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Medial Malleolus
A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula. The word ''malleolus'' (), plural ''malleoli'' (), comes from Latin and means "small hammer". (It is cognate with '' mallet''.) Medial malleolus The medial malleolus is found at the foot end of the tibia. The medial surface of the lower extremity of tibia is prolonged downward to form a strong pyramidal process, flattened from without inward - the medial malleolus. * The ''medial surface'' of this process is convex and subcutaneous. * The ''lateral'' or ''articular surface'' is smooth and slightly concave, and articulates with the talus. * The ''anterior ...
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Coronal Plane
The coronal plane (also known as the frontal plane) is an anatomical plane that divides the body into dorsal and ventral sections. It is perpendicular to the sagittal and transverse planes. Details The coronal plane is an example of a longitudinal plane. For a human, the mid-coronal plane would transect a standing body into two halves (front and back, or anterior and posterior) in an imaginary line that cuts through both shoulders. The description of the coronal plane applies to most animals as well as humans even though humans walk upright and the various planes are usually shown in the vertical orientation. The sternal plane (''planum sternale'') is a coronal plane which transects the front of the sternum. Etymology The term is derived from Latin ''corona'' ('garland, crown'), from Ancient Greek κορώνη (''korōnē'', 'garland, wreath'). The coronal plane is so-called because it lies in the direction of Coronal suture. Additional images File:Coronal plane CT scan o ...
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Deltoid Ligament
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament is composed of 4 fibers: 1. Anterior tibiotalar ligament 2. Tibiocalcaneal ligament 3. Posterior tibiotalar ligament 4. Tibionavicular ligament. It consists of two sets of fibers, superficial and deep. Superficial fibres Of the superficial fibres, * ''tibionavicular'' pass forward to be inserted into the tuberosity of the navicular bone, and immediately behind this they blend with the medial margin of the plantar calcaneonavicular ligament; * ''tibiocalcaneal'' descend almost perpendicularly to be inserted into the whole length of the sustentaculum tali of the calcaneus; * ''posterior tibiotalar'' from the posterior colliculus of the medial malleolus to the posteromedial surface of the talus Deep fibres The deep fibres (''anterior tibiotalar'') are attached from the anter ...
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Fracture (bone)
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. * Edema and hematoma of nearby soft tissues caused by ruptured bone marrow evokes pressure pain. * Involuntary muscle spasms trying to hold bone fragments in place. D ...
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Calcaneofibular Ligament
The calcaneofibular ligament is a narrow, rounded cord, running from the tip of the lateral malleolus of the fibula downward and slightly backward to a tubercle on the lateral surface of the calcaneus. It is part of the lateral collateral ligament, which opposes the hyperinversion of the subtalar joint, as in a common type of ankle sprain. It is covered by the tendons of the fibularis longus and brevis muscles. Clinical significance The calcaneofibular ligament is commonly sprained ligament in ankle injuries. It may be injured individually, or in combination with other ligaments such as the anterior talofibular ligament and the posterior talofibular ligament The posterior talofibular ligament is a ligament that connects the fibula to the talus bone. It runs almost horizontally from the malleolar fossa of the lateral malleolus A malleolus is the bony prominence on each side of the human ankle. .... References Further reading * External links * * —Calcaneofib ...
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Peroneus Brevis
In human anatomy, the fibularis brevis (or peroneus brevis) is a muscle that lies underneath the fibularis longus within the lateral compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body (eversion) and to extend the foot downward away from the body at the ankle (plantar flexion). Structure The fibularis brevis arises from the lower two-thirds of the lateral, or outward, surface of the fibula (inward in relation to the fibularis longus) and from the connective tissue between it and the muscles on the front and back of the leg. The muscle passes downward and ends in a tendon that runs behind the lateral malleolus of the ankle in a groove that it shares with the tendon of the fibularis longus; the groove is converted into a canal by the superior fibular retinaculum, and the tendons in it are contained in a common mucous sheath. The tendon then runs forward along the lateral side of the calcaneus, above the calcaneal tubercle and the ten ...
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Peronæi Longus
The fibularis muscles (also called peroneus muscles or peroneals) are a group of muscles in the lower leg. Description The muscle group is normally composed of three muscles: fibularis longus, fibularis brevis, and fibularis tertius. The fibularis longus and fibularis brevis are located in the lateral compartment of the leg and are supplied by the fibular artery and the superficial fibular nerve. The fibularis tertius is located in the anterior compartment of the leg and is supplied by the anterior tibial artery and the deep fibular nerve. While all three muscles move the sole of the foot outward, away from the midline of the body ( eversion), the longus and brevis extend the foot downward away from the body ( plantar flexion), whereas the tertius muscle pulls the foot upward toward the body (dorsiflexion). The fibularis muscles are highly variable. Several variants are occasionally present, including the peroneus digiti minimi and the peroneus quartus. The quartus is ...
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Anterior Talofibular Ligament
The anterior talofibular ligament is a ligament in the ankle. It passes from the anterior margin of the fibular malleolus, anteriorly and laterally, to the talus bone, in front of its lateral articular facet. It is one of the lateral ligaments of the ankle and prevents the foot from sliding forward in relation to the shin. It is the most commonly injured ligament in a sprained ankle—from an inversion injury—and will allow a positive anterior drawer test of the ankle if completely torn. See also * Sprained ankle * Posterior talofibular ligament The posterior talofibular ligament is a ligament that connects the fibula to the talus bone. It runs almost horizontally from the malleolar fossa of the lateral malleolus A malleolus is the bony prominence on each side of the human ankle. ... References Further reading * External links * - "Lateral view of the ligaments of the ankle." * () Ligaments of the lower limb {{ligament-stub ...
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Posterior Talofibular Ligament
The posterior talofibular ligament is a ligament that connects the fibula to the talus bone. It runs almost horizontally from the malleolar fossa of the lateral malleolus of the fibula The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity i ... to the lateral tubercle on the posterior surface of the talus. This insertion lies immediately lateral to the groove for the tendon of the flexor hallucis longus. References External links * () Ligaments of the lower limb {{ligament-stub ...
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Flexor Hallucis Longus Muscle
The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus and tibialis posterior; the tibialis posterior is the most powerful of these deep muscles. All three muscles are innervated by the tibial nerve which comprises half of the sciatic nerve. Structure The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm. at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially. The fibers pass obliquely downward and backward, where it passes through the tarsal tunnel on the medial side of the foot and end in a tendon ...
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Tibial Nerve
The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus. Structure Popliteal fossa The tibial nerve is the larger terminal branch of the sciatic nerve with root values of L4, L5, S1, S2, and S3. It lies superficial (or posterior) to the popliteal vessels, extending from the superior angle to the inferior angle of the popliteal fossa, crossing the popliteal vessels from lateral to medial side. It gives off branches as shown below: * Muscular branches - Muscular branches arise from the distal part of the popliteal fossa. It supplies the medial and lateral heads of gastrocnemius, soleus, plantaris and popliteus muscles. Nerve to popliteus crosses the popliteus muscle, runs downwards and laterally, winds around the lower border of the popliteus to supply the deep (or anterior) surface of the popliteus. This nerve also supplies the tibialis posterior muscle, superior tibiofibular joint, tibia bone, ...
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Posterior Tibial Vein
The posterior tibial veins are veins of the leg in humans. They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein. Structure The posterior tibial veins receive blood from the medial and lateral plantar veins. They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein, which it forms when it joins with the anterior tibial vein. The posterior tibial vein is accompanied by an homonym artery, the posterior tibial artery, along its course. It lies posterior to the medial malleolus in the ankle. They receive the most important perforator vein Perforator veins are so called because they perforate the deep fascia of muscles, to connect the superficial veins to the deep veins where they drain. Perforator veins play an essential role in maintaining normal blood draining. They have valves ...s: the Cockett perforators, superior, medial and inferior. Additional images File:Gray44 ...
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Posterior Tibial Artery
The posterior tibial artery of the lower limb is an artery that carries blood to the posterior compartment of the leg and plantar surface of the foot. It branches from the popliteal artery via the tibial-fibular trunk. Structure The posterior tibial artery arises from the popliteal artery in the popliteal fossa. It is accompanied by a deep vein, the posterior tibial vein, along its course. It passes just posterior to the medial malleolus of the tibia, but anterior to the Achilles tendon. It passes into the foot deep to the flexor retinaculum of the foot. It runs through the tarsal tunnel. Branches The posterior tibial artery gives rise to: * medial plantar artery. * lateral plantar artery. * fibular artery, which is said to rise from the bifurcation of the tibial-fibular trunk and the posterior tibial artery. * calcaneal branch to the medial aspect of the calcaneus. Function The posterior tibial artery supplies oxygenated blood to the posterior compartment of the le ...
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