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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.
The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively. The tendons of both of these muscles cross as they reach their distal attachments. In other words, the flexor hallucis longus arises laterally, while the flexor digitorum longus arises medially.
Studies have varied as to whether broken big toes are more or less common than broken lesser toes. [1] In a UK study involving nearly 6000 fractures seen in hospital, 3.6% were broken toes. [10] Fractures of big toes make up about a fifth [3] or third [8] of all toe fractures, and 5.5% of all foot and ankle fractures in major US trauma ...
The flexor hallucis brevis is located just inferior to the foot and toe bones. As its name suggests, its contraction results in flexion of the big toe (hallux). As its name suggests, its contraction results in flexion of the big toe (hallux).
The medial plantar nerve supplies: the abductor hallucis, the flexor digitorum brevis, the flexor hallucis brevis and the first lumbrical.Cutaneous distribution of the medial plantar nerve is to the medial sole and medial three and one half toes, including the nail beds on the dorsum (like the median nerve in the hand).
The flexor digitorum longus runs along the medial posterior side of the lower leg and aids in flexions of the toes (apart from the big toe). The flexor digitorum longus muscle arises from the posterior surface of the body of the tibia, from immediately below the soleal line to within 7 or 8 cm of its lower extremity, medial to the tibial origin of the tibialis posterior muscle.
Toe flexors are innervated by the tibial nerve. Toe extensors (extensor hallucis longus, extensor digitorum longus) are innervated by the deep peroneal nerve. Loss of normal adult descending pyramidal control of the reflex arc to suppress extensor withdrawal results in the upgoing toes in the plantar reflex known as Babinski's sign. [11]
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]