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Foot, Ankle, & Lower Leg

Anatomical Structures
Foot and Ankle Overview
Bones:
– Tibia (Medial Malleolus)
– Fibula (Lateral Malleolus)
– Tarsals
Talus
Calcaneus
Navicular
Cuboid
1st, 2nd, and 3rd Cuneiforms
– Metatarsals
– Phalanges (Toes)
Muscles:
– Extensor Digitorum Longus=Dorsi Flexion/Toe Ext.
– Extensor Hallucis Longus=Dorsi Flexion/Big Toe Ext.
– Tibialis Anterior=Dorsi Flexion/Inversion
– Peroneus Tertius=Dorsi Flexion/Inversion
– Peroneus Longus & Brevis=Plantar Flexion/Eversion
– Gastrocnemius=Plantar Flexion (Knee Extended)
– Soleus=Plantar Flexion (Knee Flexed)
– Tibialis Posterior=Plantar Flexion/Inversion
– Flexor Digitorum Longus=Plantar Flexion/Toe Flexion
– Flexor Hallucis Longus=Plantar Flexion/Big Toe
Flexion
Ligaments:
– Anterior Tibiofibular
– Anterior Talofibular
– Calcaneofibular
– Posterior Tibiofibular
– Posterior Talofibular
– Deltoids (Medial Side)
Tendons:
– Achilles Tendon
Bones
28 bones in the foot
Toes = phalanges (14 bones)
Sesamoids
Metatarsals (5 bones)
Cuboid, Navicular, Cuneiforms (3)
Talus, Calcaneus
The Bones of the Foot
Arches of the Foot
Longitudinal Arch
Runs from Calcaneus to the Metatarsal
Heads
Acts as a shock absorber
Base of the Feet are very important!
Longitudinal Arch
Ligaments
What does a ligament do?

What is the name for the injury to a


ligament?
Lateral Ligaments
Anterior Talofibular Ligament (ATF)
Calcaneofibular Ligament (CF)
Posterior Talofibular Ligament (PTF)
Lateral Foot Ligaments
Medial Ligaments
Deltoid Ligament (4 ligaments make up 1)
Bones of Lower Leg
Tibia
Fibula
Medial malleolus (end of tibia)
Lateral malleolus (end of fibula)
Bones of Lower Leg
Muscles of lower leg, ankle, & foot
Gastrocnemius
Soleus (Achilles Tendon)
Tibialis Anterior
Extensor Digitorum Longus
Peroneus Longus and Peroneus Brevis
Flexor Digitorum Longus
Flexor Hallucis Longus
Muscles of Lower Leg Structures
Muscles of Lower Leg
Interosseus Membrane
Nerve Supply
Sciatic Nerve
Tibial Nerve
Deep Peroneal Nerve
Superficial Peroneal Nerve
Nerve Supply
Blood Supply
Pes Planus or Cavus
Pes Planus = flat footed

Pes Cavus = high arch


Pes planus or cavus
The Gait Cycle
Have you ever watched people walk?

What do you notice?

Do you think that this can leave people


susceptible to injuries?
The Gait Cycle

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