Posterior Leg Flashcards
How many compartments in the thigh are there?
3
What are the 3 compartments of the thigh?
Anterior, posterior, and lateral
How many sub-compartments is the posterior compartment of the thigh broken up into?
- The posterior superficial and posterior deep
Structures in a compartment of the leg share what?
Same general function, same nerve, and same artery/vein
What is the general function of the anterior compartment?
Extension at the knee
What is the nerve of the anterior compartment?
Femoral nerve
What is the general function of the posterior compartment of the thigh?
Flexion at the knee
What is the nerve of the posterior compartment of the thigh?
The sciatic nerve
What is the general function of the lateral compartment of the thigh?
Abduction of the hip
What is the nerve of the lateral compartment of the thigh?
Obturator nerve
How many posterior groups of the leg are there? What are they?
- The superficial posterior group and the deep posterior group
What makes up the superficial posterior group of the leg? (3 muscles)
Gastrocnemius, plantaris, and soleus (GPS)
What makes up the deep posterior group of the leg? (4 muscles)
Popliteus, flexor hallucis longus, flexor digitorum longus, tibialis posterior
Gastrocnemius origin and insertion?
O: Superior to medial femoral condyle (medial head), superior to lateral femoral condyle (lateral head)
I: Posterior surface of calaneous via the achilles tendon
What is the other name for the achilles tendon?
tendo calcaneus
Fabella
Lateral head of gastrocnemius may have sesamoid bone close to its proximal attachments. A painful fabellar stress fracture may accompany a total knee replacement
Soleus origin and insertion
O: The soleal line of the tibia & fibula.
I: Achilles Tendon
Triceps surae is made of what?
The soleus and 2 heads of the gastrocnemius
Action of surae
Plantarflexion
Plantaris action
Weak plantar flexion and flexion at the knee. Proposed to have proprioceptive ability due to high amount of proprioceptive receptors.
What muscle does popliteus lie deep to?
plantaris
Name of septum that separates the anterior compartment from the lateral compartment?
The anterior septum
Name of the septum that separates the lateral compartment from the posterior compartment?
The posterior septum
Name of membrane that separates the anterior compartment from the posterior deep compartment?
The interosseous membrane
Name of the septum that separates that posterior deep compartment from the posterior superficial compartment?
The transverse septum
What muscle forms the inferior floor of the popliteal fossa?
The popliteus
Origin and insertion of the popliteus muscle?
O: lateral femoral condyle and lateral meniscus
I: Posterior tibia
Function of the popliteus muscle?
Unlocks an extended leg by laterally rotating femur on a stationary tibia.
Weakly flexes the leg.
4 major arteries of the genicular anastomosis?
Superior lateral genicular, inferior lateral genicular, superior medial genicular, inferior medial genicular
Flexor Hallucis Longus attachments
fibula to base of distal phalanx of great toe
Function of the flexor hallucis longus
Flex at the great toe. Plantarflex at the ankle joint
Where is the groove for the flexor hallucis longus tendon?
In-between the lateral and medial tubercle
What does the calcaneus articulate with superiorly?
Talus
What does the calcaneus articulate with anteriorly?
Cuboid
Sustentaculum tali
Shelf like projection that supports the talus and provides groove for flexor hallucis longus
Flexor digitorum longus origin and insertion?
O: posterior tibia
I: distal phalanx base of lateral 4 digits
Action of the flexor digitorum longus m?
flexes lateral 4 digits. plantar flex foot at ankle joint
Action of tibialis posterior?
Inversion and plantarflexion
The navicular articulates with what anteriorly?
3 cuneiforms
The navicular articulates with what posteriorly?
talus head
The navicular articulates with what laterally?
cuboid
Dynamic arch of the foot is made up of what two support sections?
Dynamic and passive support
Dynamic support is made up of what? (6)
Tibialis anterior, tibialis posterior, flexor hallucis longus, fibula’s longus, intrinsic plantar muscles (TTIFF)
Passive support is made up of what? (4)
Plantar aponeurosis, plantar calcaneonavicular ligament, long plantar ligament, short plantar ligament
What innervates the posterior compartment of the leg?
Tibial nerve
The tibial nerve passes between what muscles?
Deep to soleus, posterior to tibialis posterior
What supplies blood to the posterior compartment?
The posterior tibial artery
The posterior tibial artery ends by dividing into what?
The medial and lateral plantar arteries
Where is the posterior tibial pulse palpated?
Between the posterior surface of the medial malleolus and medial border of the calcaneal tendon
What is the posterior tibial pulse used for?
To examine patients with occlusive peripheral artery disease (intermittent claudication - impairment in walking)
Intermittent claudication cause
Ischemia of the leg muscles due to narrowing or occlusion of leg arteries. Leg cramps and pain during walking