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Learn: Foot
LAYER 1
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Abductor digiti minimi muscle
Origin | Lateral and medial processes of calcaneal tuberosity, and band of connective tissue that connects calcaneus with base of metatarsal V |
Insertion | Lateral side of base of proximal phalanx of little toe |
Innervation | Lateral plantar nerve from the tibial nerve |
Artery | Lateral plantar artery |
Action | Abducts little toe at the metatarsophalangeal joint |
Flexor digitorum brevis muscle
Origin | Medial process of calcaneal tuberosity and plantar aponeurosis |
Insertion | Sides of plantar surface of middle phalanges of lateral four toes |
Innervation | Medial plantar nerve from the tibial nerve |
Artery | Medial plantar artery, lateral plantar artery |
Action | Flexes lateral four toes at proximal interphalangeal joint |
Abductor hallucis muscle
Origin | Medial process of calcaneal tuberosity |
Insertion | Medial side of base of proximal phalanx of great toe |
Innervation | Medial plantar nerve from the tibial nerve |
Artery | Medial plantar artery |
Action | Abducts and flexes great toe at metatarsophalangeal joint |
LAYER 2
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Lumbricals
Origin | Tendons of flexor digitorum longus |
Insertion | Medial free margins of extensor hoods of toes II to V |
Innervation | First lumbrical-medial plantar nerve from the tibial nerve; second, third, and fourth lumbricals-lateral plantar nerve from the tibial nerve |
Artery | Medial plantar artery, lateral plantar artery |
Action | Flexion of metatarsophalangeal joint and extension of interphalangeal joints |
Quadratus plantae muscle
Origin | Medial surface of calcaneus and lateral process of calcaneal tuberosity |
Insertion | Lateral side of tendon of flexor digitorum longus in proximal sole of the foot |
Innervation | Lateral plantar nerve from tibial nerve |
Artery | Lateral plantar artery |
Action | Assists flexor digitorum longus tendon in flexing toes II to V |
LAYER 3
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Flexor digiti minimi brevis muscle
Origin | Base of metatarsal V |
Insertion | Lateral side of base of proximal phalanx of little toe |
Innervation | Lateral plantar nerve |
Artery | Lateral plantar artery |
Action | Flexes little toe at metatarsophalangeal joint |
Flexor hallucis brevis muscle
Origin | Plantar surface of cuboid and lateral cuneiform; tendon of tibialis posterior |
Insertion | Lateral and medial sides of base of proximal phalanx of the great toe |
Innervation | Medial plantar nerve |
Artery | Medial plantar artery |
Action | Flexes metatarsophalangeal joint of the great toe |
Adductor hallucis muscle
Origin | Transverse head: metatarsophalangeal joints of lateral three toes; oblique head: bases of metatarsals 2-4 |
Insertion | Lateral side of base of proximal phalanx of great toe |
Innervation | Lateral plantar nerve |
Artery | Medial and lateral plantar arteries, plantar arch |
Action | Adducts great toe at metatarsophalangeal joint |
LAYER 4
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Plantar interossei muscles
Origin | Medial sides of metatarsals of toes III to V |
Insertion | Extensor hoods and bases of proximal phalanges of toes III to V |
Innervation | Lateral plantar nerve |
Artery | Plantar metatarsal arteries |
Action | Adduct digits 3 to 5 and flex metatarsophalangeal joints |
Dorsal interossei muscles
Origin | Sides of adjacent metatarsals |
Insertion | Extensor hoods and bases of proximal phalanges of toes II to IV |
Innervation | Lateral plantar nerve; deep fibular nerve (first and second dorsal interossei) |
Artery | Dorsal metatarsal arteries |
Action | Abduct digits 2-4 and flex metatarsophalangeal joints |
DORSUM OF FOOT
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Extensor digitorum brevis muscle
Origin | Calcaneus, interosseous talocalcaneal ligament |
Insertion | Long extensor tendons of digits 2-5 |
Innervation | Deep fibular nerve |
Artery | Dorsalis pedis artery |
Action | Helps extensor digitorum longus extend digits 2-5 at metatarsophalangeal and interphalangeal joints |
Extensor hallucis brevis muscle
Origin | Calcaneus, interosseous talocalcaneal ligament |
Insertion | Dorsal aspect of base of proximal phalanx of great toe |
Innervation | Deep fibular nerve |
Artery | Dorsalis pedis artery |
Action | Helps extensor hallucis longus extend the great toe at metatarsophalangeal joint |
Nerves and Arteries
- Nerves
- Tibial nerve divides into medial planter nerve and lateral plantar nerve after passing under the medial malleolus through the tarsal tunnel
to enter the foot
- Medial plantar nerve
- Motor to flexor hallucis brevis, flexor digitorum brevis muscles, abductor hallucis, and first lumbrical
- Sensory to medial plantar surface of foot
- Lateral plantar nerve
- Motor to flexor digiti minimi brevis, abductor digiti minimi muscles, lumbricals 2-4, plantar interossei, dorsal interossei, adductor hallucis, and quadratus plantae
- Sensory to lateral plantar surface of foot
- Medial plantar nerve
- Tibial nerve divides into medial planter nerve and lateral plantar nerve after passing under the medial malleolus through the tarsal tunnel
to enter the foot
- Arteries
- Anterior tibial artery becomes dorsalis pedis artery after it crosses the anterior ankle
- Posterior tibial artery divides into medial plantar artery and lateral plantar artery
- Medial plantar artery
- Lateral plantar artery
- Gives rise to deep plantar arch
a) |
b) |
Cutaneous innervation of (a) dorsal and (b) plantar surfaces of foot. |