MUSCLES OF FOOT CODE Flashcards
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Extrinsic muscles of the foot
Extrinsic muscles arise from the anterior, posterior, and lateral compartments of the leg and are responsible for actions such as eversion, inversion, plantarflexion, and dorsiflexion of the foot.
Intrinsic muscles of the foot
Intrinsic muscles are located within the foot and responsible for fine motor actions like movement of individual digits.
Intrinsic muscles: Two groups
Intrinsic muscles can be divided into those on the dorsum of the foot and those in the sole of the foot.
Intrinsic muscles innervation
Intrinsic muscles of the foot are innervated by the medial or lateral plantar nerves, which are branches of the tibial nerve.
Dorsal intrinsic muscles
The two intrinsic muscles on the dorsum of the foot are extensor digitorum brevis and extensor hallucis brevis.
Extensor Digitorum Brevis
Originates from the calcaneus and inferior extensor retinaculum. Attaches to the long extensor tendons of toes 2-4. Action: Extension of toes 2-4. Innervation: Deep fibular nerve.
Extensor Hallucis Brevis
Often considered part of the extensor digitorum brevis. Originates from the calcaneus and inferior extensor retinaculum. Attaches to the base of the proximal phalanx of the great toe. Action: Extension of the great toe. Innervation: Deep fibular nerve.
Plantar intrinsic muscles
There are ten intrinsic muscles located in the plantar aspect (sole) of the foot, which stabilize the arches and control the movement of the digits.
First layer of plantar muscles
The first layer contains three muscles: abductor hallucis, flexor digitorum brevis, and abductor digiti minimi.
Abductor Hallucis
Originates from the medial tubercle of the calcaneus and flexor retinaculum. Attaches to the medial base of the proximal phalanx of the great toe. Action: Abduction and flexion of the great toe. Innervation: Medial plantar nerve.
Flexor Digitorum Brevis
Located laterally to abductor hallucis. Attaches to the middle phalanges of toes 2-5. Action: Flexion of toes at the proximal interphalangeal joints. Innervation: Medial plantar nerve.
Abductor Digiti Minimi
Located laterally on the foot. Attaches to the lateral base of the proximal phalanx of the 5th digit. Action: Abduction and flexion of the little toe. Innervation: Lateral plantar nerve.
Second layer of plantar muscles
The second layer contains the quadratus plantae and lumbricals muscles.
Quadratus Plantae
Originates from the medial and lateral plantar surfaces of the calcaneus. Attaches to the tendons of flexor digitorum longus. Action: Assists flexor digitorum longus in flexing toes 2-5. Innervation: Lateral plantar nerve.
Lumbricals
There are four lumbrical muscles. Originates from the tendons of flexor digitorum longus. Attaches to the extensor hoods of toes 2-5. Action: Flexion at the metatarsophalangeal joints and extension at the interphalangeal joints. Innervation: Medial lumbrical – medial plantar nerve; lateral lumbricals – lateral plantar nerve.
Third layer of plantar muscles
The third layer contains flexor hallucis brevis, adductor hallucis, and flexor digiti minimi brevis.
Flexor Hallucis Brevis
Has two heads of origin, attaches to the base of the proximal phalanx of the great toe. Action: Flexion of the great toe at the metatarsophalangeal joint. Innervation: Medial plantar nerve.
Adductor Hallucis
Consists of two heads: oblique and transverse. Attaches to the lateral base of the proximal phalanx of the great toe. Action: Adduction of the great toe. Innervation: Deep branch of lateral plantar nerve.
Flexor Digiti Minimi Brevis
Located on the lateral side of the foot. Attaches to the base of the proximal phalanx of the fifth digit. Action: Flexion of the little toe at the metatarsophalangeal joint. Innervation: Superficial branch of lateral plantar nerve.
Fourth layer of plantar muscles
The fourth layer contains the plantar and dorsal interossei muscles.
Plantar Interossei
There are three plantar interossei. Attaches to the medial sides of digits 3-5. Action: Adduction of toes 3-5. Innervation: Lateral plantar nerve.
Dorsal Interossei
There are four dorsal interossei. Attach to the lateral sides of digits 2-4. Action: Abduction of toes 2-4. Innervation: Lateral plantar nerve.
Medial Plantar Nerve Entrapment
Compression of the medial plantar nerve can cause aching, numbness, and paraesthesia on the medial side of the sole. Common in activities with repetitive eversion, such as gymnastics.