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what is the insertion of the flexor hallucis longus

by Mr. Magnus Cronin MD Published 2 years ago Updated 2 years ago
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Flexor hallucis longus muscle insertion

Plantar surface; base of distal phalanx of hallux

Flexor hallucis longus muscle
Origin(Distal 2/3 of) Posterior surface of fibula, interosseous membrane, posterior intermuscular septum of leg, fascia of tibialis posterior muscle
InsertionBase of distal phalanx of great toe
InnervationTibial nerve (S2, S3)
2 more rows

Full Answer

What is the function of adductor longus?

  • Origin: front of the pubic bone
  • Insertion: middle portion of the linea aspera (between the insertions of the adductor magnus and brevis)
  • Action: adduction of the thigh; flexion of the thigh; medial rotation of the thigh (rotate the leg inward)

Is the adductor longus muscle parallel or pennate?

abdominis). In a fusiform muscle, the fibres may be close to parallel in the 'belly', but converge to a tendon at one or both ends. Where fibres are oblique to the line of pull, muscles may be triangular (e.g. temporalis, adductor longus) or pennate (feather -like) in construction. The latter vary in complexity (see

Is the anterior tibialis tendon a flexor or extensor?

The tibialis anterior muscle is flexor, inverter (in addition to posterior tibial muscle) and adductor (in addition to the long extensor of hallux) of the foot. Similarly, is Achilles tendon a flexor or extensor? It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus (heel) bone.

Is the quadriseps an extensor and a flexor muscle?

The quadriceps femoris is a hip flexor and a knee extensor. It consists of four individual muscles; three vastus muscles and the rectus femoris. They form the main bulk of the thigh, and collectively are one of the most powerful muscles in the body. [2] It is located in the anterior compartment of the thigh.

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Which is the insertion of the flexor hallucis longus quizlet?

INSERTION: Medial side of the base of the proximal phalanx of the great toe.

What is the action of the flexor hallucis longus?

Function. Similar to the flexor digitorum longus and tibialis posterior muscles, the flexor hallucis longus muscle functions to plantar flex and invert the foot. However, it is unique in that it also functions to flex the great toe and helps supinate the ankle.

What is the insertion of flexor hallucis brevis?

Flexor hallucis brevis muscleOriginTendon of tibialis posterior, medial cuneiform bone, lateral cuneiform bone, cuboid boneInsertionLateral and medial aspects of base of proximal phalanx of great toeActionMetatarsophalangeal joint 1: Toe flexion; Support of longitudinal arch of foot2 more rows

What is the origin and insertion of extensor hallucis longus?

Extensor hallucis longus muscle is a thin muscle that extends from the middle third of fibula to the distal phalanx of the big toe (hallux)....Extensor hallucis longus muscle.OriginMiddle third of medial surface of fibula, interosseous membraneInsertionBase of distal phalanx of great toe3 more rows

What is the origin insertion and action of the flexor hallucis longus?

Flexor hallucis longusFlexor hallucis longusThe flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.https://en.wikipedia.org › wiki › Flexor_hallucis_longus_muscleFlexor hallucis longus muscle - Wikipedia arises from the posterior two thirds of the fibula and descends on the fibular side of the leg. It then crosses over the posterior part of the ankle to emerge on the sole of the foot, where it passes anteriorly to insert on the great toe (hallux).

How do you activate flexor hallucis longus?

Flexor Hallucis LongusFlexor Hallucis LongusThe flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.https://en.wikipedia.org › wiki › Flexor_hallucis_longus_muscleFlexor hallucis longus muscle - Wikipedia (leg) exercises Place the resistance band around your big toe. Try to point your big toe against the resistance provided by the band while keeping the rest of your foot in the same position. You should only move your big toe, not your entire foot. Repeat 30 times then switch to your other foot.

Where do Hallucis muscles insert?

The abductor hallucis muscle is located in the medial border of the foot and contributes to form the prominence that is observed on the region. It is inserted behind on the tuberosity of the calcaneus, the flexor retinaculum, and the plantar aponeurosis.

Where is the flexor hallucis longus?

Flexor hallucis longusFlexor hallucis longusThe flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.https://en.wikipedia.org › wiki › Flexor_hallucis_longus_muscleFlexor hallucis longus muscle - Wikipedia (FHL) is a powerful muscle located on the posterior aspect of the fibula below the deep fascia of the calf. In its own synovial sheath, the tendon passes downwards, deep to the flexor retinaculum, crossing the posterior ankle joint, lateral to flexor digitorum longusflexor digitorum longusThe flexor digitorum longus (FDL) is part of the deep muscle group of the posterior compartment of the lower leg. Its primary action is flexion of digits 2-5 in the foot.https://www.physio-pedia.com › Flexor_digitorum_longusFlexor digitorum longus - Physiopedia.

What is the flexor hallucis longus tendon?

The flexor hallucis longusflexor hallucis longusThe flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.https://en.wikipedia.org › wiki › Flexor_hallucis_longus_muscleFlexor hallucis longus muscle - Wikipedia (FHL) tendon extends from the calf muscle, past the side of the ankle, and all the way to the big toe. This tendon helps you flex your big toe and stand on the tips of your toes.

What muscles perform toe extension?

The Extensor hallucis longus (EHL) is a thin muscle, situated between the Tibialis anterior and the Extensor Digitorum Longus in the anterior compartment of the lower leg. It provides the only active extension force to the interphalangeal joint and the primary active extension force to the metatarsophalangeal joint.

What is the extensor hallucis longus?

The extensor hallucis longus muscle is a thin skeletal muscle, situated between the tibialis anteriortibialis anteriorThe tibialis anterior muscle is a muscle in humans that originates along the upper two-thirds of the lateral (outside) surface of the tibia and inserts into the medial cuneiform and first metatarsal bones of the foot. It acts to dorsiflex and invert the foot.https://en.wikipedia.org › wiki › Tibialis_anterior_muscleTibialis anterior muscle - Wikipedia and the extensor digitorum longus. It extends the big toe and dorsiflects the foot. It also assists with foot eversion and inversion.

Which muscles extend the toes?

The dorsal group consists of two muscles, extensor digitorum brevis and extensor hallucis brevis. Both muscles act to extend the toes. They originate on the superolateral surface of the calcaneus and pass underneath the tendons of extensor digitorum longus as they pass over the dorsal aspect of the foot.

What is the flexor hallucis longus?

The flexor hallucis longusflexor hallucis longusThe flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.https://en.wikipedia.org › wiki › Flexor_hallucis_longus_muscleFlexor hallucis longus muscle - Wikipedia originates at the posterior surface of the fibula, inserting at the plantar aspect at the base of the distal phalanx of the great toe. The primary function of the flexor hallucis longus is flexion of the great toe, also serving to plantarflex and invert the foot.

What is the action of extensor hallucis longus?

The extensor hallucis longusextensor hallucis longusThe extensor hallucis longus muscle is a thin skeletal muscle, situated between the tibialis anterior and the extensor digitorum longus. It extends the big toe and dorsiflects the foot. It also assists with foot eversion and inversion. Extensor hallucis longus muscle. The mucous sheaths of the tendons around the ankle.https://en.wikipedia.org › Extensor_hallucis_longus_muscleExtensor hallucis longus muscle - Wikipedia specifically extends the hallux, dorsiflexes the foot at the ankle, and inverts the foot. The extensor hallucis longus muscle is susceptible to several pathologies, including nerve injury resulting in foot drop, tendonitis, tendon rupture, and anterior compartment syndrome.

What muscle is responsible for toe extension?

Extensor hallucis longusThe Extensor hallucis longus (EHL) is a thin muscle, situated between the Tibialis anterior and the Extensor Digitorum Longus in the anterior compartment of the lower leg. It provides the only active extension force to the interphalangeal joint and the primary active extension force to the metatarsophalangeal joint.

Where is the flexor hallucis longus tendon?

Flexor hallucis longusFlexor hallucis longusThe flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.https://en.wikipedia.org › wiki › Flexor_hallucis_longus_muscleFlexor hallucis longus muscle - Wikipedia (FHL) is a powerful muscle located on the posterior aspect of the fibula below the deep fascia of the calf. In its own synovial sheath, the tendon passes downwards, deep to the flexor retinaculum, crossing the posterior ankle joint, lateral to flexor digitorum longusflexor digitorum longusThe flexor digitorum longus (FDL) is part of the deep muscle group of the posterior compartment of the lower leg. Its primary action is flexion of digits 2-5 in the foot.https://www.physio-pedia.com › Flexor_digitorum_longusFlexor digitorum longus - Physiopedia.

What causes entrapment of the flexor hallucis longus?

Fractures of the sustentaculum tali can cause entrapment of the flexor hallucis longus or flexor digitorum longus tendons amongst other abnormalities that may indicate reconstructive surgery. Post-operative management includes the use of a lower leg splint for 5-7 days, partial weight-bearing with 20 kg for 6-8 weeks in the patient's own footwear, early range of motion exercises of the ankle, subtalar and mid-tarsal joints. Outcomes are generally good with those sustaining isolated fractures performing better.

What is the final act before the foot is lifted from the floor before swing phase?

At this point in the cycle, trcieps surae have already maximally contracted and flexor digitorum longus is completing its contraction. Therefore great toe flexion is the final act before the foot is lifted from the floor before swing phase. The muscle contributes to maintaining the medial longitudinal arch.

Why is palpation impossible?

Palpation[edit| edit source] Palpation is impossible due to the muscles depth and the structures obstruct surface palpation. Power[edit| edit source] Resisted flexion of great toe with the foot in neutral or dorsiflexion. Length[edit| edit source] In supine or seated, with ankle in dorsiflexed position.

Where is the Flexor Hallucis longus?

Description[edit| edit source] Flexor hallucis longus is a powerful muscle located on the posterior aspect of the fibular below the deep fascia of the calf. In its own synovial sheath, the tendon passes downwards, deep to the flexor retinaculum, crossing the posterior ankle joint, lateral to flexor digitorum longus.

Which flexor produces the final thrush from the foot in the toe-off phase of the gait?

Flexor hallucis longus produces the final thrush from the foot in the toe-off phase of the gait cycle. At this point in the cycle, trcieps surae have already maximally contracted and flexor digitorum longus is completing its contraction. Therefore great toe flexion is the final act before the foot is lifted from the floor before swing phase.

What is the function of the great toe?

Flexes all the joints of the great toe as the foot is raised from the ground. Additionally stabilises the first metatarsal head and keeps distal pad of the great toe in contact with ground in toe-off and when on tip-toe. Aids in plantarflexion at the ankle joint. [2]

Where does the tendon go when it enters the foot?

It then enters the fibrous sheath of the great toe passing between the two sesamoid bones to insert at the base of the distal phalanx.

What muscle is used to flex the great toe?

Similar to the flexor digitorum longus and tibialis posterior muscles, the flexor hallucis longus muscle functions to plantar flex and invert the foot. However, it is unique in that it also functions to flex the great toe and helps supinate the ankle.

What is the FHL muscle?

The flexor hallucis longus muscle ( FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus and tibialis posterior; the tibialis posterior is the most powerful of these deep muscles.

Why do we need an MRI for FHL?

Because the FHL muscle is small, injuries associated with this muscle and its tendon are often overlooked. An MRI can be used to evaluate the cause and condition of the FHL tendon. Tears and areas of impingement can be found using this method.

What is Hallux saltans?

Hallux saltans is a condition that develops as a result of overusing the FHL muscle. With this condition, a nodule develops along the FHL tendon which may produce a popping effect during contraction because it drags along surrounding tissues.

What is the medial aspect of the tendons around the ankle?

The mucous sheaths of the tendons around the ankle. Medial aspect. (Tendon of flexor hallucis longus labeled at bottom left.) The flexor hallucis longus muscle ( FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe.

Where does Peroneocalcaneus internus occur?

Peroneocalcaneus internus, rare, arises below or outside the flexor hallucis from the back of the fibula, passes over the sustentaculum tali with the flexor hallucis and inserts into the calcaneum .

Where is the flexor hallucis longus located?

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 peronius muscles, laterally, ...

What exercises are used to induce a flexed state in the flexor hallucis longus?

Typical exercises include: Resisted plantarflexion of the big toe: an elastic band is looped around the big toe and gets tugged towards the patient to induce a flexed state in the flexor hallucis longus.

What does a flexor hallucis longus examiner look for?

Typically, an examiner will look for tenderness in specific locations of the foot or while the foot is under specific positions.

How to relieve pain in flexor hallucis longus?

1. Massage and Stretching . Another popular group of tactics for alleviating immediate pain in the flexor hallucis longus are periodic massages and stretches. These tactics aim to extend and soften the injured muscle thereby decreasing the tension placed on it.

What causes a big toe to pop?

Ailments associated with the flexor hallucis longus and its tendon are typically characterized by pain at the inner side of the ankle. These pains are usually made worse by jumping, landing, or pointing the foot. A person suffering from dancer’s tendonitis may feel an abnormal crackling or popping stemming from the joints in the path of the flexor hallucis longus. This crackling and popping may be faint or loud enough for others to hear and is often accompanied by crunching sensations which may become uncomfortable or painful overtime. If the symptoms escalate, they may lead to an inability to relax the big toe resulting in a feeling of the big toe being stuck in flexion.

How to tell if your big toe is stuck in flexion?

If the symptoms escalate, they may lead to an inability to relax the big toe resulting in a feeling of the big toe being stuck in flexion. Other common signs of flexor hallucis longus damage include: Pain associated with forefoot push off. Pain underneath the arch of the foot or at the base of the big toe.

What is the flexor hallucis longus?

The flexor hallucis longus is one of a group of deep muscles in the lower leg and foot. This particular muscle is prone to injury and degeneration due to its location, application, and daily use. Flexor hallucis longus pain is known to reduce mobility and may at times become paralyzing due to the severity of discomfort experienced by those who ...

Why does my big toe hurt?

This intricate weave of tendon and muscle is a common source of pain due to the abnormal compression and stress which is placed on it in daily movement.

Causes

A Flexor Hallucis Longus tear is rare and the cause of a tear can be a result of trauma, sheer forces, or when a significant amount of force is put through the muscle. A partial tear can occur when landing from a jump or through repetitive motion such as repeatedly going up onto one’s toes.

Diagnosis

Diagnosis of a Flexor Hallucis Longus tear is achieved through an MRI or a cost-effective form of imaging is an ultrasound scan. A clinical test can be carried out of resisting flexion of the big toe. Pain on-resistance is indicative of a positive test. An x-ray is unable to detect a Flexor Hallucis Longus tear.

Symptoms

Symptoms of a Flexor Hallucis Longus tear is a sharp pain with activity while there is rarely pain at rest. There is often a specific incident that relates to the onset of pain. If the injury is acute there may be some swelling and bruising around the area of injury. It can be painful to jump or go onto your toes.

Causes

Flexor Hallucis Longus Tendonitis (Also known as Flexor Hallucis Tendinopathy) is usually caused by a repetitive overload of the tendon. This can result in a pathological change of the tendon making it weaker than it was pre-injury. In the acute stages, there may be pain and swelling along the tendon.

Diagnosis

Diagnosis of Flexor Hallucis Longus Tendonitis can be achieved clinically by a Physical Therapist or they may refer for an MRI to correlate with their clinical assessment.

Treatment

Symptoms are often worse with activities such as running, jumping, and bending the big toe. There may be some stiffness on the tendon first thing in the morning that eases after 30-60 minutes. In less acute episodes it can be pain-free to exercise but the pain becomes more prominent afterward.

What is the origin insertion and action of extensor digitorum longus?

The extensor digitorum longus inserts onto the middle and distal phalanges of the second through fifth toes. Therefore, this muscle inserts onto the middle and distal bones of all the toes except for the big toe. The extensor digitorum longus inserts onto the middle and distal phalanges of toes two through five.

What does digitorum mean in English?

of the fingers or toes a Latin word meaning “of the fingers or toes,” used in the medical names and descriptions of some muscles. SMART Vocabulary: related words and phrases. The hand. carpal. carpometacarpal.

How did the adductor longus get its name?

Usually one of the abdominal muscles tear first, but occasionally one of the adductors is injured. Because of its position, the adductor longus is usually the first of the adductors to tear. The adductor longus has a poor blood supply, and has only a very narrowly attachment to the pubic bone.

How to strengthen your adductor longus?

The Pilates Roll Up. This exercise can be intense,but there are tons of ways to modify it so anyone at any level can practice this strengthening exercise.

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Description

Image
Flexor hallucis longus (FHL) is a powerful muscle located on the posterior aspect of the fibula below the deep fascia of the calf. In its own synovial sheath, the tendon passes downwards, deep to the flexor retinaculum, crossing the posterior ankle joint, lateral to flexor digitorum longus. The tendon wraps around the lower …
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Function

  • Flexes all the joints of the great toe as the foot is raised from the ground. Additionally stabilizes the first metatarsal head and keeps distal pad of the great toe in contact with ground in toe-off and when on tip-toe. Aids in plantarflexion at the ankle joint.
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Clinical Relevance

  • Flexor hallucis longus produces the final thrush from the foot in the toe-off phase of the gait cycle. At this point in the cycle, triceps suraehave already maximally contracted and flexor digitorum longus is completing its contraction. Therefore great toe flexion is the final act before the foot is lifted from the floor before swing phase. The muscle contributes to maintaining the m…
See more on physio-pedia.com

Assessment

  • Palpation
    Palpation is impossible due to the muscles depth and the structures obstruct surface palpation.
  • Power
    Resisted flexion of great toe with the foot in neutral or dorsiflexion.
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Treatment

  • Strengthening
    A common exercise for foot strength is performed using a towel. Ask the patient to sit and place a towel under their foot, then ask the patient to grip the towel with their great toe thereby moving the towel along the floor. This can also be done through a larger range using a theraband aroun…
  • Stretching
    A stretch can be performed by pulling the great toe into a extended position and the ankle into a dorsiflexed position. Similar to strengthening, a towel may be useful if the patient is struggling to reach forward. It can be wrapped around the toes and ball of the foot.
See more on physio-pedia.com

See Also

Overview

The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus and tibialis posterior; the tibialis posterior is the most powerful of these deep muscles. All three muscles are innervated by the tibial nerve which comp…

Structure

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 peronius muscles, laterally, and from the fascia covering the tibialis posterior, medially.
The fibers pass obliquely downward and backward, where it passes through the tarsal tunnel on t…

Function

Similar to the flexor digitorum longus and tibialis posterior muscles, the flexor hallucis longus muscle functions to plantar flex and invert the foot. However, it is unique in that it also functions to flex the great toe and helps supinate the ankle.

Injury and treatment

Common injuries associated with the FHL tendon are tenosynovitis, tendinopathies, and muscle strains. Because the FHL muscle is small, injuries associated with this muscle and its tendon are often overlooked. An MRI can be used to evaluate the cause and condition of the FHL tendon. Tears and areas of impingement can be found using this method. A diagnostic ultrasound can also be used to diagnose FHL injuries, as it shows the muscle in movement and potential areas …

Additional images

• Animation. Flexor hallucis longus shown in red.
• Right leg seen from back. Deep layer.
• Muscles of the sole of the foot. Second layer.

External links

• Anatomy photo:15:st-0404 at the SUNY Downstate Medical Center
• PTCentral

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