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Achilles tendon at foetus. The Achilles tendon connects muscle to bone, like other tendons, and is located at the back of the lower leg. The Achilles tendon connects the gastrocnemius and soleus muscles to the calcaneal tuberosity on the calcaneus (heel bone). [10] The tendon begins near the middle of the calf, and receives muscle fibers on its ...
The Achilles reflex checks if the S 1 and S 2 [3] nerve roots are intact and could be indicative of sciatic nerve pathology. It is classically delayed in hypothyroidism. This reflex is usually absent in disk herniations at the L 5 —S 1 level. A reduction in the ankle jerk reflex may also be indicative of peripheral neuropathy.
The summit of the medial malleolus is marked by a rough depression behind, for the attachment of the deltoid ligament. The major structure that passes anterior to the medial malleolus is the saphenous vein. Structures that pass behind medial malleolus deep to the flexor retinaculum: Tibialis posterior tendon; Flexor digitorum longus
The gastrocnemius muscle is prone to spasms, which are painful, involuntary contractions of the muscle that may last several minutes. [5] A severe ankle dorsiflexion force may result in a Medial Gastrocnemius Strain (MGS) injury of the muscle, commonly referred to as a "torn" or "strained" calf muscle, which is acutely painful and disabling. [6]
Soleus muscles have more slow muscle fibers than many other muscles. In some animals, such as the guinea pig and cat, soleus consists of 100% slow muscle fibers. [6] [7] Human soleus fiber composition is variable, containing between 60% and 100% slow fibers. [8] The soleus is the most effective muscle for plantarflexion in a bent knee position.
The muscles within the calf correspond to the posterior compartment of the leg. The two largest muscles within this compartment are known together as the calf muscle and attach to the heel via the Achilles tendon. Several other, smaller muscles attach to the knee, the ankle, and via long tendons to the toes.
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At its upper end, it is attached to the head of the fibula, and its "belly" runs down along most of this bone. The muscle becomes a tendon that wraps around and behind the lateral malleolus of the ankle, then continues under the foot to attach to the medial cuneiform and first metatarsal. It is supplied by the superficial fibular nerve.