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Lower Limb exam 2 - muscles
muscles for the 2nd lower limb exam
69
Medical
Professional
01/26/2013

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Term
muscles of the first layer
Definition
abductor hallucis
flexor digitorum brevis
abductor digiti minimi
Term
muscles of the second layer
Definition
quadratus plantae
4 lumbricals
Term
muscles of the third layer
Definition
flexor hallucis brevis
adductor hallucis
flexor digiti minimi brevis
Term
muscles of the fourth layer
Definition
3 plantar interossei
4 dorsal interossei
Term
abductor hallucis
Definition
1st layer plantar muscle
large muscle with a proximal expanded part covering the entrance of the plantar vessels and nerves into the foot (porta pedis)
Term
origin of the abductor hallucis
Definition
medial process of the calcaneal tuberosity
Term
insertion of the abductor hallucis
Definition
medial side of the plantar surface of the base of the proximal phalanx of the 1st digit
Term
innervation of the abductor hallucis
Definition
medial plantar nerve
Term
function of the abductor hallucis
Definition
abducts the 1st digit
Term
flexor digitorum brevis
Definition
1st layer plantar muscle
lies deep to the central part of the plantar aponeurosis
Term
origin of the flexor digitorum brevis
Definition
plantar aponeurosis
medial and lateral intermuscular septa
medial process of calcaneal tuberosity
Term
insertion of the flexor digitorum brevis
Definition
middle phalanges of the lateral 4 digits
Term
innervation of the flexor digitorum brevis
Definition
medial plantar nerve
Term
function of the flexor digitorum brevis
Definition
flexor of the proximal IP joints of the 4 lateral digits and of the MP joints
Term
variation of the flexor digitorum brevis
Definition
tendon of the 5th digit may be absent
Term
abductor digiti minimi
Definition
1st layer plantar muscle
lies superficially along the lateral margin of the foot
Term
origin of the abductor digiti minimi
Definition
lateral and medial processes of the calcaneal tuberosity
Term
insertion of the abductor digiti minimi
Definition
lateral side of the plantar surface of the proximal phalanx of the 5th digit
Term
innervation of the abductor digiti minimi
Definition
lateral plantar nerve
Term
function of the abductor digiti minimi
Definition
abduct and flex the 5th digit
Term
abductor os metatarsal digiti minimi
Definition
accessory insetion into the base of the 5th met forming a variation on the abductor digiti minimi
Term
quadratus plantae
Definition
2nd layer plantar muscle
has two heads of origin separated form each other by the long plantar ligament
Term
origin of the quadratus plantae
Definition
larger medial head - medial process of the calcaneus
smaller lateral head - lateral process of the plantar surface of the calcaneus
Term
insertion of the quadratus plantae
Definition
tendon of the flexor digitorum longus
Term
innervation of the quadratus plantae
Definition
trunk of the lateral plantar nerve
Term
function of the quadratus plantae
Definition
accessory flexor of the later 4 toes
Term
variations of the quadratus plantae
Definition
eather the lateral head or the entire muscle may be absent
Term
origin of the 2nd, 3rd and 4th lumbricals
Definition
adjacent sides of the tendon2 of flexor digitorum longus
Term
origin of the 1st lumbrical
Definition
medial side of the most medial tendon of flexor digitorum longus
Term
insertion of the 1st lumbrical
Definition
extensor expansion of the 2nd digit
Term
insertion of the 2nd lumbrical
Definition
extensor expansion of the 3rd digit
Term
insertion of the 3rd lumbrical
Definition
extensor expansion of the 4th digit
Term
insertion of the 4th lumbrical
Definition
extensor expansion of the 5th digit
Term
innervation of the 1st lumbrical
Definition
medial plantar nerve
Term
innervation of the 2nd, 3rd and 4th lumbricals
Definition
deep branch of the lateral plantar nerve
Term
function of the lumbricals
Definition
flex the MP joints and extend the IP joints
Term
variations on the lumbricals
Definition
one or more lumbricals may be absent
3rd or 4th lumbrical may be doubled
may insert into the bone of the proximal phalanx instead of the extensor expansion
Term
origin of the flexor hallucis brevis
Definition
lateral head - cuboid, near the peroneal groove
deep fibers of medial head - tendon of tibialis posterior
superficial fibers of medial head - intermuscular septum between the medial and central compartments
Term
insertion of the flexor hallucis brevis
Definition
medial head - medial side of the plantar surface of the base of the proximal phalanx, medial sesmoid and plantar pad of the hallux
lateral head - lateral side of the plantar surface of the base of the proximal phalanx, lateral sesmoid and plantar pad of the hallux
Term
innervation of the flexor hallucis brevis
Definition
medial plantar nerve
Term
function of the flexor hallucis brevis
Definition
flexes the 1st MP joint
Term
variations of the flexor hallucis brevis
Definition
attachment tot he cuboid may be absent and there may be an additional insertion into the proximal phalanx of the 2nd digit
Term
origin of the adductor hallucis
Definition
oblique head - plantar surface of the bases of the 2nd, 3rd and 4th mets and from the tendon of peroneus longus
transverse head - plantar plates, plantar MP ligaments and the deep transverse metatarsal ligament
Term
insertion of the adductor hallucis
Definition
lateral side of the plantar surface of the base of the proximal phalanx, lateral sesmoid and the plantar pad of the hallux
Term
innervation of the adductor hallucis
Definition
deep branch of the lateral plantar nerve
Term
function of the adductor hallucis
Definition
adducts the 1st toe at the 1st MP joints
Term
opponens hallucis
Definition
variation on the adductor hallucis
portion of the muscle inserts into the 1st met
Term
origin of the flexor digiti minimi brevis
Definition
plantar surface of the base of the 5th met
tendon of the peroneus longus
plantar aponeurosis
Term
insertion of the flexor digiti minimi brevis
Definition
plantar surface of the proximal phalanx of the 5th digit
Term
innervation of the flexor digiti minimi brevis
Definition
superficial branch of the lateral plantar nerve
Term
function of the flexor digiti minimi brevis
Definition
flex and abduct the 5th digit
Term
opponens digit minimi
Definition
variation on the flexor digiti minimi brevis
deeper fibers form a part of a separate muscle
Term
origin of the plantar interossei
Definition
bases and medial sides of the shafts of the 3rd, 4th and 5th mets
Term
insertion of the plantar interossei
Definition
medial sides of the bases of the proximal phalanges, capsules of the MP joints and extensor expansions
Term
innervation of the 1st and 2nd plantar interossei
Definition
deep branch of the lateral plantar nerve
Term
innervationof the 3rd plantar interossei
Definition
superficial branch of the lateral plantar nerve
Term
function of the plantar interossei
Definition
adductors of the 3rd, 4th and 5th digits
Term
origin of the dorsal interossei
Definition
adjacent sides of the metatarsal bones
Term
insertion of the 1st dorsal interossei
Definition
medial side of the proximal phalanx and extensor expansion of the 2nd digit
Term
insertion of the 2nd dorsal interossei
Definition
lateral side of the proximal phalanx and extensor expansion of the 2nd digit
Term
insertion of the 3rd dorsal interossei
Definition
lateral side of the proximal phalanx and extensor expansion of the 3rd digit
Term
insertion of the 4th dorsal interossei
Definition
lateral side of the proximal phalanx and extensor expansion of the 4th digit
Term
innervation of the 1st, 2nd and 3rd dorsal interossei
Definition
deep branch of the lateral plantar nerve
Term
innervation of the 4th dorsal interossei
Definition
superficial branch of the lateral plantar nerve
Term
function of the dorsal interossei
Definition
abductors of the digits
Term
muscles innervated by the medial plantar nerve
Definition
abductor hallucis
flexor digitorum brevis
1st lumbrical
flexor hallucis brevis
Term
muscles innervated by the trunk of the lateral plantar nerve
Definition
abductor digiti minimi
quadratus plantae
abductor os metatarsi digiti minimi (when present)
Term
muscles innervated by the deep branch of the lateral plantar nerve
Definition
2nd, 3rd and 4th lumbricals
adductor hallucis
1st and 2nd plantar interossei
1st, 2nd and 3rd dorsal interossei
Term
muscles innervated by the superficial branch of the lateral plantar nerve
Definition
flexor digiti minimi brevis
3rd plantar interossei
4th dorsal interossei
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