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The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially.
Main Action ! Gastrocnemius: Lateral head: lateral aspect of lateral condyle of femur Medial head: popliteal surface of femur; superior to medial condyle: Posterior surface of calcaneus via calcaneal tendon: Tibial nerve (S1, S2) Plantarflexes ankle when knee is extended; raises heel during walking; flexes leg at knee joint Plantaris
Flexor hallucis longus tendon. [2] In the tunnel, the tibial nerve splits into three different paths. [3] The medial calcaneal branches of the tibial nerve continues to the heel, while the medial plantar nerve and the lateral plantar nerve continue on to the bottom of the foot. [3]
Enumerated from the medial side, the four canals which it forms transmit the tendons of the tibialis posterior and flexor digitorum longus muscles; the posterior tibial artery and tibial nerve, which run through a broad space beneath the ligament; and lastly, in a canal formed partly by the talus, the tendon of the flexor hallucis longus.
The fibularis muscles are highly variable. Several variants are occasionally present, including the peroneus digiti minimi and the peroneus quartus. [2] The quartus is more closely associated with the tendons of the extensor digitorum longus and may send a small tendon to the fifth (or little) toe.
It is an abductor and a weak flexor, and also helps maintain the arch of the foot. Lateral to the abductor hallucis is the flexor hallucis brevis, which originates from the medial cuneiform bone and from the tendon of the tibialis posterior. The flexor hallucis has a medial and a lateral head inserted laterally to the abductor hallucis.
Main Action Tibialis anterior: Lateral condyle and superior half of lateral surface of tibia and interosseous membrane: Medial and inferior surfaces of medial cuneiform and base of 1st metatarsal: Deep fibular (peroneal) nerve (L4, L5) Dorsiflexes ankle and inverts foot Extensor hallucis longus
The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively. The tendons of both of these muscles cross as they reach their distal attachments. In other words, the flexor hallucis longus arises laterally, while the flexor digitorum longus arises medially.