Muscles of the leg Flashcards

1
Q

Gastrocnemius

A

Ori:
1.)Medial head:
Medial condyle of femur
2.)Lateral head:
Lateral condyle of femur

Ins:
1.) Calcaneus via calcaneal (Achilles)tendon

Fun: (2)
1.) Plantar flex. of foot (ankle J.)
2.) Flex. of leg (knee J.)

N: Tibial

(super. post. comp)

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2
Q

Solleus

A

Ori:
1.) Soleal line of tibia.
2.) Head of the fibula
3.) Proximal posterior surface of body of fibula

Ins:
1.) Calcaneus via calcaneal (Achilles)tendon
Fun: (1)
Plantar flexion of the foot (ankle J.)

N: Tibial

(super. post comp)

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3
Q

Plantaris
FUN FACT***

A

Ori:
1.) Lower part of the lateral supracondylar ridge of femur.

Ins:
1.)Calcaneus via calcaneal (Achilles)tendon

Fun: (2)
1.) Plantar flex. of foot (ankle J.)
2.) Flex. of leg (Knee J.)

N: Tibial

(super. post. comp.)

** Has a long tendon and can be removed and gratfed **

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4
Q

Flexor hallucis longus

A

Ori:
1.) Inferior 2/3 of posterior surface of fibula and interosseous membrane.

Ins:
1.) Distal phalanx of big toe

Fun:
1.) Flex. of big toe @ MTP & IP joints.
2.) Plantar flexion of foot @ the ankle J.
3.) Inversion of foot @ the subtalar J.

N: tibial

(deep post. comp)

(CROSS: lat bone to medial)

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5
Q

Flexor digitorum longus

A

Ori:
1.) middle 1/3 of tibia

Ins:
2.) Base of distal phalanges of toes 2-5

Fun:
1.) Flex. of toes #2-5 @ MTP and PIP & DIP joints.
2.) Plantar flexion of foot @ ankle J.
3.) Inversion of foot @ subtalar J.
N: Tibial

(deep post. comp.)

(CROSS: med. bone to lateral bones)

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6
Q

Tibialis posterior

A

Ori:
1.) Proximal of posterior surface of tibia, fibula and interosseous membrane

Ins:
1.) 2nd & 3rd & 4th metatarsals
2.) Navicular
3.) All three cuneiforms
4.) Cuboid
5.) Calcaneus
(ALL TARSALS AND MTs except talus and 1st/5th metatarsals)
Fun:
1.) Plantar Flex. of foot @ ankle J.
2.) Inversion of foot @ subtalar J.

N: tibial

(deep. post. comp)

(CROSS: between EDL and FHL connects to both tib and fib to center metatarsals)

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7
Q

Popliteus

A

Ori:
1.) Lateral surface of lateral condyle of femur

Ins:
1.) above the soleal line on the posterior

Fun:
1.) Flex. of leg @ the knee J.
2.) Med. Rot. of leg @ knee J. (to UNLOCK the extended knee)

N: tibial

(deep post. comp.)

POPLITEUS IS THE KEY TO UNLOCK THE KNEE

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8
Q

Tibialis anterior

A

Ori:
1.) lateral condyle and upper 2/3 of lateral surface of tibia; and interosseous membrane.

Ins:
1.) 1st (medial) cuneiform
2.) Base of the 1st metatarsal

Fun:
1.) Dorsiflexion of foot @ ankle J. (prime mover of DF)
2.) Inversion of foot @ subtalar J.

N: Deep fibular (peroneal)

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9
Q

Extensor hallucis longus

A

Ori:
middle 1/3 of anterior surface of fibula and interosseous membrane.

Ins:
Base of distal phalanx of big toe

Fun:
1.) Ext. of big toe @ MTP and IP joints
2.) Dorsiflexion of foot @ ankle J.
3.) Inversion of foot @ subtalar J.

N: Deep fibular (peroneal)

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10
Q

Extensor digitorum

A

Ori:
1.) lateral condyle of tibia
2.) Proximal 2/3 of anterior surface of fibula
interosseous membrane.

Ins:
1.) Middle and distal phalanges of toes 2-5 (Via dorsal digital expansion)

Fun:
1.) Ext. of toes # 2-5 @ MTP and IP joints
2.) Dorsiflexion of foot @ ankle J.
3.) Eversion of foot @ subtalar J.

N: Deep fibular (peroneal)

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11
Q

Fibularis (peroneus) tertius

A

Ori:
1.) Distal 1/3 of anterior surface of fibula and interosseous membrane

Ins:
1.) Base of the 5th metatarsal

Fun:
1.) Dorsiflexion of foot @ ankle J.
2.) Eversion of foot @ subtalar J.

N: Deep fibular (peroneal)

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12
Q

Fibularis (peroneus) longus

A

Ori:
1.) Head of fibula
2.) Proximal 1\2 of lateral surface of fibula.

Ins:
1.) Base of the 1st metatarsal
2.) 1st cuneiform
(Same as tibialis anterior)

Fun: (2)
1.) Eversion of foot @ subtalar J.
2.) Plantar flexion of foot @ ankle J.

N: superficial fibular (peroneal)

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13
Q

Fibularis (peroneus) brevis

A

Ori:
1.) Distal 1/2 of lateral surface of fibula

Ins:
1.) Tuberosity of the 5th metatarsal bone

Fun: (2)
1.) Eversion of foot @ subtalar J.
2.) Plantar flexion of foot @ ankle J.

N: superficial fibular (peroneal)

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14
Q

What are the 3 compartments of the leg? Functions? Nerve?

A

Anterior- dorsi flexion, extension of toes, inversion and eversion (deep fibular nerve)

Lateral- eversion and plantar flexion (superficial fibular nerve)

posterior- plantar flexion, flexion of toes, plantar flexion and inversion (tibial nerve)

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15
Q

Anterior compartment muscles of leg? Vasculature? Nerve?

A

Extensors:
1.) tibialis anterior
2.) extensor digitorum longus
3.) extensor hallucis longus
4.) fibularis (peroneus) tertius

Ant. tibial artery and veins

deep fibular (peroneal) nerve

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16
Q

Lateral compartment muscles of leg? Nerve?

A

1.) fibularis Longus muscle
2.) fibularis brevis muscle

superficial fibular nerve

17
Q

Posterior compartment of leg?

A

Superficial:
1.) gastrocnemius
2.) soleus
3.) plantaris (tendon)

Tibial nerve

Deep:
1.) popliteus
2.) flexor hallucis
3.) flexor digitorum
4.) tibialis posterior

Tibial nerve
Post. tibial artery and veins
fibular artery and veins

18
Q

Which 3 band-like thickenings of fascia in the ankle joint? What are their functions?

A

superior extensor retinaculum
inferior extensor ret.

superior flexor ret.
inferior ret.

fibular ret.

Hold tendons of muscles in place

19
Q

What are the 2 actions associated with the subtalar axis?

A

inversion/eversion

19
Q

What are the 2 actions associated with the ankle axis?

A

plantar/dorsal flexion

20
Q

What are the gastrocnemius & soleus muscles combined known as?

A

triceps surae (93% of plantar flexion force!)

21
Q

Which 2 muscles are referred to as the second heart of the body? Why?

A

gastrocnemius & soleus, their role in venous blood return (blood vessels are located between so when these muscles contract, blood is forced through)

22
Q

What tendon is the DTR of S1?

A

calcaneal tendon

23
Q

What is the fabella?

A

A small sesmoid bone found in some mammals, embedded in the tendon of the lat. head of the gastrocnemius muscle behind the lat. condyle of the femur

24
Q

What muscle attaches to the lateral meniscus?

A

popliteus (post. side)

25
Q

What are the borders of the tarsal tunnel?

A

flex. ret, medial malleolus, and calcanea

26
Q

Arrangement of anatomical structures passing behind the medial melleolus?

A

Tibialis posterior, flexor Digitorum longus, post. tibial Artery, tibial Vein, tibial Nerve, flexor Hallucis longus

Tom Dick And Very Nervous Harry

27
Q

Where do you take the pulse of the post. tibial artery ?

A

mid-way between heel and medial malleolus

28
Q

What is the popliteal fossa? Where? Borders?

A

diamond shaped fossa behind knee joint

Lat. (top): biceps femoris
Medial (top): semitendinosus
Lat. (bottom): lat. head of gastrocnemius
Medial (bottom): med. head of gastrocnemius
Roof:
deep fascia which is pierced by the small saphenous vein
Floor:
top-Popliteal surface of femur
bottom: popliteus muscle

contents: branches of sciatic nerve( tib, common fib, popliteal A., popliteal V., fat, lymph nodes)

29
Q

Where do we take the pulse of the popliteal A.?

A

popliteal fossa

30
Q

What is compartment syndrome? Where does it occur? What nerve is involved?

A

Painful condition that occurs when pressure rises in and around muscles (swelling of muscles) and insufficient blood supply to tissue within that space.

Anterior compartment

Deep fibular nerve (passes through the compartment)

31
Q

When the deep fibular nerve is damaged, what condition will they present with? What action is restricted? What can you give patient to help?

A

drop foot, dorsi flexion, splint to help initiate dorsi flexion to aid in walking

32
Q

Where do the fibularis muscles go in relation to the lateral malleolus?

A

1 in front (FT-dorsiflexion) and 2 behind (FL and FB- plantar flexion)

Action at ankle joint is different!

33
Q
A