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The tendons to the second, third, and fourth toes are each joined, opposite the metatarsophalangeal articulations, on the lateral side by a tendon of the extensor digitorum brevis. The tendons are inserted in the following manner: each receives a fibrous expansion from the interossei and lumbricals, and then spreads out into a broad aponeurosis ...
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 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.
Extensor hallucis longus: Middle part of anterior surface of fibula and interosseous membrane: Dorsal aspect of base of distal phalanx of great toe (hallux) Extends great toe and dorsiflexes ankle Extensor digitorum longus: Lateral condyle of tibia and superior three quarters of medial surface of fibula and interosseous membrane
Tibialis posterior muscle: Interosseous membrane; posterior surface of tibia inferior to soleal line; posterior surface of fibula: Tuberosity of navicular, cuneiform, cuboid, and sustentaculum tali of calcaneus; bases of 2nd, 3rd, and 4th metatarsals
The tibial nerve, posterior tibial artery, posterior tibial vein, and flexor tendons travel in a bundle along this pathway through the tarsal tunnel, in the following order from anteromedial to posterolateral: Tibialis posterior tendon. [2] Flexor digitorum longus tendon. [2] Posterior tibial artery. [2] Posterior tibial vein. [1] Tibial nerve. [2]
The deltoid ligament is covered by the tendons of the tibialis posterior and flexor digitorum longus which are supplied by the tibial nerve (L4, L5, S1, S2, and S3). Additional Images [ edit ]
The lumbricals arise from the tendons of the flexor digitorum longus muscle, [1] 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.