Muscle Anatomy of the Leg
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Questions and Answers

What is the leg?

The leg is the part of the lower limb between the knee and ankle joints.

What are the three compartments of the leg?

The leg is divided into three compartments: Anterior/extensor, lateral (fibular), and Posterior/flexor.

What are the muscles of the anterior compartment of the leg?

Tibialis anterior, Extensor digitorum longus, Extensor hallucis longus, and Fibularis tertius.

What is the origin of the Tibialis Anterior?

<p>The upper two-thirds of the lateral surface of tibia, the interosseous membrane, and the deep fascia overlying it.</p> Signup and view all the answers

What is the insertion of the Tibialis Anterior?

<p>The medial and inferior surfaces of the medial cuneiform bone and adjacent parts of the first metatarsal.</p> Signup and view all the answers

What is the origin of the Extensor Hallucis Longus?

<p>The middle two-fourths of the medial surface of the fibula and the adjacent interosseous membrane.</p> Signup and view all the answers

What is the insertion of the Extensor Hallucis Longus?

<p>The base of the distal phalanx of the great toe.</p> Signup and view all the answers

What is the origin of the Extensor Digitorum Longus?

<p>The upper three-quarter of the medial surface of the fibula extending superiorly, the lateral condyle of the tibia, and the deep fascia.</p> Signup and view all the answers

What is the insertion of the Extensor Digitorum Longus?

<p>The dorsal surfaces of the bases of the middle and distal phalanges of the lateral four toes.</p> Signup and view all the answers

What is the origin of the Fibularis Tertius?

<p>The lower third of the anterior surface of the fibula.</p> Signup and view all the answers

What is the insertion of the Fibularis Tertius?

<p>The base of the fifth metatarsal.</p> Signup and view all the answers

What does the lateral compartment of the leg contain?

<p>It contains the peroneal longus, peroneal brevis muscles, and the superficial peroneal nerve.</p> Signup and view all the answers

Where does the blood supply of the lateral compartment of the leg come from?

<p>Branches of the peroneal artery.</p> Signup and view all the answers

Where do the veins of the lateral compartment of the leg drain?

<p>Into the small saphenous vein.</p> Signup and view all the answers

What is the origin of the Peroneus Longus?

<p>The head and the upper two-third of the peroneal surface of the fibula and from intermuscular septa.</p> Signup and view all the answers

What is the insertion of the Peroneus Longus?

<p>The lateral side of the base of the first metatarsal and the adjoining part of the medial cuneiform.</p> Signup and view all the answers

What nerve innervates the Peroneus Longus?

<p>The superficial peroneal nerve (L5 S1).</p> Signup and view all the answers

What nerve innervates the Peroneus Brevis ?

<p>The superficial peroneal nerve (L5, S1)</p> Signup and view all the answers

What is the action of the Peroneus Brevis?

<p>It everts and weakly plantarflexes the foot.</p> Signup and view all the answers

What is the role of the Fibular Retinaculum?

<p>Fibular retinacula bind the tendons of the peroneus longus and brevis muscles to the lateral side of the foot. In addition, a superior fibular retinaculum extends between the lateral malleolus and the calcaneus.</p> Signup and view all the answers

Flashcards

What is the leg?

The region of the lower limb between the knee and ankle joints.

What are the popliteal fossa and tarsal tunnel?

The popliteal fossa is a diamond-shaped space at the back of the knee where major structures pass between the thigh and the leg. Tarsal tunnel situated at the ankle where structures pass between the leg and foot.

Where is the anterior compartment of the leg located?

The anterior compartment of the leg is located in front of the interosseous membrane, between the tibial and fibular shafts.

What is the function of the anterior compartment muscles?

The anterior compartment muscles dorsiflex the ankle, extend the toes, and invert the foot.

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Where is the lateral compartment of the leg located?

The lateral compartment lies between the fibula and the deep fascia of the leg, and it is bounded by intermuscular septa.

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What is the function of the lateral compartment muscles?

The lateral compartment muscles evert the foot, which means turning the sole outwards.

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Where is the posterior compartment of the leg located?

The posterior compartment is located at the back of the leg and contains muscles that plantarflex the ankle, flex the toes, and evert the foot.

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What divides the leg into compartments?

Interosseous membrane, intermuscular septa, and deep fascia divide the leg into three compartments.

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What are the SER and IER?

The superior extensor retinaculum (SER) and inferior extensor retinaculum (IER) are thick fascia bands that prevent the tendons of the anterior compartment muscles from bowstringing during dorsiflexion.

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Describe the tibialis anterior muscle.

The tibialis anterior muscle is located in the anterior compartment of the leg, originates from the tibia and interosseous membrane, and inserts on the medial cuneiform and first metatarsal.

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What actions does the tibialis anterior perform?

The tibialis anterior muscle dorsiflexes the ankle and inverts the foot. It also helps support the medial arch of the foot.

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Describe the extensor hallucis longus muscle.

The extensor hallucis longus muscle is located in the anterior compartment of the leg, originates from the fibula and interosseous membrane, and inserts on the distal phalanx of the great toe.

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What actions does the extensor hallucis longus perform?

The extensor hallucis longus muscle extends the great toe and dorsiflexes the ankle.

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Describe the extensor digitorum longus muscle.

The extensor digitorum longus muscle is located in the anterior compartment, originates from the tibia and fibula, and inserts on the middle and distal phalanges of the lateral four toes.

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What actions does the extensor digitorum longus perform?

The extensor digitorum longus muscle extends the lateral four toes and dorsiflexes the ankle.

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Describe the fibularis tertius muscle.

The fibularis tertius muscle is located in the anterior compartment, originates from the fibula, and inserts on the base of the fifth metatarsal.

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What actions does the fibularis tertius perform?

The fibularis tertius muscle assists in dorsiflexion and possibly eversion of the foot.

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Describe the peroneus longus muscle.

The peroneus longus muscle is located in the lateral compartment, originates from the fibula, and inserts on the first metatarsal and medial cuneiform.

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What actions does the peroneus longus perform?

The peroneus longus muscle everts and plantarflexes the foot and contributes to maintaining the arches of the foot.

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Describe the peroneus brevis muscle.

The peroneus brevis muscle is located in the lateral compartment, originates from the fibula, and inserts on the tubercle of the fifth metatarsal.

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What actions does the peroneus brevis perform?

The peroneus brevis muscle everts and weakly plantarflexes the foot.

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What are the fibular retinacula?

Superior and inferior fibular retinacula are bands that hold the tendons of the peroneus longus and peroneus brevis muscles in place on the lateral side of the ankle.

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Which nerves innervate the leg compartments?

The deep fibular nerve innervates the anterior compartment muscles, while the superficial fibular nerve innervates the lateral compartment muscles.

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What are the main arteries supplying the leg compartments?

The anterior compartment muscles are supplied by the anterior tibial artery, while the lateral compartment muscles are supplied by branches of the peroneal artery.

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Where do the veins in the leg compartments drain?

The veins in the leg compartments drain into the small saphenous vein and into the deep venous system.

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Summarize the primary functions of the anterior and lateral compartments.

The anterior compartment muscles are responsible for dorsiflexion and inversion of the foot, while the lateral compartment muscles are responsible for eversion and plantarflexion.

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Summarize the primary functions of the posterior compartment.

The posterior compartment muscles are responsible for plantarflexion, inversion and eversion, and flexion of the toes.

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Explain the functional significance of compartmentalization in the leg.

The interosseous membrane, the intermuscular septa, and the deep fascia create compartments within the leg, allowing for distinct muscle groups that perform specific actions.

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Study Notes

Muscle of the Leg - Learning Outcomes

  • Students will be able to describe the anatomy of the leg.
  • Students will be able to list and explain the muscles of the leg and their compartments.
  • Students will be able to state the origin, insertion, innervation, and action of the leg muscles.

The Leg

  • The leg is the portion of the lower limb between the knee and ankle joints.
  • Proximally, major structures pass through the popliteal fossa, between the thigh and leg.
  • Distally, most structures pass through the tarsal tunnel, between the leg and foot.

Compartments of the Leg

  • The interosseous membrane, intermuscular septa, and deep fascia divide the leg into three compartments.
  • Anterior/extensor compartment (dorsiflexor and foot inverter)
  • Lateral (fibular) compartment (foot everters)
  • Posterior/flexor compartment (plantarflexor and foot everters)

Compartments of the Leg - Muscle Movements

  • Muscles in each compartment perform specific movements.
  • Anterior compartment: dorsiflexes the ankle, extends the toes, and inverts the foot.
  • Lateral compartment muscles: evert the foot.

Anterior Compartment of the Leg

  • Located anterior to the interosseous membrane.
  • Between the tibial shaft's lateral surface and the fibular shaft's medial surface.
  • Bounded anteriorly by the deep fascia of the leg and skin.

Tibialis Anterior

  • Most anterior and medial muscle in the anterior compartment.
  • Origin: upper two-thirds of the tibia's lateral surface, and interosseous membrane
  • Also originates from deep fascia overlying tibia
  • Attachments: medial and inferior surfaces of the medial cuneiform, and the adjacent parts of the first metatarsal (associated with the great toe.).
  • Action: dorsiflexion of the ankle joint, inverts the foot at the intertarsal joints. During walking, it provides dynamic support for the medial arch of the foot.

Extensor Hallucis Longus

  • Lies next to and overlaps the tibialis anterior muscle.
  • Origin: middle two-forths of the fibula's medial surface, and the adjacent interosseous membrane.
  • Insertion: the base of the great toe's distal phalanx.
  • Action: extends the great toe. Also dorsiflexes the foot at the ankle joint.

Extensor Digitorum Longus

  • Most posterior and lateral of the anterior compartment muscles.
  • Origin: upper three-quarters of the fibular medial surface (extends superiorly), lateral condyle of the tibia, and deep fascia.
  • Insertion: dorsal surfaces of the bases of the middle and distal phalanges of the lateral four toes.
  • Action: extends the lateral four digits and dorsiflexes the foot at the ankle joint.

Fibularis Tertius

  • Origin: lower third of the anterior surface of the fibula.
  • Its tendon descends into the foot with the tendon of extensor digitorum longus.
  • On the dorsal aspect of the foot, it deviates laterally.
  • Insertion: base of the fifth metatarsal.
  • Action: assists in dorsiflexion and possibly eversion of the foot.

Lateral Compartment of the Leg

  • Lies between the fibula's peroneal surface and the leg's deep fascia.
  • Bounded anteriorly and posteriorly by the anterior and posterior intermuscular septa.
  • Contains the peroneus longus and brevis muscles, and the superficial peroneal nerve. Blood supply is from branches of the peroneal artery, and veins drain into the small saphenous vein.

Peroneus Longus

  • Origin: head and upper two-thirds of the fibula's peroneal surface, and intermuscular septa.
  • Insertion: lateral side of the first metatarsal and medial cuneiform.
  • Nerve Supply: Superficial peroneal nerve (L5 S1).
  • Action: everts and plantarflexes the foot; maintains the lateral longitudinal and transverse arches of the foot.

Peroneus Brevis

  • Origin: Lower two-thirds of the fibula, anterior to peroneus longus.
  • Insertion: tubercle at the base of the fifth metatarsal.
  • Nerve Supply: Superficial peroneal nerve (L5, S1).
  • Action: everts and weakly plantar flexes foot.

Fibular Retinaculum

  • Fibular retinacula bind the tendons of peroneus longus and brevis.
  • Superior fibular retinaculum extends between the lateral malleolus and the calcaneus.

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Description

This quiz focuses on the anatomy of the leg, including its muscles and compartments. Students will learn to describe the origin, insertion, innervation, and action of the leg muscles. Test your understanding of the leg's anatomy and muscle movements in this comprehensive assessment.

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