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The tibialis anterior muscle is the most medial muscle of the anterior compartment of the leg. [1] [better source needed] The muscle ends in a tendon which is apparent on the anteriomedial dorsal aspect of the foot close to the ankle. [citation needed] Its tendon is ensheathed in a synovial sheath.
A patellar tendon graft was used. Discoloration of the left leg is from swelling that drained from the knee to the shin. The patellar tendon connects the patella (kneecap) to the tibia (shin). The graft is normally taken from the injured knee, but in some circumstances, such as a second operation, the other knee may be used.
Tendon excursion, or distance a tendon travels upon movement, should be similar to that of the recipient to adequately restore the function. Any transfer of a tendon for another function will generally lose one grade of power. For example, M4 muscle power grade will become M3. A single tendon should be used to restore a single function.
The anterior compartment of the leg is supplied by the deep fibular nerve (deep peroneal nerve), a branch of the common fibular nerve. The nerve contains axons from the L4, L5, and S1 spinal nerves. Blood for the compartment is supplied by the anterior tibial artery, which runs between the tibialis anterior and extensor digitorum longus muscles.
Hamstring tendon autograft; Quadriceps tendon autograft; Allograft (taken from a cadaver) patellar tendon, Achilles tendon, semitendinosus, gracilis, or posterior tibialis tendon; The goal of reconstruction surgery is to prevent instability and restore the function of the torn ligament, creating a stable knee.
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
The tuberosity of the tibia gives attachment to the patellar ligament, which attaches to the patella from where the suprapatellar ligament forms the distal tendon of the quadriceps femoris muscles. The quadriceps muscles consist of the rectus femoris , vastus lateralis , vastus medialis , and vastus intermedius .
The deep fascia of leg or crural fascia forms a complete investment to the muscles, and is fused with the periosteum over the subcutaneous surfaces of the bones.. The deep fascia of the leg is continuous above with the fascia lata (deep fascia of the thigh), and is attached around the knee to the patella, the patellar ligament, the tuberosity and condyles of the tibia, and the head of the fibula.
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