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5/7/2010

Principles
The Anatomy of the Foot and
Ankle
Dr.Mohana Rao
Orthopaedic Surgeon
Hospital Pulau Pinang
8/5/10
Foot and Ankle Symposium, Kangar

Highly specialized for weight bearing, shock


absorption and locomotion.
Arches of foot built on structural engineering
principles for transmission of forces and
shock absorption.

Anatomy
26 bones(1/4 of bodies total) and 33 joints,
>100 muscles and ligaments

Parts
Forefoot Phalanges and metatarsals
Midfoot 5 irregularly shaped tarsal bones 3
cuneiforms, navicular and cuboid
Hindfoot Calcaneum, talus; connects
midfoot to ankle joint; composed of subtalar,
talonavicular, calcaneocuboid joints

5/7/2010

Muscles and tendons


Medially- behind the
medial malleolus
Anteriorly
Laterally- behind the
lateral malleolus
Posteriorly

Important ligaments

Medially
Laterally
Syndesmotic
Subtalar
Hindfoot and midfoot

5/7/2010

Layers of the foot- 1st layer

Muscles- 1st layer


FDB
AH
FDM brevis

2nd layer
Medisl and lateral
plantar nerves between
1st and 2nd layer

FHL
FDL

Quadratus plantae
Lumbricals
Cause of clawing

5/7/2010

3rd layer

See the balance

FHB
Ad H
FDM brevis
Hallux valgus deforming
forces

4th layer

Nerves

Nerves
Lateral plantar - differential diagnosis for
plantar fascitis
Medial plantar passes into the Knot of Henry

5/7/2010

Arteries

Arch
Medial longitudinal arch 1st 3rd
metatarsals, cuneiforms, navicular, talus and
calcaneus
Lesser longitudinal arch 4th 5th metatarsals,
cuboid, calcaneus
Transverse arch Spans midfoot across
midtarsal joints, 2nd metatarsal base acting as
keystone

Dont forget the balanced tendon

THANK YOU

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