Lateral and Medial Sides of the Leg Anatomy
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Questions and Answers

What is the primary function of the muscles in the lateral compartment of the leg?

  • Extension of the foot (correct)
  • Abduction of the foot
  • Adduction of the foot
  • Flexion of the foot

What is the name of the nerve that is most commonly injured in the lower limb?

  • Saphenous nerve
  • Common peroneal nerve (correct)
  • Tibial nerve
  • Femoral nerve

What is the name of the structure that keeps the tendons of the peroneus longus and peroneus brevis in position?

  • Flexor retinaculum
  • Extensor retinaculum
  • Tibial retinaculum
  • Peroneal retinaculum (correct)

What is the attachment of the superior peroneal retinaculum posteriorly?

<p>Lateral surface of the calcaneum (B)</p> Signup and view all the answers

Which of the following structures does NOT contribute to the boundaries of the lateral compartment of the leg?

<p>Lateral surface of the tibia (B)</p> Signup and view all the answers

What is the primary source of blood supply to the lateral compartment of the leg?

<p>Peroneal artery (B), Anterior tibial artery (D)</p> Signup and view all the answers

Where does the superficial peroneal nerve lie in relation to the peroneus longus and peroneus brevis tendons?

<p>Superficial to both tendons (C)</p> Signup and view all the answers

What is the most likely cause of sensory loss on the dorsum of the foot, except in the first web space?

<p>Injury to the superficial peroneal nerve (D)</p> Signup and view all the answers

Where is the insertion of the peroneus brevis muscle located?

<p>Lateral side of the base of the 5th metatarsal (D)</p> Signup and view all the answers

What is the primary action of the peroneus brevis muscle?

<p>Eversion of the foot (D)</p> Signup and view all the answers

Which nerve supplies the peroneus brevis muscle?

<p>Superficial peroneal nerve (B)</p> Signup and view all the answers

What is the origin of the superficial peroneal nerve?

<p>Terminal branch of the common peroneal nerve (D)</p> Signup and view all the answers

Which artery primarily supplies the lateral compartment of the leg?

<p>Fibular artery (A)</p> Signup and view all the answers

What type of foot deformity occurs due to overactivity of the invertor muscles following injury to the superficial peroneal nerve?

<p>Talipes varus (A)</p> Signup and view all the answers

Where does the superficial peroneal nerve divide into its terminal branches?

<p>At the junction of upper two-thirds and lower one-third of the leg (C)</p> Signup and view all the answers

Which area is NOT supplied by the cutaneous branches of the superficial peroneal nerve?

<p>Medial side of the big toe (A)</p> Signup and view all the answers

Which structure lies inferior to the inferior peroneal retinaculum?

<p>Tendon of peroneus longus (A)</p> Signup and view all the answers

What is the relationship between the tendons of peroneus longus and peroneus brevis in terms of their synovial sheaths?

<p>Each tendon has a separate synovial sheath (D)</p> Signup and view all the answers

Where does the peroneus longus muscle originate?

<p>Upper two-thirds of the lateral surface of the fibula (C)</p> Signup and view all the answers

What anatomical feature is formed by the inferior peroneal retinaculum?

<p>Two loops for tendon pathways (B)</p> Signup and view all the answers

How is the peroneus brevis characterized in relation to the peroneus longus?

<p>It is shorter and lies deep (A)</p> Signup and view all the answers

What potential issue can arise for athletes with tight shoes regarding the tendons?

<p>Friction and inflammation (A)</p> Signup and view all the answers

What nerve supplies the peroneus longus muscle?

<p>Superficial peroneal nerve (B)</p> Signup and view all the answers

Flashcards

Lateral compartment of the leg

The lateral compartment of the leg, containing the peroneus longus and brevis muscles, which are primary extensors of the foot.

Superior peroneal retinaculum

A band of deep fascia on the lateral side of the ankle that helps keep the tendons of the peroneus longus and brevis in place.

Peroneus brevis muscle

The muscle that originates on the fibula and inserts on the base of the fifth metatarsal, helping to evert the foot.

Peroneus longus muscle

The muscle that originates on the fibula and inserts on the medial cuneiform and first metatarsal, helping to evert the foot.

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Anterior intermuscular septum

Deep fascia that separates the lateral compartment from the anterior compartment.

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Posterior intermuscular septum

Deep fascia that separates the lateral compartment from the posterior compartment.

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Superficial peroneal nerve

The nerve that supplies the lateral compartment and the peroneal muscles, responsible for eversion and dorsiflexion.

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Common peroneal nerve injury

The most common injury site for this nerve is at the fibular neck.

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Where is the peroneus brevis?

The peroneus brevis muscle is found on the lateral side of the base of the 5th metatarsal.

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What nerve supplies the peroneus brevis?

The superficial peroneal nerve supplies the peroneus brevis.

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What are the actions of the peroneus brevis?

The peroneus brevis helps to turn the foot outward (eversion) and maintain the lateral arch.

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Where does the superficial peroneal nerve originate?

The superficial peroneal nerve arises from the common peroneal nerve at the neck of the fibula.

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Describe the superficial peroneal nerve's course.

The superficial peroneal nerve travels down the leg between muscles and supplies them with nerve signals.

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Which muscles does the superficial peroneal nerve supply?

The superficial peroneal nerve supplies the peroneus longus and brevis muscles.

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What is the sensory role of the superficial peroneal nerve?

The superficial peroneal nerve also provides sensory input from a large area of the leg and foot.

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What is talipes valgus?

Overactivity of the evertor muscles due to superficial peroneal nerve damage leads to talipes valgus, a foot deformity.

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Inferior Peroneal Retinaculum

A thickened band of deep fascia located below the lateral malleolus, it helps stabilize the ankle joint.

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Tendon Passage through Inferior Peroneal Retinaculum

The tendon of peroneus longus passes through the inferior loop, while the tendon of peroneus brevis passes through the superior loop of the inferior peroneal retinaculum.

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Peroneal Tendinitis

Inflammation or irritation of the synovial sheaths around the peroneal tendons, often caused by tight shoes or repetitive strain.

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Peroneus Longus

The longer and more superficial muscle located in the lateral compartment of the leg.

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Sesamoid Bone in Peroneus Longus Tendon

A small bone found within the tendon of peroneus longus as it passes around the cuboid bone.

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Peroneus Brevis

The muscle that lies deeper than peroneus longus in the lateral compartment of the leg.

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Actions of Peroneus Longus

The peroneus longus primarily helps turn the foot outwards (eversion) and helps maintain the arches of the foot.

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Actions of Peroneus Brevis

The peroneus brevis also assists in everting the foot, similar to its longer partner.

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Study Notes

Lateral and Medial Sides of the Leg

  • The lateral compartment of the leg, also known as the peroneal compartment, contains muscles that are primary movers of the foot, namely peroneus longus and peroneus brevis.
  • No artery runs within this compartment, instead, perforating branches of the anterior tibial and peroneal arteries supply blood through intermuscular septa.
  • The common peroneal nerve wraps around the upper lateral part of the fibular neck, which is a frequent site of nerve injury in the lower leg.
  • The boundaries of the lateral compartment include the anterior and posterior intermuscular septum, the lateral surface of the fibula, and the deep fascia of the leg.

Superior and Inferior Peroneal Retinacula

  • Two thick bands of deep fascia, called peroneal retinacula, help hold the tendons of peroneus longus and peroneus brevis in place at the ankle.
  • The superior retinaculum sits behind the lateral malleolus, attaching to it and the calcaneum.
  • The inferior retinaculum is situated anteroinferior to the lateral malleolus, attaching to the superior surface of the calcaneum and peroneal trochlea.
  • The tendons of peroneus longus and peroneus brevis lie deep to these retinacula, enclosed in a common synovial sheath.

Peroneal Muscles

  • Peroneus Longus: A bipennate muscle in the upper portion and unipennate in the lower, arising from the upper two-thirds of the fibula and the intermuscular septa of leg.
  • It inserts into the medial cuneiform and the base of the first metatarsal, after passing through a groove behind the lateral malleolus and over the inferior peroneal retinaculum.
  • Peroneus Brevis: A shorter muscle situated deeper than the peroneus longus arising from the lower two-thirds of the fibula.
  • The tendon passes behind the lateral malleolus underneath the superior peroneal retinaculum.
  • It inserts onto the lateral side of the base of the fifth metatarsal.

Nerve Supply

  • Peroneal muscles are innervated by the superficial peroneal nerve, a branch of the common peroneal nerve.

Arterial Supply

  • Lateral compartment is supplied by the peroneal/fibular artery and anterior tibial artery.

Clinical Correlations

  • Overactivity of the muscles that control the foot's inversion or eversion may cause deformities.
  • Injuries to the superficial peroneal nerve can cause paralysis of the peroneal muscles, resulting in problems with foot eversion and sensation loss.

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Description

Explore the anatomy of the lateral compartment of the leg, focusing on the muscles, blood supply, and nerve innervation. This quiz also covers the role of the peroneal retinacula in ankle stability. Test your understanding of the structural components and their functions.

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