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Medial Plantar Nerve
The medial plantar nerve (internal plantar nerve) is the larger of the two terminal divisions of the tibial nerve (medial and lateral plantar nerve), which accompanies the medial plantar artery. From its origin under the laciniate ligament it passes under cover of the abductor hallucis muscle, and, appearing between this muscle and the flexor digitorum brevis, gives off a proper digital plantar nerve and finally divides opposite the bases of the metatarsal bones into three common digital plantar nerves. Branches The branches of the medial plantar nerve are: (1) cutaneous, (2) muscular, (3) articular, (4) a proper digital nerve to the medial side of the great toe, and (5) three common digital nerves. Cutaneous branches The cutaneous branches pierce the plantar aponeurosis between the abductor hallucis and the flexor digitorum brevis and are distributed to the skin of the sole of the foot. Muscular branches The muscular branches supply muscles on the medial side of the sole, in ...
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Sole (foot)
In humans, the sole of the foot is anatomically referred to as the plantar aspect. Structure The glabrous skin on the sole of the foot lacks the hair and pigmentation found elsewhere on the body, and it has a high concentration of sweat pores. The sole contains the thickest layers of skin on the body due to the weight that is continually placed on it. It is crossed by a set of creases that form during the early stages of embryonic development. Like those of the palm, the sweat pores of the sole lack sebaceous glands. The sole is a sensory organ by which the ground can be perceived while standing and walking. The subcutaneous tissue in the sole has adapted to deal with the high local compressive forces on the heel and the ball (between the toes and the arch) by developing a system of "pressure chambers." Each chamber is composed of internal fibrofatty tissue covered by external collagen connective tissue. The septa (internal walls) of these chambers are permeated by n ...
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Metatarsal Bones
The metatarsal bones or metatarsus (: metatarsi) are a group of five long bones in the midfoot, located between the tarsal bones (which form the heel and the ankle) and the phalanges ( toes). Lacking individual names, the metatarsal bones are numbered from the medial side (the side of the great toe): the first, second, third, fourth, and fifth metatarsal (often depicted with Roman numerals). The metatarsals are analogous to the metacarpal bones of the hand. The lengths of the metatarsal bones in humans are, in descending order, second, third, fourth, fifth, and first. A bovine hind leg has two metatarsals. Structure The five metatarsals are dorsal convex long bones consisting of a shaft or body, a base ( proximally), and a head ( distally).Platzer 2004, p. 220 The body is prismoid in form, tapers gradually from the tarsal to the phalangeal extremity, and is curved longitudinally, so as to be concave below, slightly convex above. The base or posterior extremity is ...
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Lumbricals Of The Foot
The lumbricals are four small skeletal muscles, accessory to the tendons of the flexor digitorum longus muscle. They are numbered from the medial side of the foot. Structure The lumbricals arise from the tendons of the flexor digitorum longus muscle, as far back as their angles of division, each springing from two tendons, except the first. The first lumbrical is unipennate, while the second, third and fourth are bipennate. The muscles end in tendons, which pass forward on the medial sides of the four lesser toes, and are inserted into the expansions of the tendons of the extensor digitorum longus muscle on the dorsal surfaces of the proximal phalanges. All four lumbricals insert into extensor hoods of the phalanges, thus creating extension at the inter-phalangeal (PIP and DIP) joints. However, as the tendons also pass inferior to the metatarsal phalangeal (MTP) joints it creates flexion at this joint. Innervation The most medial lumbrical is innervated by the medial p ...
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Great Toe
Toes are the digits of the foot of a tetrapod. Animal species such as cats that walk on their toes are described as being ''digitigrade''. Humans, and other animals that walk on the soles of their feet, are described as being ''plantigrade''; '' unguligrade'' animals are those that walk on hooves at the tips of their toes. Structure There are normally five toes present on each human foot. Each toe consists of three phalanx bones, the proximal, middle, and distal, with the exception of the big toe (). For a minority of people, the little toe also is missing a middle bone. The hallux only contains two phalanx bones, the proximal and distal. The joints between each phalanx are the interphalangeal joints. The proximal phalanx bone of each toe articulates with the metatarsal bone of the foot at the metatarsophalangeal joint. Each toe is surrounded by skin, and present on all five toes is a toenail. The toes are, from medial to lateral: * the first toe, also known as the ...
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Metatarsus
The metatarsal bones or metatarsus (: metatarsi) are a group of five long bones in the midfoot, located between the tarsal bones (which form the heel and the ankle) and the phalanges ( toes). Lacking individual names, the metatarsal bones are numbered from the medial side (the side of the great toe): the first, second, third, fourth, and fifth metatarsal (often depicted with Roman numerals). The metatarsals are analogous to the metacarpal bones of the hand. The lengths of the metatarsal bones in humans are, in descending order, second, third, fourth, fifth, and first. A bovine hind leg has two metatarsals. Structure The five metatarsals are dorsal convex long bones consisting of a shaft or body, a base (proximally), and a head (distally).Platzer 2004, p. 220 The body is prismoid in form, tapers gradually from the tarsal to the phalangeal extremity, and is curved longitudinally, so as to be concave below, slightly convex above. The base or posterior extremity is wedge- ...
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Tarsus (skeleton)
In the human body, the tarsus (: tarsi) is a cluster of seven articulating bones in each foot situated between the lower end of the tibia and the fibula of the lower leg and the metatarsus. It is made up of the midfoot (Cuboid bone, cuboid, medial, intermediate, and lateral cuneiform bone, cuneiform, and navicular) and hindfoot (Talus bone, talus and calcaneus). The tarsus articulates with the bones of the metatarsus, which in turn articulate with the proximal phalanges of the toes. The joint between the tibia and fibula above and the tarsus below is referred to as the ankle, ankle joint proper. In humans the largest bone in the tarsus is the calcaneus, which is the weight-bearing bone within the heel of the foot. Human anatomy Bones The talus bone or ankle bone is connected superiorly to the two bones of the lower leg, the tibia and fibula, to form the ankle, ankle joint or talocrural joint; inferiorly, at the subtalar joint, to the calcaneus or heel bone. Together, the ...
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Joint
A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw-Hill Connect. Webp.274/ref> They are constructed to allow for different degrees and types of movement. Some joints, such as the knee, elbow, and shoulder, are self-lubricating, almost frictionless, and are able to withstand compression and maintain heavy loads while still executing smooth and precise movements. Other joints such as suture (joint), sutures between the bones of the skull permit very little movement (only during birth) in order to protect the brain and the sense organs. The connection between a tooth and the jawbone is also called a joint, and is described as a fibrous joint known as a gomphosis. Joints are classified both structurally and functionally. Joints play a vital role in the human body, contributing to movement, sta ...
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Lumbrical Muscle (foot)
The lumbricals are four small skeletal muscles, accessory to the tendons of the flexor digitorum longus muscle. They are numbered from the medial side of the foot. Structure The lumbricals arise from the tendons of the flexor digitorum longus muscle, as far back as their angles of division, each springing from two tendons, except the first. The first lumbrical is unipennate, while the second, third and fourth are bipennate. The muscles end in tendons, which pass forward on the medial sides of the four lesser toes, and are inserted into the expansions of the tendons of the extensor digitorum longus muscle on the dorsal surfaces of the proximal phalanges. All four lumbricals insert into extensor hoods of the phalanges, thus creating extension at the inter-phalangeal (PIP and DIP) joints. However, as the tendons also pass inferior to the metatarsal phalangeal (MTP) joints it creates flexion at this joint. Innervation The most medial lumbrical is innervated by the medial plan ...
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Plantar Aponeurosis
The plantar fascia or plantar aponeurosis is the thick connective tissue aponeurosis which supports the arch on the bottom (plantar side) of the foot. Recent studies suggest that the plantar fascia is actually an aponeurosis rather than true fascia. It runs from the tuberosity of the calcaneus (heel bone) forward to the heads of the metatarsal bones (the bone between each toe and the bones of the mid-foot). Anatomy The plantar fascia is the thick central portion of the fascia investing the plantar muscles. It extends between the medial process of the and the proximal phalanges of the toes. It provides some attachment to the flexor muscles of the toes. Distally, the plantar fascia becomes continuous with the fibrous sheaths enveloping the flexor tendons passing to the toes. At the anterior extremity of the sole inferior to the heads of the metatarsal bones the plantar aponeurosis forms the superficial transverse metatarsal ligament. Structure The plantar fascia is made u ...
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Flexor Digitorum Brevis
The flexor digitorum brevis or flexor digitorum communis brevishttps://www.anatomyatlases.org/AnatomicVariants/MuscularSystem/Text/F/14Flexor.shtml 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 F ...
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Abductor Hallucis Muscle
The abductor hallucis muscle is an intrinsic muscle of the foot. It participates in the Anatomical terms of motion#Abduction and adduction, abduction and Anatomical terms of motion#Flexion and extension, flexion of the Toe#Hallux, great toe. Structure The abductor hallucis muscle is located in the medial border of the foot and contributes to form the prominence that is observed on the region. It is inserted behind on the tuberosity of the calcaneus, the Flexor retinaculum of foot, flexor retinaculum, and the plantar aponeurosis. Its muscle body, relatively thick behind, flattens as it goes forward. It ends in a common tendon with the medial head of the flexor hallucis brevis that inserts on the medial surface of the base of the first Phalanx bone, proximal phalanx and its related sesamoid bone. Its medial surface is superficial and covered with the muscle's fascia and the skin. Nerve supply Abductor hallucis is supplied by the medial plantar nerve. The nerves that supply it ente ...
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Laciniate Ligament
The flexor retinaculum of the foot (laciniate ligament, internal annular ligament) is a strong fibrous band in the foot. Structure The flexor retinaculum of the foot extends from the medial malleolus above, to the calcaneus below. This converts a series of bony grooves into canals for the passage of the tendons of the flexor muscles and the posterior tibial vessels and tibial nerve into the sole of the foot, known as the tarsal tunnel. It is continuous by its upper border with the deep fascia of the leg, and by its lower border with the plantar aponeurosis and the fibers of origin of the abductor hallucis muscle. Enumerated from the medial side, the four canals which it forms transmit the tendons of the tibialis posterior and flexor digitorum longus muscles; the posterior tibial artery and tibial nerve, which run through a broad space beneath the ligament; and lastly, in a canal formed partly by the talus, the tendon of the flexor hallucis longus. Clinical significance Ta ...
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