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The arch is further supported by the plantar aponeurosis, by the small muscles in the sole of the foot (short muscles of the big toe), by the tendons of the tibialis anterior and posterior and fibularis longus, flexor digitorum longus, flexor hallucis longus and by the ligaments of all the articulations involved. [1]
The tendon spreads out somewhat at its lower end so that its narrowest part is about 4 cm (1.6 in) above its insertion. [11] The tendon is covered by the fascia and skin, and stands out prominently behind the bone; the gap is filled up with areolar and adipose tissue. A bursa lies between the tendon and the upper part of the calcaneus. It is ...
Below its tendon, the tendons of the long flexors pass through the tarsal canal. The abductor hallucis is an abductor and a weak flexor, and also helps maintain the arch of the foot. The flexor hallucis brevis arises on the medial cuneiform bone and related ligaments and tendons. An important plantar flexor, it is crucial to ballet dancing.
Anatomical diagrams illustrating the components of the plantar fascia. Dissection of the plantar aponeurosis: LP, lateral part; CP, central part; MP, medial part; L, length; W, width. Five central part plantar aponeurosis bundles. The plantar fascia is the thick central portion of the fascia investing the plantar muscles.
A tendon or sinew is a tough band of dense fibrous connective tissue that connects muscle to bone. It sends the mechanical forces of muscle contraction to the skeletal system, while withstanding tension. Tendons, like ligaments, are made of collagen. The difference is that ligaments connect bone to bone, while tendons connect muscle to bone.
The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. [2] It terminates by dividing into plantar, main, and recurrent components. The main portion inserts into the tuberosity of the navicular bone. [2]
The Achilles tendon is the muscle tendon of the triceps surae, a "three-headed" group of muscles—the soleus and the two heads of the gastrocnemius. The main function of the triceps surae is plantar flexion, i.e. to stretch the foot downward.
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.