(11 F) Neuromuscular Structures of the Leg

Dr. ABIOG| MAY 07, 2015

ANATOMY

*NOTE: Sorry guys mejo magulo, hindi nya kasi inintroduce

ung topic as Neuromuscular Structures/ Correlation. Basta
nalang sya nagdiscuss agad. Hihi. Basta sinundan naming ung
topic guide.
I would like to review with you the 12 muscles of the leg. You
have 3 compartments. One is ANTERIOR, wherein you have 4
muscles. The next one is the LATERAL compartment with 2
muscles, and in the POSTERIOR, you have 6 muscles. The 6 is
divided into two: 3 Superficial AND 3 Deep. *PLEASE
MEMORIZE THESE DAW!!!

ANTERIOR COMPARTMENT (4)

1.
2.
3.
4.

Tibialis Anterior/ Anterior Tibial Muscle

Extensor Digitorum Longus/ EDL
Extensor Hallucis Longus/ EHL
Fibularis/ Peroneus Tertius

LATERAL COMPARTMENT (2)

1.

Fibularis Longus (more superficial)

2. Fibularis Brevis

POSTERIOR COMPARTMENT (6)

A. Superficial Compartment
1. Gastrocnemius
2. Plantaris (in between)
3. Soleus
B. Deep Compartment (Lateral to Medial)
1. Flexor Hallucis Longus
2. Tibialis Posterior/ Posterior Tibial Muscle
3. Flexor Digitorum Longus

I am repeating this because these muscles will come

out in the practicals, whether you like it or not

It hooks around the neck of the fibula to divide into:

A. Superficial Fibular (located laterally)
- it supplies:
a.) Fibularis Longus
b.) Fibularis Brevis
B. Deep Fibular/ *Anterior Tibial Nerve
- it supplies:
a.) Tibialis Anterior
b.) Extensor Hallucis Longus
c.) Extensor Digitorum Longus
d.) Fibularis Tertius

By the Way, if you follow the deep fibular nerve as you go

down, it will supply 1 extrinsic foot muscle, the *Extensor
Digitorum Brevis.
There is another muscle close to that at the dorsum of the
foot Extensor Hallucis Brevis, which is supplied by?
(IDENTIFY)
Now, the tibial nerve, is plainly called tibial. But if you want
to go through the intricacies of it, since you have the anterior
tibial nerve, this should be *Posterior tibial nerve. Since it is
not popular, you can plainly call it *Tibial Nerve which
supplies all the posterior leg musculatures.

FLEXOR RETINACULUM
- Located on the medial ankle. Holds structures (medial to
lateral):
a.) Tibialis Posterior aka *Anchor Muscle of the Leg
(Thumb)
b.) Flexor Digitorum Longus (Dig)
c.) Flexor Hallucis Longus (Harry)
- An artery, vein, and nerve can be found in between FDL and
FHL.
- In deeper dissection, FDL becomes the most medial,
followed by Tibialis Posterior and FHL respectively.

COMMON FIBULAR NERVE

1

NEUROMUSCULAR STRUCTURES OF THE LEG

Nerve

Origin

Saphenous

Femoral nerve

Sural

Usually arises from

both tibial and
common fibular
nerves

Tibial

Sciatic nerve

Common Fibular

Sciatic

Superficial
Fibular

Common Fibular
nerve

Deep Fibular

Common Fibular
nerve

Course
Descends with femoral vessels through femoral
triangle and adductor canal and then descends with
the great saphenous vein
Descends between the heads of gastrocnemius and
becomes superficial at middle leg; descends with
small saphenous vein and passes inferior to lateral
malleolus to lateral side of foot
Forms as sciatic bifurcates at apex of popliteal fossa;
descends through popliteal fossa and lies on
Popliteus; runs inferiorly on Tibialis posterior with
posterior tibial vessels; terminates beneath flexor
retinaculum by dividing into medial and lateral
plantar nerves
Forms as sciatic bifurcates at apex of popliteal fossa
and follows medial border of biceps femoris and its
tendon; passes over posterior aspect of head of
fibula and then winds around neck of fibula deep to
Fibularis longus, where it divides into deep and
superficial fibular nerves
Arises between Fibularis Longus and neck of Fibula
and descends in lateral compartment of leg; pierces
deep fascia at distal third of leg to become
subcutaneous
Arises between Fibularis Longus and neck of fibula;
passes through Extensor Digitorum Longus and
descends on interosseous membrane; crosses distal
end of tibia and enters dorsum of foot

Distribution in Leg
Supplies skin on the medial side
of ankle and foot
Supplies skin on posterior and
lateral aspects of leg and lateral
side of foot

Supplies posterior muscles of leg

and knee joint

Supplies skin on lateral part of

posterior aspect of leg via its
branch (Lateral Sural Cutaneous
nerve); also supplies knee joint
via its articular branch
Supplies Fibularis longus and
brevis and skin on distal third of
anterior surface of leg and
dorsum of foot
Supplies anterior muscles of leg,
dorsum of foot, and skin of first
interdigital cleft; sends articular
branches to joints it crosses

INTERMEDIATE DISSECTION

A. Superficial Fibular
C. Anterior Comp.

DEEP DISSECTION

B. Deep Fibular

REFERENCES:

D. Posterior Comp.

Dr. Abiogs Powerpoint

Presentation with Audio
Transcription
Netters Atlas of Human
Anatomy. 6th Edition

E. Lateral Comp.
1. Fibularis Tertius
2. Fibularis Longus
3. Fibularis Brevis

5. EHL
6. EDL

Answer: 1 BC 2.EA 3.EA

4.BA 5.BA 6.BA

4. Tibialis Anterior

NOTETAKERS:

CRUZ, Gino Miguel F.

RAMOS, Kimberly
PROOFREADER:

VILLAMOR, Abiel Carlo

BAMBICO, Joseph
#VivaMedisina2018 //TEAMANATOMY