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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 movements of tibialis anterior are dorsiflexion and inversion of the ankle. However, actions of tibialis anterior are dependent on whether the foot is weight bearing or not (closed or open kinetic chain). When the foot is on the ground, the muscle helps to balance the leg and talus on the other tarsal bones so that the leg is kept vertical ...
They reported that running with a forefoot strike limits use of the tibialis anterior muscle which may explain the relief in symptoms in those with anterior compartment syndrome. [ 60 ] Case reports suggest that hyperbaric oxygen therapy may help with crush injury, compartment syndrome, and other acute ischemias. [ 60 ]
Plus, since the tibialis anterior is very important for lifting to foot during the gait cycle, strengthening this muscle can even help older adults reduce trip risk, adds Tavel.
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.
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Foot drop is rarely the result of a pathology involving the muscles or bones that make up the lower leg. The anterior tibialis is the muscle that picks up the foot. Although the anterior tibialis plays a major role in dorsiflexion, it is assisted by the fibularis tertius, extensor digitorum longus and the extensor hallucis longus.
Part of the cause for this dysfunction is the early involvement of the quadriceps muscles. [1] Weakness of the tibialis anterior muscle is responsible for foot drop. Another common early symptom is trouble manipulating the fingers, such as difficulty with tasks such as turning doorknobs or gripping keys.
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