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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.
As stated earlier, musculoskeletal disorders can cost up to $15–$20 billion in direct costs or $45–$55 billion in indirect expenses. This is about $135 million a day. [ 20 ] Tests that confirm or correct TTS require expensive treatment options like X-rays, CT-scans, MRI and surgery.
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
Acting via the Achilles tendon, the gastrocnemius and soleus muscles cause plantar flexion of the foot at the ankle. This action brings the sole of the foot closer to the back of the leg. The gastrocnemius also flexes the leg at the knee. Both muscles are innervated by the tibial nerve. [14]
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.
Main Action Fibularis longus: Head and superior two thirds of lateral surface of fibula: Base of 1st metatarsal and medial cuneiform: Superficial fibular nerve (L5, S1, S2) Everts foot and weakly plantarflexes ankle Fibularis brevis: Inferior two thirds of lateral surface of fibula: Dorsal surface of tuberosity on lateral side of base of 5th ...
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
If the quality of tissues is poor, such as from a neglected injury, a reinforcement mesh is an option. These meshes can be of collagen, Artelon or other degradable material. In the case of both poor tissue and significant loss of the Achilles tendon, the flexor hallucis longus tendon can be used.
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