The Leg Flashcards
Compartments of the leg
Anterior
Lateral
Posterior (deep)
Posterior (superficial)
Fascia of the leg
Crural fascia
Membranes separating compartments
Interosseus (A/P(deep)
Transverse intermuscular spetum (Posterior)
Lateral Intramuscular septum (Lat/post (sup)
anterior intramuscular septum (ant/lat)
Nerves and arteries of each compartment
Anterior - anterior tibial artery, deep fibular nerve
Posterior (deep) - Fibular artery, posterior tibial artery, tibial nerve
Lateral - superficial fibular nerve
Anterior compartment of leg actions innervation and blood supply
Dorsiflexion of foot and extension of toes
Deep fibular nerve
Anterior tibial artery
Tendons of anterior leg compartment
Pass anterior to ankle joint and deep to extensor retinacula
Tibialis anterior
Dorsiflexes and inverts foot
Extensor digitorum longus
Extends lateral 4 toes with continued action dorsiflexes foot
Extenser hallucis longus
Extends the great toe and can dorsiflex
Muscles of anterior leg
Tibialis anterior
Extensor digitorum longus
Extensor hallicus longus
Fibularis tertius
Fibularis tertius
Dorsiflexes and everts foot
Drop foot is a result of damage to the
Deep fibular nerve bc cannot dorsiflex
Lateral compartment of the leg actions innervation and blood supply
Eversion of foot and plantarflexion
Superficial fibular nere
Fibular artery
Tendons of lateral compartment
Run posterior to lateral malleolus and deep to superior and inferior retinacula
Fibularis longus
Everts and plantarflxes
FIbularis brevis
Everts and plantarflexes
Muscles of lateral leg compartment
Fibularis longus
Fibularis brevis
Posterior compartment of the leg actions innervation and blood supply
Plantarflexion and inversion of foot…flexion of toes
Tibial nerve
Posterior tibial artery (and fibular artery)
Superficial muscles of posterior compartment and what they are named
Gastrocnemius
Soleus
Plantaris
Make up the triceps sucrae
Tendons of superficial posterior leg muscles
Gastroc and soleus Fuse to from the tendocalcaneous
Gastrocnemius
Plantarflexes foot and flexes leg
Soleus
Plantarflexes foot
Plantaris
Plantarflexes foot and leg
Engine that drives bipedalism
Plantarflexion
How does popliteal artery enter the fossa?
Through adductor hiatus
Popliteal vein accepts ____ that drains superficial posterior leg
Small saphenous
Common fibular nerve location and other branches
Under biceps femoris
Lateral sural cutaneous nerve to skin of calf
Tibial nerve other branches
Medial sural cutaneous nerve that becomes sural nerve following union with the lateral branch of the common fibular nerve
Tendons of deep muscles of the posterior compartment
Run posterior to medial malleolus and under flexor retinaculum to plantar side of foot
EXCEPT popliteus
Deep msucles of posterior function
Steady the leg on the foot when standing
EXCEPT POPLITEUS
Popliteus
Flexes knee and rotates tibia medially or femur laterally
Works at beginning of flexion to unlock the knee
Muscles of deep leg compartment
Popliteus
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
Tibialis posterior
Plantarflexes and inverts foot
Flexor digitorum longus
Flexes lateral 4 toes and plantarflexes
Flexor hallcisu longus
Flexes great toe and plantarflexes
Moving posteriorly from medial malleolus
Tibialis posterior Flexor digitorum longus Posterior tibial artery Posterior tibial vein Tibial nerve Flexor hallucis longus
Tom, Dick, And Very Nervous Harry
Knee joint articulation
Condyles of femur and condyles of tibia
Movements of knee joint
Flexion and extension
Also some medial and lateral when the leg is flexed
Fully locked when fully extended
Fibular (lateral) collateral ligament
Very strong
Extends from lateral epicondyle of femur to fibula
Damaged by medial blow
Tibial (medial) collateral ligament
Strong, flat band
From medial epicondyle to medial condyle of tibia
Directly attached to the knee capsule and medial meniscus
Damaged by lateral blow to the knee
Medial meniscus
Attached to tibial collateral ligament
Terrible triad
ACL, tibial collateral, and medial meniscus
Lateral meniscus
Less likely to be injured and not connected to fibular collateral ligament
ACL and PCL named for
Attachment on tibia
ACL prevents
Anterior displacement of the tibia on the femur and hyperextension of knee joint
ACL is slack when
Knee is flexed and taut when extended
Is PCL or ACL stronger?
PCL
If ACL torn, how can you test?
Anterior drawer sign
Tibia can be pulled anteriorly relative to the femus
How to damage ACL
Excessive medial roatation or hyperextension
PCL prevents
Posterior displacement of tibia on femur and hyperflexion of knee joint
PCL damaged by
hyperflexion
Tibial nerve
Branches from sciatic at popliteal fossa
Branches into the medial plantar and lateral plantar after the medial malleolus
Common fibular nerve
Also peroneal
Branches at popliteal fossa and runs laterally (medial to biceps femoris)
Most common injured nerve of lower extremity
When can common fibular be palpated?
When courses around neck of fibula
When does common fibular divide?
At neck of fibula into superficial and deep
Superficial fibular nerve innervates
Lateral compartment
Deep fibular nerve inervates
Anterior compartment
Popliteal branches into the
Anterior and posterior tibial arteries
Posterior tibial artery gives rise to the
Fibular artery
Posterior tibial artery becomes
Medial plantar artery
Anterior tibial artery becomes
DOrsal pedal artery
Anastamosis around the knee
Genicular anastamosis