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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
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
The popliteus muscle is covered by fascia from __________ muscle
semimembranosus
Origin of the Popliteus muscle
(popliteal groove of the) lateral aspect of the lateral condyle of the femur
and the posterior edge of the lateral meniscus
insertion of the popliteus muscle
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]
innervation of the popliteus muscle
tibial nerve
arterial supply to the popliteus muscle
posterior tibial artery
and medial inferior genicular artery
the most medial and superficial of the 3 long muscles of the deep posterior crural compartment
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
posterior surface of the tibia, inferior to the popliteal line and medial to the vertical line
insertion of the flexor digitorum longus muscle
plantar aspect of the bases of the distal phalanges of the lesser digits (2 through 5)
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
Flexor Digitorum Longus Muscle tendon lies ______ the flexor retinaculum
within
its tendon passes into the plantar foot under the talus, the tendon splits into four slips near the level of the cuneiform bones
Flexor Digitorum Longus Muscle tendon
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
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
posterior tibial artery
the most lateral of the long muscles of the deep posterior crural compartment
Flexor Hallucis Longus Muscle
origin of the Flexor Hallucis Longus Muscle
inferior 2/3 of the posterior fibular surface
insertion of the Flexor Hallucis Longus Muscle
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
its tendon passes along the groove for flexor hallucis longus tendon on the posterior process of the talus
Flexor Hallucis Longus Muscle tendon
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
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
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
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
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
nerve that retains its name in the foot
Deep Peroneal Nerve
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 _________________
anterior crural fascial septum
branches pierce the posterior crural intermuscular posterior crural fascial septum to supply the fibularis muscles
Peroneal Artery
the artery DOES NOT lie within the lateral compartment of the leg; the artery is within the posterior compartment
Peroneal Artery
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
Structure that passes inferiorly deep to the soleus muscle
Peroneal Artery
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
structural classification of the ankle joint
synovial, ginglymus (hinge) joint
functional classification of the ankle joint
diarthrosis
Action of the ankle join
primarily dorsiflexion and plantar flexion
and small amount of adduction/abduction and inversion/eversion
The tibial plafond and the trochlea tali are both wider ______
anteriorly
trochlea of the talus is narrower __________
posteriorly
T or F:
the ankle joint more mobile laterally when it is in a plantar flexed position
true
ankle joint axis is not perpendicular to the sagittal plane and as such the motion is sometimes described as _________, biomechanically
triplanar
arterial supply to the ankle joint
anterior tibial artery
peroneal artery
perforating fibular artery
posterior tibial arteries
innervation of the ankle joint
tibial nerve
deep peroneal nerve
sural nerve
saphenous nerve
the concavity formed by the tibia, the fibula and the transverse tibiofibular ligament
Ankle Mortise
The bone that fits into the concavity of the Ankle Mortise
Talus
the capsule of the ankle joint attaches at the articular margins of all surfaces of the ankle joint except the ___________
anterior trochlea tali
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)
plantar
T or F:
the ankle capsule is not reinforced by ligaments
false.
it is
lines all areas of the ankle capsule
Synovial Membrane
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
Synovial Membrane
occasionally the recess created by the synovial membrane is large enough to create a ________ joint between the distal tibia and fibula
synovial
necessary for ankle joint stability
Distal Posterior Tibiofibular Ligament
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
Posterior Talofibular Ligament
Ligaments that are a part of the lateral collateral ligament of the ankle joint
Posterior Talofibular Ligament
Calcaneofibular Ligament
Anterior Talofibular Ligament
this ligament has deep and superficial parts and extendsfrom the medial malleolar posterior colliculus to the medial tubercle of the talar posterior process
Posterior Talotibial Ligament
an extracapsular ligament that extends from the summit of the lateral malleolus to the calcaneal lateral surface, superoposterior to fibular trochlea
Calcaneofibular Ligament
extends from the inferior aspect of the medial malleolus, anterior and posterior colliculi, to the medial surface of the sustentaculum tali
Calcaneotibial Ligament
ligament that extends from the anterior inferior edge of the lateral malleolus to the lateral aspect of the talar neck
Anterior Talofibular Ligament
ligament that extends from the inferior medial malleolus, the anterior colliculus, to the medial aspect of the neck of the talus
Anterior Talotibial Ligament
reinforces the ankle joint laterally, limits inversion of the rearfoot, and consists of 3 separate parts
Lateral Collateral Ligament of the Ankle
Action of the Lateral Collateral Ligament of the Ankle
limits inversion of the rearfoot
ligament from the anterior inferior edge of the lateral malleolus to the lateral aspect of the talar neck; passes primarily medial and slightly anterior
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
the most commonly injured ligament in ankle sprains
Anterior Talofibular Ligament
Action of the Anterior Talofibular Ligament
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
Calcaneofibular Ligament
T or F:
the Calcaneofibular Ligament becomes taut when the ankle joint is dorsiflexed
true
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
105 degrees
action of the Calcaneofibular Ligament
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
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
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
called the Deltoid Ligament
Medial Collateral Ligament of the Ankle
very thick strong ligament; rarely injured; and reinforces the ankle joint medially
Medial Collateral Ligament of the Ankle
action of the Medial Collateral Ligament of the Ankle
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
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 _________
plantar flexed
action of the Anterior Talotibial Ligament
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
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