Muscles Of The Leg Flashcards
List the muscles in the anterior compartment of the leg
Tibialis anterior
Extensor digitorum longus
Extensor hallucis longus
Fibularis tertius
General action of the muscles of the anterior leg
Dorsi flexion of foot and inversion of foot
Which muscles of the anterior leg are extensors
Extensor digitorum longus
Extensor hallucis longus
muscles of the anterior leg are innervated by ?????
Deep fibular nerve
muscles of the anterior leg are supplied arterially by ???
Anterior tibial artery
Strongest dorsiflexor of the foot is ???
Tibialis anterior
To test the power of the tibialis anterior, the patient can be asked to _________
stand on their heels
The tibialis anterior muscle is located alongside the (medial or lateral?) surface of the tibia.
Lateral
TIBIALIS ANTERIOR
-(anterior or Posterior?) to medial malleous
Anterior
Tibialis anterior
ORIGIN:____ of ____/ (medial or lateral ?) surface of the ___
INSERTION: ______ and _____
upper 2/3 of tibia
Lateral ; tibia
medial cuneiform and 1st metatarsal
Tibialis anterior
ACTION: _____ and _____
INNERVATION:________ nerve
inversion; dorsiflexion
deep peroneal
The extensor digitorum longus lies (medial or lateral?) and (superficial or deep?) to the tibialis anterior.
Lateral
Deep
The tendons of the EDL can be palpated
T/F
If T, where
If F, why
T
on the dorsal surface of the foot.
EXTENSOR DIGITORUM LONGUS
-pass (anterior or posterior?) to lateral maleolus
ORIGIN: (medial or lateral ?) condyle of ___ and (anterior or posterior ?) surface of _____
Anterior
Lateral ; tibia
Anterior ; fibula
EXTENSOR DIGITORUM LONGUS
INSERTION: _____ and _____ of __ toes
ACTION: ____ and ____
INNERVATION: __________ nerve
middle and distal phalanx; four
eversion, dorsiflexion
deep peroneal
The extensor hallucis longus is located (superficial or deep?) to the EDL and TA.
Deep
The extensor hallucis longus
Attachments: Originates from the (medial or lateral ?) surface of the ____ shaft.
The tendon crosses (anterior or posterior?) to the ankle joint and attaches to the (apex or base?) of the ___ phalanx of the great toe.
Medial
fibular
Anterior
Base
distal
The extensor hallucis longus
Action: ______ of the great toe and ____ of the foot.
Innervation:__________ nerve.
Extension
dorsiflexion
Deep fibular
The fibularis tertius muscles arises from the most (superior or inferior?) part of the EDL.
Inferior
The fibularis tertius is present in all individuals
T/F
F
Fibularis tertius
Originates with the ______ muscle from the (medial or lateral ?)surface of the fibula.
extensor digitorum longus
Medial; fibular
Fibularis tertius
Actions:_____ and ____ of the foot.
Innervation: _______ nerve.
Eversion and dorsiflexion
Deep fibular
Footdrop is a clinical sign indicating paralysis of the muscles in the ______ compartment of the leg. It typically occurs as a consequence of damage to the _____nerve – from which the ______ nerve arises.
anterior
common fibular (peroneal)
deep fibular
In footdrop, the muscles in the _____ compartment are paralysed.
anterior
The unopposed pull of the muscles in the posterior leg produce permanent ____flexion.
plantar
muscle of the anterior leg that produces eversion at the subtalar joint?
Fibularis tertius
The _______ leg is the largest of the 3 compartments of the leg
posterior
Collectively, the muscles in the posterior compartment of the leg _______ and ______ the foot.
They are innervated by the ____ nerve, a _____ branch of the ____ nerve.
plantarflex and invert
tibial
terminal
sciatic
The superficial muscles of the posterior leg form the characteristic ‘ _____ ’ shape of the posterior leg.
They all insert into the _____ of the foot (the ___ bone), via the ____ tendon.
calf
calcaneus
heel
calcaneal
The calcaneal reflex tests spinal roots __-___
S1-S2.
To minimise friction in the posterior compartment of the leg during movement, there are ___ bursae (fluid filled sacs) associated with the calcaneal tendon:
List them
two
Subcutaneous calcaneal bursa
Deep bursa of the calcaneal tendon
Subcutaneous calcaneal bursa – lies between the _____ and _____.
Deep bursa of the calcaneal tendon – lies between the ______ and _____
skin and the calcaneal tendon
tendon and the calcaneus.
The _______ is the most superficial of all the muscles in the posterior leg.
gastrocnemius
gastrocnemius
It has two heads – ______ and _____ , which converge to form a single muscle belly.
medial and lateral
Gastrocnemius
Attachments: The lateral head originates from the _____, and medial head from the _____. The fibres converge, and form a single muscle belly.
lateral femoral condyle
medial femoral condyle
In the lower part of the leg, the muscle belly of gastrocnemius combines with the _____ to from the _________, with inserts onto the _____ (the heel bone).
soleus
calcaneal tendon
calcaneus
Gastrocnemius
Actions: It ____flexes at the ankle joint, and because it crosses the knee, it is a _____ there.
Innervation: ____ nerve
plantar
flexor
Tibial
The plantaris is a (small or large ?) muscle with a long tendon, which can be mistaken for a ____ as it descends down the leg.
Small
nerve
Plantaris is absent in ____% of people.
10
Plantaris
Attachments:
Originates from the _________ of the femur. The muscle descends (medially or laterally?) , condensing into a tendon that runs down the leg, between the ____ and _____
The tendon blends with the _________
lateral supracondylar line
Medially
gastrocnemius and soleus.
calcaneal tendon.
Plantaris
Actions: It ____flexes at the ankle joint, and because it crosses the knee, it is a ____ there.
Innervation: ____ nerve
plantar
flexor
Tibial
Plantaris is a vital muscle for plantar flexion of ankle joint and flexor of knee joint
T/F
F
It’s not
The soleus is located (superior or deep?) to the gastrocnemius.
It is (small or large?) and (round or flat?) ,
It is named soleus due to its resemblance of a ____ – a ______
Deep
Large
Flat
sole; flat fish.
Soleus
Attachments: Originates from the ____ of the ——— and (proximal or distal?) ____ area.
The muscle (widens or narrows?) in the lower part of the leg, and joins the _____
soleal line of the tibia
Proximal ; fibular
Narrows
calcaneal tendon.
Soleus
Actions: ____flexes the foot at the ankle joint.
Innervation:____ Nerve.
Plantar
Tibial
Ruptured Calcaneal Tendon
Rupture of the calcaneal tendon refers to a partial or complete tear of the tendon. It is more likely to occur in people with a history of _______ (______ ——— of the tendon).
The injury is usually sustained during forceful ____ of the foot. The patient will be unable to_____ the foot against resistance, and the affected foot will be permanently ______.
The _____ and _____ can contract to form a lump in the calf region.
Treatment of a ruptured calcaneal tendon is usually (surgical or non-surgical?) , except in those with ___ lifestyles.
calcaneal tendinitis
chronic inflammation
plantarflexion; plantarflex
dorsiflexed
soleus and gastrocnemius
Non-surgical ; active
There are ____ muscles in the deep compartment of the posterior leg.
List them and where they act on
four
One muscle, the popliteus, acts only on the knee joint. The remaining three muscles (tibialis posterior, flexor hallucis longus and flexor digitorum longus) act on the ankle and foot.
The popliteus is located (superiorly or inferiorly?) in the leg. It lies (infront of or behind?) the knee joint, forming the (base or apex?) of the _____
superiorly
Behind
Base
popliteal fossa.
There is a bursa (fluid filled sac) that lies between the _____ and the (anterior or posterior?) surface of the ____ joint. It is called the popliteus bursa.
popliteal tendon
Posterior
knee
Popliteus
Attachments: Originates from the _____ of the ____ and the (anterior or posterior?) horn of the _______ ———. From there, it runs (superior or inferior?) (Medially or laterally ?) towards the ____ bone and inserts above the ____ of the _____ muscle.
lateral condyle of the femur
Posterior
lateral meniscus
Inferior
Medially
tibia
origin of the soleus
Popliteus
Actions: (medially or Laterally ?) rotates the ____ on the ____ –this is ‘_____’ the knee joint so that ____ can occur.
Innervation:_____ nerve.
Laterally
femur on the tibia
unlocking
flexion
Tibial
_______ muscle is the deepest out of the four muscles of the deep posterior compartment of the leg
tibialis posterior
Tibialis Posterior lies between the ———- and _______ muscles .
flexor digitorum longus and the flexor hallucis longus
Tibialis Posterior
Attachments: Originates from the _____ between the ____ and ____, and ____ surfaces of the two bones.
The tendon enters the foot posterior to the _____________ , and attaches to the (plantar or dorsal?) surfaces of the ______ bones.
interosseous membrane
tibia and fibula
posterior
medial malleolus
Plantar
medial tarsal
Tibialis Posterior
Actions: _____ and ____flexes the foot, maintains the _______ of the foot.
Innervation:______ nerve.
Inverts and plantar
medial arch
Tibial
Which is larger , Flexor Digitorum Longus or flexor hallucis longus
The FDL is (surprisingly) a smaller muscle than the flexor hallucis longus.
Flexor Digitorum Longus
It is located (medially or laterally ?) in the posterior leg.
Medially
Flexor Digitorum Longus
Attachments:
Originates from the (medial or lateral?) surface of the ____, attaches to the (plantar or dorsal?) surfaces of the ______
Medial; tibia
Plantar
lateral four digits.
Flexor Digitorum Longus
Actions: _____ the lateral four toes.
Innervation:_____ nerve.
Flexes
Tibial
Flexor Hallucis Longus
The flexor hallucis longus muscle is found on the (medial or lateral?) side of leg.
Lateral
Flexor Hallucis Longus
Attachments: Originates from the (anterior or posterior?) surface of the ____, attaches to the (plantar or dorsal ?) surface of the phalanx of the ______
Posterior
fibula
Plantar
great toe.
Flexor Hallucis Longus
Actions: ____ the great toe.
Innervation:____ nerve.
Flexes
Tibial
There are two muscles in the lateral compartment of the leg; the ______ and ______ (also known as ______ and _____ ).
fibularis longus and brevis
peroneal longus and brevis
The common function of the muscles of the lateral compartment is ______
They are both innervated by the _______ nerve.
eversion
superficial fibular
From the anatomical position, only a few degrees of eversion are possible. In reality, the job of these muscles of the lateral compartment is to ‘ ____ ’ the ____ of the foot during ____ , and prevent ________
fix
medial margin
running
excessive inversion.
Which is larger
Which is deeper
Between fibularis longus and fibularis brevis
The fibularis longus is the larger and more superficial muscle within the compartment
Fibularis longus
Attachments
The fibularis longus originates from the _____ and ______ surface of the ____ and the ___________
The fibres converge into a tendon, which descends into the foot, (anterior or posterior?) to the lateral malleolus.
The tendon crosses under the foot, and attaches to the bones on the (medial or lateral?) side, namely the _____ and _____
superior and lateral
fibula
lateral tibial condyle.
Posterior
Medial
medial cuneiform and base of metatarsal I.
Fibularis longus
Actions: _____ and ___flexion of the foot.
Innervation: _________ nerve, ___-____
Eversion and plantar
Superficial fibular (peroneal)
L4-S1.
The fibularis brevis also supports the lateral and transverse arches of the foot.
T/F
F
Longus
Fibularis brevis
Attachments:
Originates from the (superior or inferior?) (medial or lateral?) surface of the ____ shaft.
The muscle belly forms a tendon, which descends with the \_\_\_\_\_\_\_ into the foot. It travels (anteriorly or posteriorly ?) to the lateral malleolus, passing over the \_\_\_\_ and the \_\_\_\_ bones. The tendon then attaches to a \_\_\_ on \_\_\_\_\_\_\_\_\_
Inferior ; lateral
fibular
fibularis longus
Posteriorly
calcaneus; cuboidal
tubercle; metatarsal V.
Fibularis brevis
Actions:______ of the foot.
Innervation: ___________ nerve, L4-S1.
Eversion
Superficial fibular (peroneal)
The common fibular nerve can be a difficult structure to identify. However, it can be located using the ______ as an anatomical landmark.
fibularis longus
There is a small space between the parts of the fibularis longus that originate from the ___ of the fibula, and the ____ of the fibula. The ______ nerve passes through this gap, and is easily identified
After passing through the gap, the nerve terminates by bifurcating into two terminal branches; the ____ and ______ nerve.
head
Neck
common fibular
deep and superficial fibular