00:01
Now let's turn our attention
to the second layer of muscles
on the sole of the foot.
00:07
There's two muscles here,
the first one is
quadratus plantea.
00:10
And the second one more
distally are the lumbricals.
00:14
Let's look at quadratus plantea.
00:16
The origin of quadratus plantea
is the calcaneal tuberosity
and the medial surface
of the calcaneus bone.
00:23
It then extends distally
to insert into the lateral side
of the tendon or flexor
digitorum longus.
00:31
Remember, flexor
digitorum longus
is an extrinsic muscle,
so it's entered by
the medial surface
onto the sole of the foot
and this muscle inserts
into that tendon.
00:41
It's an important muscle
which will serve to
when it contracts
to straighten and
align those tendons
which go on to
insert onto the toe
via flexor digitorum longus.
00:51
So make sure the
flexion of those tendons
is most efficient and
occurs in a linear fashion.
00:58
So quadratus plantae
is important.
01:00
Here we can see it's assisting
flexor digitorum longus tendon
in flexing those
toes two to five.
01:08
If we then look
at the lumbricals,
the second muscle within
this second layer.
01:13
We can see the
lumbricals have an origin
which is coming away from
tenderness structures.
01:18
So the second third
and fourth lumbricals,
these come from the
adjacent surface
of flexor digitorum
longus tendons.
01:27
So we can see these
originating from those tendons
or flexor digitorum longus.
01:32
The first lumbrical is
coming from the medial side
of that flexor
digitorum longus tendon.
01:38
So the tendon is going
to a specific digit.
01:41
Here, we can see the lumbricals
are coming from that
same named tendon
but passing from
that tendons surface,
they pass all the way distally
to the medial aspect
of digits 2-5.
01:53
So these lumbricals are important
in coming up the tendons
and inserting onto the digits.
02:00
These muscles are
involved in flexion
of the
metatarsophalangeal joints
and also of extension of
the interphalangeal joints.
02:08
So they take the same function
as the lumbricals in the hand.
02:12
They obviously flex the
metatarsophalangeal joints,
therefore, but extend the
inter phalangeal joints.
02:18
And that's just because of
the position of these muscles
and its tendon as they
run across those joints.
02:25
If we have a look at the
innervation of the second layer,
we can see this first lumbrical
is supplied by the
medial plantar nerve.
02:32
Whereas the lumbricals 2-4
and quadratus plantea
are generated by the
lateral plantar nerve.
02:39
So the two plants are nerves,
they're sharing the innervation.