Foot & Ankle Flashcards
Foot plantar surface 1st layer of muscles contents
Flexor digitorum brevis
Abductor hallucis
Abductor digiti minimi
Foot plantar surface 1st layer of muscles actions
Flexes all toes
Abducts great toe
Abducts 5th digit
Foot plantar surface 1st layer of muscles innervation
lateral and medial plantar nerves
Foot plantar surface 1st layer of muscles blood supply
lateral and medial plantar arteries
deep plantar arch
Foot plantar surface 2nd layer of muscles contents
Quadratus plantae
Lumbricals (4)
Foot plantar surface 2nd layer of muscles actions
Assists flexor digitorum longus
Flexes proximal phalanges at metatarsophalangeal joints
Extends interphalangeal joints
Foot plantar surface 2nd layer of muscles innervation
lateral and medial plantar nerves
Foot plantar surface 2nd layer of muscles blood supply
lateral and medial plantar arteries
deep plantar arch
Foot plantar surface 3rd layer of muscles contents
Adductor hallucis
Flexor hallucis brevis
Flexor digiti minimi brevis
Foot plantar surface 3rd layer of muscles actions
Adducts great toe
Flexion of great toe at metatarsophalangeal joint
Flexion of the 5th digit at metatarsophalangeal joint
Foot plantar surface 3rd layer of muscles innervation
lateral and medial plantar nerves
Foot plantar surface 3rd layer of muscles blood supply
lateral and medial plantar arteries
deep plantar arch
Foot plantar surface 4th layer of muscles contents
Plantar interossei (3)
Dorsal interossei (4)
Foot plantar surface 4th layer of muscles actions
Digit 2 as axis for abduction and adduction
Foot plantar surface 4th layer of muscles innervation
lateral plantar nerve
Foot plantar surface 4th layer of muscles blood supply
lateral and medial plantar arteries
deep plantar arch
Foot dorsal aspect layer of muscles contents
Extensor hallucis brevis
Extensor digitorum brevis
Foot dorsal aspect layer of muscles actions
Extends the digits
Foot dorsal aspect layer of muscles innervation
deep fibular nerve
Foot dorsal aspect layer of muscles blood supply
Arcuate artery
Doral metatarsal artery
Dorsal digital artery
Abductor digiti minimi attachments
from… calcaneal tuberosity
to… lateral side of proximal phalangeal base of 5th digit
Abductor digiti minimi actions
Abducts 5th digit
Flexes 5th digit
Abductor digiti minimi innervation
lateral plantar nerve (S1-2)
Abductor hallucis attachments
from… medial calcaneal tuberosity
to… medial side of proximal phalangeal base of great toe
Abductor hallucis actions
Flexes great toe
Abducts great toe
Abductor hallucis innervation
medial plantar nerve (L4-5-S1)
Adductor hallucis attachments
from… 2-4th metatarsal bases (oblique head) & distal ends of 3-5 metatarsal (transverse head)
to… lateral base of the proximal phalanx of great toe
Adductor hallucis actions
Adducts great toe
Adductor hallucis innervation
lateral plantar nerve (S1-2)
Extensor digitorum brevis attachments
from… anterolateral calcaneus
to… dorsal aspect of the base of the proximal phalanx (digit 1 for EHB) or to the lateral side of tendons of extensor digitorum longus (digits 2-4 EDB)
Extensor digitorum brevis actions
Extends digits 2-5 (MP & IP & EDB)
Extension of digit 1 (EHB)
Extensor digitorum brevis innervation
deep fibular nerve (L4-5-S1)
Extensor hallucis brevis attachments
from… extensor digitorum brevis
to… dorsal aspect of the base of the proximal phalanx of the halux
Extensor hallucis brevis actions
extension of great toe at metatarsophalangeal joint
Extensor hallucis brevis innervation
deep fibular nerve (L4-5-S1)
Quadratus plantae attachments
from… medial surface of calcaneus & lateral process of calcaneal tuberosity
to… long flexor tendons
Quadratus plantae actions
Assists flexor digitorum longus
Quadratus plantae innervation
lateral plantar nerve (S1-2)
Flexor digitorum brevis attachments
from… medial process of calcaneal tuberosity
to… sides of intermediate phalanges of digits 2-5
Flexor digitorum brevis actions
Flexes toes (proximal IP)
Flexor digitorum brevis innervation
medial plantar nerve (L4-5-S1)
Flexor digiti minimi brevis attachments
from… 5th metatarsal base
to… proximal phalangeal base
Flexor digiti minimi brevis actions
Flexion of 5th digit (MP)
Flexor digiti minimi brevis innervation
lateral plantar nerve (S1-2)
Flexor hallucis brevis attachments
from… cuboid & tendon of tibialis posterior
to… base of the proximal phalanx of great toe
Flexor hallucis brevis actions
Flexion of great toe (MP)
Flexor hallucis brevis innervation
medial plantar nerve (L4-5-S1)
Dorsal interossei attachments
from… metatarsal shafts
to… proximal phalangeal bases & dorsal digital expansions of digits 2-4
Dorsal interossei actions
Abducts (MP) digits 2-4
Flexes (MP) digits 2-4
Dorsal interossei innervation
lateral plantar nerve (S1-2)
Plantar interossei attachments
from… plantar surface of base of metatarsals
to… dorsal digital expansions of digits 3-5
Plantar interossei actions
Adducts (MP) digits 3-5
Flexes (MP) digits 3-5
Plantar interossei innervation
lateral plantar nerve (S1-2)
Lumbricals attachments
from… tendons of flexor digitorum longus
to… medial sides of dorsal expansions of digits 2-5
Lumbricals actions
Flexes proximal phalanges (MP)
Extends IP joints
Lumbricals innervation
1st - medial plantar nerve (L4-5-S1)
2nd-4th - lateral plantar nerve (S1-2)
Tendons that pass posterior to the medial malleolus (anterior to posterior)
Tom - Tibialis posterior
Dick - Flexor digitorum longus
And - Posterior tibial artery
Very - Posterior tibial vein
Nervous - Tibial nerve
Harry - Flexor hallucis longus
Flexor retinaculum (holds them in place)
Describe the path taken by the muscular branch origin of the tibial nerve in the foot
Sciatic
Tibial
Medial plantar
Lateral plantar
- superficial branch
- deep branch
Common plantar
Proper plantar
Describe the locations where one would take the medial malleolar and dorsalis pedis pulses
Medial malleolar - just posterior to medial malleolus
Dorsal pedis - dorsum of the foot lateral to extensor hallucis longus
Primary motions that occur at the joints of the foot and ankle
Plantar flexion
Dorsiflexion
Inversion
Eversion
Toe flexion
Toe extension
Toe abduction
Toe adduction
Talocrural fibrous capsule attachments
From… the borders of the articular surfaces of the tibia & malleoli
to… the margins of the trochlear surface of the talus
Medial collateral (deltoid) ligament attachments
from… the medial malleolus
to… the talus, navicular & sustentaculum tali of the calcaneus
Medial collateral (deltoid) ligament functions
stabilizes joint & resists forces eversion
Lateral ligaments of the ankle
Posterior talofibular
Calcaneofibular
Lateral talocalcaneal
Anterior talofibular
Lateral ligaments of the ankle function
stabilize joint & resist forces inversion
Long plantar ligament attachments
from… the plantar surface of the calcaneus & cuboid
to… the plantar surface of the bases of the metatarsals
Plantar calcaneocuboid ligament (short plantar ligament) attachments
from… calcaneus
to… the plantar surface of the cuboid
Plantar calcaneonavicular ligament (spring ligament) attachments
from… the anterior margin of the sustentaculum tali
to… the plantar surface of the navicular
Plantar calcaneonavicular ligament (spring ligament) functions
supports the medial longitudinal arch of the foot
Tarsal bones mnemonic
Tiger - Talus
Cubs - Calcaneus
Need - Navicular
MILC - Cuneiforms: Medial, Intermediate, Lateral; Cuboid