the continuation of the anterior tibial artery?

A

Dorsalis pedis
Deep plantar
Arcuate artery

92
Q

What is the continuation of the posterior tibial artery?

A

Medial plantar artery

Lateral plantar artery