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However, human feet, and the human medial longitudinal arch, differ in that the anterior part of the foot is medially twisted on the posterior part of the foot, [12] so that all the toes may contact the ground at the same time, and the twisting is so marked that the most medial toe, the big toe or hallux, (in some individuals the second toe ...
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament supports the ankle joint and also resists excessive eversion of the foot. [1] The deltoid ligament is composed of 4 fibers:
The three tendons, from front to back, that conjoin to form the pes anserinus come from the sartorius muscle, the gracilis muscle, and the semitendinosus muscle. [1] [2] It inserts onto the proximal anteromedial surface of the tibia. [2] The pes anserinus is around 5 cm below the medial tibial joint line. [2]
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. The amount of flexion is very considerable, but extension is limited by the plantar and collateral ligaments.
The summit of the medial malleolus is marked by a rough depression behind, for the attachment of the deltoid ligament. The major structure that passes anterior to the medial malleolus is the saphenous vein. Structures that pass behind medial malleolus deep to the flexor retinaculum: Tibialis posterior tendon; Flexor digitorum longus; Posterior ...
Flexor hallucis longus tendon. [2] In the tunnel, the tibial nerve splits into three different paths. [3] The medial calcaneal branches of the tibial nerve continues to the heel, while the medial plantar nerve and the lateral plantar nerve continue on to the bottom of the foot. [3]
Ligaments of the sole of the foot, with the tendons of the peronaeus longus, tibialis posterior and tibialis anterior muscles. The plantar ligaments consist of longitudinal and oblique bands, disposed with less regularity than the dorsal ligaments.
The flexor retinaculum of the foot extends from the medial malleolus above, to the calcaneus below. [1] 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.
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