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The Leg and foot
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Cutaneous Innervation of Lower Limb
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Venous Drainage of Lower Limb
The lower limb has superficial and deep veins; the superficial veins are in the subcutaneous tissue, and the deep veins are deep to the deep fascia and accompany all major arteries. Superficial and deep veins have valves, but they are more numerous in deep veins. The two major superficial veins are the great and small saphenous veins. The great saphenous vein is formed by the union of the dorsal digital vein of the great toe and the dorsal venous arch of the foot. The great saphenous vein
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Applied anatomy Varicose Veins, Thrombosis, and Thromboembolism
Varicose veins form when the valves that usually prevent blood flow from the deep veins through the perforating veins to the superficial veins are incompetent. As a result, the superficial veins become varicose (dilated so that their cusps do not close) and tortuous
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Lymphatic Drainage of Lower Limb
The lower limb has superficial and deep lymphatic vessels. The superficial lymphatic vessels converge on and accompany the saphenous veins and their tributaries. The lymphatic vessels accompanying the great saphenous vein end in the superficial inguinal lymph nodes. Most lymph from these nodes passes to the external iliac lymph nodes, located along the external iliac vein; but some lymph may also pass to the deep inguinal lymph nodes, located on the medial aspect of the femoral vein.
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Popliteal fossa & its contents
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Muscles of the leg
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The muscle of leg Tibialis anterior Extensor digitorum longus
Extensor hallusis longus Anterior group Gastrocnemius Superficial layer soleus posterior group Tibialis posterior Flexor digitorum longus Flexor hallueis longus deep layer Peroneus longus Peroneus brevis lateral group
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Tibialis anterior Origin -Lateral surface of shaft of tibia and interosseous membrane Insertion -Medial cuneiform and base of first metatarsal bone Nerve supply- Deep peroneal nerve Action -Extends foot at ankle joint; inverts foot at subtalar and transverse tarsal joints; holds up medial longitudinal arch of foot
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Extensor digitorum longus
Origin- Anterior surface of shaft of fibula Insertion -Extensor expansion of lateral four toes Nerve supply- Deep peroneal nerve Action -Extends toes; extends foot at ankle joint
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Extensor hallucis longus
Origin -Anterior surface of shaft of fibula Insertion -Base of distal phalanx of great toe Nerve supply -Deep peroneal nerve Action -Extends big toe; extends foot at ankle joint; inverts foot at subtalar and transverse tarsal joints
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Peroneus longus Origin- Lateral surface of shaft of fibula Insertion -Base of first metatarsal and the medial cuneiform Nerve supply - Superficial peroneal nerve Action - Plantar flexes foot at ankle joint; everts foot at subtalar and transverse tarsal joints; supports lateral longitudinal and transverse arches of foot
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Peroneus brevis Origin -shaft of fibula Lateral surface of Insertion -Base of fifth metatarsal bone Nerve supply - Superficial peroneal nerve Action -Plantar flexes foot at ankle joint; everts foot at subtalar and transverse tarsal joint; supports lateral longitudinal arch of foot
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Gastrocnemius Origin -Lateral head from lateral condyle of femur and medial head from above medial condyle Insertion -Via tendo calcaneus into posterior surface of calcaneum Nerve supply -Tibial nerve Action -Plantar flexes foot at ankle joint; flexes knee joint
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Soleus Origin -Shafts of tibia and fibula Insertion - Via tendo calcaneus into posterior surface of calcaneum Nerve supply -Tibial nerve Action -Together with gastrocnemius and plantaris is powerful plantar flexor of ankle joint; provides main propulsive force in walking and running
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Tibialis posterior Origin -Posterior surface of shafts of tibia and fibula and interosseous membrane Insertion -Tuberosity of navicular bone and other neighboring bones Nereve supply -Tibial nerve Action -Plantar flexes foot at ankle joint; inverts foot at subtalar and transverse tarsal joints; supports medial longitudinal arch of foot
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Flexor digitorum longus
Origin -Posterior surface of shaft of tibia Insertion -Bases of distal phalanges of lateral four toes Nerve supply -Tibial nerve Action -Flexes distal phalanges of lateral four toes; plantar flexes foot at ankle joint; supports medial and lateral longitudinal arches of foot
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Flexor hallucis longus
Origin -Posterior surface of shaft of fibula Insertion -Base of distal phalanx of big toe Nerve supply -Tibial nerve Action -Flexes distal phalanx of big toe; plantar flexes foot at ankle joint; supports medial longitudinal arch of foot
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