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El Pie

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A complicated model of simplicity that you really think little about

until you have a problem with one.


The Foot and Ankle
The foot and ankle must be
able to instantly adapt to the
surface that you are walking
on so that you can get, from
point A to point B.
The Foot and Ankle
Terminology
Plantar flexion
Dorsi flexion
Inversion
Eversion
The Foot and Ankle: Osteology
Your subtopic goes here
Interphalangeal
joints
Metatarso-
phalageal
joint
1
st
cuneiform
metatarsals
phalanges
tarsals
The Foot and Ankle:
Arthrology & Osteology
tibia
talus
navicular
calcaneus
fibula
lateral malleolus
What is an ankle sprain?
Sprain= a stretched or torn ligament
The Foot and Ankle
Sprain from external rotation
Ligaments that support the foot & ankle
Why do you think
that there are so
many of them?
Myology of the Foot & Ankle
Tibialis Anterior
Origin Proximal 2/3 of the lateral surface of
the tibia and interosseous membrane
Insertion Medial and plantar aspects of the
medial cuneiform and the base of the
first metatarsal
Innervation Deep branch of the peroneal n.
Action Dorsiflexion, inversion
Myology of the Foot & Ankle
Extensor Hallucis Longus
Origin Middle section of the fibula and adjacent
interosseous membrane
Insertion Dorsal base of the distal phalanx of the
great toe
Innervation Deep branch of the peroneal n.
Action Extension of the great toe, dorsiflexion
tidbit Whats in a name?
Myology of the Foot & Ankle
Extensor Digitorm Longus
Origin Lateral condyle of the tibia, proximal 2/3 of
the medial surface of the fibula and adjacent
interosseous membrane
Insertion Splits into 4 tendons that attach to the
proximal base of the dorsal surface of the
middle and distal phalanges
Innervation Deep branch of the peroneal n.
Action Extension of all joints of toes 2-5 (MTP, PIP
and DIP joints)
tidbit Whats in a name?
Myology of the Foot & Ankle
Peroneus Tertius
Origin Distal 1/3 of the medial surface of
the fibula and adjacent
interosseous membrane
Insertion Dorsal surface of the base of the
5
th
metatarsal
Innervation Deep branch of the peroneal n.
Action Dorsiflexion, eversion
Myology of the Foot & Ankle
Peroneus Longus
Origin Lateral condyle of the tibia, head and
proximal 2/3 of the lateral surface of the
fibula
Insertion Lateral surface of the medial cuneiform
and plantar base of the 1
st
metatarsal
Innervation Superficial branch of the peroneal n.
Action Eversion, plantar flexion
Myology of the Foot & Ankle
Peroneus Brevis
Origin Distal 2/3 of the lateral surface of the
fibula
Insertion Styloid process of the 5
th
metatarsal
Innervation Superficial branch of the peroneal n.
Action Plantar flexion, eversion
Myology of the Foot & Ankle
Gastrocnemius
Origin Medial head: posterior aspect of the
medial femoral condyle
Lateral head: posterior aspect of the
lateral femoral condyle
Insertion Calcaneal tuberosity via the Achilles
tendon
Innervation Tibial n.
Action Plantar flexion, flexion of the knee
Myology of the Foot & Ankle
Soleus
Origin Proximal 1/3 of the posterior fibula and
fibular head and posterior aspect of the tibia
Insertion Calcaneal tuberosity via the Achilles tendon
Innervation Tibial n.
Action Plantar flexion
Myology of the Foot & Ankle
Plantaris
Origin Lateral supracondylar line of the femur
Insertion Medial aspect of the Achilles tendon to insert
on the calcaneal tuberosity
Innervation Tibial n.
Action Plantar flexion, initiates knee flexion
Myology of the Foot & Ankle
Tibialis Posterior
Origin Proximal 2/3 of the posterior aspect of the
tibia, fibula, and interosseous membrane
Insertion Multiple attachments to every tarsal except
the talus, also attaches to the bases of
metatarsals 2-4, its the most prominent
insertion on the navicular tuberosity
Innervation Tibial n.
Action Plantar flexion, inversion
Myology of the Foot & Ankle
Flexor Hallucis Longus
Origin Distal 2/3 of the posterior fibula
Insertion Plantar surface of the base of the distal phalanx of
the great toe
Innervation Tibial n.
Action Flexion of the great toe, plantar flexion, inversion
Myology of the Foot & Ankle
Flexor Digitorum Longus
Origin Posterior surface of the middle 1/3
of the tibia
Insertion By 4 separate tendons to the base
of the distal phalanx of the 4 lesser
toes
Innervation Tibial n.
Action Flexion of toes 2-5, plantar flexion,
inversion
tidbit Whats in a name?
Flexor
Digitorum
Longus
Intrinsic muscles of the foot
Flexor digitorum brevis
ABDuctor Hallucis
ABDuctor digiti minimi
Dorsal interossei (ABDuctors)
Plantar interossei (ADDuctors)
Lumbricals
Flexor Hallucis Brevis
ADDuctor Hallucis
Extensor Digiti Minimi
Myology of the Foot & Ankle
Myology of the Foot & Ankle
If you take a look at just part of what happens during gait,
the foot and ankle go through many changes and
this is a flat surface!
heel strike foot flat mid stance

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