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POSTERIOR
COMPARTMENT OF
LEG
Cross Section of Leg
Cutaneous Innervation
Superficial vessels of leg
Deep Fascia of Posterior Compartment
Boundaries and Sub-divisions
Flexor Retinaculum
Muscles of Posterior Compartment
I. Superficial Muscles
a) Gastrocnemius
b) Soleus
c) Plantaris
a) Gastrocnemius
Origin:- by 2 heads
i. Lateral head- lateral aspect
of lateral condyle of femur
ii. Medial head- popliteal
surface of femur above
medial condyle
Insertion:-
Posterior surface of calcaneum
as Tendo-calcaneus
b) Soleus
Origin:-
i. Inverted โ€˜Vโ€™ shaped from
soleal line on tibia
ii. Upper 1/4th of upper surface
of shaft of fibula
iii. Fibrous arch between these
2 bones
Insertion:-
Posterior surface of calcaneum
as Tendo-calcaneus
c) Plantaris- fusiform belly
Origin:- Lateral supracondylar
ridge of femur
Insertion:- Posterior surface of
calcaneum medial to Tendo-
calcaneus
Superficial
Strata Deep Strata
I. Deep Muscles
a) Popliteus
b) Flexor Digitorum Longus
c) Flexor Hallucis Longus
d) Tibialis Posterior
a) Popliteus
Origin:- Groove on lateral
surface of lat. femoral
condyle
Insertion:- Triangular area
on posterior surface
of tibia
b) Flexor Digitorum Longus
Origin:-
i. Upper 2/3rds of medial
part of post. surface of
tibia
ii. Fascia covering tibialis
posterior
Insertion:-
Plantar surface of base of distal
phalanx of lateral 4 toes
a) Flexor Hallucis Longus
Origin:-
i. Lower 3/4th of post. surface
of fibula
ii. Interosseous membrane
Insertion:-
Plantar surface of base of distal
phalanx of great toe
a) Tibialis Posterior
Origin:-
i. Upper 2/3rds of lat. Part of
posterior surface of tibia
ii. Post. Surface of fibula and
interosseous membrane
Insertion:-
Tuberosity of navicular bone
Posterior Tibial Artery
โ€ข Larger terminal branch of
Popliteal artery
โ€ข Branches:-
a. Circumflex fibular artery
b. Peroneal artery:- branches-
i. Muscular branches
ii. Nutrient branch to fibula
iii. Communicating branch to Post.
Tibial artery
iv. Perforating branch- forms Lateral
Malleolar Network
v. Lateral Calcaneal artery
c. Nutrient artery
d. Muscular branches
e. Medial malleolar branch-
Medial malleolar network
f. Calcaneal branch
g. Medial plantar artery
h. Lateral plantar artery
Tibial Nerve
โ€ข Larger terminal branch of
Sciatic Nerve
โ€ข Superficial to popliteal
branches
โ€ข Extends from superior to
inferior angle of popliteal
fossa
โ€ข Branches of Tibial nerve
a. Muscular branches
b. Cutaneous- Medial
calcaneal branches
c. Articular- to knee joint

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Posterior compartment of leg.pdf

  • 5. Deep Fascia of Posterior Compartment
  • 8. Muscles of Posterior Compartment I. Superficial Muscles a) Gastrocnemius b) Soleus c) Plantaris
  • 9. a) Gastrocnemius Origin:- by 2 heads i. Lateral head- lateral aspect of lateral condyle of femur ii. Medial head- popliteal surface of femur above medial condyle Insertion:- Posterior surface of calcaneum as Tendo-calcaneus
  • 10. b) Soleus Origin:- i. Inverted โ€˜Vโ€™ shaped from soleal line on tibia ii. Upper 1/4th of upper surface of shaft of fibula iii. Fibrous arch between these 2 bones Insertion:- Posterior surface of calcaneum as Tendo-calcaneus
  • 11. c) Plantaris- fusiform belly Origin:- Lateral supracondylar ridge of femur Insertion:- Posterior surface of calcaneum medial to Tendo- calcaneus
  • 13. I. Deep Muscles a) Popliteus b) Flexor Digitorum Longus c) Flexor Hallucis Longus d) Tibialis Posterior
  • 14. a) Popliteus Origin:- Groove on lateral surface of lat. femoral condyle Insertion:- Triangular area on posterior surface of tibia
  • 15. b) Flexor Digitorum Longus Origin:- i. Upper 2/3rds of medial part of post. surface of tibia ii. Fascia covering tibialis posterior Insertion:- Plantar surface of base of distal phalanx of lateral 4 toes
  • 16. a) Flexor Hallucis Longus Origin:- i. Lower 3/4th of post. surface of fibula ii. Interosseous membrane Insertion:- Plantar surface of base of distal phalanx of great toe
  • 17. a) Tibialis Posterior Origin:- i. Upper 2/3rds of lat. Part of posterior surface of tibia ii. Post. Surface of fibula and interosseous membrane Insertion:- Tuberosity of navicular bone
  • 18.
  • 19. Posterior Tibial Artery โ€ข Larger terminal branch of Popliteal artery โ€ข Branches:- a. Circumflex fibular artery b. Peroneal artery:- branches- i. Muscular branches ii. Nutrient branch to fibula iii. Communicating branch to Post. Tibial artery iv. Perforating branch- forms Lateral Malleolar Network v. Lateral Calcaneal artery
  • 20. c. Nutrient artery d. Muscular branches e. Medial malleolar branch- Medial malleolar network f. Calcaneal branch g. Medial plantar artery h. Lateral plantar artery
  • 21. Tibial Nerve โ€ข Larger terminal branch of Sciatic Nerve โ€ข Superficial to popliteal branches โ€ข Extends from superior to inferior angle of popliteal fossa
  • 22. โ€ข Branches of Tibial nerve a. Muscular branches b. Cutaneous- Medial calcaneal branches c. Articular- to knee joint