16. Anatomy of leg and foot Flashcards

(32 cards)

1
Q

Function of the foot

A

Support body weight
Stability/standing
Locomotion/propulsion
Shock absorption

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2
Q

Tarsal bones of the foot [7]

A

Calcaneus, talus, cuboid, navicular, and the medial, middle, and lateral cuneiforms

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3
Q

Movements of foot

A
Dorsiflexion/extension
plantarflexion/flexion 
Eversion 
Inversion
Supination
Pronation
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4
Q

Ankle

A
  • Articulation between talus and tibia/fibula
  • Synovial hinge joint
  • Stabilized by collateral ligament
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5
Q

Lateral ligament

A

lateral malleolus to talus/calcaneous

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6
Q

Medial/deltoid ligament

A

Medial malleolus to talus/calcaneuos/navicular

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7
Q

Subtalar

A

intertarsal joint
between talus and calcaeneous

allows inversion and eversion

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8
Q

Transverse tarsal joint

A

compound joint

between (1) talus and navicular (2) and calcaneous and cuboid

important for standing on uneven ground
between forefoot and hindfoot

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9
Q

Plantar aponeurosis

A
  • Thickening of deep fascia
  • Protects underlying structures
  • Supports longitudinal arch
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10
Q

Plantar fasciaitis

A

inflammation of plantar aponeurosis

due to overuse

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11
Q

Longitudinal and transverse arches

A

shock absorbers during locomotion

acts as springboaders

distribution of weight

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12
Q

Longitudinal arch

-What is pes planus

A

Lateral and medial

Pes planus is flat feet- due to loss of medial longitudinal arch (seen in elderly, children)

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13
Q

Muscles of anterior compartment

-Function and innervation

A

extension/dorsiflexion
inversion

Supplied by deep fibular nerve

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14
Q

Muscles of posterior compartment

-Function and innervation

A

Superficial group: plantarflexion, flexion of leg at knee joint

Deep group: Plantar flex, invert foot + flex toes

Tibial nerve

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15
Q

Muscles in lateral compartment

-Function and innervation

A

Eversion

Superficial fibular nerve

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16
Q

Muscles of anterior compartment [3]

  • names
  • origin and insertion
A
  • Tibialis anterior
  • Extensor digitorum longus - to distal and middle phalanges of d2-5
  • Extensor hallucis longus

Origin: tibia and fibula

Passes under retinaculum

17
Q

function of retinaculum

A

Prevents bowing of the tendons

18
Q

Posterior compartment of leg (superficial group)

  • names
  • origin and insertion
A

Superficial group

  • Gastrocnemius- 2 bellies (origin: condyles of femur)
  • Soleus (origin: tibia and fibula
  • Plantaris (origin: femur)
19
Q

Gastrocnemius muscle

A

Origin: condyles of femur

  • Posterior compartment of leg
  • 2 bellies
  • Inferior border of the popliteal fossa
  • Produces large tendon called Tendo calcaneous (Achilles tendon)
20
Q

Popliteal fossa

A

Borders are

-Semimembranosus, semitendinosus, biceps femoris, Gastrocnemius

21
Q

Soleus

A

Origin: tibia and fibula

powerful plantar flexor

22
Q

Posterior compartment of leg (deep group)

A

Origin: tibia + fibula

Flexor digitorum longus, Tibialis posterior, Flexor hallucis longus

23
Q

Lateral compartment of foot

A

Evert foot

Fibularis longus
Fibularis brevis

Supplied by superficial fibular nerve

24
Q

Fibularis longus

A

Origin: fibula

Insertion: Medial cuneiform + 1st metatarsal

function: everts and plantar flexes foot

Supplied by superficial fibular nerve

25
Fibularis brevis
Origin: fibula Insertion: 5th metatarsal function: eversion Supplied by superficial fibular nerve
26
Which muscle maintains the transverse arch of the foot?
Maintains transverse arch
27
Blood supply to the posterior compartment
Popliteal artery (ant and post tibial artery) fibular artery
28
Tarsal tunnel - contents - damage
Tom, Dick and Harry Tibialis posterior Flexor digitorum longus Posterior tibial artery/vein tibial nerve Flexor hallucis longus damage is due to trauma to tibial nerve
29
Foot drop?
Trauma to common fibular nerve
30
Common fibular nerve
Motor: Deep – anterior compartment of leg + dorsal intrinsic muscles Superficial – lateral compartment of leg
31
Summary of nerve supply to the leg
supplied by terminal branches of sciatic nerve Tibial- Posterior compartment Deep fibular- Anterior compartment Superficial fibular- Lateral compartment
32
Blood supply to the anterior compartment
Anterior tibial artery Sits beside the extensor hallucis longus tendon Dorsalis pedis Anastomosis with deep plantar arch