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Flexor Digitorum Longus
The flexor digitorum longus muscle is situated on the tibial side of the Human leg, leg. At its origin it is thin and pointed, but it gradually increases in size as it descends. It serves to flex the second, third, fourth, and fifth toes. Structure The flexor digitorum longus muscle arises from the posterior surface of the body of the tibia, from immediately below the soleal line to within 7 or 8 cm of its lower extremity, medial to the tibial origin of the tibialis posterior muscle. It also arises from the fascia covering the tibialis posterior muscle. The fibers end in a tendon, which runs nearly the whole length of the posterior surface of the muscle. This tendon passes behind the medial malleolus, in a groove, common to it and the tibialis posterior, but separated from the latter by a fibrous septum, each tendon being contained in a special compartment lined by a separate mucous sheath. The tendon of the tibialis posterior and the tendon of the flexor digitorum longus cr ...
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Tibia
The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute ''tibia''. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body. Structure In human anatomy, the tibia is the second largest bone next to the femur. As in other vertebrates the tibia is one of two bones in the lower leg, the other being the fibula, and is a component of the knee and ankle joints. The ossification or formation of the bone ...
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Ankle-joint
The ankle, or the talocrural region, or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joint. The movements produced at this joint are dorsiflexion and plantarflexion of the foot. In common usage, the term ankle refers exclusively to the ankle region. In medical terminology, "ankle" (without qualifiers) can refer broadly to the region or specifically to the talocrural joint. The main bones of the ankle region are the talus (in the foot), and the tibia and fibula (in the leg). The talocrural joint is a synovial hinge joint that connects the distal ends of the tibia and fibula in the lower limb with the proximal end of the talus. The articulation between the tibia and the talus bears more weight than that between the smaller fibula and the talus. Structure Region The ankle region is found at the junction of the leg and the foot ...
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Sustentaculum Tali
In humans and many other primates, the calcaneus (; from the Latin ''calcaneus'' or ''calcaneum'', meaning heel) or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock. Structure In humans, the calcaneus is the largest of the tarsal bones and the largest bone of the foot. Its long axis is pointed forwards and laterally. The talus bone, calcaneus, and navicular bone are considered the proximal row of tarsal bones. In the calcaneus, several important structures can be distinguished:Platzer (2004), p 216 There is a large calcaneal tuberosity located posteriorly on plantar surface with medial and lateral tubercles on its surface. Besides, there is another peroneal tubecle on its lateral surface. On its lower edge on either side are its lateral and medial processes (serving as the origins of the abductor hallucis and abductor digiti minimi). The Achilles tendon is inserted into a roughened area on its supe ...
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Tibialis Posterior
The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg. Structure The tibialis posterior muscle originates on the inner posterior border of the fibula laterally. It is also attached to the interosseous membrane medially, which attaches to the tibia and fibula. The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. It terminates by dividing into plantar, main, and recurrent components. The main portion inserts into the tuberosity of the navicular bone. The smaller portion inserts into the plantar surface of the medial cuneiform. The plantar portion inserts into the bases of the second, third and fourth metatarsals, the intermediate and lateral cuneiforms and the cuboid. The recurrent portion inserts into the sustentaculum tali of the calcaneus. Blood is supplied to the m ...
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Flexor Hallucis Longus
The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus and tibialis posterior; the tibialis posterior is the most powerful of these deep muscles. All three muscles are innervated by the tibial nerve which comprises half of the sciatic nerve. Structure The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm. at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially. The fibers pass obliquely downward and backward, where it passes through the tarsal tunnel on the medial side of the foot and end in a tendon whic ...
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Interphalangeal Articulations Of Foot
The interphalangeal joints of the foot are between the phalanx bones of the toes in the feet. Since the great toe only has two phalanx bones (proximal and distal phalanges), it only has one interphalangeal joint, which is often abbreviated as the "IP joint". The rest of the toes each have three phalanx bones (proximal, middle, and distal phalanges), so they have two interphalangeal joints: the proximal interphalangeal joint between the proximal and middle phalanges (abbreviated "PIP joint") and the distal interphalangeal joint between the middle and distal phalanges (abbreviated "DIP joint"). All interphalangeal joints are ginglymoid (hinge) joints, and each has a plantar (underside) and two collateral ligaments. In the arrangement of these ligaments, extensor tendons supply the places of dorsal ligaments, which is similar to that in the metatarsophalangeal articulations. Movements The only movements permitted in the joints of the digits are flexion and extension; these movem ...
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Flexor Digitorum Brevis Muscle
The flexor digitorum brevis is a muscle which lies in the middle of the sole of the foot, immediately above the central part of the plantar aponeurosis, with which it is firmly united. Its deep surface is separated from the lateral plantar vessels and nerves by a thin layer of fascia. Structure It arises by a narrow tendon, from the medial process of the tuberosity of the calcaneus, from the central part of the plantar aponeurosis, and from the intermuscular septa between it and the adjacent muscles. It passes forward, and divides into four tendons, one for each of the four lesser toes. Opposite the bases of the first phalanges, each tendon divides into two slips, to allow of the passage of the corresponding tendon of the flexor digitorum longus; the two portions of the tendon then unite and form a grooved channel for the reception of the accompanying long Flexor tendon. Finally, it divides a second time, and is inserted into the sides of the second phalanx about its middle. ...
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Quadratus Plantae Muscle
The quadratus plantae (flexor accessorius) is separated from the muscles of the first layer by the lateral plantar vessels and nerve. It acts to aid in flexing the 2nd to 5th toes (offsetting the oblique pull of the flexor digitorum longus) and is one of the few muscles in the foot with no homolog in the hand. Origin and insertion It arises by two heads, which are separated from each other by the long plantar ligament: the medial or larger head is muscular, and is attached to the medial concave surface of the calcaneus, below the groove which lodges the tendon of the flexor hallucis longus; the lateral head, flat and tendinous, arises from the lateral border of the inferior surface of the calcaneus, in front of the lateral process of its tuberosity, and from the long plantar ligament. The two portions join at an acute angle, and end in a flattened band which is inserted into the lateral margin and upper and under surfaces of the tendon of the flexor digitorum longus The flexor d ...
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Deltoid Ligament
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament is composed of 4 fibers: 1. Anterior tibiotalar ligament 2. Tibiocalcaneal ligament 3. Posterior tibiotalar ligament 4. Tibionavicular ligament. It consists of two sets of fibers, superficial and deep. Superficial fibres Of the superficial fibres, * ''tibionavicular'' pass forward to be inserted into the tuberosity of the navicular bone, and immediately behind this they blend with the medial margin of the plantar calcaneonavicular ligament; * ''tibiocalcaneal'' descend almost perpendicularly to be inserted into the whole length of the sustentaculum tali of the calcaneus; * ''posterior tibiotalar'' from the posterior colliculus of the medial malleolus to the posteromedial surface of the talus Deep fibres The deep fibres (''anterior tibiotalar'') are attached from the anterio ...
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Extensor Digitorum Longus Muscle
The extensor digitorum longus is a pennate muscle, situated at the lateral part of the front of the leg. Origin and insertion It arises from the lateral condyle of the tibia; from the upper three-quarters of the anterior surface of the body of the fibula; from the upper part of the interosseous membrane; from the deep surface of the fascia; and from the intermuscular septa between it and the tibialis anterior on the medial, and the peroneal muscles on the lateral side. Between it and the tibialis anterior are the upper portions of the anterior tibial vessels and deep peroneal nerve. The muscle passes under the superior and inferior extensor retinaculum of foot in company with the fibularis tertius, and divides into four slips, which run forward on the dorsum of the foot, and are inserted into the second and third phalanges of the four lesser toes. The tendons to the second, third, and fourth toes are each joined, opposite the metatarsophalangeal articulations, on the lateral si ...
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Tarsal Tunnel
The tarsal tunnel is a passage found along the inner leg underneath the medial malleolus of the ankle. Structure The roof of the tarsal tunnel is formed by the flexor retinaculum of the foot. The floor of the tarsal tunnel is formed by the medial malleolus and the calcaneus. Contents The tibial nerve, posterior tibial artery, posterior tibial vein, and flexor tendons travel in a bundle along this pathway through the tarsal tunnel, in the following order from anteromedial to posterolateral: * Tibialis posterior tendon. * Flexor digitorum longus tendon. * Posterior tibial artery. * Posterior tibial vein. * Tibial nerve. * Flexor hallucis longus tendon. In the tunnel, the tibial nerve splits into three different paths. The medial calcaneal branches of the tibial nerve continues to the heel, while the medial plantar nerve and the lateral plantar nerve continue on to the bottom of the foot. Clinical significance Tarsal tunnel syndrome Tarsal tunnel syndrome is the most commonly ...
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Tibialis Posterior Muscle
The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg. Structure The tibialis posterior muscle originates on the inner posterior border of the fibula laterally. It is also attached to the interosseous membrane medially, which attaches to the tibia and fibula. The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. It terminates by dividing into plantar, main, and recurrent components. The main portion inserts into the tuberosity of the navicular bone. The smaller portion inserts into the plantar surface of the medial cuneiform. The plantar portion inserts into the bases of the second, third and fourth metatarsals, the intermediate and lateral cuneiforms and the cuboid. The recurrent portion inserts into the sustentaculum tali of the calcaneus. Blood is supplied to the m ...
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