lecture final Flashcards
(127 cards)
Leg Summary
1. Three compartments:
- Three nerves:
a. Anterior – Deep Peroneal Nerve
b. Posterior – Tibial Nerve
c. Lateral – Superficial Peroneal Nerve
Compartments a. Anterior b. Posterior c. Lateral Nerves a. Anterior – Deep Peroneal Nerve b. Posterior – Tibial Nerve c. Lateral – Superficial Peroneal Nerve
Thigh Summary
1. 4 compartments
- Innervated by:
Compartments a. Anterior - Quadriceps b. Posterior -- Hamstrings c. Medial – Adductors d. Lateral (small compartment) – TFL Nerves a. Anterior – Femoral (L2, L3, L4) b. Posterior – Sciatic (L4 - S3) c. Medial – Obturator (L2, L3, L4) d. Lateral – Tensor Fascia Lata – Superior gluteal nerve (L4, L5)
Tibialis posterior
Deep Posterior Compartment of Leg
O: interosseous membrane, posterior surface of tibia inferior to soleal line, and posterior surface of fibula
I: tuberosity of the navicular, cuneiform, and cuboid bones, and bases of 2nd, 3rd, & 4th metatarsal bones
A: plantar flexes and inverts foot
N: tibial nerve (L4 & L5)
Flexor Digitorum longus
Deep Posterior Compartment of Leg
O: medial part of posterior surface of tibia, inferior to soleal line, and by a broad aponeurosis to fibula
I: bases of distal phalanges of lateral 4 digits
A: flexes lateral 4 digits and plantar flexes foot; supports longitudinal arch of foot
N: tibial nerve (S2 & S3)
Flexor hallucis longus
Deep Posterior Compartment of Leg
O: inferior 2/3 of posterior surface of fibula and inferior part of interosseous membrane
I: base of distal phalanx of great toe
A: flexes great toe at all joints and plantar flexes foot; supports longitudinal arch of foot
N: tibial nerve (S2 & S3)
Popliteus
Deep Posterior Compartment of Leg
O: lateral surface of lateral condyle of femur and lateral meniscus
I: posterior surface of tibia, superior to soleal line
A: weakly flexes knee and unlocks it
N: tibial nerve (L4, L5, & S1)
Plantaris
Posterior Compartment of Leg
O: inferior end of lateral supracondylar line of femur and oblique popliteal ligament
I: tendo calcaneus
A: weakly assists the gastrocnemius in plantar flexion and flexing the knee joint
N: tibial nerve (S1 & S2)
Soleus
Posterior Compartment of Leg
O: posterior aspect of head of fibula, superior 1⁄4 of posterior surface of fibula, soleal line, and medial border of tibia
I: posterior surface of calcaneus via tendo calcaneus
A: plantar flexion of foot; steadies leg on foot
N: tibial nerve (S1 & S2)
Gastrocnemius (Lateral and Medial heads)
Posterior Compartment of Leg
O: lateral head – lateral aspect of lateral condyle of femur; medial head – popliteal surface of femur, superior to medial condyle
I: posterior surface of calcaneus via tendo calcaneus
A: plantar flexion of foot; raises heel during walking, and flexes the knee joint
N: tibial nerve (S1 & S2)
Fibularis brevis
**Lateral Compartment of Leg **
O: inferior2/3ofthe lateral surface of the fibula
I: dorsal surface of tuberosity on lateral side of the base of 5th metatarsal bone
A: foot eversion and weak plantar flexion
N: superficial fibular (peroneal) nerve (L5, S1, & S2)
Fibularis Longus
**Lateral Compartment of Leg **
O: head and superior 2/3 of the lateral surface of the fibula
I:base of 1st metatarsal bone and medial cuneiform bone
A: footeversionand weak plantar flexion
N: superficialfibular (peroneal) nerve (L5, S1, & S2)
Fibularis tertius
**Anterior Compartment of Leg **
O: lower 1/3 of the anterior surface of the fibula and the interosseus membrane
I: medialside of the dorsal aspect of the base of the fifth metatarsal bone
A: dorsiflexes the foot; everts the foot
N: deep peroneal nerve (L4, L5)
Extensor Hallucis longus
**Anterior Compartment of Leg **
O: middle half of the anterior surface of the fibula and from the interosseous membrane
I: base of the distal phalanx of the great toe
A: extends the big toe and dorsiflexes the foot; also assists in inversion of the foot
N: deep peroneal nerve (L4,L5)
Extensor digitorum longus
**Anterior Compartment of Leg **
O: upper2/3ofthe anterior surface of the fibula and from the interosseous membrane
I: extensor expansion of the lateral 4 toes
A: extends the toes and dorsiflexes the foot at the ankle joint
N: deep peroneal nerve (L4, L5)
Tibialis Anterior
**Anterior Compartment of Leg **
O: upper half of the lateral surface of tibia and from the interosseous membrane
I: medial cuneiform bone and the adjoining base of the first metatarsal bone
A: dorsiflexes the foot at the ankle joint and inverts the foot at the subtalar and transverse tarsal joints; it assists in holding up the medial longitudinal arch of the foot
N: deep peroneal (fibular) nerve (L4,L5)
Femoral Triangle Boundaries: 1. Superior: 2. Medial: 3. Lateral: 4. Floor: 5. Roof:
- Superior: inguinal ligament
- Medial: adductor longus muscle
- Lateral: sartorius muscle
- Floor: iliopsoas and pectineus mm
- Roof: fascia lata, subcutaneous tissue
Femoral Triangle
Contents: (NAVL from lateral to medial)
- Femoral nerve and branches (Muscular, articular, and cutaneous). Saphenous nerve= terminal cutaneous nerve branch.
- Femoral sheath and contents:
a. Femoral artery and several of its terminal branches
b. Femoral vein and its proximal tributaries (e.g. the great saphenous and deep femoral veins)
c. Deep inguinal lymph nodes and associated lymphatic vessels.
Biceps femoris (long head and short head)
**Posterior Compartment (Hamstrings) of Thigh **
O: long head – ischial tuberosity; short head: linea aspera and lateral supracondylar line of femur
I: lateral side of head of fibula; tendon is split at this site by fibular collateral ligament of the knee
A: flexes leg and rotates it laterally when knee is flexed; extends thigh
N: long head - tibial division of sciatic nerve (L5, S1, & S2); short head – common fibular (peroneal) division of sciatic nerve (L5, S1, & S2)
Semimembranosus
**Posterior Compartment (Hamstrings) of Thigh **
O: ischial tuberosity
I: posterior part of medial condyle of tibia; reflected attachment forms oblique popliteal ligament (to the lateral femoral condyle)
A: extend thigh; flex leg and rotate it medially when knee is flexed
N: tibial division of sciatic nerve (L5, S1, & S2)
Semitendinousus
**Posterior Compartment (Hamstrings) of Thigh **
O: ischial tuberosity
I: medial surface of superior part of tibia
A: extend thigh; flex leg and rotate it medially when knee is flexed
N: tibial division of sciatic nerve (L5, S1, & S2)
Obturator externus
**Medial Compartment of Thigh **
O: margins of obturator foramen and outer surface of obturator membrane
I: trochanteric fossa of the femur
A: laterally rotates the thigh; steadies head of femur in acetabulum
N: obturator nerve (L3 & L4)
Gracilis
**Medial Compartment of Thigh **
O: body and inferior ramus of pubis
I: superior part of medial surface of tibia
A: adducts thigh, flexes leg, and helps rotate it medially
N: obturator nerve (L2 & L3)
Adductor Magnus
**Medial Compartment of Thigh **
O: adductor part – inferior ramus of pubis, ramus of the ischium; hamstrings part: ischial tuberosity
I: adductor part – gluteal tuberosity, linea aspera, medial supracondylar line; hamstrings part: adductor tubercle
A: adducts thigh
N: obturator nerve, posterior division (L2, L3, & L4); tibial division of sciatic nerve (L4)
Adductor brevis
**Medial Compartment of Thigh **
O: body and inferior ramus of pubis
I: pectineal line and proximal part of linea aspera
A: adducts the thigh and to some extent flexes it
N: obturator nerve, branch of anterior division (L2, L3, & L4)