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292 Cards in this Set
- Front
- Back
Deep Posterior Crural Compartment is separated from the superficial posterior crural compartment by the ________________
|
deep transverse fascial septum of the leg
|
|
Proximal attachment of the deep transverse fascial septum of the leg
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popliteal line of tibia
|
|
distal attachment of the deep transverse fascial septum of the leg
|
distal posterior tibiofibular ligament
|
|
medial attachment of the deep transverse fascial septum of the leg
|
medial tibial border and fascia cruris
|
|
lateral attachment of the deep transverse fascial septum of the leg
|
crista medialis and posterior crural intermuscular septum
|
|
a short flat muscle located at the posterior aspect of the knee
|
Popliteus Muscle
|
|
an intracapsular structure, which becomes extracapsular before its insertion
|
Popliteus Muscle
|
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The popliteus muscle is covered by fascia from __________ muscle
|
semimembranosus
|
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Origin of the Popliteus muscle
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(popliteal groove of the) lateral aspect of the lateral condyle of the femur
and the posterior edge of the lateral meniscus |
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insertion of the popliteus muscle
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superior to the popliteal line on the posterior surface of the tibial shaft
|
|
action of the popliteus muscle
|
medially rotates the leg (on the thigh) and flexes the leg
[these occur simultaneously when the knee is extended and is called unlocking the knee] |
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innervation of the popliteus muscle
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tibial nerve
|
|
arterial supply to the popliteus muscle
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posterior tibial artery
and medial inferior genicular artery |
|
the most medial and superficial of the 3 long muscles of the deep posterior crural compartment
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Flexor Digitorum Longus Muscle
|
|
can often palpate the tendon posterior to the medial malleolus during muscular contraction
|
Flexor Digitorum Longus Muscle
|
|
origin of the flexor digitorum longus muscle
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posterior surface of the tibia, inferior to the popliteal line and medial to the vertical line
|
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insertion of the flexor digitorum longus muscle
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plantar aspect of the bases of the distal phalanges of the lesser digits (2 through 5)
|
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its tendon passes inferiorly along the tibial groove for tibialis posterior and flexor digitorum longus muscles, the medial (flattened) edge of the sustentaculum tali
|
flexor digitorum longus muscle
|
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Flexor Digitorum Longus Muscle tendon lies ______ the flexor retinaculum
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within
|
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its tendon passes into the plantar foot under the talus, the tendon splits into four slips near the level of the cuneiform bones
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Flexor Digitorum Longus Muscle tendon
|
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The tendon with one slip that passes plantarly along each of the four lesser metatarsals, along the groove for the flexor tendons on the head of each of the lesser metatarsal bones and along the plantar surface of the proximal and middle phalanges of each lesser digit
|
Flexor Digitorum Longus Muscle tendon
|
|
action of the Flexor Digitorum Longus Muscle
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plantar flexes the lesser digits
[begins at the distal interphalangeal joints, then the proximal interphalangeal joints and then the metatarsophalangeal joints] |
|
innervation of the Flexor Digitorum Longus Muscle
|
tibial nerve
|
|
arterial supply of the Flexor Digitorum Longus Muscle
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posterior tibial artery
|
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the most lateral of the long muscles of the deep posterior crural compartment
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Flexor Hallucis Longus Muscle
|
|
origin of the Flexor Hallucis Longus Muscle
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inferior 2/3 of the posterior fibular surface
|
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insertion of the Flexor Hallucis Longus Muscle
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plantar aspect of the base of the distal phalanx of the hallux
|
|
its tendon passes along the groove for flexor hallucis longus tendon at the posteroinferior aspect of the tibia
|
Flexor Hallucis Longus Muscle tendon
|
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its tendon passes along the groove for flexor hallucis longus tendon on the posterior process of the talus
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Flexor Hallucis Longus Muscle tendon
|
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Its tendon passes along the inferior surface of the sustentaculum tali where it lies within the flexor retinaculum
|
Flexor Hallucis Longus Muscle tendon
|
|
Its tendon passes along the plantar aspect of the first ray, between the tibial and fibular sesamoids of the first metatarsal bone
|
Flexor Hallucis Longus Muscle tendon
|
|
Its tendon passes along the plantar aspect of the proximal phalanx of the hallux
|
Flexor Hallucis Longus Muscle tendon
|
|
Flexor Hallucis Longus Muscle tendon lies _________ the flexor retinaculum
|
within
|
|
action of the Flexor Hallucis Longus Muscle
|
plantar flexes the hallux
[begins at the interphalangeal joint and with continued contraction, also plantar flexes the hallux at the metatarsophalangeal joint] aids in inversion of the foot aids in plantar flexion of the ankle joint |
|
innervation of the Flexor Hallucis Longus Muscle
|
tibial nerve
|
|
arterial supply of the Flexor Hallucis Longus Muscle
|
posterior tibial and fibular arteries
|
|
a shared tendinous slip between the tendons of flexor hallucis longus and flexor digitorum longus muscles
|
Knot of Henry
|
|
Structure at the area where the flexor hallucis longus tendon passes dorsal/deep to the flexor digitorum longus tendon (usually at the level of the navicular and cuneiform bones, plantarly)
|
Knot of Henry
|
|
the deepest of the long muscles of the deep posterior compartment of the leg
|
Tibialis Posterior Muscle
|
|
can palpate tendon at posteromedial edge of medial malleolus; sometimes is visible during contraction between medial malleolus and navicular tuberosity
|
Tibialis Posterior Muscle
|
|
Origin of the Tibialis Posterior Muscle
|
interosseous membrane, the posterior tibial shaft inferior to the soleal line and lateral to the vertical line, and the medial part of the posterior surface of the fibular shaft (anterior to the crista medialis)
|
|
insertion of the Tibialis Posterior Muscle
|
navicular tuberosity, the plantar aspect of the intermediate cuneiform, and the plantar aspect of the bases of the 2nd, 3rd and 4th metatarsals
may also insert plantarly on the medial cuneiform, cuboid, lateral cuneiform, 1st metatarsal base, 5th metatarsal base and sustentaculum tali |
|
action of the Tibialis Posterior Muscle
|
inverts and adducts the foot (inverting the foot supinates the subtalar and midtarsal joints)
aids in plantar flexing the ankle joint |
|
innervation of the Tibialis Posterior Muscle
|
tibial nerve
|
|
arterial supply of the Tibialis Posterior Muscle
|
posterior tibial and fibular arteries
|
|
its tendon passes inferiorly and slightly medial to emerge from deep to the tendon of flexor digitorum longus muscle
|
Tibialis Posterior Muscle
|
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Its tendon along the tibial groove for tibialis posterior and flexor digitorum longus muscles and inferiorly along the medial malleolus and within the flexor retinaculum to the plantar foot
|
Tibialis Posterior Muscle
|
|
surrounds the flexor digitorum longus tendon as it courses posterior to the ankle joint and into the plantar foot
|
Proximal Flexor Digitorum Longus Synovial Sheath
|
|
begins posterior to the medial malleolus and ends proximal to the knot
of Henry |
Proximal Flexor Digitorum Longus Synovial Sheath
|
|
Structures that pass within the laciniate ligament
|
Proximal Flexor Digitorum Longus Synovial Sheath
Tibialis Posterior Synoviall Sheath |
|
The sheath that surrounds each of the four tendons as they pass along the plantar aspects of the lesser digits from the metatarsophalangeal joints to the middle phalanges
|
Distal Flexor Digitorum Longus Synovial Sheath
|
|
synoival sheath that surrounds the flexor hallucis longus tendon as it courses posterior to the medial malleolus and inferior to the sustentaculum tali
|
Proximal Flexor Hallucis Longus Synovial Sheath
|
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synoival sheath that begins at the distal end of the tibia and ends at the knot of Henry
|
Proximal Flexor Hallucis Longus Synovial Sheath
|
|
synoival sheath that begins and ends most distally
|
Proximal Flexor Hallucis Longus Synovial Sheath
|
|
the synoival sheath passes within the flexor retinaculum
|
Proximal Flexor Hallucis Longus Synovial Sheath
|
|
the synoival sheath that surrounds the flexor hallucis longus tendon as it passes along the plantar aspect of the hallux from the metatarsal head to the central proximal phalanx
|
Distal Flexor Hallucis Longus Synovial Sheath
|
|
the synovial sheath that surrounds the tibialis posterior tendon as it courses posterior to the ankle
joint |
Tibialis Posterior Synovial Sheath
|
|
the synovial sheath that begins at the proximal posterior medial malleolus and ends after passing
through the porta pedis |
Tibialis Posterior Synovial Sheath
|
|
the synovial sheath that begins and ends most proximally
|
Tibialis Posterior Synovial Sheath
|
|
the synovial sheath that passes within the laciniate ligament
|
Tibialis Posterior Synovial Sheath
|
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branch of the popliteal artery which enters the anterior crural compartment through the proximal opening in the interosseous membrane at the level of the neck of the fibula
|
Anterior Tibial Artery
|
|
passes inferiorly along the interosseous membrane between the tibialis anterior muscle and the extensor digitorum longus muscle
|
Anterior Tibial Artery
|
|
at the inferior leg and anterior ankle, it passes intermediate to the tendons of tibialis anterior and extensor hallucis longus muscles
|
Anterior Tibial Artery
|
|
at the inferior ankle, the tendon of extensor hallucis longus passes over this artery
|
Anterior Tibial Artery
|
|
the tendon of extensor hallucis longus passes over the Anterior Tibial Artery and the artery is renamed
|
the dorsalis pedis artery
|
|
at the inferior ankle, this tendon of passes over the
Anterior tibial artery and the artery is renamed the dorsalis pedis artery |
extensor hallucis longus
|
|
When the anterior tibial artery is absent, the anterior compartment muscles are usually supplied by _____________
|
perforating branches of the posterior tibial artery
|
|
T or F:
the dorsalis pedis artery can be a continuation of the perforating peroneal artery if the anterior tibial artery is absent |
true
|
|
the anterior tibial artery enters the anterior crural compartment through the ____________________
|
proximal opening in the interosseous membrane
|
|
the tendon of extensor hallucis longus passes over the anterior tibial artery and the artery is renamed the ____________
|
dorsalis pedis artery
|
|
a branch from the common fibular nerve arising within the lateral compartment of the leg
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Deep Peroneal Nerve
|
|
this structure enters the anterior crural compartment by piercing the anterior crural fascial septum
|
Deep Peroneal Nerve
|
|
structure that passes through the extensor digitorum longus muscle at the muscle's origin (splits the origin)
|
Deep Peroneal Nerve
|
|
lies lateral to the anterior tibial artery throughout its course in most of the leg including at the ankle region
|
Deep Peroneal Nerve
|
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nerve that retains its name in the foot
|
Deep Peroneal Nerve
|
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this structure travels with the anterior tibial a. on the anterior surface of the interosseous membrane
|
Deep Peroneal Nerve
|
|
the Deep Peroneal Nerve enters the anterior crural compartment by piercing the _________________
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anterior crural fascial septum
|
|
branches pierce the posterior crural intermuscular posterior crural fascial septum to supply the fibularis muscles
|
Peroneal Artery
|
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the artery DOES NOT lie within the lateral compartment of the leg; the artery is within the posterior compartment
|
Peroneal Artery
|
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Peroneal Artery branches pierce the ________________ to supply the fibularis muscles
|
posterior crural fascial septum
|
|
branches supply the proximal part of the fibularis longus / peroneus longus muscle (which sometimes takes partial origin on the lateral tibial condyle)
|
Anterior Tibial Artery
|
|
Anterior tibial artery lies within both these compartments
|
lateral and anterior
|
|
a branch of the common fibular / common peroneal n. after the common fibular n. passes around the head of the fibula
|
Superficial Peroneal Nerve
|
|
Superficial Peroneal Nerve passes around the head of the fibula and pierces the _________________
|
posterior crural intermuscular septum
|
|
this nerve remains within the lateral crural compartment and passes inferiorly between the fibularis longus and brevis muscle bellies
|
Superficial Peroneal Nerve
|
|
at the inferior 1/3 of the leg, it pierces the fascia cruris, anterolaterally, to provide its cutaneous innervation
|
Superficial Peroneal Nerve
|
|
usually appears to be the continuation of the popliteal artery
|
Posterior Tibial Artery
|
|
structure that it arises within the posterior crural compartment and passes distally along the
superficial/posterior surface of the tibialis posterior muscle |
Posterior Tibial Artery
|
|
structure intermediate to the flexor hallucis longus and flexor digitorum longus muscle bellies
|
Posterior Tibial Artery
|
|
structure that passes posterior to the medial malleolus where it divides to form the medial and lateral plantar arteries
|
Posterior Tibial Artery
|
|
its pulse is palpated posterior to the medial malleolus
|
Posterior Tibial Artery
|
|
branch of the posterior tibial artery that usually arises deep to the soleus muscle (at its proximal end)
|
Nutrient Artery to the Tibia
|
|
a branch of the posterior tibial artery arising near the inferior edge of the popliteus muscle
|
Peroneal Artery
|
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Structure that passes inferiorly deep to the soleus muscle
|
Peroneal Artery
|
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Structure that continues intermediate to the flexor hallucis longus and tibialis posterior muscles
|
Peroneal Artery
|
|
At the ankle it lies posterior to the lateral malleolus (near the peroneal tendons) where it divides to form the lateral calcaneal arteries
|
Peroneal Artery
|
|
Peroneal Artery lies posterior to the lateral malleolus (near the peroneal tendons) where it divides to form the __________
|
lateral calcaneal arteries
|
|
a branch of the Peroneal Artery usually arising near midshaft and entering the fibula in the proximal 1⁄2 of the posterior surface
|
Nutrient Artery to the Fibula
|
|
a branch of the peroneal artery that passes into the anterior ankle region through the inferior opening in the
interosseous membrane |
Perforating Peroneal Artery
|
|
branches of the Peroneal artery
|
Nutrient Artery to the Fibula
Perforating Peroneal Artery Peroneal Communicating Artery |
|
Perforating Peroneal Artery passes into the anterior ankle region through the ________________
|
inferior opening in the interosseous membrane
|
|
a transverse branch of the Peroneal artery which anastomoses with the posterior tibial artery (in the inferior 1/3 of the leg, posteriorly)
|
Peroneal Communicating Artery
|
|
passes through the popliteal fossa, enters the leg by passing through the tendinous arch of the soleus muscle
|
Tibial Nerve
|
|
follows the course of the posterior tibial artery
|
Tibial Nerve
|
|
it divides to form the medial and lateral plantar nerves near the level of the ankle joint prior to entering the foot
|
Tibial Nerve
|
|
at the ankle region, it gives rise to the medial calcaneal nerve which pierces the laciniate ligament
|
Tibial Nerve
|
|
Tibial Nerve passes through the popliteal fossa, enters the leg by passing through the ________________
|
tendinous arch of the soleus muscle
|
|
the medial bone; roughly triangular on cross section
|
tibia
|
|
the lateral bone on cross section
|
Fibula
|
|
Cross section: the structure at the medial side, near the medial border of the tibia
|
great saphenous vein
|
|
Cross section: the structure (main branch) at the medial side, near the great saphenous vein; small branches along the medial 1⁄2 of the leg
|
Saphenous Nerve
|
|
Cross section: the structure at the posterior aspect, usually just lateral to the midline
|
Small Saphenous Vein
|
|
Cross section: the structure at the posterior aspect, near the small saphenous vein
|
Sural Nerve
|
|
Cross section: the structure at the lateral aspect, often only small branches at this level as this nerve exits the deep fascia more proximally (near the popliteal fossa)
|
Lateral Cutaneous Nerve of the Calf
|
|
Cross section: the structure at the posterior lateral aspect
- it passes in an inferomedial direction toward the sural nerve |
Sural Communicating Nerve
|
|
Deep Fascia/Fascia Cruris is thicker _______ because some muscles take partial origin from the fascia
|
anteriorly
|
|
an extension of the fascia cruris from its anterolateral aspect which passes to the anterior border of the fibular shaft (extends the length of the fibula)
|
Anterior Fascial Septum of the Leg
|
|
separates the anterior crural compartment from the lateral crural compartment
|
Anterior Fascial Septum of the Leg
|
|
an extension of the fascia cruris from its lateral aspect which passes to the posterior border of the fibular shaft (extends the length of the fibula)
|
Posterior Fascial Septum of the Leg
|
|
separates the lateral crural compartment from the posterior crural compartment
|
Posterior Fascial Septum of the Leg
|
|
an extension of the fascia cruris from posteromedial to posterolateral near the posterior crural intermuscular septum; deep to soleus muscle
|
Deep Transverse Fascial Septum of the Leg
|
|
attaches to the medial tibial border, the tibial soleal line, the crista medialis, the posterior border of the fibular shaft, and the distal posterior tibiofibular ligament
|
Deep Transverse Fascial Septum of the Leg
|
|
separates the superficial posterior crural compartment from the deep posterior crural compartment
|
Deep Transverse Fascial Septum of the Leg
|
|
usually covers the posterior surface of the tibial nerve and posterior tibial artery
|
Deep Transverse Fascial Septum of the Leg
|
|
a sheet of fibrous tissue connecting the tibia and fibula at their interosseous borders
|
Interosseous Membrane
|
|
Interosseous Membrane fibers pass from ________ to _________ which allows the fibula to glide slightly proximal with respect to the tibia
|
superior medial
to inferior lateral |
|
a superior opening pierces the Interosseous Membrane at the level of the neck of the fibula and allows passage of the __________
|
anterior tibial artery
|
|
an inferior opening pierces the Interosseous membrane near the tibiofibular syndesmosis and allows passage of the _____________
|
perforating fibular artery
|
|
medial border of the anterior compartment
|
Tibial lateral surface
|
|
anterior border of the anterior compartment
|
Fascia Cruris
|
|
lateral border of the anterior compartment
|
Anterior Crural Intermuscular Septum
|
|
posterior border of the anterior compartment
|
Interosseous Membrane and Medial Fibular Surface
|
|
Cross section: muscle distal to this level so it is not seen
|
Fibularis Tertius Muscle
|
|
Cross section: nerve located anterior to the interosseous membrane and intermediate to tibialis anterior and extensor hallucis longus muscles
|
Anterior Tibial Artery and venae comitantes
|
|
Cross section: nerve that usually lies just lateral to the vessels in the same fascial space
|
Deep Peroneal Nerve
|
|
Cross section: branch of the common fibular nerve that enters the anterior crural compartment by piercing the anterior crural fascial septum
|
Deep Peroneal Nerve
|
|
Deep Peroneal Nerve, branch of the common fibular nerve that enters the anterior crural compartment by piercing the _____________
|
anterior crural fascial septum
|
|
Anterior border of the lateral compartment
|
Anterior Crural Fascial Septum
|
|
lateral border of the lateral compartment
|
Fascia Cruris
|
|
posterior border of the lateral compartment
|
Posterior Crural Intermuscular Septum
|
|
medial border of the lateral compartment
|
Lateral Fibular Surface
|
|
there are no vessels within this compartment
|
lateral compartment
|
|
Arterial supply to the lateral crural compartment
|
fibular artery
|
|
nerve near the superficial junction of the fibularis longus and brevis muscles
|
Superficial Peroneal Nerve
|
|
nerve that is proximally more posterior and deep (near the fibula deep to the peroneus longus muscle) and distally, it pierces the fascia cruris to supply the skin
|
Superficial Peroneal Nerve
|
|
anterior border of the deep posterior compartment
|
Interosseous Membrane and Medial Part of Posterior
Fibular Surface |
|
lateral border of the deep posterior compartment
|
Posterior Fibular Surface and Posterior Crural Intermuscular Septum
|
|
medial border of the deep posterior compartment
|
Posterior Tibial Surface
|
|
posterior border of the deep posterior compartment
|
Deep Transverse Crural Intermuscular Septum
|
|
Cross section: Muscles of the Lateral compartment
|
Peroneus Longus Muscle
Peroneus Brevis Muscle Peroneus Quartus Muscle |
|
Cross section: muscles of the deep posterior crural compartment
|
Flexor Digitorum Longus Muscle
Tibialis Posterior Muscle Flexor Hallucis Longus Muscle Popliteus Muscle |
|
Anterior Border of the Superficial Posterior Compartment
|
Deep Transverse Crural Intermuscular Septum
|
|
Medial Border of the Superficial Posterior Compartment
|
Fascia Cruris
|
|
Lateral Border of the Superficial Posterior Compartment
|
Fascia Cruris
|
|
Posterior Border of the Superficial Posterior Compartment
|
Fascia Cruris
|
|
Muscles within the superficial posterior compartment
|
Soleus Muscle
Gastrocnemius Aponeurosis Plantaris Tendon |
|
The proximal tibiofibular joint is located between the _____________ and _________________
|
head of the fibula
lateral condyle of the tibia |
|
Structural classification of the Proximal tibiofibular joint
|
structural planar synovial joint
|
|
Functional classification of the tibiofibular joint
|
functional diarthrosis
|
|
T or F:
Proximal Tibiofibular joint is reinforced by ligaments |
true
|
|
the proximal anterior tibiofibular ligament reinforces the _______ aspect of the proximal tibiofibular joint
|
anterior
|
|
the _____________ ligament reinforces the anterior aspect of the proximal tibiofibular joint
|
proximal anterior tibiofibular
|
|
The ________________ reinforces the posterior aspect of the tibiofibular joint
|
proximal posterior tibiofibular ligament
|
|
The proximal posterior tibiofibular ligament reinforces the ____________ aspect of the tibiofibular joint
|
posterior
|
|
when the distal tibiofibular joint separates, the proximal tibiofibular joint undergoes two types of movement:
|
rotational
gliding |
|
The proximal tibiofibular joint receives arterial supply from ______________
|
inferior lateral genicular
anterior tibial recurrent arteries |
|
The proximal tibiofibular joint receives innervation from the ___________
|
common peroneal nerve
the nerve to popliteus muscle |
|
The middle tibiofibular joint is formed by the ______________ as it attaches to the interosseous borders of both the tibia and fibula.
|
interosseous membrane
|
|
The fibers of the interosseous membrane pass from ___________ to ___________ which allows the fibula to slide slightly proximal on the tibia
|
proximal medial
distal lateral |
|
The fibers of the interosseous membrane pass from proximal medial to distal lateral which allows the fibula to slide slightly________ on the tibia
|
proximal
|
|
This joint is located between the fibular notch of the tibia and the roughened triangular area on the medial aspect of the fibular distal extremity
|
The distal tibiofibular joint / tibiofibular syndesmosis
|
|
the structural classification of the distal tibiofibular joint
|
structural syndesmotic fibrous joint
|
|
the functional classification of the distal tibiofibular joint
|
functional amphiarthrotic joint
|
|
The motion of this joint usually accompanies inversion and eversion of the foot during closed kinetic chain motion, when the foot is fixed on the ground
|
distal tibiofibular joint
|
|
T or F:
the distal tibiofibular jointis reinforced by several ligaments |
true
|
|
Arterial supply to the The distal tibiofibular joint
|
the perforating peroneal artery
anterior lateral malleolar artery posterior lateral malleolar artery |
|
innervation of the distal tibiofibular joint
|
deep peroneal nerve
tibial nerve saphenous nerve |
|
Ligament that extends from the anterior border of the fibular notch of the tibia to the anterior border of the fibula and the anterior edge of the triangular area on
the distal extremity of the fibula |
Distal Anterior Tibiofibular Ligament
|
|
Action of the Distal Anterior Tibiofibular Ligament
|
helps to prevent separation of the fibula from the tibia
|
|
the inferior continuation of the interosseous membrane
|
Interosseous Tibiofibular Ligament
|
|
the ligament that extends from the central part of the fibular notch of the tibia to the central part of the rough triangular area on the fibular distal extremity
|
Interosseous Tibiofibular Ligament
|
|
strongest of the ligaments at the distal tibiofibular joint
|
Interosseous Tibiofibular Ligament
|
|
there is often is a small synovial extension of the ankle joint within this ligament
|
Interosseous Tibiofibular Ligament
|
|
action of the Interosseous Tibiofibular Ligament
|
prevents the talus from wedging between the tibia and fibula by preventing separation of the fibula from the tibia
|
|
ligaments of the distal tibiofibular joint
|
Distal Anterior Tibiofibular Ligament
Interosseous Tibiofibular Ligament Distal Posterior Tibiofibular Ligament |
|
ligament that extends from the posterior border of the fibular notch and the posterior process of the tibia to the posterior edge of the triangular area on the medial
aspect of the distal fibula |
Distal Posterior Tibiofibular Ligament
|
|
very broad ligament which decreases the posterior movement of the talus within the ankle mortise and prevents separation of the fibula from the tibia
|
Distal Posterior Tibiofibular Ligament
|
|
action of the Distal Posterior Tibiofibular Ligament
|
decreases the posterior movement of the talus within the ankle mortise and prevents separation of the fibula from the tibia
|
|
the inferior part of the posterior tibiofibular ligament which blends with the fibrous capsule of the ankle joint
|
. Transverse Tibiofibular Ligament
|
|
this ligament has articular cartilage on its deep surface for articulation with the posterior aspect of the trochlea tali so it forms part of the ankle mortise (ankle joint)
|
. Transverse Tibiofibular Ligament
|
|
this ligament passes from the posterior process of the tibia to the superior (1⁄2 of the) lateral malleolar fossa of the fibula
|
. Transverse Tibiofibular Ligament
|
|
The ankle joint is the articulation between the ______ and the ________ and between the ________ and the ________
|
talus and tibia
talus and fibula |
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structural classification of the ankle joint
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synovial, ginglymus (hinge) joint
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functional classification of the ankle joint
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diarthrosis
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Action of the ankle join
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primarily dorsiflexion and plantar flexion
and small amount of adduction/abduction and inversion/eversion |
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The tibial plafond and the trochlea tali are both wider ______
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anteriorly
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trochlea of the talus is narrower __________
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posteriorly
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T or F:
the ankle joint more mobile laterally when it is in a plantar flexed position |
true
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ankle joint axis is not perpendicular to the sagittal plane and as such the motion is sometimes described as _________, biomechanically
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triplanar
|
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arterial supply to the ankle joint
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anterior tibial artery
peroneal artery perforating fibular artery posterior tibial arteries |
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innervation of the ankle joint
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tibial nerve
deep peroneal nerve sural nerve saphenous nerve |
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the concavity formed by the tibia, the fibula and the transverse tibiofibular ligament
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Ankle Mortise
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The bone that fits into the concavity of the Ankle Mortise
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Talus
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the capsule of the ankle joint attaches at the articular margins of all surfaces of the ankle joint except the ___________
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anterior trochlea tali
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the capsule of the ankle joint extends from the anterior trochlea tali to the neck of the talus to allow ankle _______ flexion (or it could be easily damaged)
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plantar
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T or F:
the ankle capsule is not reinforced by ligaments |
false.
it is |
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lines all areas of the ankle capsule
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Synovial Membrane
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at the junction of the tibia and fibula inferiorly (in the syndesmosis), it extends slightly proximal to form a small recess in the interosseous tibiofibular ligament
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Synovial Membrane
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occasionally the recess created by the synovial membrane is large enough to create a ________ joint between the distal tibia and fibula
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synovial
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necessary for ankle joint stability
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Distal Posterior Tibiofibular Ligament
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Ligament that extends from the lateral tubercle of the posterior process of the talus to the inferior (1⁄2 of the) lateral malleolar fossa of the fibula
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Posterior Talofibular Ligament
|
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Ligaments that are a part of the lateral collateral ligament of the ankle joint
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Posterior Talofibular Ligament
Calcaneofibular Ligament Anterior Talofibular Ligament |
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this ligament has deep and superficial parts and extendsfrom the medial malleolar posterior colliculus to the medial tubercle of the talar posterior process
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Posterior Talotibial Ligament
|
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an extracapsular ligament that extends from the summit of the lateral malleolus to the calcaneal lateral surface, superoposterior to fibular trochlea
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Calcaneofibular Ligament
|
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extends from the inferior aspect of the medial malleolus, anterior and posterior colliculi, to the medial surface of the sustentaculum tali
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Calcaneotibial Ligament
|
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ligament that extends from the anterior inferior edge of the lateral malleolus to the lateral aspect of the talar neck
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Anterior Talofibular Ligament
|
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ligament that extends from the inferior medial malleolus, the anterior colliculus, to the medial aspect of the neck of the talus
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Anterior Talotibial Ligament
|
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reinforces the ankle joint laterally, limits inversion of the rearfoot, and consists of 3 separate parts
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Lateral Collateral Ligament of the Ankle
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Action of the Lateral Collateral Ligament of the Ankle
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limits inversion of the rearfoot
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ligament from the anterior inferior edge of the lateral malleolus to the lateral aspect of the talar neck; passes primarily medial and slightly anterior
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Anterior Talofibular Ligament
|
|
T or F:
the Anterior Talofibular Ligament becomes taught when the ankle joint is dorsiflexed |
false.
it becomes taut when the ankle joint is plantar flexed |
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the most commonly injured ligament in ankle sprains
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Anterior Talofibular Ligament
|
|
Action of the Anterior Talofibular Ligament
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prevents anterior displacement of the talus from the ankle mortise
and prevents excessive ankle joint plantar flexion |
|
ligament that extends from the summit of the lateral malleolus to the lateral aspect of the calcaneus, just proximal and superior to the peroneal trochlea
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Calcaneofibular Ligament
|
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T or F:
the Calcaneofibular Ligament becomes taut when the ankle joint is dorsiflexed |
true
|
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forms an angle of approximately 105 degrees with the anterior talofibular ligament
|
Calcaneofibular Ligament
|
|
the Calcaneofibular Ligament forms an angle of approximately ____ degrees with the anterior talofibular ligament
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105 degrees
|
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action of the Calcaneofibular Ligament
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limits inversion of the rearfoot and prevents excessive ankle joint dorsiflexion
|
|
ligament that extends from the posterior lateral malleolus to the lateral tubercle of the posterior process of the talus
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Posterior Talofibular Ligament
|
|
T or F:
the Posterior Talofibular Ligament is taut when the ankle is dorsiflexed |
Posterior Talofibular Ligament
|
|
Action of the Posterior Talofibular Ligament
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prevents posterior displacement of the talus from the ankle mortise and prevents excessive ankle joint dorsiflexion
|
|
Ligament that is rarely torn in ankle sprains as its position is almost horizontal
|
Posterior Talofibular Ligament
|
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called the Deltoid Ligament
|
Medial Collateral Ligament of the Ankle
|
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very thick strong ligament; rarely injured; and reinforces the ankle joint medially
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Medial Collateral Ligament of the Ankle
|
|
action of the Medial Collateral Ligament of the Ankle
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reinforces the ankle joint medially
limits eversion of the rearfoot |
|
Medial Collateral Ligament of the Ankle limits eversion of the rearfoot, so it is usually injured with __________ force
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eversion
|
|
consists of superficial and deep parts; descriptions vary from three to five ligaments present, two may be
absent or blended with others (the common clinical description is 3 ligaments) |
Medial Collateral Ligament of the Ankle
|
|
Medial Collateral Ligament of the Ankle
|
Posterior Talotibial Ligament
Calcaneotibial Ligament Anterior Talotibial Ligament |
|
the deep deltoid ligaments
|
Anterior Talotibial Ligament
Deep Posterior Talotibial Ligament |
|
ligament that extends from the anterior colliculus of the medial malleolus to the
medial aspect of the talar neck |
Anterior Talotibial Ligament
|
|
its fibers often blend with fibers of the tibionavicular ligament; may be absent
|
Anterior Talotibial Ligament
|
|
the Anterior Talotibial Ligament taut when ankle is _________
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plantar flexed
|
|
action of the Anterior Talotibial Ligament
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prevents anterior displacement of the talus from the ankle
mortise and prevents excessive ankle joint plantar flexion |
|
A thick, strong ligament that extends from the posterior colliculus of the medial malleolus to the medial tubercle of the posterior process of the talus
|
Deep Posterior Talotibial Ligament
|
|
the Deep Posterior Talotibial Ligament is taut when the ankle is _________
|
dorsiflexed
|
|
action of the Deep Posterior Talotibial Ligament
|
prevents posterior displacement of the talus from the ankle mortise and prevents excessive ankle joint dorsiflexion
|
|
the Superficial Deltoid Ligaments
|
Tibionavicular Ligament
Calcaneotibial Ligament Superficial Posterior Talotibial Ligament |
|
ligament that extends from the anterior inferior aspect of the medial malleolus, anterior colliculus, to the navicular tuberosity
|
Tibionavicular Ligament
|
|
Ligament that blends with the spring ligament / plantar calcaneonavicular ligament
|
Tibionavicular Ligament
|
|
weakest of the deltoid ligaments
|
Tibionavicular Ligament
|
|
ligament that extends from the medial malleolar colliculi to the medial surface of the sustentaculum tali
|
Calcaneotibial Ligament
|
|
ligament that lies deep to the tendon of flexor digitorum longus as it passes along the medial edge of the sustentaculum tali
|
Calcaneotibial Ligament
|
|
strongest of the deltoid ligaments
|
Calcaneotibial Ligament
|
|
action of the Calcaneotibial Ligament
|
limits eversion of the calcaneus
|
|
ligament that extends from the posterior inferior aspect of the medial malleolus, posterior colliculus, to the medial tubercle of the posterior talar process
|
Superficial Posterior Talotibial Ligament
|
|
ligament that mimics the course of the deep posterior talotibial ligament and may blend with the fibers of the deep ligament or may be absent
|
Superficial Posterior Talotibial Ligament
|
|
action of the Superficial Posterior Talotibial Ligament
|
prevents posterior displacement of the talus from the ankle mortise and prevents excessive ankle joint dorsiflexion
|
|
the Superficial Posterior Talotibial Ligament is taut when the ankle is _________
|
dorsiflexed
|
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arterial supply to the ankle joint (extensive supply makes it rare to have necrosis of the bones from severe ankle injuries)
|
anterior tibial artery
posterior tibial artery peroneal artery dorsalis pedis artery malleolar arterial network (including arterial supply to the talus) |
|
a branch of the anterior tibial artery that passes medially around the ankle and anastomoses with the posterior medial malleolar artery
|
Malleolar Arterial Network
|
|
normally a branch of the anterior tibial artery that passes laterally around the ankle and anastomoses with the posterior lateral malleolar artery; helps supply the ankle joint
|
Anterior Lateral Malleolar Artery
|
|
a branch of the fibular artery that passes anteriorly through the inferior opening in interosseous membrane and continues inferiorly to reach the tarsus
|
Perforating Peroneal Artery
|
|
supplies tarsal bones dorsally, and helps supply ankle joint
|
Perforating Peroneal Artery
|
|
a branch of either the anterior tibial artery or the dorsalis pedis artery that passes laterally across the tarsus, then recurs and anastomoses with the anterior lateral malleolar artery
|
Lateral Tarsal Artery
|
|
a branch of the posterior tibial artery that passes medially around the ankle and anastomoses with the anterior medial malleolar artery
|
Posterior Medial Malleolar Artery
|
|
a branch between the posterior tibial artery and the fibular artery that sends a branch to the ankle joint
|
Peroneal Communicating Artery
|
|
a branch of the peroneal artery that passes laterally around the ankle and anastomoses with the anterior lateral malleolar artery; helps supply the ankle joint
|
Posterior Lateral Malleolar Artery
|
|
gives off direct branches to the talar head and neck as it passes dorsally across the midfoot
|
Dorsalis Pedis Artery
|
|
branch of the dorsalis pedis artery that helps to supply the head and neck of the talus
|
Medial Tarsal Artery
|
|
branch of the dorsalis pedis artery that gives off direct branches to the talar head and neck as it recurs
|
Lateral Tarsal Artery
|
|
Branches of the Dorsalis Pedis Artery
|
Medial Tarsal Artery
Lateral Tarsal Artery (Artery of the Sinus Tarsi) |
|
branch from the anastomosis of the lateral tarsal and the
perforating fibular arteries that enters the sinus tarsi from the lateral end to supply the neck of talus; may be a branch of the dorsalis pedis artery |
Artery of the Sinus Tarsi
|
|
branch of the posterior tibial artery that helps to supply the posterior process of the talus
|
Fibular Communicating Artery
|
|
branch of the posterior tibial artery that enters the canalis tarsi; anastomoses with the artery of the sinus tarsi and this anastomosis; helps to supply the talar head and neck
|
Artery of the Tarsal Canal
|
|
branch of the artery of the tarsal canal that directly supplies the talar body; deep to the deltoid ligament
|
Deltoid Artery
|
|
branch of the fibular artery that passes through the inferior opening of the interosseous membrane; anastomoses with the lateral tarsal artery to form the artery of the sinus tarsi
|
Perforating Peroneal Artery
|
|
Innervation of the ankle joint
|
Tibial Nerve
Deep Peroneal Nerve Sural Nerve Saphenous Nerve Superficial Peroneal Nerve |
|
sends nerve branches to the ankle joint as it passes along the posteromedial aspect; it is deep to the fascia cruris
|
Tibial Nerve
|
|
sends nerve branches to the ankle joint as it passes along the anterior aspect; it is deep to the fascia cruris at this level
|
Deep Peroneal Nerve
|
|
sends nerve branches to the ankle joint as it passes over the posterior lateral aspect; it is in the superficial fascia
|
Sural Nerve
|
|
crosses the ankle joint at the anterior lateral aspect, but normally does not provide innervation to the ankle joint (probably because it would be easily injured from an inversion ankle sprain)
|
Superficial Peroneal Nerve
|
|
the most medial bone in ankle cross section; the fascia cruris attaches to it anteriorly, medially and posteriorly
|
Medial Malleolus of the Tibia
|
|
the largest bony area present in ankle cross section; located centrally
|
Trochlea of the Talus
|
|
the most lateral bone in the ankle cross section; the fascia cruris attaches to it anteriorly, laterally and posteriorly
|
Lateral Malleolus of the Fibula
|
|
the small bony structure in the ankle cross section; near the posterolateral aspect of the talus, deep to the peroneal tendons
|
Posterior Process of the Tibia
|
|
Structures in the superficial fascia of the ankle cross section
|
Great Saphenous Vein
Saphenous Nerve Medial Dorsal Cutaneous Nerve Intermediate Dorsal Cutaneous Nerve Small Saphenous Vein Sural Nerve Lateral Calcaneal Nerves |
|
blends with the fascia dorsalis pedis on the dorsum of the foot and with the plantar aponeurosis on the plantar aspect of the foot
|
Deep Fascia/Fascia Cruris
|
|
the anterior ankle is located between the upper and lower bands of the ___________
|
cruciate crural ligament
|
|
structures located in the anterior ankle at cross section
|
Tibialis Anterior Tendon
Extensor Hallucis Longus Tendon Dorsalis Pedis Artery and venae comitantes Deep Peroneal Nerve Tendons of Extensor Digitorum Longus Peroneus Tertius Tendon Perforating Fibular Artery & venae comitantes |
|
Structures in the Medial area of the posteriorankle in cross section
|
Tibialis Posterior Tendon
Flexor Digitorum Longus Tendon Posterior Tibial Artery & venae comitantes Tibial Nerve Flexor Hallucis Longus Tendon |
|
structures of the central area of the posterior ankle in cross section
|
Plantaris Tendon
Tendo Calcaneus |
|
structures of the lateral area of the posterior ankle in cross section
|
Peroneus Brevis Tendon
Peroneus Longus Tendon Peroneus Quartus Tendon Lateral Calcaneal Arteries |