Posterior Leg and Ankle Joint. Flashcards
What is the common insertion for the superficial muscles of the posterior leg?
Posterior surface of the calcaneous via the tendocalcaneous
What is this muscle?
Gastrocnemius
What is the origin of the medial head of the gastrocnemius?
Popliteal surface of femur superior to medial condyle
What is the origin of the lateral head of the gastrocnemius?
Lateral aspect of lateral condyle of femur
What innervates the gastrocnemius?
Tibial nerve (S1,2)
What is the function of the gastrocnemius?
- Plantarflexes ankle
- Flexes knee
What is this muscle?
Plantaris
What is the origin of the plantaris?
Lateral supracondylar line of femur
What innervates the plantaris?
Tibial nerve S1,2
What is the function of the plantaris muscle?
Assists plantarflexion of ankle
What is this muscle?
Soleus
What is the origin of the soleus?
- Soleal line of tibia
- Upper 1/3 posterior fibula
- Tendinous arch between bony attachments
What innervates the soleus muscle?
Tibial nerve S1,2
What is the function of the soleus muscle?
Plantarflexes ankle joint
What is this muscle?
Popliteus
What is the origin of the popliteus?
- Lateral condyle of femur
- Lateral meniscus
What is the insertion of the popliteus?
Popliteal area of tibia
What innervates the popliteus?
Tibial nerve (L4,5,S1)
What is the function of the popliteus?
Unlocks knee joint by laterally rotating femur on fixed tibia
What is this muscle?
Flexor digitorum longus
What is the origin of the flexor digitorum longus?
Posterior surface of tibia
What is the insertion of the flexor digitorum longus?
Base of distal phalanx of digits 2-5
What innervates the flexor digitorum longus?
Tibial nerve (L5, S1,2)
What is the function of the flexor digitorum longus?
- Flexes lateral 4 digits
- Weak plantar flexion of the ankle
What is this muscle?
Flexor hallucis longus
What is the origin of the flexor hallucis longus?
Posterior surface of fibula
What is the insertion of the flexor hallucis longus?
Base of distal phalanx of hallux
What innervates the flexor hallucis longus?
Tibial nerve (L5, S1,2)
What is the function of the flexor hallucis longus?
- Flexes hallux
- Weak plantarflexor of ankle
What is this muscle?
Tibialis posterior
What is the origin of the tibialis posterior?
- Posterior surface of tibia and fibula
- Interosseous membrane
What is the insertion of the tibialis posterior?
- Tuberosity of navicular
- Cuneiforms
- Cuboid
- Sustentaculum tali of calcaneus
- Base of 2-4 metatarsals
What is the innervation of the tibialis posterior?
Tibial nerve L4,5
What is the function of the tibialis posterior?
- Plantarflexes ankle
- Inverts foot
Medial to lateral arrangement of tendons at the ankle joint.
- Tibialis posterior
- Flexor digitorum longus
- Flexor hallucis longus
Where does the flexor retinaculum attach?
Medial malleolus –> Calcaneous
What forms the malleolar mortise?
Distal ends of tibia and fibula
What does the malleolar mortise articulate with to form the ankle joint?
Trochlea of the talus
What is the range of motion of the ankle joint?
- 20-30 degrees dorsiflexion
- 30-50 degrees plantarflexion
What supports the ankle laterally and medially?
Strong collateral ligaments
What are the 3 lateral collateral ligaments?
Anterior talofibular
Posterior talofibular
Calcaneofibular
Where does the anterior talofibular ligament attach?
Neck of talus
Where does the posterior talofibular ligament attach?
Lateral tubercle of talus
Where does the calcaneofibular ligament attach?
Lateral surface of calcaneous