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A patient recovering from surgery to treat foot drop, with limited plantar and dorsiflexion.. Foot drop is a gait abnormality in which the dropping of the forefoot happens out of weakness, irritation or damage to the deep fibular nerve (deep peroneal), including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg.
The anterior compartment of the leg is a fascial compartment of the lower leg.It contains muscles that produce dorsiflexion and participate in inversion and eversion of the foot, as well as vascular and nervous elements, including the anterior tibial artery and veins and the deep fibular nerve.
These terms are used to resolve confusion, as technically extension of the joint is dorsiflexion, which could be considered counter-intuitive as the motion reduces the angle between the foot and the leg. [27] Dorsiflexion is where the toes are brought closer to the shin. This decreases the angle between the dorsum of the foot and the leg. [28]
It originates from the upper portion of the tibia; it inserts into the medial cuneiform and first metatarsal bones of the foot. It acts to dorsiflex and invert the foot. This muscle is mostly located near the shin. It is situated on the lateral side of the tibia; it is thick and fleshy above, tendinous below.
Pronation is a natural movement of the foot that occurs during foot landing while running or walking. Composed of three cardinal plane components: subtalar eversion, ankle dorsiflexion, and forefoot abduction, [1] [2] these three distinct motions of the foot occur simultaneously during the pronation phase. [3]
The ankle jerk reflex, also known as the Achilles reflex, occurs when the Achilles tendon is tapped while the foot is dorsiflexed. It is a type of stretch reflex that tests the function of the gastrocnemius muscle and the nerve that supplies it. A positive result would be the jerking of the foot towards its plantar surface.
The leg muscles acting on the foot are called the extrinsic foot muscles whilst the foot muscles located in the foot are called intrinsic. [28] Dorsiflexion (extension) and plantar flexion occur around the transverse axis running through the ankle joint from the tip of the medial malleolus to the tip of the lateral malleolus.
The ankle dorsiflexion is a result of the tibia moving forward over the foot and is facilitated by eccentric control provided by the soleus. [ 5 ] [ 11 ] Concurrently, the knee reaches full extension and as the heel rises off the ground the ankle begins to plantar flex.