9) Plantar Foot (Part I) Flashcards
The rays fo the foot are also known as
Toe Units
The 1st ray of the foot is made up of
Medial cuneiform
1st metatarsal
The 2nd ray of the foot is made up of
Intermediate cuneiform
2nd metatarsal
The 3rd ray of the foot is made up of
Lateral cuneiform
3rd metatarsal
The 4th ray of the foot is made up of
4th metatarsal
The 5th ray of the foot is made up of
5th metatarsal
The layers of skin and subcutaneous fat of the plantar aspect of foot are
Thick
Thick layer of subcutaneous fat is prevalent especially over the
MTP Joints
Calcaneus
The thick layer of subcutaneous fat is supported by
Septa
The deep fascia (plantar aponeurosis/fascia) of the foot attaches to
Skin
Bone
Muscles
What 3 bands is the Plantar aponeurosis made of?
Medial band
Lateral band
Central band
Characteristics of the medial band of the plantar aponeurosis
Thinnest portion of it
Covers Abductor hallucis muscle
Proximal attachment of medial band of plantar aponeurosis
Medial tubercle of calcaneal tuberosity
Distal attachment of medial band of plantar aponeurosis
Blends with:
- Fascia dorsalis pedis
- Inf band of cruciate crural ligament
- Central band of plantar aponeurosis
Characteristics of the Lateral band of the Plantar aponeurosis
Covers Abductor digiti minimi and Flexo digiti minimi brevis
Proximal attachment of the Lateral band of the Plantar aponeurosis
Lateral tubercle of the calcaneal tuberosity
Distal attachment of the Lateral band of the Plantar aponeurosis
Deep fascia (fascia dorsalis pedis and central band) Styloid process of 5th metatarsal (calcaneometatarsal ligament)
Characteristics of the Central band of the Plantar aponeurosis
Thickest, toughest part of the fascia
Proximal attachment of the Central band of the Plantar aponeurosis
Posterior calcaneal tuberosity
Distal attachment of the Central band of the Plantar aponeurosis
Division into 5 bands near metatarsal bases (one for each met)
At each met head, the distal attachment of the Central band of the Plantar aponeurosis divides into
Superficial and deep layers
Superficial layer of the Central band attaches to, and is made up of what two fibers?
Dermis of the skin
Longitudinal and Transverse fibers
The longitudinal fibers of the superficial layer of the Central band attach to
Skin in the sulcus between toes and metatarsals
The transverse fibers of the superficial layer of the Central band attach connect
Digital bands together at the level of the MTP joints
The connection of digital bands by the Transverse fibers of the superficial layer of the central band forms the
Superficial Transverse Metatarsal Ligament
Deep layer of the Central band of the Plantar aponeurosis splits into
Medial and Lateral slips
Deep layer of the Central band of the Plantar aponeurosis attaches to/blends with
Bone/flexor sheaths
The Medial and Lateral slips of the Deep layer of the Central band attach to
Medial and lateral base of proximal phalanges of corresponding digit
Plantar MTP joint ligaments, plantar plate
Deep transverse metatarsal ligament
The 1st medial slip of the deep layer of the central band attaches to
Sesamoid bones at the 1st MTP joint
What structure is important in the Windlass mechanism?
Plantar aponeurosis