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Deep anatomy of the sole. The glabrous skin on the sole of the foot lacks the hair and pigmentation found elsewhere on the body, and it has a high concentration of sweat pores. The sole contains the thickest layers of skin on the body due to the weight that is continually placed on it.
In addition, the plantar fascia has a critical role in normal mechanical function of the foot, contributing to the "windlass mechanism". When the toes are dorsiflexed in the propulsive phase of gait, the plantar fascia becomes tense, resulting in elevation of the longitudinal arch and shortening of the foot (see 3A).
Ligaments of the sole of the foot, with the tendons of the peronaeus longus, Ttbialis posterior and tibialis anterior muscles. (Plantar intermetatar. lig. labeled at upper left.) The ligaments of the foot from the lateral aspect.
The long plantar ligament is the longest of all the ligaments of the tarsus.It is attached behind to the plantar surface of the calcaneus in front of the tuberosity, and in front to the tuberosity on the plantar surface of the cuboid bone, the more superficial fibers being continued forward to the bases of the second, third, and fourth metatarsal bones.
The tarsometatarsal joints (Lisfranc joints) are arthrodial joints in the foot. The tarsometatarsal joints involve the first, second and third cuneiform bones, the cuboid bone and the metatarsal bones. The eponym of Lisfranc joint is 18th–19th-century surgeon and gynecologist Jacques Lisfranc de St. Martin. [1]
The sole of the foot is one of the most highly vascularized regions of the body surface, and the dense system of blood vessels further stabilize the septa. [ 1 ] The Achilles tendon is the muscle tendon of the triceps surae , a "three-headed" group of muscles—the soleus and the two heads of the gastrocnemius .
The medial plantar nerve supplies: the abductor hallucis, the flexor digitorum brevis, the flexor hallucis brevis and the first lumbrical.Cutaneous distribution of the medial plantar nerve is to the medial sole and medial three and one half toes, including the nail beds on the dorsum (like the median nerve in the hand).
Lower limb. Foot. Cutaneous innervation of the lower limbs is the nerve supply to areas of the skin of the lower limbs (including the feet) which are supplied by specific cutaneous nerves. Modern texts are in agreement about which areas of the skin are served by which nerves, but there are minor variations in some of the details.