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33 Cards in this Set

  • Front
  • Back

Intrinsic Muscles

- muscles which don't cross a major muscle



- found entirely in the area the muscle is acting on

Extrinsic Muscles

- muscle crosses a major joint



- found in one area, acts on another

Compartments of the Lower Leg

- anterior
 
- lateral
 
- superficial posterior
 
- deep posterior

- anterior



- lateral



- superficial posterior



- deep posterior

Anterior Compartment

- primarily dorsiflexors of the ankle & extensors of the toes



- Muscles include:


- anterior tibialis


- extensor hallucis longus


- extensor digitorum longus


- fibularis tertius
- anterior tibial artery


- deep fibular nerve

Retinaculums

- strong bands which cross the anterior aspect of the ankle and binds the extensor tendons
 
- Superior Extensor Retinaculum & Inferior Extensor Retinaculum

- strong bands which cross the anterior aspect of the ankle and binds the extensor tendons



- Superior Extensor Retinaculum & Inferior Extensor Retinaculum

Tibialis Anterior (Origin & Insertion)

Origin: Lateral condyle & superior 1/2 of the lateral surface of the tibia & interosseus membrane
 
Insertion: Medial & inferior surfaces of medial cuneiform & base of the 1st metatarsal

Origin: Lateral condyle & superior 1/2 of the lateral surface of the tibia & interosseus membrane



Insertion: Medial & inferior surfaces of medial cuneiform & base of the 1st metatarsal

Tibialis Anterior (Action, Innervation, Blood Supply, Strengthen/Stretching)

Action: dorsiflex the ankle & invert the foot



Innervation: deep fibular nerve



Blood Supply: anterior tibial artery



Strengthen: dorsiflex & invert against band or resist again hand



Stretch: plantarflex & evert

Extensor Digitorum Longus (Origin & Insertion)

Origin: Lateral condyle & superior 3/4 medial surface of fibula & interosseus membrane


 


Insertion: Middle & distal phalanges of the lateral 4 digits

Origin: Lateral condyle & superior 3/4 medial surface of fibula & interosseus membrane



Insertion: Middle & distal phalanges of the lateral 4 digits

Extensor Digitorum Longus (Action, Innervation, Blood Supply, Strengthen & Stretching)

Action: extends lateral 4 digits & dorsiflexes the ankle



Innervation: deep fibular nerve



Blood Supply: anterior tibial nerve



Strengthen: dorsiflex & extend digits against resistance



Stretch: plantarflex & flex digits

Extensor Hallucis Longus (Origin & Insertion)

Origin: middle part of the anterior surface of the fibula & interosseus membrane


 


Insertion: dorsal aspect of the base of the distal phalanx of the great toe

Origin: middle part of the anterior surface of the fibula & interosseus membrane



Insertion: dorsal aspect of the base of the distal phalanx of the great toe

Extensor Hallucis Longus (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: extends the great toe & dorsiflexes the ankle



Innervation: deep fibular nerve



Blood Supply: anterior tibial artery



Strengthen: extend great toe & dorsifex against resistance



Stretch: flex great toe & plantarflex

Fibularis Tertius (Origin & Insertion)

Origin: inferior 1/3 of anterior surface of the fibula & interosseus membrane


 


Insertion: dorsum of the base of the 5th metatarsal

Origin: inferior 1/3 of anterior surface of the fibula & interosseus membrane



Insertion: dorsum of the base of the 5th metatarsal

Fibularis Tertius (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: dorsiflex ankle & evert foot



Innervation: deep fibular nerve



Blood Supply: anterior tibial artery



Strengthen: dorsiflex & evert against resistance



Stretch: plantarflex & invert

Lateral Compartment

- primarily everters



- fibula (laterally)



- fascias anteriorly & posteriorly



Includes:


- fibularis (peroneal) longus & brevis


- superficial fibular nerve

Fibular Retinaculum

Held in place by the superior & inferior fibular retinaculum

Held in place by the superior & inferior fibular retinaculum

Fibularis Longus (Origin & Insertion)

Origin: head & superior 2/3 of lateral surface of the fibula


 


Insertion: base of 1st metatarsal & medial cuneiform

Origin: head & superior 2/3 of lateral surface of the fibula



Insertion: base of 1st metatarsal & medial cuneiform

Fibularis Brevis (Origin & Insertion)

Origin: inferior 2/3 of lateral surface of the fibula


 


Insertion: dorsal surface of the tuberosity on the lateral side of the base of the 5th metatarsal

Origin: inferior 2/3 of lateral surface of the fibula



Insertion: dorsal surface of the tuberosity on the lateral side of the base of the 5th metatarsal

Fibularis Longus & Brevis (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: everts foot & plantarflexes ankle (weakly)



Innervation: superficial fibular nerve



Blood Supply: anterior tibial artery & fibular artery



Strengthen: everted toe raises & plantarflex and evert against reistance



Stretch: dorsiflex & invert

Superficial Posterior Compartment

- primarily ankle plantarflexors


- triceps surae



- divided from deep posterior compartment from a fascia



- includes:


- grastrocnmeius


- soleus


- plantaris

Gastrocnmeius (Origin & Insertion)

Origin: Lateral head: lateral aspect of the lateral condyle of the femur


Medial head: popliteal surface of the femur, superior to the medial condyle


 


Insertion: posterior calcaneal tubercle via the calcaneal tendon

Origin: Lateral head: lateral aspect of the lateral condyle of the femur


Medial head: popliteal surface of the femur, superior to the medial condyle



Insertion: posterior calcaneal tubercle via the calcaneal tendon

Gastrocnmeius (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: plantarflexion of the ankle when knee is extended; raises heel when walking; flexes knee



Innervation: tibial nerve



Blood Supply: popliteal artery/posterior tibial artery



Strengthen:

Soleus (Origin & Insertion)

Origin: posterior aspect of the head of the fibula, superior 1/4 of the posterior surface of the tibial soleal line and the medial border of the tibia


 


Insertion: posterior calcaneal tubercle via calcaneal tendon

Origin: posterior aspect of the head of the fibula, superior 1/4 of the posterior surface of the tibial soleal line and the medial border of the tibia



Insertion: posterior calcaneal tubercle via calcaneal tendon

Soleus (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: plantarflexion of the ankle



Innervation: tibial nerve



Blood Supply: popliteal artery, posterior tibial, fibular artery



Strengthen: plantarflex with knee flexed



Stretch: dorsiflexion with knee flexed

Plantaris (Origin & Insertion)

Origin: inferior end of the lateral supracondylar line of the femur and oblique popliteal ligament of the knee


 


Insertion: medial aspect of the posterior calcaneal tubercle via the calcaneal tendon

Origin: inferior end of the lateral supracondylar line of the femur and oblique popliteal ligament of the knee



Insertion: medial aspect of the posterior calcaneus via the calcaneal tendon

Plantaris (Action, Innveration, Blood Supply, Strengthen & Stretch)

Action: weakly assist gastrocnemius


-plantarflexion of ankle


- flexion of knee



Innervation: tibial nerve



Blood Supply: popliteal artery



Strengthen: plantarflex with knee extended



Stretch: dorsiflex with knee extended

Deep Posterior Compartment

Includes:


- popliteus


- posterior tibialis


- flexors


- posterior tibial artery/fibular artery


- tibial nerve

Tibialis Posterior (Origin & Insertion)

Origin: interosseus membrane, posterior surface of the tibia inferior to the soleal line & posterior surface of the fibula


 


Insertion: navicular tuberosity, plantar surface of the cuneiforms, plantar surface of the cuboid and bases of 2n...

Origin: interosseus membrane, posterior surface of the tibia inferior to the soleal line & posterior surface of the fibula



Insertion: navicular tuberosity, plantar surface of the cuneiforms, plantar surface of the cuboid and bases of 2nd, 3rd, and 4th metatarsals

Tibialis Posterior (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: plantarflexion & inversion of ankle



Innervation: tibial nerve



Blood Supply: posterior tibial artery



Strengthen: plantarflex & invert against resistance



Stretch: dorsiflex & evert

Flexor Digitorum Longus (Origin & Insertion)

Origin: medial part of the posterior surface of the tibia inferior to the soleal line


 


Insertion: base of the distal phalanges of the lateral 4 digits

Origin: medial part of the posterior surface of the tibia inferior to the soleal line



Insertion: base of the distal phalanges of the lateral 4 digits

Flexor Digitorum Longus (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: flexion of lateral 4 digits, plantarflexion of ankle, supports longitudinal arch



Innervation: tibial nerve



Blood Supply: posterior tibial



Strengthen: flex toes by pulling towel/flex toes & plantarflex against resistance



Stretch: extend toes & dorsiflex

Flexor Hallucis Longus (Origin & Insertion)

Origin: inferior 2/3 of posterior surface of the fibula & inferior part of the interosseus membrane


 


Insertion: base of the distal phalanx of the great toe

Origin: inferior 2/3 of posterior surface of the fibula & inferior part of the interosseus membrane



Insertion: base of the distal phalanx of the great toe

Flexor Hallucis Longus (Action, Innervation, Blood Supply, Strengthen & Stretch)

Action: flexes great toe, weakly plantarflexes ankle, supports the medial longitudinal arch



Innervation: tibial artery



Blood Supply: posterior tibial artery



Strengthen: flex great toe against resistance



Stretch: extend great toe & dorsiflex

Intrinsic Muscles of the Foot

Include:


- abductor hallucis: abducts great toe


- flexor digitorum brevis: flexes lateral 4 digits


- abductor digiti minimi: abducts 5th digit


- quadratus plantae: supports arch


- lumbricals: help flexes lateral 4 digits


- flexor hallucis brevis: flexes great toe


- flexor digiti minimi brevis: flexes 5th digit


- plantar interossei (3)


- PAD (adducts metatarsals)


- dorsal interossei (4)


- DAB (abducts metatarsals)