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Anterolateral Compartment
Skin
Cutaneous Nerves
• Lateral cutaneous nerve of calf
o Branch of common peroneal nerve
o Supplies skin on upper part of lateral surface of leg
• Superficial peroneal nerve
o Branch of common peroneal nerve
o Supplies skin of lower part of anterolateral surface of leg
• Saphenous nerve
o Branch of femoral nerve
o Supplies skin on anteromedial surface of leg
Superficial Veins
• Small veins curve around medial aspect of leg and drain into great
saphenous vein
Lymph Vessels
• Vertical group of superficial inguinal lymph nodes
• A small amount drain into popliteal nodes
Dorsum of Foot
Skin à thin, hairy, and freely mobile on underlying tendons and bones
Cutaneous Nerves
• Superficial peroneal nerve
o Emerges from between peroneus brevis and extensor digitorum longus
muscle in lower part of leg
o Divides into medial and lateral cutaneous branches
o Supply skin on dorsum of foot, medial side of the big toe, adjacent
sides of second, third, fourth, fifth toes
• Deep peroneal nerve
o Supplies skin of adjacent sides of big and second toes
• Saphenous nerve
o Passes onto dorsum of foot in front of medial malleolus
o Supplies skin along medial side of foot as far as head of first
metatarsal bone
• Sural nerve
o Enters foot behind lateral malleolus
o Supplies skin along lateral margin of foot and lateral side of little toe
Superior Extensor Retinaculum • Attached to distal ends of anterior borders of fibula and tibia
Inferior Extensor Retinaculum • Y-shaped band located in front of ankle joint
• Fibrous bands separate the tendons into compartments, each of
which is lined by a synovial sheath
Flexor Retinaculum • Extends from medial malleolus downward and backward to be
attached to medial surface of calcaneum
• Binds tendons of deep muscles of the back of leg to back of
medial malleolus as they pass forward to enter sole
• Tendons lie in compartments, each of which is lined by synovial
sheath
Superior Peroneal Retinaculum • Connects lateral malleolus to lateral surface of calcaneum
• Binds tendons of peroneus longus and brevis to back of lateral
malleolus
• Tendons are provided with common synovial sheath
Inferior Peroneal Retinaculum • Binds tendons of peroneus longus and brevis muscles to lateral
side of calcaneum
• Tendons each possess a synovial sheath, which is continuous
above with common sheath
3. Discuss the muscles in the anterior and lateral compartment of the leg and
dorsum of the foot as to its attachments and action with demonstration
ANTERIOR COMPARTMENT
• Muscles: tibialis anterior, extensor digitorum longus, peroneus tertius,
extensor hallucis longus
• Blood supply: Anterior tibial artery
• Nerve supply: Deep peroneal nerve
• Peroneus tertius muscle extends foot at ankle joint along with other
muscles in this compartment and is supplied by deep peroneal nerve
o Muscle also everts foot at subtalar and transverse tarsal joints
along with peroneus longus and brevis muscles but receives no
innervation from superficial peroneal nerve
• Extensor digitorum longus tendons on dorsal surface of each toe are
incorporated into fascial expansion called extensor expansion
o Central part of expansion is inserted into base of middle phalanx,
and two lateral parts converge to be inserted into base of distal
phalanx
LATERAL COMPARTMENT
• Muscles: Peroneus longus, peroneus brevis
• Blood supply: Branches from peroneal artery
• Nerve supply: Superficial peroneal nerve
• Both peroneus longus and brevis muscles flex foot at ankle joint and evert
foot at subtalar and transverse tarsal joint
o Play an important role in holding up lateral longitudinal arch in foot.
o Also, peroneus longus tendon serves as a tie to the transverse arch
of foot
4. Discuss the structures passing beneath the extensor and peroneal retinacula
6. Discuss the nerve supply of the anterolateral leg as to its formation, origin,
course, branches, and areas of distribution
• Branches
o Muscular branches to tibialis anterior, extensor digitorum longus,
peroneus tertius, extensor hallucis longus
o Articular branch to ankle joint
• Branches
o Muscular branches to peroneus longus and brevis
o Cutaneous: medial and lateral branches are distributed to skin on
lower part of front of leg and dorsum of foot. Also supply the dorsal
surfaces of skin of all toes, except adjacent sides of first and second
toes and lateral side of little toe
7. Discuss with illustration the formation of the dorsal venous arch and the
plantar arch
Plantar Arch
• Lateral plantar artery, upon reaching base of 5th metatarsal bone,
curves medially to form plantar arch
• At the proximal end of first intermetatarsal space, it joins the dorsalis
pedis artery
• Branches
o Lateral Tarsal Artery à crosses dorsum of foot just below ankle
joint
o Arcuate Artery à runs laterally under extensor tendons opposite
the bases of metatarsal bones. Gives off metatarsal branches to
toes
o First Dorsal Metatarsal Artery à supplies both sides of big toe
9. Discuss the following joints as to type, movement with demonstration,
innervation, component bones and neurovascular supply
a. Tibiofibular
Proximal Distal
Articulation Between lateral condyle of tibia and Between fibular notch at lower end of
head of fibula tibia and lower end of fibula
Articular surfaces are flattened and Opposed bony surfaces are roughened
covered by hyaline cartilage
Type Synovial, plane, gliding joint Fibrous joint
Capsule Surrounds joint and is attached to No capsule
margins of articular surfaces
Ligaments Anterior/Posterior ligaments à Interosseous ligament à strong thick
strengthen capsule band of fibrous tissue; strengthens joint
b. Ankle
• Consists of a deep socket formed by lower ends of tibia and
fibula, into which is fitted the upper part of body of talus
• Talus is able to move on a transverse axis in a hingelike
manner
• Shape of bones and strength of ligaments and surrounding
tendons make joint strong and stable
Ankle Joint
Articulation Between lower end of tibia, the two malleoli, and body of talus