Anatomy of Lower Limb Muscles
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Questions and Answers

What is the origin of the deep peroneal nerve?

  • The dorsum of the foot
  • The lateral side of the neck of the fibula (correct)
  • The anterior compartment of the leg
  • The substance of the tibialis anterior muscle
  • Which muscle is pierced by the deep peroneal nerve during its course?

  • Extensor hallucis longus
  • Extensor digitoreum longus (correct)
  • Peroneus longus
  • Tibialis anterior
  • What is the destination of the deep peroneal nerve after it enters the foot?

  • It communicates with the posterior tibial nerve
  • It divides into two branches under the superior extensor retinaculum (correct)
  • It supplies the joints of the ankle
  • It terminates at the medial malleolus
  • Which of the following muscles is NOT supplied by the deep peroneal nerve?

    <p>Gastrocnemius</p> Signup and view all the answers

    What is the function of the superior extensor retinaculum?

    <p>It holds the tendons of the extensor muscles in place</p> Signup and view all the answers

    Which of the following is a terminal branch of the deep peroneal nerve?

    <p>Lateral terminal branch</p> Signup and view all the answers

    What is the distribution of the lateral terminal branch of the deep peroneal nerve?

    <p>It supplies the extensor digitorum brevis and the joints of the foot</p> Signup and view all the answers

    Which muscle is supplied by the medial terminal branch of the deep peroneal nerve?

    <p>Big and second toes</p> Signup and view all the answers

    What is the relationship between the deep peroneal nerve and the anterior tibial artery?

    <p>They run together in the anterior compartment of the leg</p> Signup and view all the answers

    What is the anatomical location of the inferior extensor retinaculum?

    <p>Dorsum of the foot</p> Signup and view all the answers

    Study Notes

    Muscles of the Anterior Compartment

    • 5 muscles are present in the anterior compartment:
      • Tibialis anterior
      • Extensor hallucis longus
      • Extensor digitorum longus
      • Peroneus (fibularis) tertius
    • Nerve supply: deep peroneal (anterior tibial) nerve
    • Action: dorsiflexion mainly

    Extensor Hallucis Longus

    • Origin: middle 2/4 of the anterior surface of the fibula
    • Insertion: into the distal phalanx of the big toe (hallux)
    • Nerve supply: deep peroneal (anterior tibial) nerve
    • Action: dorsiflexion of the ankle joint, extension of all joints of the big toe

    Peroneus (Fibularis) Tertius

    • Origin: lower 1/4 of the anterior surface of the fibula
    • Insertion: into the dorsal surface of the 5th metatarsal bone
    • Nerve supply: deep peroneal (anterior tibial) nerve
    • Action: dorsiflexion of the ankle joint, eversion of the foot

    Tibialis Anterior

    • Origin: upper 2/3 of the lateral surface of the shaft of tibia
    • Insertion: into the dorsal surface of the medial cuneiform bone and 1st metatarsal bone
    • Nerve supply: deep peroneal (anterior tibial) nerve
    • Action: dorsiflexion of the ankle joint, inversion of the foot

    Extensor Digitorum Longus

    • Origin: upper 3/4 of the anterior surface of the shaft of the fibula
    • Insertion: by four tendons into the extensor expansions of the lateral four toes
    • Nerve supply: deep peroneal (anterior tibial) nerve
    • Action: dorsiflexion of the ankle joint

    Extensor Retinacula

    • A thickened band of deep fascia which bridges over the extensor tendons in front of the ankle joint
    • Keeps the tendons in position during their contraction
    • Structures passing deep to the inferior extensor retinaculum:
      • Tibialis anterior
      • Extensor hallucis longus
      • Anterior tibial vessels
      • Anterior tibial nerve
      • Extensor digitorum longus
      • Peroneus tertius

    Deep Peroneal (Anterior Tibial) Nerve

    • Origin: larger of the two terminal branches of the common peroneal nerve
    • Course: pierces the anterior intermuscular septum and the extensor digitoreum longus muscle to reach the anterior compartment of the leg
    • End: enters the dorsum of the foot deep to the superior extensor retinaculum and divides into two lateral and medial terminal branches
    • Branches:
      • Muscular branches to: Tibialis anterior, Extensor digitoreum longus, Extensor hallucis longus, Peroneus tertius
      • Terminal branches:
        • Lateral terminal branch: supplies the extensor digitoreum brevis and the joints of the foot
        • Medial terminal branch: supplies the adjacent side of the big and second toes

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    Description

    Test your knowledge of the muscles in the lower limb, including their origins, insertions, nerve supply, and actions. Questions cover the extensor hallucis longus, peroneus tertius, and more.

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