Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3

Bones of Foot

Dorsal view

	Base
	Head
						Phalanges
Shaft (body)						Distal
	Base					Middle
	Head					Proximal
Shaft (body)		1	2	3	4	5
	Base					Metatarsal bones
Tarsometatarsal joint
	Medial
Cuneiform	Intermediate
bones	Lateral					Tuberosity of 5th metatarsal bone
Tuberosity
	Navicular					Cuboid
	Head					Transverse tarsal joint
	Neck					Tarsal sinus
	Trochlea					Calcaneus
Talus	Groove for					Fibular
						(peroneal)
	tendon of flexor
						trochlea
Posterior	hallucis longus
						Body
process	Medial tubercle

Lateral tubercle

Base

Head

Base

Head

Shaft (body) 3 2 1

4

Base 5

Head

Shaft (body)

Base

Tuberosity of 5th metatarsal bone

Cuboid

Groove for fibularis (peroneus) longus tendon

Tuberosity

Calcaneus

Fibular (peroneal) trochlea

Groove for tendon of flexor hallucis longus

Sustentaculum tali

Lateral process

Medial process

Tuberosity

Plantar view

Distal

Middle Phalanges

Proximal

MedialLateralSesamoid bones

Metatarsal bones

Tarsometatarsal joint

Medial

Intermediate Cuneiform

Lateral bones

Tuberosity

Navicular

Transverse tarsal joint

Head

Posterior process

Talus

Medial tubercle

Lateral tubercle

Plate 511

Ankle and Foot

Bones of Foot (continued) 7

Lateral view

		Head	Transverse tarsal joint
			Navicular
			Intermediate	Cuneiform bones
			Lateral
			Tarsometatarsal joint
				Metatarsal bones
	Tarsal sinus			Phalanges
			2
	Body		3
	Fibular		4
	(peroneal)		5
	trochlea
Calcaneus	Tuberosity
	Groove for	Cuboid	Tuberosity of
	fibularis		5th metatarsal bone
	(peroneus)	Tuberosity
	longus tendon

Groove for fibularis (peroneus) longus tendon

Medial view

		Transverse tarsal joint
		Navicular	Neck
		Tuberosity
	Cuneiform bones	Intermediate
		Medial
	Tarsometatarsal joint		process
	Metatarsal bones
Phalanges	2
		1
		Tuberosity of	Tuberosity
		1st metatarsal bone	Groove for tendon of	Calcaneus

Sesamoid bone	flexor hallucis longus
	Sustentaculum tali

Ankle and Foot	Plate 512

Calcaneus

See also Plate 531

Right foot

		Posterior talar		Middle talar				Anterior talar	Articular surface
		articular surface		articular surface				articular surface	for cuboid bone
		Body		Anterior talar
				articular surface
								Middle talar
								articular surface
							Articular surface		Posterior
									talar
							for cuboid bone		articular
									surface
				Fibular					Fibular
	Tuberosity			(peroneal)				Sustentaculum tali	(peroneal)
				trochlea					trochlea
	Lateral process			Groove for fibularis
	of tuberosity			(peroneus) longus tendon					Body
			Lateral view					Calcaneal sulcus
	Anterior talar		Middle talar articular surface						Tuberosity
	articular surface			Posterior talar
				articular surface					Superior view
	Articular								Middle talar articular surface
	surface						Tuberosity		Posterior talar
	for cuboid
									articular surface
	bone
								Sustentaculum tali
	Sustentaculum tali				Medial			Groove for
			Groove for tendon		process of			tendon of flexor	Fibular
			of flexor hallucis longus		tuberosity			hallucis longus	(peroneal)
		Medial view							trochlea
								Medial
								process of	Lateral
								tuberosity
				Fibula					process of
	Tibia								tuberosity
								Tuberosity
				Interosseous membrane
				Posterior					Posterior view
				tibiofibular
	Talus			ligament

Medial (deltoid) ligament of ankle

Posterior talocalcaneal ligament

Posterior talofibular ligament

Calcaneofibular ligament

Fibular (peroneal) tendons in inferior fibular (peroneal) retinaculum

Posterior view with ligaments

	40°	Tuber
	–
		(Bohler’s)
	33°
		angle

Critical angle

Functional relations of calcaneus

Plate 513

Ankle and Foot

	Ligaments and Tendons of Ankle			7
			See also Plate 531
Tibia	Right foot: lateral view
	Posterior talofibular ligament	Components of lateral
Fibula	Calcaneofibular ligament	(collateral) ligament
	Anterior talofibular ligament	of ankle
Anterior and	Interosseous talocalcaneal ligament
Posterior	Dorsal talonavicular ligament
tibiofibular
	Calcaneonavicular ligament
ligaments			Bifurcate ligament
	Calcaneocuboid ligament

Dorsal cuboideonavicular ligament

	Superior fibular (peroneal)	Dorsal cuneonavicular ligaments
	retinaculum
		Dorsal intercuneiform ligaments
	Calcaneal (Achilles)	Dorsal tarsometatarsal ligaments
	tendon (cut)

Inferior fibular (peroneal) retinaculum

Lateral talocalcaneal ligament	Dorsal metatarsal ligaments
Long plantar ligament	Dorsal cuneocuboid ligament
Fibularis (peroneus) longus tendon	Cuboid bone
Fibularis (peroneus) brevis tendon	Dorsal calcaneocuboid ligament

		Right foot: medial view	Tibia
		Posterior tibiotalar part
	Medial (deltoid)	Tibiocalcaneal part	Medial talocalcaneal ligament
	ligament of ankle	Tibionavicular part
		Anterior tibiotalar part	Posterior process of talus
	Dorsal talonavicular ligament
		Navicular bone	Posterior talocalcaneal
			ligament
	Dorsal cuneonavicular ligaments
	Medial cuneiform bone		Calcaneal
	Dorsal intercuneiform ligament		(Achilles)
			tendon
	Dorsal tarsometatarsal ligaments		(cut)

1st metatarsal bone Tuberosity

	Short plantar	Sustentaculum
Tibialis anterior tendon		tali
	ligament
Tibialis posterior tendon	Plantar calcaneo-	Long plantar ligament
	navicular (spring) ligament

Ankle and Foot	Plate 514

Ligaments and Tendons of Foot: Plantar View

Flexor digitorum longus tendon to 2nd toe (cut)			Distal phalanx of great toe
Flexor digitorum brevis tendon to 2nd toe (cut)			Interphalangeal (IP) joint
4th distal phalanx			Flexor hallucis longus tendon (cut)
4th middle phalanx
			Proximal phalanx of great toe
Deep transverse metatarsal ligaments			Flexor hallucis brevis tendon
5th proximal phalanx			(medial and lateral heads)
4th lumbrical tendon (cut)			Metatarsophalangeal (MTP) joint
Abductor digiti minimi			Sesamoid bones
and flexor digiti minimi			Abductor hallucis tendon
brevis tendons (cut)
Plantar ligaments (plates)			Adductor hallucis tendon
Interosseous muscles (cut)			1st metatarsal bone
5th metatarsal bone			Plantar tarsometatarsal ligaments
Plantar metatarsal ligaments			Medial cuneiform bone
Tuberosity of 5th metatarsal bone			Tibialis anterior tendon (cut)
Fibularis (peroneus)
brevis tendon			Plantar cuneonavicular ligament
Cuboid bone			Plantar cuboideonavicular ligament
Fibularis (peroneus)			Tuberosity of navicular bone
longus tendon
Tuberosity of cuboid bone			Plantar calcaneonavicular (spring) ligament
Long plantar ligament			Tibialis posterior tendon
Plantar calcaneocuboid			Flexor digitorum longus tendon (cut)
(short plantar) ligament
Calcaneus			Sustentaculum tali
Medial process			Flexor hallucis longus tendon (cut)
and
Lateral process		Posterior process of talus
of		(medial and lateral tubercles)
Tuberosity
of calcaneus
	Phalanges		Joint capsule
Distal	Middle	Proximal	Metatarsal bone
Capsules and ligaments of
metatarsophalangeal and
interphalangeal joints:
lateral view
	Collateral ligaments		Plantar ligament (plate)

Plate 515

Ankle and Foot

Tendon Sheaths of Ankle 7

Soleus muscle

Fibularis (peroneus) longus muscle

Fibularis (peroneus) brevis muscle

Calcaneal (Achilles) tendon

Common tendinous sheath of fibularis (peroneus) longus and brevis

See also Plate 506

Lateral view

Extensor digitorum longus muscle

Superior extensor retinaculum

Tendinous sheath of tibialis anterior

Lateral malleolus of fibula and subcutaneous bursa

Inferior extensor retinaculum

Tendinous sheath of extensor digitorum longus and fibularis (peroneal) tertius

Subcutaneous calcaneal bursa

(Subtendinous) bursa of calcaneal tendon

Superior and Inferior

fibular (peroneal) retinacula

Calcaneus

Extensor digitorum brevis muscle

Fibularis

(peroneus) Abductor digiti minimi muscle longus

tendon

Medial view

Tibialis anterior tendon and sheath

Tibia

Sheath of tibialis posterior tendon

Superior extensor retinaculum

Medial malleolus and subcutaneous bursa

Inferior extensor retinaculum

Tibialis posterior tendon and sheath

Tibialis anterior tendon and sheath

Tendinous sheath

of extensor hallucis longus

		Medial plantar nerve
	1st metatarsal bone	and artery
		Tendinous sheath of
	Tendinous sheath of flexor hallucis longus	flexor digitorum longus

Tendinous sheath of extensor hallucis longus

Fibularis	Fibularis (peroneus) tertius tendon
(peroneus)
brevis	Tuberosity of 5th metatarsal bone
tendon
	Calcaneal (Achilles)
	tendon
	Tendinous sheath of
	flexor digitorum longus
	Posterior tibial artery
	and tibial nerve
	Tendinous sheath of
	flexor hallucis longus
	Subcutaneous
	calcaneal bursa
	(Subtendinous) bursa
	of calcaneal tendon
	Flexor retinaculum
	Calcaneus
	Lateral plantar nerve and artery
	Abductor hallucis muscle (cut)

Plantar aponeurosis (cut)

Flexor digitorum brevis muscle (cut)

Ankle and Foot	Plate 516

Muscles of Dorsum of Foot: Superficial Dissection

See also Plate 529

Superficial fibular (peroneal) nerve (cut)

Fibularis (peroneus) brevis muscle

Fibularis (peroneus) longus tendon

Extensor digitorum longus muscle and tendon

Superior extensor retinaculum

Fibula

Perforating branch of fibular (peroneal) artery

Lateral malleolus and anterior lateral malleolar artery

Inferior extensor retinaculum

Lateral tarsal artery and lateral branch of deep fibular (peroneal) nerve (to muscles of dorsum of foot)

Fibularis (peroneus) brevis tendon

Tuberosity of 5th metatarsal bone

Fibularis (peroneus) tertius tendon

Extensor digitorum brevis and extensor hallucis brevis muscles

Extensor digitorum longus tendons

Lateral dorsal cutaneous nerve (continuation of sural nerve) (cut)

Dorsal metatarsal arteries

Dorsal digital arteries

Dorsal branches of plantar digital arteries proper and nerves

Tibialis anterior tendon

Anterior tibial artery and deep fibular (peroneal) nerve

Tibia

Extensor hallucis longus tendon

Tendinous sheath of extensor digitorum longus

Medial malleolus

Tendinous sheath of tibialis anterior

Tendinous sheath of extensor hallucis longus

Anterior medial malleolar artery

Dorsalis pedis artery and medial branch of deep fibular (peroneal) nerve

Medial tarsal artery

Arcuate artery

Deep plantar artery passing between heads of 1st dorsal interosseous muscle to join deep plantar arch

Extensor hallucis longus tendon

Extensor expansions

Dorsal digital branches of deep fibular (peroneal) nerve

Dorsal digital branches of superficial fibular (peroneal) nerve

Plate 517

Ankle and Foot

Superficial fibular (peroneal) nerve (cut)

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis muscle and tendon

Extensor digitorum longus muscle and tendon

Fibula

Perforating branch of fibular (peroneal) artery

Anterior lateral malleolar artery

Lateral malleolus

Lateral branch of deep fibular (peroneal) nerve (to muscles of dorsum of foot) and lateral tarsal artery

Fibularis (peroneus) longus tendon (cut)

Extensor digitorum brevis and extensor hallucis brevis muscles (cut)

Fibularis (peroneus) brevis tendon (cut)

Fibularis (peroneus) tertius tendon (cut)

Abductor digiti minimi muscle

Dorsal metatarsal arteries

Metatarsal bones

Dorsal interosseous muscles

Lateral dorsal cutaneous nerve (continuation of sural nerve) (cut)

Anterior perforating branches from plantar metatarsal arteries

Dorsal digital arteries

Dorsal branches of plantar digital arteries proper and nerves

Dorsum of Foot: Deep Dissection 7

See also Plates 509, 523

Soleus muscle

Tibialis anterior muscle and tendon

Tibia

Anterior tibial artery and deep fibular (peroneal) nerve

Extensor hallucis longus muscle and tendon

Anterior medial malleolar artery

Medial malleolus

Medial branch of deep fibular (peroneal) nerve

Medial tarsal arteries

Tuberosity of navicular bone

Dorsalis pedis artery

Arcuate artery

Posterior perforating branches from deep plantar arch

Deep plantar artery to deep plantar arch

Abductor hallucis muscle

Extensor hallucis longus tendon

Extensor hallucis brevis tendon (cut)

Extensor digitorum brevis tendons (cut)

Extensor digitorum longus tendons (cut)

Extensor expansions

Dorsal digital branches of deep fibular (peroneal) nerve

Dorsal digital branches of superficial fibular (peroneal) nerve

Ankle and Foot	Plate 518

Sole of Foot: Superficial Dissection

Superficial transverse metatarsal ligaments

Plantar digital arteries proper and nerves

Superficial branch of medial plantar artery

Transverse fasciculi

Digital slips of plantar aponeurosis

Medial plantar fascia

Lateral plantar fascia

Cutaneous branches of lateral plantar artery and nerve

Cutaneous branches of medial plantar artery and nerve

Plantar aponeurosis

Lateral band of plantar aponeurosis (calcaneometatarsal ligament)

Medial calcaneal branches of tibial

nerve and posterior tibial artery

Overlying fat

pad (partially cut away) on tuberosity of calcaneus

Plate 519

Ankle and Foot

Proper plantar digital branches of lateral plantar nerve

Fibrous sheaths of flexor tendons

Flexor digitorum brevis tendons overlying

Flexor digitorum longus tendons

Plantar metatarsal branch of lateral plantar artery

Flexor digiti minimi brevis muscle

Abductor digiti minimi muscle

(deep to lateral plantar fascia)

Medial process and

Lateral process of

Tuberosity of calcaneus

First layer muscles in bold

Muscles of Sole of Foot: First Layer 7

See also Plate 528

Proper plantar digital branches of medial plantar nerve

Plantar digital arteries proper

Common plantar digital arteries from plantar metatarsal arteries

Lumbrical muscles

Superficial branch of medial plantar artery

Lateral head and

Medial head

of flexor hallucis brevis muscle

Flexor hallucis longus tendon

Abductor hallucis muscle and tendon

Flexor digitorum brevis muscle

Plantar aponeurosis (cut)

Medial calcaneal branches of tibial nerve and posterior tibial artery

Ankle and Foot	Plate 520