Lateral posterior leg and sole of the foot Flashcards
Fibularis longus
Origin: proximal 2/3 of the lateral fibula
Insertion: lateral aspect of the medial cuneiform and the first metatarsal
Innervation: superficial fibular nerve L4-S1
Action: eversion and plantar flexion
Fibularis brevis
Origin: distal 2/3 of the lateral fibula
Insertion: tuberosity of the 5th metatarsal
Innervation: superficial fibular nerve L4-S1
Action: eversion and plantar flexion
Gastrocnemius
Origin: lateral head- lateral femoral condyle, medial head- medial femoral condyle
Insertion: posterior aspect of the calcaneus via the Achilles tendon
Innervation: tibial nerve S1, S2
Action: knee flexion and ankle plantar flexion
Soleus
Origin: posterior aspect of the entire tibia and fibular head
Insertion: posterior aspect of the calcaneus via the Achilles tendon
Innervation: tibial nerve S1, S2
Action: ankle plantar flexion
Plantaris
Origin: lateral supracondylar line of the femur
Insertion: posterior aspect of the calcaneus via the Achilles tendon
Innervation: tibial nerve S1, S2
Action: assists with ankle plantar flexion (do not need this muscle)
Sometimes runners rupture their plantaris tendon, they get this huge bruising and bleeding in the back of the calf, nobody does anything about it.
How do we stretch the gastroc? The soleus?
If you want to isolate the gastroc to stretch it, you need to have your knee straight (extended) to include its action at the knee.
If you only want to stretch the soleus and knock out the gastroc, then you put the knee in flexion
What type of muscle is the gastroc?
Type II muscle (or phasic or FG), used for power and short bursts, predominantly burns energy via anaerobic metabolism
What type of muscle is the soleus?
Type I muscle (or tonic or SO), anti-gravity/postural muscle, predominantly burns energy via oxidative phosphorylation. Fires all day while you stand, ground reaction forces are posterior, anterior to your ankle so always putting you in light dorsiflexion so soleus always has to fire to balance it out so you don’t fall backward
What type of muscle is plantaris?
A lot of muscle spindles - intrafusal fibers that are sensitive to changes in length, there for protective reasons
Flexor hallucis longus
Origin: posterior aspect of the fibula and interosseous membrane
Insertion: distal phalanx of the great toe plantarly
Innervation: tibial nerve S1, S2
Action: big toe flexion all joints, can assist with plantar flexion
Flexor digitorum longus
Origin: posterior aspect of the tibia and interosseous membrane
Insertion: distal phalanges digits 2-5
Innervation: tibial nerve S1, S2
Action: flexes digits 2-5, can assist with plantar flexion
Tibialis posterior
Origin: posterior aspect of the fibula, tibia, and interosseous membrane
Insertion: navicular, cuneiforms, cuboid, and metatarsals 2, 3, 4
Innervation: tibial nerve S1, S2
Action: plantar flexion and inversion
Popliteus
Origin: lateral condyle of femur, lateral meniscus
Insertion: posterior surface of the tibia superior to the soleal line
Innervation: tibial nerve L4, L5, S1
Action: unlocks knee; flexes it
4 layers in the sole of the foot
Layer 1: 2 AB 1 FLEXOR Layer 2: Lumbricals, Quadratus plantae, tendons: FDL, FHL, TP Layer 3: 2 FLEXORS 1 ADD Layer 4: DABS and PADS Total 18 muscles in the sole of the foot
Abductor hallucis
Layer 1
Origin: medial tubercle of the calcaneus, flexor retinaculum, plantar aponeurosis
Insertion: medial aspect proximal phalanx digit
Innervation: medial plantar nerve S2, S3
Action: abducts digit 1, helps with flexion of digit 1
Abductor digiti minimi
Layer 1
Origin: med/lat tubercles of calcaneus, plantar aponeurosis
Insertion: lateral aspect proximal phalanx digit 5
Innervation: lateral plantar nerve S2, S3
Action: abducts digit 5, help flex digit 5
Flexor digitorum brevis
Layer 1
Origin: medial tubercle of calcaneus, flexor retinaculum, plantar aponeurosis
Insertion: both sides middle phalanges lateral 4 digits
Innervation: medial plantar nerve S1, S2
Action: flexes digits 2-5
Quadratus plantae
Layer 2
Origin: medial/lateral aspect of plantar surface of calcaneus
Insertion: tendons of FDL (posteriolat)
Innervation: lateral plantar nerve S2, S3
Action: flexes digits 2-5 with the FDL
Corrects the pull of the FDL. FDL tendons run on an angle, quadratus plantae and the FDL work synergistically to give you pure sagittal plane toe flexion so it doesn’t deviate to one side.