anatomy of foot and ankle/lower leg Flashcards

1
Q

what 3 bones make up the ankle joint?

what type of joint is this?

what ligaments do all of these joints have?

what movement does it produce?

what other joint is in the foot?

what bones is it between?

what movement?

A

fibula, tibia, tallus

hinge

collateral

dorsiflexsion, plantar flexsion

subtalar joint

tallus and calcaneous

inversion and eversion

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2
Q

what are the posterior leg muscles nerve?

what movement do they produce?

A

tibial nervre

plantarflexsion and inversion

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3
Q

what are the anterior lower leg muscles supplied by?

what movements do they produce?

A

deep fibular nerve

dorsiflexsion

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4
Q

what nerve supplies the lateral leg muscles?

what movement do they produce?

A

superficial fibular nerve

eversion, plantarflesion (as they run behind mallealous)

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5
Q

is the ankle joint stable?

why is eversion more limited then inversion?

why can we dorsiflex and plantarflex a lot?

why is the plantarflexed position less stable?

A

yes

deltoid ligaments on medial side are strong so limit eversion more

not many ligaments on anterior and posterior of joint capsule and also the capsule is more slack here

the articular surface of tallus is narrower posteriorly so less stable = more injury in plantarflexed position

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6
Q

how do muscles contribulte to the stability of the ankle?

A

tendons from the leg muscles create a stirrup around the foot to support it and creates arches

fibularis longus tendon = lateral side

tibialis anterior and posterior tenson = medial side

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7
Q

what is the tarsal tunnel?

what makes up the tunnel?

what runs through the tunnel A to P

A

where tendons and neurovascular bindle run and enter the foot

flexor retinaculum - holds vessels in place and creates tunnel

Tom, Dick, Very, Nervous, Harry

tibularis posterior tendon, digitorum longus tendon, posterior tibial artery, vein, tibial nerve, hallucis longus tendon

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8
Q

what main nerves innervate the digits of the sole of the foot?

A

medial plantart nerve = 3.5 toes

lateral plantar nerve = 1.5 toes

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9
Q

what ligaments are in the medial ankle?

A

Deltoid ligaments

  • tibiocalcaneal
  • tibionavicular
  • anterior and posterior tibiotalar
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10
Q

what are the lateral ligaments of the ankle ?

A

bone of foot - fibular

  • anterior and posterior talofibular
  • calcaneoufibular
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11
Q

what is the popliteal fossa?

what neurovascular bundle runs through here?

what muscle makes the lateral boundary?

what muscle makes the medial boundary?

what muscle makes the inferior medial boundary?

what muscle makes teh inferior lateral boundary?

A

diamond shaped space behind the knee

tibial and common fibula nerve, popliteal vein and artery (both femoral)

biceps femoris

semitendinosus and membranosus

medial head of gastrocnemius

lateral head of gastrocnemius

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12
Q
A
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13
Q

what is the pes anserinus?

what muscles are involved?

A

it is the convergence point of 3 muscles from 3 different origins innervated by 3 different nerves on the medial side of knee

sartorius - anterior

gracillus - medial

semitendonosus - medial/posterior

Say Grace before Tea

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14
Q

what are the 3 main muscles in the anterior lower leg?

blood supply?

A
  • extensor digitorum longus
  • tibialis anterior
  • extensort halluicis longus

T H U D

Tibilais, Hallucis, Digitorum

anterior tibial artery

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15
Q

what 2 main muscles are on the lateral lower leg?

A
  • fibularius longus
  • fubularis bervis
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16
Q

what muscles make up the posterior leg?

what is the neurobascular bundle here?

how deep is it ?

why?

A
  • grastrocneumis
  • soleus
  • flexor digitorum longus
  • flexor hallucis longus
  • tibialis posterior

​opposite to anterior

posterior tibial neurovascular bundle: tibial nerve, posterior tibial artery and vein

intermediate = betweeen deep and superficial (soleus and grastroc) muscles therefore has a short distance to supply them

17
Q

what are these muscles?

A

red = extensor digitorum longus

green = tibialis anterior

pruple = extensor allucis longus

18
Q

what are these muscles?

A

blue = fibularis longus

yellow = fibularis brevis

19
Q

what are these muscles?

A

yellow = gastrocnemius

green = soleus

20
Q

what are these muscles?

A

bronze = popliteus

green = flexor digitorum

red = tibilais posterior

blue = flexor hallucis longus

deep muscles of posterior lower leg

21
Q

what is the names of these boney groups?

A

blue = tarsals

red = metatarsals

green = phalanges (2 on big toe, 3 on rest of toes)

22
Q

what are these bones?

A

purple = calcaneous

yellow = tallus

green = cuboid

blue = navicular

red = 3 cuniforms (medial, intermediate and lateral)

23
Q

what ligaments are the tibia and fibula joined by?

why do they need to be joined?

A

anterior and posterior tibiofibular ligaments

to keep stability in ankle joint - make up syndensmosis

24
Q
A