Week 9 Flashcards

0
Q

That kind of joint is the ankle joint?

A

Talocural joint

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1
Q

What are the muscles of the lateral compartment of the leg?

A

Fibularis longus

Fibularis brivis

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2
Q

What is the blood supply to the lateral compartment of the lef?

A

Anterior tibial and fibular arteries

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3
Q

What nerve supplies the lateral compartment of the leg?

A

Superficial fibular nerve (branch of common fibular nerve)

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4
Q

What are the attachments of the superior fibular retinaculum?

A

The tip of the lateral malleolus to the calcaneus

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5
Q

What passes under the superior fibular retinaculum?

A

Perineal and Fibularis tendons

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6
Q

What is the pathway of the Fibularis longus muscle?

A

Passes posterior to the lateral malleolus via a common synovial sheath with Fibularis brevis
It then passes through a groove on the cuboid bone, running dismally to its insertion

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7
Q

Fibularis longus

A

O: head of the lateral fibula
I: base of 1st metatarsal and medial cuneiform
NS: superficial fibular nerve
A: everts foot, weak plantar flexion of the ankle, stabilisation of leg on foot

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8
Q

Fibularis brevis

A

O: lateral surface of the fibula
I: tuberous it’s on the lateral side of the base of the 5th metatarsal
NS: superficial fibular nerve
A: eversion of the foot, weak plantar flexion of the ankle, stabilise the leg on the foot

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9
Q

What divides the steroid compartment into superficial and deep groups?

A

The transverse intermuscular septum, this runs from the tibia to the fibular.

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10
Q

What is the nerve supply to the posterior compartment of the leg?

A

The tibial nerve

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11
Q

What is the blood supply to the posterior compartment of the leg?

A

Tibial and fibular arteries

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12
Q

What muscles from the superficial group of the posterior compartment of the leg?

A

Plantaris
Gastrocnemius
Soleus

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13
Q

What does surae refer to?

A

The calf

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14
Q

What is another name for the Achilles’ tendon?

A

The Calcaneal tendon

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15
Q

Gastrocnemius

A

O: lateral side of the lateral condyle of the femur (lateral head) popliteal surface of the femur (medial head)
I: posterior surface of the calcaneus via the calcaneal tendon
NS: tibial nerve
A: plantarflexion of the ankle when the knee is extended, raises the heel during walking, flexes the knee

16
Q

Soleus

A

O: posterior head and superior posterior fibula, Soleal line, middle third of the medial border of the tibia and the tendinous arch
I: posterior surface of calcaneus via the calcaneal tendon
NS: ?
A: plantar flexion?

17
Q

What muscles does plantar is run between?

A

Gastrocnemius and soleus

18
Q

Plantaris

A

O: inferior part of the lateral supra condylar line of the femur and the oblique popliteal ligament
I: posterior surface of the calcaneus via calcaneal tendon
NS: tibial nerve
A: weakly assists gastrocnemius in plantar flexion of the ankle and flexion of the knee

19
Q

What are the muscles of the deep posterior compartment of the leg?

A

Popliteus
Flexor digitorum longus
Flexor hallucis longus
Tibial is posterior

20
Q

What is the function of popliteus?

A

Allows for lateral rotation of the femur, allowing unlocking of the knee. Also medially rotates the tibia on the femur if the leg is flexed

21
Q

Popliteus

A

O: lateral surface of the lateral condyle of the femur and the lateral meniscus
I: posterior surface of the tibia, superior to the Soleal line
NS: tibial nerve
A: flexion of huge knee, lateral rotation of the femur, medial rotation of huge tibia when knee is flexed

22
Q

Flexor digitorum longus

A

O: medial part of the posterior tibia, inferior to the Soleal line and by a broad tendon attaching to the fibula
I: bases of distal phalanges of 2-5
NS: tibial nerve
A: flexes lateral 4 digits, plantar flexes ankle, supports longitudinal arches off the foot

23
Q

What structures does Flexor hallucis longus pass?

A

O: inferior two thirs of the posterior surface of the fibula, adjacent Interosseus membrane
I: base of the distal phalanx of the great toe
NS: tibial nerve
A: flexes the big toe weak ankle plantar flexor, more here you missed

24
Q

Tibialis posterior

A

O: Interosseus membrane, posterior tibia, inferior to Soleal line, posterior fibula
I: tuberous it’s of the navicular, cuneiforms, cuboid sustenaculum tali of the calcaneus and the bases of the 2nD, 3rd and 4th metatarsals
NS: tibial nerve
A: plantar flexes ankle, inverts foot, assists longitudinal arch

25
Q

Medial malleus flexor retinaculum anterior to posterior

A
Tom dick and very naughty Harry!
T
D
A
V
N
H
26
Q

Common fibular nerve pathway

A

Winds around the neck of the fibular, passes deep to fib long, divides into superficial and deep fibular nerves superficial supplies lateral compartment of the leg and the deep supplies the anterior

27
Q

Deep fibular nerve

A

Passes through EDL, descends on the anterior surface of the Interosseus membrane with anterior tibial artery
Crosses the distal end of the tibia, and enters the dorsal foot, passes between MISSED THIS!
Supplies anterior muscles, tib/fib and ankle joints as well as a cutaneous supply between the 1st and second toe

28
Q

Superficial fibular nerve

A

Descends in the lateral compartment of the leg, pierces the deep fascia at distal third of the leg to become cutaneous

Supplies?

29
Q

Tibial nerve

A

Exits the popliteal fossa, running between the two head of gastrocnemius, runs under the tendinous arch of soleus
Descends on tibialis posterior
Passes under the flexor retinaculum between FHL and FDL
Divides into medial and lateral plantar nerves

30
Q

What does the tibial nerve supply?

A
Supplies:
Posterior muscles of the leg
Knee joint
Inferior tib fib joint
Nile joint
Skin covering the medial inferior aspect of calcaneus
31
Q

What does the Sural nerve supply?

A

Skin on hue he posterior and lateral aspects of the leg and skin over the lateral aspect of the foot

32
Q

Pathway of the popliteal artery

A

Enters popliteal fossa via the the adductor hiatus

Divides at the lower border of popliteus into anterior and posterior tibial arteries

33
Q

Anterior tibial artery:

A

Passes through the superior Interosseus hiatus
Descends on the anterior surface of The Interosseus membrane travelling between tibial is anterior and EDL
Passes deep to the extensor retinaculum, becomes dorsalis pedis artery as it passes the ankle joint

34
Q

Posterior tibial artery

A

Begins at the posterior border of popliteus
Passes deep to soleus, runs over tibial is posterior (IM)
Runs posterior to the medial malleolus, deep to the flexor retinaculum
Enters the foot

35
Q

Posterior tibial artery branches

A

Circumflex fibular
Nutrient artery of the tibia
Medial malleolus branch