Muscles of the foot and ankle

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Presentation transcript:

Muscles of the foot and ankle

Anterior compartment

Tibialis anterior Origin: upper 2/3 of the anterior surface of the tibia Insertion: medial cuneiform and the first metatarsal Note: passes anterior to medial malleolus. Actions: Dorsal flexion Inversion. Anterior

Extensor digitorum longus Origin: lateral condyle of the tibia and anterior surface of the fibula Insertion: middle and distal phalanges of the four lateral toes. Note: passes anterior to lateral malleolus. Actions: Toe extension Dorsiflexion Eversion Anterior

Extensor hallicus longus Origin: middle 2/3 of the inner surface of the front of the fibula Insertion: top of the distal phalanx of the great toe Note: passes anterior Actions: Extension of big toe Dorsiflexion Weak inversion of the foot Anterior

Peroneous tertius Origin: lower fibula Insertion: dorsal surface of the 5th metatarsal Note: passes anterior to lateral malleolus. Action: Dorsiflexion Eversion Anterior

Lateral compartment

Peroneus brevis muscle Origin: lower 2/3 of the outer surface of the fibula Insertion: dorsal surface of the 5th metatarsal Note: passes posterior to lateral malleolus. Actions: Plantar flexion Eversion Lateral

Peroneus longus muscle Origin: head and upper 2/3 of the outer surface of the fibula Insertion: undersurfaces of the 1st cuneiform and first metatarsal bones Note: passes posterior to lateral malleolus. Actions: Eversion Plantar flexion The tendon goes under the foot from the lateral to the medial surface, thus aiding in support for the transverse arch. Lateral

Peronei Brevis Longus Tertius Tertius is not a plantar-flexor. All 3 are everters

Posterior muscles plantarflexors (Superficial)

Gastrocnemius Origin: posterior surface of the two femur condyels Insertion: posterior surface of the calcaneus via Achilles tendon Actions: plantar flexion of the foot flexion of the knee Stronger plantar flexion when the knee is extended Posterior

Soleus Located beneath the gastrocnemius Origin: upper 2/3 of the posterior surfaces of the tibia and fibula Insertion: posterior surface of the calcaneus via Achilles tendon Action: plantar flexion Posterior

Plantaris Absent in some humans Origin: lateral epicondyle Insertion: calcaneus Actions: plantar flexion Posterior

Posterior muscles multiple function ( Deep) Tom, Dick and Harry!!

Tibialis posterior Origin: posterior surface of the upper half of the adjacent surface of tibia & fibula Insertion: navicular, cuneiforms, and cuboid bones and bases of the 2nd-5th metatarsal bones. Note: passes posterior to medial malleolus. Actions: plantar flexion inversion of the foot Posterior

Flexor Digitorum Longus Origin: middle 1/3 of the posterior surface of the tibia Insertion: base of the distal phalanges of each of lateral four toes Note: passes posterior to medial malleolus. Actions: toe flexion plantar flexion, inversion of the foot Maintains the longitudinal arch Posterior

Flexor Hallicus Longus Origin: middle half of the posterior surface of the fibula Insertion: distal phalanx of the large toe, plantar surface Note: passes posterior to medial malleolus. Actions: Flexion of the great toe Inversion Plantar flexion Posterior

Flexor Hallucis Longus Tibialis Posterior Flexor Hallucis Longus Medial Malleolus Flexor Digitorum Longus

Intrinsic Muscles of the Foot Toe movement and foot support Help to flex, extend, abduct, and adduct the toes Support the arches of the foot Single muscle on dorsal aspect of the foot Many muscles on the plantar aspect

Dorsal Layer Extensor digitorum brevis  (toe extention) First Plantar Layer Abductor hallucis (toe abduction) Flexor digitorum brevis (toe flexion) Abductor digiti minimi  (toe abduction) Second Plantar Layer (all toe flexion) Lumbrical muscles Flexor digitorum longus Flexor hallucis longus (FHL)  Third Plantar Layer Flexor hallucis brevis (toe flexion) Adductor hallucis  (toe adduction) Flexor digiti minimi brevis  (toe flexion) Fourth Plantar Layer Dorsal interosseous  (toe abduction) Plantar interosseus  (toe adduction)

Intrinsic Muscles of the Foot Abductor hallucis Flexor digitorum brevis Abductor digiti minimi 

Intrinsic Muscles of the Foot Lumbrical muscles Flexor digitorum longus Flexor hallucis longus

Intrinsic Muscles of the Foot Flexor hallucis brevis Adductor hallucis  Flexor digiti minimi brevis

Intrinsic Muscles of the Foot Dorsal interosseous   Plantar interosseus

Name the muscle its two actions

Name the muscle its two actions Gastrocnemius Actions: plantar flexion of the foot flexion of the knee

Name the muscle and its actions

Name the muscle and its actions Extensor digitorum longus Actions: Toe extension Dorsiflexion Eversion

Name the muscle and its actions

Name the muscle and its actions Extensor hallicus longus Actions: Extension of big toe Dorsiflexion Inversion of the foot

Name the muscle and its actions

Name the muscle and its actions Tibialis posterior Actions: plantar flexion inversion of the foot

Name the muscle and its actions

Name the muscle and its actions Peroneus longus muscle Actions: Eversion Plantar flexion

Name the muscle and its actions

Name the muscle and its actions Plantaris Action: plantar flexion

Name the muscle and its actions

Name the muscle and its actions Peroneus brevis Actions: Plantar flexion Eversion

Name the muscle and its actions

Name the muscle and its actions Tibialis anterior Actions: Dorsiflexion Inversion.

Muscles that plantar flex?

Gastrocnemeus Soleus Plantaris Peroneus longus Peroneus brevis Tibialis posterior Flexor dig long Flexor hal long