Ankle, Foot & Lower Leg

1. Ankle, Foot & Lower Leg Look at your coloring sheet as you go thru these Muscles and Movements

2. Achilles Tendon

3. Achilles Tendon • Origin • Stems from the distal ends of both the Soleus and Gastrocnemius Muscles • Insertion • Posterior Surface of the Calcaneus • Palpation • Very easy to palpate the distal end of the calf to the Calcaneus

4. Motions

5. Extensor Digitorum Longus

6. Extensor Digitorum Longus • Origin • Lateral Condyle of the tibia, Fibular Head, upper two thirds of anterior fibula • Insertion • Tops of the Distal and Middle 2 - 5 Phalanges • Palpation • 2nd Muscle upper lateral side of tibia / RROM Toe ext dorsal foot

7. Motions

8. Extensor Digitorum Brevis

9. Extensor Digitorum Brevis • Origin • Anterior/Lateral Surface of the Calcaneus • Insertion • Tops of the Distal and Middle 2 - 5 Phalanges • Palpation • Can not

10. Motions

11. Extensor Hallucis Longus

12. Extensor Hallucis Longus • Origin • Middle 2/3 of medial anterior fibula • Insertion • Top of the distal 1st Phalange • Palpation • RROM Great Toe Ext

13. Motions

14. Extensor Hallucis Brevis

15. Extensor Hallucis Brevis • Origin • Anterior Lateral part of the upper Calcaneus • Insertion • Dorsal surface on the base of the 1st Proximal Phalange • Palpation • Can Not

16. Motions

17. Flexor Digitorum Longus

18. Flexor Digitorum Longus • Origin • lower two thirds of the posterior tibia • Insertion • Base of the distal phalanx of toes 2-5 • Palpation • Can not palpate

19. Motions

20. Flexor Digitorum Brevis

21. Flexor Digitorum Brevis • Origin • Medial Calcaneal Tuberosity • Insertion • Divides into two heads at the base of the Proximal Phalange • Allowing the FDL to slip through • Attaching to each side of the middle phalange 2-5 • Palpation • Plantar side of the foot with RROM Toe Flexion

22. Motions

23. Flexor Hallucis Longus

24. Flexor Hallucis Longus • Origin • Lower two thirds of the posterior fibula • Insertion • Base of the distal posterior big toe • Palpation • Down the medial malleolus RROM Big toe flexion

25. Motions

26. Flexor Hallucis Brevis

27. Flexor Hallucis Brevis • Origin • 2 Heads • Plantar surface of the Cuboid & 3rd Cuneiform • Plantar surface of the 2nd and 1st Cuneiforms • Insertion • 2 Heads • One on each side of the Base of the Proximal 1st Phalange • Encompasses a Sesmoid • Palpation • Unable – Irritation with the Sesmoids however

28. Motions

29. Gastrocnemius

30. Gastrocnemius • Origin • Posterior surfaces of the two femor condyles • Insertion • posterior surface of calcaneus • Palpation • Easiest muscle to palpate Upper posterior lower leg

31. Motions

32. Preoneus Longus

33. Peroneus Longus • Origin • Head and upper thirds of the outer surface of the fibula • Insertion • undersurfaces of the 2nd cuneiform and first metatarsal • Palpation • third muscle on the lateral side of the tibia, upper lateral tibia

34. Motions

35. Peroneus Brevis

36. Peroneus Brevis • Origin • Lower two thirds of the lateral surface of the fibula • Insertion • Styloid Process • Palpation • Palpate at the Styloid Process

37. Motions

38. Peroneus Tertius

39. Peroneus Tertius • Origin • Lower third of the lateral surface of the fibula • Insertion • Styloid Process • Palpation • Palpate at the Styloid Process

40. Motions 5th

41. Plantaris

42. Plantaris • Origin • Posterior / Medial side of the Lateral Femoral Condyle • Insertion • Medial / Posterior Surface of the Calcaneus • Palpation • Partially at Insertion Point

43. Motions

44. Soleus

45. Soleus • Origin • Upper two thirds of the posterior surfaces of the tib/fib • Insertion • posterior surface of calcaneus • Palpation • under gastroc on the lateral side of the lower leg

46. Motions

47. Tibialis Anterior

48. Tibialis Anterior • Origin • Upper two thirds of the lateral surface of the tibia • Insertion • Medial surface of the 1st cuneiform and first met • Palpation • First muscle on the lateral side of the tibia

49. Motions

50. Tibialis Posterior