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This muscle varies considerably in the modes of origin and the arrangement of its various tendons. The tendons to the second and fifth toes may be found doubled, or extra slips are given off from one or more tendons to their corresponding metatarsal bones, or to the short extensor, or to one of the interosseous muscles.
Occasionally united at its origin with the extensor digitorum longus.. The extensor ossis metatarsi hallucis, a small muscle, sometimes found as a slip from the extensor hallucis longus, or from the tibialis anterior, or from the extensor digitorum longus, or as a distinct muscle; it traverses the same compartment of the transverse ligament with the extensor hallucis longus.
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
Kristin Lettenberger, PT, DPT, CSCS, is a physical therapist at Bespoke Treatments in New York City. Rachelle A. Reed, PhD, MS, ACSM-EP, is an exercise physiologist. What Muscle Memory Actually Means.
Extensor carpi radialis longus; Extensor carpi radialis brevis; Extensor carpi ulnaris; Extensor digitorum; of phalanges, at all joints Posterior compartment of the forearm. Extensor digitorum; Extensor digiti minimi (little finger only) Extensor indicis (index finger only) of phalanges, at interphalangeal joints [4] Lumbricals of the hand
Extensor hallucis longus: Middle part of anterior surface of fibula and interosseous membrane: Dorsal aspect of base of distal phalanx of great toe (hallux) Extends great toe and dorsiflexes ankle Extensor digitorum longus: Lateral condyle of tibia and superior three quarters of medial surface of fibula and interosseous membrane
Diagnosis is based upon physical examination findings. Patients' pain history and a positive Tinel's sign are the first steps in evaluating the possibility of tarsal tunnel syndrome. X-ray can rule out fracture. MRI can assess for space occupying lesions or other causes of nerve compression. Ultrasound can assess for synovitis or ganglia.
The arch is further supported by the plantar aponeurosis, by the small muscles in the sole of the foot (short muscles of the big toe), by the tendons of the tibialis anterior and posterior and fibularis longus, flexor digitorum longus, flexor hallucis longus and by the ligaments of all the articulations involved. [1]