Popliteal Fossa and Posterior Leg Flashcards
What is the popliteal fossa?
Space posterior to knee joint
What muscles are the boundaries of the popliteal fossa?
Superomedially = semitendinosus and semimembranosus Superolaterally = biceps femoris Inferiorly = medial and lateral heads of gastrocnemius
How does the small saphenous vein end in the popliteal fossa?
By passing through the deep fascia (popliteal fascia) in the median plane of the limb to drain into the popliteal vein
Where is the neurovascular bundle located in the popliteal fossa?
In its median plane
What are the contents of the popliteal neurovascular bundle (from superficial to deep)?
Tibial nerve (from sciatic nerve) Popliteal vein (continuation of posterior tibial vein) Popliteal artery (continuation of posterior tibial artery)
Where are the popliteal lymph nodes located?
Along the popliteal vein in the popliteal fossa
Where does the common sciatic nerve most commonly divide into the tibial and common fibular nerves?
The superior apex of the fossa (if not already divided in the gluteal region or posterior thigh)
Where does the tibial nerve pass through?
Passes vertically through the fossa
Where is the common fibular nerve located?
Skirts the lateral border of the fossa, deep to biceps femoris tendon
Where does the common fibular nerve leave the popliteal fossa?
Between the biceps femoris tendon and the lateral head of gastrocnemius to reach the fibular neck
What happens to the common fibular nerve once it reaches the fibular neck?
Winds around it before dividing into the deep and superficial fibular nerves
Where are the sural nerves located and what do they supply?
Located mainly in superficial fascia of fossa and supply skin and fascia on the posterolateral aspect of the leg and foot
What give rise to the sural cutaneous branches?
The tibial nerve = medial sural cutaneous nerve
Common fibular nerve = lateral sural cutaneous nerve
How do the sural cutaneous branches communicate?
Via the sural communicating branch
What nerves make up the sural nerve?
The medial sural cutaneous nerve and the communicating branch fibres
Where does the sural nerve leave the popliteal fossa to supply?
Descends alongside the small saphenous vein in the superficial fascia of the median plane of the posterior compartment of the leg
What does the tibial nerve give branches to inside the popliteal fossa?
Both heads of the gastrocnemius, deeper muscles = small plantaris muscle, popliteus muscle
Where is the small plantaris muscle located?
Deep to the lateral head of the gastrocnemius (combines inferiorly with the Achilles tendon)
Where is the popliteas muscle located?
Deep to plantaris
What are two ways the common fibular nerve can be damaged?
Compression injury against neck of fibula, damaged in fractures of the fibular neck