Region 9 - Leg and Foot Flashcards
Where do the fibres of the interosseous membrane pass?
Inferolaterally from tibia to fibula
What is the function of the interosseous membrane?
Help resist downward pull of muscles attached to fibula
What type of joint is the superior tibiofibular joint?
Plane synovial
What is the superior tibiofibular joint between?
Flat articular surface on head of fibula
Articular facet on posterolateral aspect of lateral tibial condyle
What supports the joint capsule of the superior tibiofibular joint?
Anterior and posterior ligaments of head of fibula:
- Pass superomedially from head of fibula to lateral tibial condyle
When does the superior tibiofibular joint move and why?
During ankle dorsiflexion
Talus pushes up between malleoli of tibia and fibula
Where do the tendons of the anterior leg compartment pass?
Anterior to ankle
What is the general function of the anterior leg compartment?
Extensors of ankle and digits
What is the general function of the lateral leg compartment?
Evertors of foot
What are the origins of fibularis longus?
Head of fibula
Upper 2/3 of lateral fibula
What are the insertions of fibularis longus?
Base of 1st metatarsal
Medial cuneiform
What is fibularis longus innervated by?
Superficial fibular nerve (L5-S2)
What is the course of fibularis longus tendon?
Lies posterior to:
- Fibularis brevis tendon
- Fibular trochlea of calcaneus
What does fibularis longus tendon create a groove in?
Inferior surface of cuboid
What is the origin of fibularis brevis?
Inferior 2/3 of lateral fibula
What is the insertion of fibularis brevis?
Tuberosity on lateral side of base of 5th metatarsal
What is the innervation to fibularis brevis?
Superficial fibular nerve (L5-S2)
What are the relations of the fibularis brevis tendon?
Lies anterior to:
- Fibularis longus tendon
- Fibular trochlea of calcaneus
What are the muscles of the anterior compartment of the leg?
Tibialis anterior
Extensor digitorum longus
Fibularis tertius
Extensor hallucis longus
What is the innervation to the anterior compartment of the leg?
Deep fibular nerve (L4-L5)
What are the origins of tibialis anterior?
Lateral condyle of tibia
Superior 1/2 of lateral tibial surface
Interosseous membrane
What are the insertions of tibialis anterior?
Medial and inferior surfaces of medial cuneiform
Base of 1st metatarsal
What are the functions of tibialis anterior?
Dorsiflexes ankle
Inverts foot
What are the origins of extensor digitorum longus?
Lateral condyle of tibia
Superior 3/4 of medial surface of fibula
Interosseous membrane
What are the insertions of extensor digitorum longus?
Middle and distal phalanges of lateral 4 digits
What are the functions of EDL?
Extends lateral 4 digits
Dorsiflexes ankle
What are the origins of fibularis tertius?
Inferior 1/3 of anterior fibula
Interosseous membrane
What is the insertion of fibularis tertius?
Dorsal surface of the base of 5th metatarsal
What are the functions of fibularis tertius?
Dorsiflexes ankle
Assists in eversion of foot
What are the origins of extensor hallucis longus?
Middle anterior surface of fibula
Interosseous membrane
What is the insertion of EHL?
Dorsal aspect of distal phalanx of the hallux
What are the functions of EHL?
Extends hallux
Dorsiflexes ankle
What is the function of the extensor retinacula?
Prevent bowstringing of tendons
What are the origins and insertions of the superior extensor retinaculum?
Origin:
- Anterior border tibia
Insertion:
- Lower end of fibula
What are the origins and insertions of the inferior extensor retinaculum?
Origin: - Calcaneus laterally Insertions: - Medial malleolus (upper limb) - Blends with fascia over abductor hallucis (lower limb)
What is the shape of the inferior extensor retinaculum?
Y-shaped
What are the origins of the muscles on the dorsum of the foot?
Superior surface of calcaneus
Inferior extensor retinaculum
What are the insertions of the muscles on the dorsum of the foot?
Extensor hallucis brevis:
- Base of proximal phalanx of hallux
Extensor digitorum brevis:
- Long extensor tendons of digits 2-4
What is the innervation to EHB and EDB?
Deep fibular nerve (L5-S1)
Where does the superficial fibular nerve originate?
Between fibularis longus and neck of fibula
What are the functions of the superficial fibular nerve?
Motor to lateral leg compartment
Cutaneous:
- Distal anterior leg
- Most of dorsum of foot
What is the course of the deep fibular nerve?
Passes through EDL
Travels with anterior tibial artery on interosseous membrane
Supplies anterior leg compartment
Crosses ankle joint
What is the cutaneous distribution of the deep fibular nerve?
Skin between digits 1 and 2
What artery does the fibular artery arise from?
Posterior tibial artery
What is the origin of dorsalis pedis?
Continuation of anterior tibial artery
What are the branches of the dorsalis pedis artery?
Lateral tarsal artery
Deep plantar artery
Arcuate artery:
- Metatarsal arteries -> Digital arteries
What is the common insertion of the 3 superficial muscles in the posterior compartment of the leg?
Posterior calcaneus via tendocalcaneus
What structure do the tendons of the 4 deep muscles of the posterior leg compartment pass behind?
Medial malleolus
What are the origins of gastrocnemius?
Medial head:
- Popliteal (posterior) surface of femur (superior to medial condyle
Lateral head:
- Lateral aspect of lateral condyle of emur
What is the innervation to gastrocnemius?
Tibial nerve (S1-S2)
What are the functions of gastrocnemius?
Plantarflexes ankle
Flexes knee
What are the origins of plantaris?
Inferior end of lateral supracondylar line of femur
Oblique popliteal ligament
What is the innervation to plantaris?
Tibial nerve (S1-S2)
What is the function of plantaris?
Assists in plantarflexing the ankle
What are the origins of soleus?
Upper 1/3 of posterior fibula
Soleal line of tibia
Tendinous arch between bony attachments
What is the innervation to soleus?
Tibial nerve (S1-S2)
What is the function of soleus?
Plantarflexes ankle
What are the origins of popliteus?
Lateral surface of lateral femoral condyle (pit for popliteus)
Lateral meniscus
What is the insertion of popliteus?
Posterior surface of tibia:
- Superior to soleal line -> Popliteal area
What is the innervation to popliteus?
Deep fibular nerve (L4-S1)
What are the functions of popliteus?
Unlocks knee:
- Laterally rotates femur (5 degrees) on fixed tibia
Can medially rotate tibia if limb unplanted
What is the origin of FDL?
Posterior surface of tibia (inferior to soleal line)
What is the insertion of FDL?
Bases of distal phalanges of lateral 4 digits
What is the innervation to FDL?
Tibial nerve (L5-S2)