Structures of the anterior leg Flashcards

1
Q

What is the smaller branch of the sciatic nerve?

A

Common fibular nerve

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2
Q

What structure does the common fibular nerve wrap around?

A

The neck of the fibula

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3
Q

Into what two structures does the common fibular nerve divide?

A

superficial and deep fibular nerves

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4
Q

What are the branches of the common fibular nerve?

A
  1. Sural communicating: joins sural branch of tibial nerve
  2. lateral sural cutaneous: supplies skin on proximal, lateral , posterior leg
  3. articular: to the knee
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5
Q

What nerve is the most commonly injured nerve in the lower extremity?

A

common fibular nerve (its superficial and wraps around fibula)

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6
Q

How may the common fibular nerve be damaged?

A
  1. Compression
  2. Traction
  3. Lacerations

Examples: casts, fractures, prolonged kneeling/squatting, kneeling with crossed legs, injury to knee joint

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7
Q

What clinical symptoms may be seen with common fibular nerve damage? (5)

A
  1. foot drop (loss of dorsal flexion)
  2. loss of eversion
  3. loss of extension
  4. diminished inversion
  5. loss of sensation on foot dorsum and lateral leg
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8
Q

What nerve is the medial terminal branch of the common fibular nerve?

A

deep fibular nerve

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9
Q

Where does the deep fibular nerve begin? end?

A

begins at the neck of the fibula
descends with anterior tibial artery
terminates at the front of the ankle

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10
Q

What structure accompanies the deep fibular nerve?

A

anterior tibial artery

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11
Q

What are the branches of the deep fibular nerve?

A

muscular: anterior compartment of leg and dorsum of foot
articular: inferior tibiofibular and ankle joints
cutaneous: webspace between first and second digits

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12
Q

What is ski boot syndrome?

A

compression neuropathy of the deep fibular nerve (at ankle)

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13
Q

What causes ski boot syndrome?

A

tight fitting boots or shoes

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14
Q

What are clinical signs of ski boot syndrome?

A
  1. loss of dorsal flexion and extension of toes

2. loss of sensation of skin and webbed spaces between digits one and two

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15
Q

The anterior tibial artery descends along with what structure?

A

deep fibular nerve

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16
Q

The anterior tibial artery is the smaller branch of what structure?

A

popliteal artery

17
Q

where does the anterior tibial artery begin? end?

A

begins at lower popliteal fossa, ends as dorsal pedis artery

18
Q

which vessel passes through the interosseous membrane?

A

anterior tibial artery

19
Q

The dorsal pedis artery is a continuation of what structure?

A

anterior tibial artery

20
Q

How does one take the pulse of the anterior tibial artery?

A

by taking the pulse of the dorsal pedis artery