LL:3)The Anterior Leg and Dorsum of the Foot Flashcards

1
Q

where does tibia attack proximally

A

femur

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2
Q

which forms part of the knee proximally

a)both
b)tibia
c)fibula

A

b

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3
Q

list the tarsal bones

A

talus, calcaneus (heel bone), navicular, cuboid and three cuneiforms

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4
Q

which tarsal bones articulates with the tibia and fibula at the ankle joint.

A

Talus

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5
Q

what is the forefoot

A

metatarsals and phalanges

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6
Q

what are Metatarsophalangeal joints (MTPJ)

A

lie between the metatarsals and the proximal phalanges.

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7
Q

what is Dorsiflexion

A

(extension) - at the ankle joint. Positions the foot so the toes point upwards.

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8
Q

what is plantar flexion

A

(extension) - at the ankle joint. Positions the foot so the toes point downwards .

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9
Q

The subtalar joint is formed by the articulation of the _____ and the _____

A

calcaneum and navicular

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10
Q

The toes move in the following ways::

A

● Flexion
● Extension
● Abduction (moving the toes apart)
● Adduction (bringing the toes together)

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11
Q

why are MTP joint in toes important

A

pushing the foot off the ground and forward propulsion during walking and running.

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12
Q

What nerve innervates the anterior compartment of leg

A

deep peroneal nerve.

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13
Q

what are the muscles of the anterior compartment of the leg

-originate
-insert

A

● Tibialis anterior
-O:tibia and interosseous membrane
I: Medial cuneiform

● Extensor hallucis longus (EHL)
-O: fibula and interosseous membrane
-I: Distal phalanx of big toe

● Extensor digitorum longus (EDL)
-O: tibia, fibula and interosseous membrane.
I:Distal phalanges of 2-5

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14
Q

what is anterior leg muscles main function

A

They primarily act as dorsiflexors (extensors) of the foot at the ankle joint and extensors of the toes.

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15
Q

where does tibialis anterior insert

A

medial cuneiform

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16
Q

where does Extensor hallucis Longus insert

A

distal phalanx of the big toe

17
Q

where does Extensor digitorum longus insert

A

distal phalanges of digits 2-5

18
Q

what are the muscles of the lateral compartment of the leg and where do they originate and insert and invervation

A

Both innervated by superficial peroneal nerve

● Peroneus longus (fibularis longus)
-O: Fibula
-I: plantar surface of the medial cuneiform bone.

● Peroneus brevis (fibularis brevis)
-O: Fibula
-I:base of the 5th metatarsal.

19
Q

what are the 2 main veins that drain the leg and foot

A

great and small saphenous vein

20
Q

What do deep veins follow in the leg

A

the arteries

21
Q

-The superficial peroneal nerve innervates the muscles of the _____ leg.

-The deep peroneal nerve innervates the muscles of the _______ leg.

A

lateral
anterior

22
Q

where can pulses be palpated around the ankle

A

-posterior tibial artery is palpable posterior to the medial malleolus

-dorsalis pedis artery is usually easily palpable over the dorsum
of the foot, just lateral to the tendon of extensor hallucis longus, between the firstand second metatarsals

-The popliteal pulse is palpable in the popliteal fossa.

23
Q

what is the blood supply of the anterior compartment of the leg

A

anterior tibial artery.

24
Q

what is the blood supply of the lateral compartment of the leg

A

fibular/pereoneal artery

25
Q

what bone infection could occur in an open fractuar of the tibia and why is this a risk due to the location of the tibia

A

-osteomyelitis
-litttle subcutaneous tissues tissue between the anterior surface of the tibia and skin

26
Q

Fractures of the fibular neck, caused by a lateral blow to the leg can injure which nerve and why

A

The common peroneal nerve lies relatively superficially as it wraps around the neck of the fibula

27
Q

Describe foot drop

A

Damage to common pereoneal nerve. The foot cannot be dorsiflexed and the toes will drag on the ground when walking.

28
Q

where does the anterior tibial artery come frm

A

popliteal artery.

29
Q

Which muscles extend the toes? Which nerves innervate them?

A
  • Extensor hallucis longus extends the big toe.
  • Extensor digitorum longus and extensor digitorum brevis extend toes 2-5.
  • The deep peroneal nerve innervates them.
30
Q

Which muscles extend the toes? Which nerves innervate them?

A
  • Extensor hallucis longus extends the big toe.
  • Extensor digitorum longus and extensor digitorum brevis extend toes 2-5.
  • The deep peroneal nerve innervates them.
31
Q

What movements take place at the ankle joint?

A

dorsoflexion and plantar flexion

32
Q

What movements occur at the subtalar joint?

A

Inversion and eversion of the foot.