Foot And Ankle Anatomy
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Introduction








Regions of the Foot
- Hindfoot: begins at the ankle joint, ends stops at the transverse tarsal joint
- Midfoot: begins at the transverse tarsal joint, ends at the tarsometatarsal joint
- Bones of the midfoot: navicular, cuboid, and the three cuneiforms
- Forefoot: Starts at the tarsometatarsal joint, ends with the digits
- Bones: metatarsals, phalanges, and sesamoids
Columns the foot
- Medial column
- More mobile
- Composed of talus, navicular, medial cuneiform, 1st metatarsal, and great toe
- Lateral column
- More stiff
- Composed of calcaneus, cuboid, 4th and 5th metatarsals
Joint Function in the Foot
- Mobile Joints of the Foot and Ankle (Essential Joints)
- Ankle Joint (tibiotalar joint)
- Subtalar Joint
- Talonavicular Joint
- Metatarsophalangeal Joint
- Joints that Move a Moderate Amount
- Calcaneocuboid Joint
- Cuboidmetatarsal Joint for the fourth, fifth metatarsal.
- Proximal Interphalangeal Joint of the Foot
- Distal Interphalangeal Joint of the Foot
- Joints with Minimal Movement (Non-Essential Joints)
Muscles of the Lower Leg
Anterior Compartment of the Leg
Lateral Compartment of the Leg
Superficial Posterior Compartment of the Leg
Deep Posterior Compartment of the Leg
Intrinsic Muscles of the Foot
Plantar Surface
- First Layer
- Second Layer
- Third Layer
- Fourth Layer
Dorsal Surface
Bones
- Hallux Sesamoid
- Lesser Metatarsal Sesamoids
- Interphalangeal Joint Sesamoid of the Great Toe
- Os Trigonum
- Os Peroneum
- Os Naviculare
- Os Intermetatarseum
- Os Vesalianum
- Os Supranaviculare
- Os Supratalare
- Os Talotibiale
- Os Calcaneus Secundarium
Joints
Hindfoot/Midfoot
- Subtalar Joint
- Chopart Joint (Transverse Tarsal Joint)
Midfoot
- Intertarsal
- Lisfranc Joint
- Intermetatarsal Joints
Forefoot
Ligaments
Distal Tibiofibular Syndesmosis
- Anterior Inferior Tibiofibular Ligament
- Interosseous Ligament of the Leg
- Posterior Inferior Tibiofibular Ligament
- Transverse Tibiofibular Ligament
- Anterior Talofibular Ligament (ATFL)
- Calcaneofibular Ligament (CFL)
- Posterior Talofibular Ligament (PTFL)
- Superficial
- Deep
Ligaments of the Sinus Tarsi
Ligaments of the Lisfranc Joint
Ligaments of the Chopart Joint
- Talocalcaneonavicular joint
- Dorsal Talonavicular Ligament
- Spring Ligament Complex
- Calcaneonavicular component of the Bifurcate Ligament
- Calcaneocuboid Joint
- Calcaneocuboid part of the Bifurcate Ligament
- Dorsal Calcaneocuboid Ligament
- Long Plantar Ligament
- Plantar Calcaneocuboid Ligament (short plantar ligament)
Ligaments of the Intermetatarsal Joints
- Dorsal Intermetatarsal Ligaments
- Plantar Intermetatarsal Ligaments
- Interosseous Intermetatarsal Ligaments
- Deep Transverse Metatarsal Ligaments
Ligaments of the Toes
Nerves
Vascular Supply
- Popliteal Artery
- Anterior Tibial Artery
- Dorsal Pedis Artery
- Lateral Tarsal Artery
- Arcuate Artery
- Metatarsal Artery
- Plantar Digital Artery
- Dorsal Pedis Artery
- Posterior Tibial Artery
- Medial Plantar Artery
- Lateral Plantar Artery
- Fibular Artery
- Calcaneal Anastomosis
- Anterior Tibial Artery
Bursae of the Foot and Ankle
- Retrocalcaneal Bursa
- Subcutaneous Calcaneal Bursa
- Intermetatarsal Bursae
- Subtendinous bursa of the tibialis posterior
- Malleolar bursae (medial and lateral)
- Bursa of the first metatarsophalangeal joint (common in bunions)
- Bursa of the flexor hallucis longus tendon
- Bursa of the Extensor Digitorum Longus (Gruberi Bursa)
- Subcutaneous Bursa of Medial Malleolus
- Lateral Premalleolar Bursa
- Metatarsophalangeal Bursa
Other Anatomic Structures
Retinacula
Tendons
Other
Biomechanics
Ankle
- Dorsiflexion: 20-30°
- Plantarflexion: 40-50°
- Pronation: 30°
- Supination: 60°
Foot
- Inversion: 35°
- Eversion: 25°
Metatarsophalangeal joints
- Flexion: 30°
- Extension: 80°
Interphalangeal joints of toes
- Flexion: 50°
- Extension: 50°
See Also
Internal
External
- Sports Medicine Review Ankle Pain: https://www.sportsmedreview.com/by-joint/ankle/
- Sports Medicine Review Foot Pain: https://www.sportsmedreview.com/by-joint/foot/
References
- ↑ Rohen, Johannes W., Chihiro Yokochi, and Elke Lutjen-Drecoll. Photographic atlas of anatomy. Lippincott Williams & Wilkins, 2020.
- ↑ Case courtesy of OpenStax College, Radiopaedia.org, rID: 42753
- ↑ Image courtesy of ce4rt.com
- ↑ Almoallim, Hani, et al. "Approach to Musculoskeletal Examination." Skills in Rheumatology (2021): 17-65.
- ↑ Liu, Jiayong, Daniel Valentine, and Nabil A. Ebraheim. "Management of syndesmosis injury: A narrative review." Orthopedic Research and Reviews (2022): 471-475.
- ↑ Fraser, John J., Mark A. Feger, and Jay Hertel. "Midfoot and forefoot involvement in lateral ankle sprains and chronic ankle instability. Part 1: anatomy and biomechanics." International journal of sports physical therapy 11.6 (2016): 992.
- ↑ Image courtesy of askmsk.in