Posterior Leg and Ankle Joint Flashcards
From which nerve does the cutaneous innervation of the posterior leg mostly come from?
Sural nerve
What are the attachments of popliteus?
Lateral condyle of the femur (pit for popliteus) and the lateral meniscus
Inserts into the popliteal area of the tibia (above the soleal line)
What is highlighted in red?
The malleolar mortise which articulates with the trochlea of the talus
What are the parts of the medial collateral ligament?
Fans out from medial malleolus - 4 parts
- Anterior tibiotalar
- Tibionavicular
- Tibiocalcaneal
- Posterior tibiotalar
Where does the flexor retinaculum run?
Between the medial malleolus and the calcaeneous
What is this muscle and its innervation?
Tibialis posterior Tibial nerve (L4,5)
What muscle is being shown and what is its innervation?
Plantaris Tibial nerve (S1,2)
What are the muscles of the deep aspect of the posterior compartment?
4 muscles
- Popliteus
- Flexor Digitorum Longus
- Flexor Hallucis Longus
- Tibialis Posterior
What is the range of motion for dorsiflexion?
20-30 degrees
What are the attachments of the 2 heads of the gastrocneumius muscle?
Medial head - popliteal surface of the femur, superior to the medial condyle
Lateral head - lateral aspect of the lateral condyle of the femur
What nerve gives cutaneous innervation to the green section?
Medial sural cutaneous nerve (sural nerve)
What movement would you see at the inferior tibiofibular joint?
Slight movement to accommodate the wedging of the trochlea of talus during dorsiflexion
What are the actions of the gastrocneumius muscle?
Plantarflexion of ankle
Flexion of knee
Describe the route of the tendons of the deep muscles
Pass behind the medial malleolus to the plantar surface of the foot (except from popliteus)
Between which tendons are the posterior tibial vessels and the tibial nerve found?
Flexor digitorum longus
Flexor hallucis longus
(Tom, Dick and Very Naughty Harry)
What is the range of movement for plantarflexion?
30-50 degrees
What are the actions of flexor hallucis longus?
Flexes the hallux
Weak plantarflexion of the ankle
What are the attachments of flexor hallucis longus?
Posterior surface of the fibula
Inserts into the base of the distal phalanx of the hallux
What supports the ankle joint?
Medial and lateral collateral ligaments
What muscles belong to the superficial part of the posterior leg?
Gastrocnemius
Plantaris
Soleus
Describe the route of the fibular artery
Runs medial to the fibula, usually within the flexor hallucis longus