lecture 23: intrinsic foot Flashcards
the DIP and IP interphalangeal joints of the foot are what type of joint
hinge (flexion/extension)
the DIP and IP joints of the foot do what movements
flexion and extension
what type of joint are the metatarsalphaleangeal joints and what movement do they do
condylloid/ellipsoidal joints
flexion/extension, some adduction/abduction
tarsometatarsal joints are what type of joints
plane and gliding
why is there limited movement of the tarsometatarsal joints
bound by ligaments
what two joint boudnaries cut the foot into mid, fore and hind foot
tarsometatarsal
calcaneocuboid
what joint makes up part of the tranverse tarsal joint
calcaneocuboid jt
what type of joints are the calcaneocuboid joint
plane/gliding
what two joints make up the talocalcaneonavicular jt
talocalcenal jt
talonavicular jt
what tpye of joint is the talocalcaneual jt
glining
how many talocalcaneal jts
3
what type pf joint is the talonavicular jt
modified ball and sock
what joint allows inversion/eversion
talocalcaneonavicualr jt
what are the movements possible at the toes
flexion/extension
abduction/adduction
what is the cernter of division for abduction of toes
2nd digit
adduction is also known as what position
relaxed position
what are the 2 intrinsic muscles of the dorsum of the foot
extensor digi brevis
exntor hallucis brevis
what is the origion of the extensor digi brevis
calcaneus
what is the isnertion of the extensor digi brevis
tendons of extensor digi longus on digits 2-4 (through expansor hood)
what is the action of the extension digi brevis
extension of the toes (synergist to EDL)
what muscle is a synergist to the EDL
EDB
what is the origin of the extensor hallucis brevis
calcaneus (with EDB)
what is the insertion of the extnsor hallucis brevis
proximal phalanx of hlalux
what is the action of the extnsor hallucis brevis (EHB)
extension of the hallux
the sole of the foot consists of how many layers of muscles
4
the sole of the foot consists of 4 layers of muscles located deep to what
plantar aponeurosis
what is the plantar aponeurosis
tough aponeurotic sheet on plantar surface of the foot
what is the function of the plantar aponeurosis
protects structures underneath
what is the clinical corrleate of the plantar fasciitis
plantar fascitis
what is plantar fasciatis
inflammation of the plantar appoenrusos near the calcneus
heel pain in the plantar fascitis is common in what
athletes who perform exercises with constant heel striking/load bearing
individuals who are obese
how many msucles are there in the first layer of the instrisic plantar muscles
3
what are the 3 muscles of the first layer of the intrinsic plantar muscles
flexor digitorem brevis
abductor digiti minimi
abductor hallucis
what is the origin of the flexor digi brevis
calceanus
what is the insertion of the flexor digi brevis
sides of middle phalanx toes 2-5
what is the action of the flexor digi brevis
flexion of the lateral 4 toes at MTP and PIP joints
what is the origin of the abductor digiti minimi
calcaneus
what is the isnertion of the abductor digiti minimi
latearl base of prox phalanx 5
what is the function of the abductor digiti minimi
abduction of MTP 5
what ist he origin of the abductor hallucis
calcaneus
what is the insertion of the abductor hallucis
medial base of prox phalanx 1
what is the action of the abduction hallucis
abduction of MTP 1
flexor digitorem brevis in the toe must split to allow what tendon to pass
flexor digirorem longus
how many muscles/tendons in the second layer of the intrinsic plantar muscles
2 muscles and the tendons of two muscles from psoterior leg compartment
what are the 2 muscles of the second layer of the intrinsic plantar muscles
lumbricals (4)
quadratus plantae
what is the origin of lumbricals in platar foot
the flexor digitorem tensons
what is the insertion of lumbricals in the plantar foot
extensor expansion (hood) on toes 2-5
what is teh action of the lumbricals in plantar foot
MTP flexion, IP extension
what is the origin of the quadratus plantae
plantar surface of the calcaneus
what is the insertion of the quadratus plantae
common part of flexor digi longus
what is the action of the quadratus plantae
assist flexor digi longis and “offset” the oblique pull of the flexor digi longus
(because it comes meidallu)
what are the 2 tendons in the second later of the intrinsic muscles of the foot
flexor hallucis longus
flexor digi longus
how many muscles are there in the third layer of the instrinc plantar muscles
3
what are the 3 msuscles in the third layer of the instrincic plantar muscles
adductor hallucis
flexor figi minimi brevis
flexor hallucis brevis
what is the origin of the adductor hallucis
lateral matatarsals and long plantar ligmanet
what is the insertion fo the adductor hallucis
lateral base of PP1
what is the action of the adductor hallucis
adduct MTP1, help mantain tranvserse arch
what are the 2 heads of the adductor hallucis
transverse and oblique heads
what is the origin of the flexor digi minimi brevis
base of MT5
what is the insertion of the flexor digi minimi brevis
flex MTP 5
what are the 2 heads of the fflexor hallucis brevis
medial and alteral
what is the origin of the flexor hallucis brevis
cuboid/cuniforms
what is the insertion of the flexor hallucis brevis
M/L base of PP1
what is the action of the flexor hallucis brevis
flex MTP 1
the sesamoids of the first MTP joints are embedded within tendons of what
flexor hallucis brevis
(but they increase lever arm for both flexor hallucis longus and brevis
how many muscles/tendons in the 4th layer of the intrinsic planatr muscles
2 muscles and the tenodnd of two muscles from leg
what are the 2 muscles of the 4th layer of the intrinsic plantar muscles
planar interossei (3x)
dorsal interossei (4x)
how many plantar interossei of foot
3
how many dorsal interossei of food
4
what are the 2 tendons of the 4th layer of teh intrinsic planar muscles
fibularis longus tendon
tibialis post tendon
what is the origin of the plantar interossei of the foot
MT shafts (3-5)
what is the isnertion of the planar interossei of the foot
medial base of PP 3-5
what is the action of the plantar interossei of the foot
adduct toes 3-5
what is the origin of the dorsal interossei of the foot
MT shafts (1-5)
what is the insertion of teh dorsal interossei of the foot
base of PP 2-4
what is the action of the dorsal interossi of the foot
abduct toes 2-4
what n innervates the dorsum of the foot (motor)
deep fibular n
deep fibular n innervates the dorsum of the foot but also provides motor innervation to what otehr area
anterior compartment of the leg
what n provides motor innervation to the extensor digi brevis and extension hallucis bevis
deep fibular
deep fibular n in the foot is located next to what vessel
anterior tibial a
what main vessel provides motor innevration to the sole
tibial (split as medial and lateral plantar)
what are the two branches of the tibial n at the foot
after is passes calcaneal region in tarsal tunnel
medial and lateral plantar n
what are the 2 terminal branches of teh tibial n
medial and lateral plantar n
lateral plantar n provides motor innevation to what
adductor hallucis
quadratus plantea
lumbricals to 3,4,5
both digiti minimi muscles
interossei
medial plantar n provides motor innevration to what
abductor hallucis
flexor digi brevis
flexor hallucis brevis
medial lumbrcial (to 2)
lateral plantar n provides motor innevation to whta general area of foot
lateral and deep myscles
medial planatar n provides motor inneravtion to what general area of foot
medial and superficial
what is a terminalsensory branch of the femoral n
saphenous
what are the main sensory banches of the intrinsic foot
saphenous n
superficial fibural nerve
sural n
deep fibular n
lateral plantar n
medial plantar n
medial calceanl branch
what is the vascular supply tp the dorsum of teh foot
anterior tibial
(becomes dorsalis pedis)
anterior tibial a crosses under what m
extensor hallucis longus
what vessel supp;ies blood to sole of teh foot
posterial tibial
posterial tibial a splits into what in the sole of the foot
medial and lateral planar
the neurovasculature structurs of the foot travel mainly in what layer
2nd layer of the foot
plantar and arcuate arches communicate via what
deep plantar artery
plantar arch is located deep in what layers
3 and 4