The Anterior Leg
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
There are four muscles
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
There are four muscles
Extensor Digitorum Longus
Extensor Hallucis Longus
Also extend the toes
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
There are four muscles
Extensor Digitorum Longus
Extensor Hallucis Longus
Tibialis Anterior
Also extend the toes
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
There are four muscles
Extensor Digitorum Longus
Extensor Hallucis Longus
Tibialis Anterior – also inverts the foot
Also extend the toes
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
There are four muscles
Extensor Digitorum Longus
Extensor Hallucis Longus
Tibialis Anterior – also inverts the foot
Peroneus Tertius
Also extend the toes
The anterior compartment of the leg contains extensor
muscles that dorsiflex the ankle joint
There are four muscles
Extensor Digitorum Longus
Extensor Hallucis Longus
Tibialis Anterior – also inverts the foot
Peroneus Tertius – also known as Fibularis Tertius
Also extend the toes
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Septum
Septum
Interosseous
Membrane
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Superficial Posterior
Compartment
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Lateral
Compartment
Superficial Posterior
Compartment
Tibi
a
Fibula
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Lateral
Compartment
Anterior Compartment
Superficial Posterior
Compartment
Deep Posterior
Compartment
Tibi
a
Fibula
Tibialis Anterior
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Lateral
Compartment
Superficial Posterior
Compartment
Deep Posterior
Compartment
Tibi
a
Fibula
Tibialis AnteriorTibialis Anterior
ExtensorExtensor
HallucisHallucis
LongusLongus
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Lateral
Compartment
Superficial Posterior
Compartment
Deep Posterior
Compartment
Tibi
a
Fibula
Tibialis AnteriorTibialis Anterior
ExtensorExtensor
HallucisHallucis
LongusLongus
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
ExtensorExtensor
DigitorumDigitorum
LongusLongus
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Lateral
Compartment
Superficial Posterior
Compartment
Deep Posterior
Compartment
Tibi
a
Fibula
Tibialis AnteriorTibialis Anterior
ExtensorExtensor
HallucisHallucis
LongusLongus
Cross Section through middle of right leg looking up from foot
anterioranterior
posteriorposterior
ExtensorExtensor
DigitorumDigitorum
LongusLongus
L
A
T
E
R
A
L
M
E
D
I
A
L
Deep Posterior
Compartment
Lateral
Compartment
Superficial Posterior
Compartment
Tibialis Anterior
Tibialis Anterior
arises from
lateral surface of shaft of
Tibia
attaches to
Medial Cuneiform
1st
Metatarsal base
Tibialis anterior muscleTibialis anterior muscle
Tibialis anterior tendonTibialis anterior tendon
Tibialis Anterior
arises from
lateral surface of shaft of
Tibia
attaches to
Medial Cuneiform
1st
Metatarsal base
Tibialis Anterior
Dorsiflexes ankle joint
Inverts foot
Tibialis anterior muscleTibialis anterior muscle
Tibialis anterior tendonTibialis anterior tendon
Extensor Digitorum Longus
Extensor Digitorum Longus
Arises from
Fibula
Interosseous Membrane
Extensor Digitorum Longus
Arises from
Fibula
Interosseous Membrane
The tendon divides into four slips and
these insert into the
dorsal expansions of toes 2-5
The tendon divides into four slips and
these insert into the
dorsal expansions of toes 2-5
Extensor Digitorum Longus
Dorsiflexes the ankle joint
Extends the toes
Extensor Hallucis Longus
Extensor Hallucis Longus
Arises from the
Fibula
Extensor Hallucis Longus
Arises from the
Fibula
Inserts onto the
Distal Phalanx of Big Toe
Tendon of
Extensor Hallucis Longus
Extensor Hallucis Longus
Extends the Big Toe
Dorsiflexes Ankle Joint
Peroneus Tertius
also known as
Fibularis Tertius
Peroneus Tertius
Arises from the
Fibula
Peroneus Tertius
Arises from the
Fibula
Inserts onto dorsum of
5th
metatarsal base
Peroneus Tertius
Tendon of Peroneus Tertius
Tendon of Peroneus Tertius
Peroneus Tertius
Everts foot
Dorsiflexor of the foot
Extensor Retinacula are thickenings
of deep fascia that prevent
‘bowstringing’ of the extensor
tendons
Extensor Retinacula are thickenings
of deep fascia that prevent
‘bowstringing’ of the extensor
tendons
Superior extensor retinaculum
Inferior extensor retinaculum
Nerve Supply
All the muscles in the Anterior Compartment
are supplied by the
Deep Peroneal Nerve
Deep Peroneal Nerve
Injury to this nerve causes a condition
known as ‘foot drop’
The foot can no longer be dorsiflexed which
causes difficulty in walking
The knee has to be lifted much higher in order to
prevent the foot from dragging on the ground
This is called a ‘High Stepping Gait’
Summary of Muscles
Anterior Leg
Tibialis Anterior
Origin Lateral condyle of tibia, proximal
2/3rds lateral surface tibia,
interosseous membrane
Insertion Medial and plantar surfaces of
medial cuneiform and base of
first metatarsal
Action Dorsiflexor of ankle, invertor of
foot
Nerve Supply Deep peroneal nerve (L4, L5)
Blood Supply Anterior tibial artery
Extensor Digitorum Longus
Origin Head of fibula, upper 2/3 anterior
fibular shaft, interosseous
membrane
Insertion Splits into 4 tendons distally;
these insert onto dorsum of
middle and distal phalanges of
toes 2-5. Part of extensor
expansion complex
Action Extends toes 2 - 5 and dorsiflexes
ankle
Nerve Supply Deep peroneal nerve (L5, S1)
Blood Supply Anterior tibial artery
Anterior Leg
Extensor Hallucis Longus
Origin Anterior surface of the fibula,
interosseous membrane
Insertion Base of distal phalanx great toe
Action Extends great toe and dorsiflexes
ankle
Nerve Supply Deep peroneal nerve (L5, S1)
Blood Supply Anterior tibial artery
Anterior Leg
Anterior Leg
Fibularis Tertius
Origin Distal 1/3rd
anterior surface of
fibula
Insertion Base of dorsal aspect 5th
metatarsal
Action Dorsiflexes foot;
everts foot weakly
Nerve Supply Deep peroneal nerve (L5, S1)
Blood Supply Anterior tibial artery

Slideshow: Anterior Leg

  • 1.
  • 2.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint
  • 3.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint There are four muscles
  • 4.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint There are four muscles Extensor Digitorum Longus Extensor Hallucis Longus Also extend the toes
  • 5.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint There are four muscles Extensor Digitorum Longus Extensor Hallucis Longus Tibialis Anterior Also extend the toes
  • 6.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint There are four muscles Extensor Digitorum Longus Extensor Hallucis Longus Tibialis Anterior – also inverts the foot Also extend the toes
  • 7.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint There are four muscles Extensor Digitorum Longus Extensor Hallucis Longus Tibialis Anterior – also inverts the foot Peroneus Tertius Also extend the toes
  • 8.
    The anterior compartmentof the leg contains extensor muscles that dorsiflex the ankle joint There are four muscles Extensor Digitorum Longus Extensor Hallucis Longus Tibialis Anterior – also inverts the foot Peroneus Tertius – also known as Fibularis Tertius Also extend the toes
  • 9.
    Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L
  • 10.
    Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L
  • 11.
    Septum Septum Interosseous Membrane Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L
  • 12.
    Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment
  • 13.
    Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment
  • 14.
    Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment Superficial Posterior Compartment
  • 15.
    Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment Lateral Compartment Superficial Posterior Compartment
  • 16.
    Tibi a Fibula Cross Section throughmiddle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment Lateral Compartment Anterior Compartment Superficial Posterior Compartment
  • 17.
    Deep Posterior Compartment Tibi a Fibula Tibialis Anterior CrossSection through middle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment Lateral Compartment Superficial Posterior Compartment
  • 18.
    Deep Posterior Compartment Tibi a Fibula Tibialis AnteriorTibialisAnterior ExtensorExtensor HallucisHallucis LongusLongus Cross Section through middle of right leg looking up from foot anterioranterior posteriorposterior L A T E R A L M E D I A L Deep Posterior Compartment Lateral Compartment Superficial Posterior Compartment
  • 19.
    Deep Posterior Compartment Tibi a Fibula Tibialis AnteriorTibialisAnterior ExtensorExtensor HallucisHallucis LongusLongus Cross Section through middle of right leg looking up from foot anterioranterior posteriorposterior ExtensorExtensor DigitorumDigitorum LongusLongus L A T E R A L M E D I A L Deep Posterior Compartment Lateral Compartment Superficial Posterior Compartment
  • 20.
    Deep Posterior Compartment Tibi a Fibula Tibialis AnteriorTibialisAnterior ExtensorExtensor HallucisHallucis LongusLongus Cross Section through middle of right leg looking up from foot anterioranterior posteriorposterior ExtensorExtensor DigitorumDigitorum LongusLongus L A T E R A L M E D I A L Deep Posterior Compartment Lateral Compartment Superficial Posterior Compartment
  • 21.
  • 22.
    Tibialis Anterior arises from lateralsurface of shaft of Tibia attaches to Medial Cuneiform 1st Metatarsal base
  • 23.
    Tibialis anterior muscleTibialisanterior muscle Tibialis anterior tendonTibialis anterior tendon Tibialis Anterior arises from lateral surface of shaft of Tibia attaches to Medial Cuneiform 1st Metatarsal base
  • 24.
    Tibialis Anterior Dorsiflexes anklejoint Inverts foot Tibialis anterior muscleTibialis anterior muscle Tibialis anterior tendonTibialis anterior tendon
  • 25.
  • 26.
    Extensor Digitorum Longus Arisesfrom Fibula Interosseous Membrane
  • 27.
    Extensor Digitorum Longus Arisesfrom Fibula Interosseous Membrane The tendon divides into four slips and these insert into the dorsal expansions of toes 2-5
  • 28.
    The tendon dividesinto four slips and these insert into the dorsal expansions of toes 2-5
  • 29.
    Extensor Digitorum Longus Dorsiflexesthe ankle joint Extends the toes
  • 30.
  • 31.
  • 32.
    Extensor Hallucis Longus Arisesfrom the Fibula Inserts onto the Distal Phalanx of Big Toe
  • 33.
    Tendon of Extensor HallucisLongus Extensor Hallucis Longus Extends the Big Toe Dorsiflexes Ankle Joint
  • 34.
    Peroneus Tertius also knownas Fibularis Tertius
  • 35.
  • 36.
    Peroneus Tertius Arises fromthe Fibula Inserts onto dorsum of 5th metatarsal base
  • 37.
  • 38.
    Tendon of PeroneusTertius Peroneus Tertius Everts foot Dorsiflexor of the foot
  • 39.
    Extensor Retinacula arethickenings of deep fascia that prevent ‘bowstringing’ of the extensor tendons
  • 40.
    Extensor Retinacula arethickenings of deep fascia that prevent ‘bowstringing’ of the extensor tendons Superior extensor retinaculum Inferior extensor retinaculum
  • 41.
  • 42.
    All the musclesin the Anterior Compartment are supplied by the Deep Peroneal Nerve
  • 43.
    Deep Peroneal Nerve Injuryto this nerve causes a condition known as ‘foot drop’ The foot can no longer be dorsiflexed which causes difficulty in walking The knee has to be lifted much higher in order to prevent the foot from dragging on the ground This is called a ‘High Stepping Gait’
  • 44.
  • 45.
    Anterior Leg Tibialis Anterior OriginLateral condyle of tibia, proximal 2/3rds lateral surface tibia, interosseous membrane Insertion Medial and plantar surfaces of medial cuneiform and base of first metatarsal Action Dorsiflexor of ankle, invertor of foot Nerve Supply Deep peroneal nerve (L4, L5) Blood Supply Anterior tibial artery
  • 46.
    Extensor Digitorum Longus OriginHead of fibula, upper 2/3 anterior fibular shaft, interosseous membrane Insertion Splits into 4 tendons distally; these insert onto dorsum of middle and distal phalanges of toes 2-5. Part of extensor expansion complex Action Extends toes 2 - 5 and dorsiflexes ankle Nerve Supply Deep peroneal nerve (L5, S1) Blood Supply Anterior tibial artery Anterior Leg
  • 47.
    Extensor Hallucis Longus OriginAnterior surface of the fibula, interosseous membrane Insertion Base of distal phalanx great toe Action Extends great toe and dorsiflexes ankle Nerve Supply Deep peroneal nerve (L5, S1) Blood Supply Anterior tibial artery Anterior Leg
  • 48.
    Anterior Leg Fibularis Tertius OriginDistal 1/3rd anterior surface of fibula Insertion Base of dorsal aspect 5th metatarsal Action Dorsiflexes foot; everts foot weakly Nerve Supply Deep peroneal nerve (L5, S1) Blood Supply Anterior tibial artery