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Flexor: the toes curve down and inwards, and the foot inverts; this is the response seen in healthy adults. Indifferent: there is no response. This is called the neutral response, and has no clinical significance, as it does not rule out pathology. [5] Extensor: the hallux dorsiflexes, and the other toes fan out.
Muscle Origin Insertion Innervation Main Action Tibialis anterior: Lateral condyle and superior half of lateral surface of tibia and interosseous membrane: Medial and inferior surfaces of medial cuneiform and base of 1st metatarsal: Deep fibular (peroneal) nerve (L4, L5) Dorsiflexes ankle and inverts foot Extensor hallucis longus
The tibialis anterior muscle is a muscle of the anterior compartment of the lower leg. It originates from the upper portion of the tibia; it inserts into the medial cuneiform and first metatarsal bones of the foot. It acts to dorsiflex and invert the foot. This muscle is mostly located near the shin.
A patient recovering from surgery to treat foot drop, with limited plantar and dorsiflexion.. Foot drop is a gait abnormality in which the dropping of the forefoot happens out of weakness, irritation or damage to the deep fibular nerve (deep peroneal), including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg.
Isolated plantaris muscle strains are rare, and ruptures normally occur in conjunction with injury to other muscles in the posterior compartment of the lower leg. [7] Symptoms of a plantaris muscle rupture may include an audible popping sound in the area during physical activity, swelling, pain in the back of the lower leg, and persistent soreness.
The muscle ends as a tendon of insertion. The tendon passes through a distinct compartment in the inferior extensor retinaculum of foot. It crosses anterior tibial vessels lateromedially near the bend of the ankle. [citation needed] In the foot, its tendon is situated at along the medial side of the dorsum of the foot. [1]
Clonus results due to an increased motor neuron excitation (decreased action potential threshold) and is common in muscles with long conduction delays, such as the long reflex tracts found in distal muscle groups. [1] Clonus is commonly seen in the ankle but may exist in other distal structures as well. [2]
This muscle varies considerably in the modes of origin and the arrangement of its various tendons. The tendons to the second and fifth toes may be found doubled, or extra slips are given off from one or more tendons to their corresponding metatarsal bones, or to the short extensor, or to one of the interosseous muscles.