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Viewing:

Anatomy Block III- Popliteal Fossa and Leg

front 1

what is the popliteal fossa

back 1

junction between thigh and leg, a diamond shaped space in back of the knee

front 2

back 2

a. semitendinosus
b. semimembranosus
c. medial head of gastrocnemius
d. lateral head of gastrocnemius
e. biceps femoris

front 3

where is the popliteal pulse felt from

back 3

popliteal artery, knee flexed, palpate posteriorly for pulse

front 4

what is the upper medial border of the popliteal fossa

back 4

semimebranosus and semitendonosus

front 5

what is the upper lateral border of the popliteal fossa

back 5

biceps femoris

front 6

what are the lower medial and lateral borders of the popliteal fossa

back 6

medial and lateral heads of the gastrocnemius

front 7

what is the popliteal fossa covered with? what is that continuous with

back 7

covered with popliteal fascia, continuous with fascia latae, which contines down to the fascia of the leg

front 8

does the fossa have a lot of fat

back 8

yes

front 9

what are the contents of the popliteal fossa

back 9

sometimes the end of the sciatic nerve
small saphenous vein
tibial nerve
common fibular nerve
popliteal vein
popliteal artery

front 10

what does the small saphenous vein drain into

back 10

popliteal vein

front 11

what part of the leg does the small saphenous vein drain

back 11

superficial posterior part of the leg

front 12

where is the tibial nerve in the popliteal fossa

back 12

medial part of fossa

front 13

what is the tibial nerve a branch of

back 13

sciatic nerve

front 14

what is the fibular nerve a branch of

back 14

sciatic nerve

front 15

where does the common fibular nerve leave the popliteal fossa

back 15

the lateral side of the fossa

front 16

where is the popliteal vein in the popliteal fossa

back 16

deep in the fossa, more superficial than the artery

front 17

where is the popliteal artery in the popliteal artery

back 17

deep to popliteal vein

front 18

where does the popliteal artery branch from and what does it give off

back 18

continuation of the femoral artery, gives off some arteries that supply part of the leg like the tibial arteries

front 19

what is another name for the interosseus ligament

back 19

interosseus membrane

front 20

back 20

a. posterior intermuscular septum
b. anterior intermuscular septum
c. deep (crural) fascia
d. interosseus membrane

front 21

which bone of the leg is more medial and which is more lateral

back 21

tibia medial, fibula lateral

front 22

what is the structure of the leg like

back 22

paired long bones with interosseus membranse in both (thick CT between two bones) and each bone has an interosseus border

front 23

what are teh bones of the leg

back 23

tibia
fibula
tarsal bones and other bones of the foot discussed later

front 24

what is the role of the tibia? what does it articulate with

back 24

weight bearing bone, articulates with the femur

front 25

what is the role of the fibula

back 25

bone for ankle support, also serves as a muscle attachment place and has no femur connection

front 26

what are the lateral and medial malleoli

back 26

they are the lateral and medial prominences on their respective sides of the ankle, formed by the fibula and tibia respectively

front 27

what is the interosseus membrane

back 27

CT joining tibia and fibula

front 28

what is the functional moving role of the interosseus membrane

back 28

allows pivot among the two bones

front 29

what does the interosseus membrane do structurally

back 29

divides anterior and posterior compartments

front 30

what is the crural fascia

back 30

deep fascia of the leg, goes tibia to tibia

front 31

what is the crural fascia continuous with

back 31

continuous superiorly with the popliteal fascia and fascia latae

front 32

what is the role of the anterior intermuscular septum

back 32

divides anterior and lateral compartments

front 33

what is the role of the posterior intermuscular septum

back 33

divides lateral from posteiror compartments

front 34

what is the role of the interosseus membrane structurally

back 34

divides anterior and posterior compartments

front 35

what do muscles in the same compartment typically share

back 35

muscle actions
innervation
blood supply

front 36

what is the shared action of muscles in the anterior compartment

back 36

dorsiflexion of ankle/foot (pulls toes up)

front 37

where is the anterior compartment relative to the tibia

back 37

lateral

front 38

what is the action of the tibialis anterior

back 38

dorsiflexion and ankle inversion (rolls ankle inwards)

front 39

where does the tibialis anterior attach?

back 39

tarsal bones

front 40

what is the action of the extensor hallucis longus

back 40

dorsiflexion and extension of the toe

front 41

what is the extensor hallucis longus attached to distally

back 41

big toe

front 42

where is extensor hallucis longus

back 42

deep to other anterior muscles, tendon visible

front 43

what is the action of the extensor digitorum longus

back 43

dorsiflexion and helps extend toes 2-5

front 44

what does the extensor digitorum longus connect with

back 44

toes 2-5

front 45

back 45

a. tibialis anterior
b. extensor digitorum longus
c. fibularis tertius
d. extensor hallucis longus

front 46

where is the extensor digitorum longus

back 46

lateral to tibialis anterior

front 47

where does the fibularis tertius run

back 47

small muscle that wraps around lateral side

front 48

what is the action of the fibularis tertius

back 48

weak dorsiflexor and helps evert the ankle

front 49

what does the anterior tibial artery become within the anterior compartment

back 49

dorsalis pedis artery

front 50

what anterior rami make up the deep fibular nerve

back 50

L4-S1

front 51

back 51

a. anterior tibial artery
b. deep fibular nerve
c. dorsalis pedis artery

front 52

back 52

a. extensor digitorum longus
b. extensor hallucis longus
c. tibialis anterior

front 53

what does the deep fibular nerve supply

back 53

(Anterior Compartment Muscles)
tibialis anterior
extensor hallucis longus
extensor digitorum longus
fibularis tertius

front 54

what compartment is the tibialis anterior in

back 54

anterior

front 55

what compartment is the extensor hallucis longus in

back 55

anterior

front 56

what compartment is the extensor digitorum longus in

back 56

anterior

front 57

what compartment is the fibularis tertius in

back 57

anterior

front 58

what is the shared action of the lateral compartment

back 58

everts and plantarflexes

front 59

where does the lateral compartment insert

back 59

behind lateral malleolus of the fibula

front 60

where are the fibularis longus and fibularis brevis relative to one another

back 60

fibularis longus is superficial to fibularis brevis

front 61

back 61

a. fibularis longus
b. fibularis brevis

front 62

what is the function of fibularis longus and fibularis brevis

back 62

evert the foot (contract to prevent ankle inversion) and plantarflexion

front 63

where does the fibular artery come from

back 63

posterior compartment

front 64

what does the fibular artery give off

back 64

perforating branches of the fibular artery

front 65

where does the superficial fibular nerve get its innervation from

back 65

anterior rami of L5-S2

front 66

what muscles does the superficial fibular nerve innervate

back 66

fibularis longus and fibularis brevis

front 67

what is special about the posterior compartment of the leg compared to the rest

back 67

2 layers

front 68

what is the shared action of the posterior compartment

back 68

plantarflexes

front 69

where does the tibial nerve get innervation from

back 69

L4-S3

front 70

what arteries are in the posterior compartment

back 70

posterior tibial artery supplies this compartment

fibular artery is found in this compartment but does not supply it

front 71

what vein is in the posterior compartment

back 71

tibial vein

front 72

what muscles are part of the superficial layer of the posterior compartment

back 72

gastrocnemius
soleus
plantaris

front 73

back 73

a. lateral head of gastrocnemius
b. soleus

front 74

what is the role of the gastrocnemius

back 74

flexes knee and plantarflexes

front 75

what is interesting about the gastrocnemius

back 75

has medial and lateral heads, crosses knee joint and attaches to the femur

front 76

what is the power plantarflexor in the posterior compartment

back 76

gastrocnemius, important in running/sprinting

front 77

where is the soleus

back 77

deep to gastrocnemius

front 78

what does the soleus look like

back 78

large flat muscle

front 79

where does the soleus use for attachment (gastrocnemius uses it also)

back 79

achilles tendon

front 80

what is the function of the soleus

back 80

endurance plantarflexor as opposed to the power of the gastrocnemius

front 81

what does the plantaris do that is interesting structurally

back 81

crosses the knee

front 82

where is the tendon for the plantaris go?

back 82

between gastrocnemius and soleus

front 83

what is the role of plantaris

back 83

weak plantarflexor, may be a proprioceptor

front 84

which muscle has a long tendon that is called the medical student nerve

back 84

plantaris

front 85

what is another name for the calcaneal tendon

back 85

achilles tendon

front 86

back 86

calcaneal tendon/achilles tendon

front 87

what do the muscles in the deep posterior layer do

back 87

plantarflex, minus one

front 88

back 88

a. popliteus
b. tibialis posterior
c. flexor digitorum longus
d. flexor hallucis longus

front 89

which one of the deep posterior compartment muscles does not plantarflex

back 89

popliteus

front 90

what does the popliteus do

back 90

helps unlock keen joint, flexes knee

front 91

where is the popliteus located

back 91

deep

front 92

back 92

a. tibial nerve
b. posterior tibial artery
c. fibular artery

front 93

what innervates the popliteus

back 93

tibial nerve L4-S1

front 94

what is the action of the flexor hallucis longus

back 94

plantarflexion of great toe

front 95

where is the flexor hallucis longus located relative to the rest of the muscles in the deep posterior compartment

back 95

medial

front 96

what is the actino of the flexor digitorum longus

back 96

plantarflexes toes 2-5

front 97

where is the flexor digitorum longus relative to the deep posterior compartment

back 97

lateral

front 98

what is the innervation of the flexor hallucis longus

back 98

tibial nerve S2, S3

front 99

what is the innervation of the flexor digitorum longus

back 99

tibial nerve S2, S3

front 100

back 100

a. tibialis posterior
b. flexor digitorum longus
c. tibial artery
d. tibial nerve
e. flexor hallucis longus

front 101

what is the action of the tibialis posterior

back 101

plantarflexes and inverts

front 102

what muscle does the tibialis posterior invert with?

back 102

tibialis anterior

front 103

what innervates the tibialis posterior

back 103

tibial nerve L4 and L5

front 104

what does the artery tree with regard to the popliteal artery, anterior and posterior tibial arteries, and fibular artery look like

back 104

popliteal splits into anterior and posterior tibial, posterior tibial gives off fibular

front 105

back 105

a. flexor hallucis longus
b. soleus
c. gastrocnemius
d. plantaris tendon
e. tibial nerve and posterior tibial artery
f. flexor digitorum longus
g. tibialis posterior

front 106

what is compartment syndrome

back 106

raised pressure due to infection or inflammation causes there to be a lack of blood delivered to tissues, which can lead to necrosis because of the compartmentalization

front 107

how could compartment syndrome develop

back 107

acutely from trauma or infection

chronically from inflammation from various sources

front 108

what is often done to help in a compartment syndrome

back 108

fasciotomy, which relieves the pressure

front 109

what is shin splints

back 109

minor case of compartment syndrome, typically in the anterior compartment or deep posterior compartment

front 110

how can shin splints develop

back 110

acute from inflammation from exercise

chronic from overuse

front 111

why is the common fibular nerve injury common

back 111

due to superficiality of the nerve

front 112

what are the most common symptoms from common fibular nerve injury

back 112

foot drop and foot flop

front 113

what do you typically lose functionally with common fibular nerve injury

back 113

dorsiflexion

front 114

why is loss of anterior compartment function worse than losing plantarflexion

back 114

because lateral and posterior compartment both help with plantarflexion

front 115

what is the retinaculum

back 115

thickenings of fascia in each compartment

front 116

back 116

a. extensor retinaculum
b. fibular retinaculum

front 117

back 117

a. flexor retinaculum

front 118

what does the extensor retinaculum do

back 118

covers most of extensors from anterior compartment

superior and inferior that cross all the way over, designed to help hold extensor tendons close to bones, keep them from bowing out

front 119

what are extensor retinaculum injuries usually from

back 119

high ankle sprain

front 120

what does the fibular retinaculum cover

back 120

lateral compartment tendons (fibularis longus and fibularis brevis)

front 121

what does the flexor retinaculum cover

back 121

many of posterior compartment muscles (tibialis posterior, flexor digitorum longus, flexor hallucis)

front 122

what innervates the cutaneous lower posterolateral leg

back 122

sural nerve

front 123

what innervates the cutaneous upper lateral leg

back 123

lateral sural cutaneous nerve

front 124

what innervates the cutaneous lower anterolateral leg and dorsum of the foot

back 124

superficial fibular nerve

front 125

what innervates the medial leg

back 125

saphenous nerve

front 126

back 126

a. lateral sural cutaneous nerves
b. superficial fibular nerves
c. saphenous nerve

front 127

back 127

a. saphenous nerve
b. sural nerve
c. lateral sural cutaneous nerve

front 128

back 128

no data

front 129

back 129

a. lateral sural cutaneous
b. saphehous
c. superificial fibular nerve

front 130

back 130

a. saphenous
b. sural nerve
c. lateral sural cutaneous