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Subtalar arthroereisis is primarily used for the treatment of flexible pes planus, a condition characterized by the loss of the medial longitudinal arch, abduction of the forefoot, and excessive subtalar eversion. [4] This surgical procedure is specifically designed to address the biomechanical abnormalities associated with flexible flatfoot. [4]
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.
A myotome is the group of muscles that a single spinal nerve innervates. [1] Similarly a dermatome is an area of skin that a single nerve innervates with sensory fibers. Myotomes are separated by myosepta (singular: myoseptum). [2] In vertebrate embryonic development, a myotome is the part of a somite that develops into muscle.
The fibularis brevis (bottom-most label) is a muscle of the lower leg and aids in plantar flexion and eversion of the foot. The fibularis brevis arises from the lower two-thirds of the lateral, or outward, surface of the fibula (inward in relation to the fibularis longus) and from the connective tissue between it and the muscles on the front and back of the leg.
The fibularis longus also tilts the sole of the foot away from the midline of the body . Because of the angle at which it crosses the sole of the foot, it plays an important role in maintaining the transverse arch of the foot. [2] Together, the fibularis muscles help to steady the leg upon the foot, especially in standing on one leg. [2]
The muscle ends as a tendon of insertion. The tendon passes through a distinct compartment in the inferior extensor retinaculum of foot. It crosses anterior tibial vessels lateromedially near the bend of the ankle. [citation needed] In the foot, its tendon is situated at along the medial side of the dorsum of the foot. [1]
The joint allows inversion and eversion of the foot, but plays minimal role in dorsiflexion or plantarflexion of the foot. [5] The centre of rotation of the subtalar joint is thought to be in the region of the middle facet. [3] It is considered a plane synovial joint, also commonly referred to as a gliding joint. [6]
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]