Posterior Leg and Ankle Joint Flashcards

1
Q

From which nerve does the cutaneous innervation of the posterior leg mostly come from?

A

Sural nerve

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2
Q

What are the attachments of popliteus?

A

Lateral condyle of the femur (pit for popliteus) and the lateral meniscus

Inserts into the popliteal area of the tibia (above the soleal line)

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3
Q

What is highlighted in red?

A

The malleolar mortise which articulates with the trochlea of the talus

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4
Q

What are the parts of the medial collateral ligament?

A

Fans out from medial malleolus - 4 parts

  • Anterior tibiotalar
  • Tibionavicular
  • Tibiocalcaneal
  • Posterior tibiotalar
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5
Q

Where does the flexor retinaculum run?

A

Between the medial malleolus and the calcaeneous

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6
Q

What is this muscle and its innervation?

A
Tibialis posterior
Tibial nerve (L4,5)
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7
Q

What muscle is being shown and what is its innervation?

A
Plantaris
Tibial nerve (S1,2)
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8
Q

What are the muscles of the deep aspect of the posterior compartment?

A

4 muscles

  • Popliteus
  • Flexor Digitorum Longus
  • Flexor Hallucis Longus
  • Tibialis Posterior
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9
Q

What is the range of motion for dorsiflexion?

A

20-30 degrees

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10
Q

What are the attachments of the 2 heads of the gastrocneumius muscle?

A

Medial head - popliteal surface of the femur, superior to the medial condyle

Lateral head - lateral aspect of the lateral condyle of the femur

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11
Q

What nerve gives cutaneous innervation to the green section?

A

Medial sural cutaneous nerve (sural nerve)

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12
Q

What movement would you see at the inferior tibiofibular joint?

A

Slight movement to accommodate the wedging of the trochlea of talus during dorsiflexion

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13
Q

What are the actions of the gastrocneumius muscle?

A

Plantarflexion of ankle

Flexion of knee

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14
Q

Describe the route of the tendons of the deep muscles

A

Pass behind the medial malleolus to the plantar surface of the foot (except from popliteus)

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15
Q

Between which tendons are the posterior tibial vessels and the tibial nerve found?

A

Flexor digitorum longus
Flexor hallucis longus

(Tom, Dick and Very Naughty Harry)

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16
Q

What is the range of movement for plantarflexion?

A

30-50 degrees

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17
Q

What are the actions of flexor hallucis longus?

A

Flexes the hallux

Weak plantarflexion of the ankle

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18
Q

What are the attachments of flexor hallucis longus?

A

Posterior surface of the fibula

Inserts into the base of the distal phalanx of the hallux

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19
Q

What supports the ankle joint?

A

Medial and lateral collateral ligaments

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20
Q

What muscles belong to the superficial part of the posterior leg?

A

Gastrocnemius
Plantaris
Soleus

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21
Q

Describe the route of the fibular artery

A

Runs medial to the fibula, usually within the flexor hallucis longus

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22
Q

What is this muscle and its innervation?

A
Popliteus 
Tibial nerve (L4,L5,S1)
23
Q

What surfaces are involved in the ankle joint?

A

Distal end of tibia and fibula

Trochlea of Talus

24
Q

How many muscles are in the posterior compartment of the leg?

A

7 muscles

  • 3 superficial
  • 4 deep
25
Q

What are the attachments of the tibialis posterior muscle?

A

Posterior surface of the tibia and fibula, interosseous membrane
Inserts into the tuberosity of navicular, cuneiforms, cuboid, sustentaculum tail of the calcaeneus, and the base of the 2nd, 3rd and 4th metatarsals

26
Q

What nerve gives cutaneous innervation to the pink patch?

A

Posterior cutaneous nerve of the thigh

27
Q

What is the action of the popliteus?

A

Unlocks the knee joint by laterally rotating the femur on fixed tibia

28
Q

What is the action of flexor digitorum longus?

A

Flexes the lateral 4 digits

Weak plantarflexion of the ankle

29
Q

What are the 3 parts of the lateral collateral ligaments and where they insert?

A

Anterior talofibular - inserts into neck of talus
Posterior talofibular - inserts into lateral tubercle of talus
Calcaneofibular - inserts lateral surface of the calcaneous

30
Q

What nerve gives cutaneous innervation to the light blue section?

A

Lateral sural cutaneous nerve

31
Q

Describe the route of the posterior tibial artery and its branches?

A

Posterior tibial artery is a terminal branch of the popliteal artery. Runs between the heads of gastrocneumius and deep to the soleous on the surfaces of TP and FDL

  • Gives the fibular artery as a branch
  • Terminates as the medial and lateral plantar arteries in the foot
32
Q

What is the origin of plantaris?

A

Lateral supracondylar line of the femur

proximal to the lateral head of gastrocneumius

33
Q

What tarsal bone does the tibialis posterior NOT attach to?

A

Talus

34
Q

What is the medial to lateral arrangement of the tendons of the deep posterior compartment at the ankle joint?

A

Tibialis posterior, flexor Digitorum longus, and flexor Hallucis longus

(Tom, Dick and Harry)

35
Q

What is the function of plantaris?

A

Assists with plantarflexion of the ankle

36
Q

What is this muscle and its innervation?

A
Flexor hallucis longus
Tibial nerve (L5, S1, S2)
37
Q

What does this image show?

A

The lateral collateral ligaments of the ankle

38
Q

What muscle is being highlighted and what is its innervation?

A
Soleus 
Tibial nerve (S1,S2)
39
Q

Describe the Tibial nerves route

A
  • Passes between the heads of gastrocneumius and deep to tendinous arch of soleus, with the posterior tibial artery
  • Passes between the FHL and FDL at the ankle joint
  • Gives terminal branches to supply the sole of the foot - the medial and lateral plantar nerves
40
Q

What type of joint is the inferior tibiofibular joint?

A

Syndesmosis - fibrous joint

41
Q

What is this muscle and its innervation?

A
Flexor Digitorum Longus
Tibial neve (L5, S1, S2)
42
Q

What is the artery to the posterior aspect of the leg?

A

Posterior tibial artery

43
Q

What are the attachments of Soleus?

A

Soleal line of tibia
Upper 1/3 of the posterior fibula
Tendinous arch between bony attachments

44
Q

What is the function of Soleus?

A

Plantarflexion of the ankle joint

45
Q

Where does the capsule of the ankle attach?

A

Attaches around the margins

Anteriorly extends onto the neck of the talus

46
Q

What is the other name for the Tendocalcaneous tendon?

A

Achilies tendon

47
Q

What is this image showing?

A

The medial collateral ligament (deltoid)

48
Q

What are the actions of tibialis posterior?

A

Plantarflexion of the ankle

Inverts foot

49
Q

What is the attachments of the Flexor digitorum longus?

A

Posterior surface of tibia

Inserts into the base of the distal phalanx of digits 2-5

50
Q

Via which tendon do the superficial muscles insert onto the posterior surface of the calcaneous?

A

Tendocalcaneous

51
Q

What is being highlighted?

A

Soleal line

52
Q

What nerve gives cutaneous innervation to the purple section?

A

Saphenous nerve (from the femoral)

53
Q

What is this muscle and its innervation?

A
Gastrocneumius 
Tibial nerve (S1,2)