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The three tendons, from front to back, that conjoin to form the pes anserinus come from the sartorius muscle, the gracilis muscle, and the semitendinosus muscle. [1] [2] It inserts onto the proximal anteromedial surface of the tibia. [2] The pes anserinus is around 5 cm below the medial tibial joint line. [2]
The inferior extensor retinaculum of the foot (cruciate crural ligament, lower part of anterior annular ligament) is a Y-shaped band placed in front of the ankle-joint, the stem of the Y being attached laterally to the upper surface of the calcaneus, in front of the depression for the interosseous talocalcaneal ligament; it is directed medialward as a double layer, one lamina passing in front ...
The two heads of each muscle form a central tendon which passes forwards deep to the deep transverse metatarsal ligament. [1] The tendons are inserted on the bases of the second, third, and fourth proximal phalanges [2] and into the aponeurosis of the tendons of the extensor digitorum longus [3] without attaching to the extensor hoods of the toes.
The muscle originates from the forepart of the upper and lateral surface of the calcaneus (in front of the groove for the peroneus brevis tendon), from the interosseous talocalcaneal ligament and the stem of the inferior extensor retinaculum. The fibres pass obliquely forwards and medially across the dorsum of the foot and end in four tendons.
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 superior extensor retinaculum binds down the tendons of extensor digitorum longus, extensor hallucis longus, peroneus tertius, and tibialis anterior as they descend on the front of the tibia and fibula; under it are found also the anterior tibial vessels and deep peroneal nerve. [1]
The flexor retinaculum of the foot extends from the medial malleolus above, to the calcaneus below. [1] This converts a series of bony grooves into canals for the passage of the tendons of the flexor muscles and the posterior tibial vessels and tibial nerve into the sole of the foot, known as the tarsal tunnel.
The posterior border is broad and presents the shallow malleolar sulcus, for the passage of the tendons of the peronæi longus and brevis. The summit is rounded and gives attachment to the calcaneofibular ligament. A major structure that is located between the lateral malleolus and the Achilles tendon is the sural nerve.