Foot Flashcards
Medial Longitudinal Arch
What bones make up this arch?
- Calcaneus
- Talus
- Navicular
- All three cuneiforms
- First three metatarsal bones
- First three proximal, medial, and distal phalanges
Lateral Longitudinal Arch
What bones make up this arch?
- Calcaneus
- Cuboid
- 4th and 5th metatarsal bones
- 4th and 5th proximal, medial, and distal phalanges
Transverse Arch
What bones make up this arch?
- Cuboid
- All 3 Cuneiforms
- Metatarsal Bases
Which arch of the foot comes in closest contact with the ground?
The lateral arch
What are the four places weight is transferred on the foot during walking?
Calcaneus
Tuberosity of the fifth metatarsal
Head of the first metatarsal
Distal phalanx of the great toe
Where is the ideal site of amputation of the foot, allowing the patient to still heel strike, and not lose the height of the limb?
The transverse tarsometatarsal joint
What two structures emerge from the inferior border of the extensor retinaculum?
Dorsalis Pedis Artery
Deep Fibular Nerve
What is the function of the plantar aponeurosis?
The Plantar Aponeurosis is dense connective tissue has five slips which run concurrently with the tendinous sheaths of the foot and helps them slide fluidly
The Plantar Aponeurosis is also a critically important passive support for the arches of the foot
What is Plantar Fasciiitis?
Inflammation of plantar fascia, especially at proximal attachment
What can cause a calcaneal bone spur?
The arch of the foot sags and the calcaneus slides in a bursa that is just underneath the Plantar Aponeurosis.
This can cause inflammation of that bursa, which can then lead to overgrowth of bone and a bone spur
What muscles are found on the dorsal side of the foot?
- Extensor Hallucis Brevis
- Extensor Digitorum Brevis
Extensor Hallucis Brevis Muscle
What is its attachments?
Origin: Superolateral aspect of the Calcaneus and interosseous talocalcaneal ligament
Insertion: Dorsal aspect of base of 1st proximal phalanx
Extensor Hallucis Brevis Muscle
What is its action?
Extend big toe at metatarsophalangeal joint (MTP)
Extensor Hallucis Brevis Muscle
What is its innervation and blood supply?
Innervation: Deep Fibular Nerve
Blood Supply: Dorsalis Pedis Artery
Extensor Digitorum Brevis Muscle
What are its attachments?
Origin: Superolateral aspect of the Calcaneus and interosseous talocalcaneal ligament
Insertion: Lateral aspect Extensor Digitorum Longus Tendon
Extensor Digitorum Brevis Muscle
What is its action?
Extend digits 2-4
Extensor Digitorum Brevis Muscle
What is its innervation and blood supply?
Innervation: Deep Fibular Nerve
Blood Supply: Dorsalis Pedis Artery
What muscles are found in the first plantar layer?
- Abductor Digiti Minimi Muscle
- Flexor Digitorum Brevis Muscle
- Abductor Hallucis Muscle
Abductor Hallucis Muscle
What is its attachments?
Origin: Medial tubercle; calcaneal tuberosity
Insertion: Medial aspect of base of 1st proximal phalanx
Abductor Hallucis Muscle
What is its action?
- Abduct big toe
- Flex big toe
Abductor Hallucis Muscle
What is its innervation and blood supply?
Innervation: Medial Plantar Nerve
Blood Supply: Medial Plantar Artery
Flexor Digitorum Brevis Muscle
What are its attachments?
Origin: Medial tubercle; calcaneal tuberosity
Insertion: Intermediate phalanges 2nd-5th digits
Flexor Digitorum Brevis Muscle
What is its action?
Flex digits 2-5
Flexor Digitorum Brevis Muscle
What is its innervation and blood supply?
Innervation: Medial Plantar Nerve
Blood Supply: Medial Plantar Artery
The flexor digitorum longus tendon runs through a split in the insertion of what muscle’s tendon?
Flexor digitorum brevis
Abductor Digiti Minimi Muscle
What is its attachments?
Origin: Calcaneal tuberosity
Insertion: Lateral aspect of base of 5th proximal phalanx
Abductor Digiti Minimi Muscle
What is its action?
- Abduct 5th toe
- Flex 5th toe
Abductor Digiti Minimi Muscle
What is its innervation and blood supply?
Innervation: Lateral Plantar Nerve
Blood Supply: Lateral Plantar Artery
What muscles are found in the second plantar layer?
- Quadratus Plantae
- Lumbricals
- Tendons of Flexor Hallucis Longus and Flexor Digitorum Longus are also found in this layer
Quadratus Plantae Muscle
What is its attachments?
Origin: Plantar surface calcaneus
Insertion: Lateral aspect of Flexor Digitorum Longus Tendon
Quadratus Plantae Muscle
What is its action?
Assists with flexion of digits 2-5