Musculature of Ankle, Foot and Toes
***Adapted from UO Human Anatomy Lab 1 312 by Susan Verscheure and Geoffrey Smith
Netter's Atlas of Anatomy
Color Atlas of Human Anatomy
All Netter drawings provided by http://www.netterimages.com/
Starkey, Chad and Ryan Jeff. Evaluation of Orthopedic and Athletic Injuries. Philadelphia: F.A Davis Company, 2002. Pg. 91 and 140-145.
Muscles of Lower Leg and Ankle
The muscles of the lower leg are divided into four compartments:
- Anterior Compartment
- Lateral Compartment
- Superficial Posterior Compartment
- Deep Posterior Compartment
Anterior Compartment
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Tibialis Anterior |
Dorsiflexion and Inversion of ankle |
Lateral Condyle, proximal 2/3s of the tibia and interosseous membrane |
Inferior surface of medial cuneiform and 1st metatarsal |
Deep Peroneal
|
| Extensor Hallucis Longus |
Dorsiflexion of ankle and extension of 1st MTP (metatarsophalangeal) and IP (interphalangeal) joints |
Anteriomedial shaft of fibula and interosseous membrane |
Dorsal surface of distant phalanx of 1st digit |
Deep Peroneal |
| Extensor Digitorum Longus |
Dorsiflexion of ankle, extension of 2-5 MTP, and extension of 2-5 IP joints |
Lateral condyle of Tibia, proximal 3/4 anterior surface of fibula and interosseous membrane |
Dorsal surface of phalanges 2-5 (on the expansion hood) |
Deep Peroneal |
| Peroneus Tertius |
Dorsiflexion and eversion of the ankle |
Distal third of the anterior surface of the fibula and interosseous membrane |
Dorsal surface of the 5th metatarsal |
Deep Peroneal |
Lateral Compartment
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Peroneus Longus |
Plantar flexion and eversion of the ankle |
Head and proximal 2/3 of lateral surface of fibula |
Ventral surface of 1st metatarsal and medial cuneiform |
Superficial Peroneal |
| Peroneus Brevis |
Plantar flexion and eversion of ankle |
Distal 2/3s of fibula |
Proximal end of 5th metatarsal |
Superficial Peroneal |
Superficial Posterior Compartment
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Gastrocnemius |
Knee flexion and plantar flexion of the ankle
|
Medial Head: Medial condyle of femur
Lateral Head: Lateral surface of lateral condyle of femur
|
Calcaneus via achilles tendon
|
Tibial
|
Soleus
|
Plantar flexion of the ankle |
Posterior surface of proximal fibula, middle 1/3 of tibia and interosseous membrane
|
Calcaneus via achilles tendon
|
Tibial |
| Plantaris |
Knee flexion and plantar flexion of the ankle
|
Posterior surface of the femur superior to the lateral condyle
|
Calcaneus via the achilles tendon
|
Tibial
|
Deep Posterior Compartment
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Tibialis Posterior |
Plantar flexion and inversion of the ankle |
Posterior surface of the tibia, fibula and interosseous membrane |
Navicular, cuneiforms, cuboid, and metatarsals 2-4 |
Tibial |
| Flexor Digitorum Longus |
Flexion of 2-5 MTP and IP joints |
Posterior surface of tibia |
Distal Phalanx of digits 2-5 |
Tibial |
| Flexor Hallucis longus |
Flexion of 1st MTP and IP joints |
Distal 2/3s of fibula and interosseous membrane |
Tendon passes under the foot and goes to the distal phalanx of the 1st digit |
Tibial |

Source


Muscles of Foot and Toes
There are two groups of muscles that act on the foot and toes: intrinsic and extrinsic. The intrinsic muscles of the foot originate on the bones of the foot and produce direct movement of the foot and toes. The intrinsic group is subdivided into four layers: superficial layer, middle layer, deep layer, and interosseous layer. The extrinsic muscles do not originate at the foot but higher up the leg, at the lower leg or the distal end of the femur. The movement produced by this group of muscles occurs at the talocrural joint, knee joint and at the foot and toes.
Source
Dorsal Foot
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Extensor Digitorum Brevis |
Extension of 1-4 MTP and IP joints |
Anterior and lateral calcaneus and inferior extensor retinaculum |
Base of proximal phalanx of 1st digit and lateral sides of extensor digitorum longus tendons to toes 2-4 |
Deep Peroneal |
| Extensor Hallucis Brevis |
Extension of 1st toe MTP and IP joints |
Superior surface of anterior calcaneus |
Proximal phalanx of 1st toe |
Deep Peroneal |
Plantar Foot: 1st Layer
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Abductor Hallucis |
Abduction and flexion of 1st toe |
Calcaneal tuberosity and plantar aponeurosis
|
Medial side of base of proximal phalanx of 1st toe |
Medial Plantar
|
| Flexor Digitorum Brevis |
Flexion of MTP and proximal IP joints for digits 2-5
|
Calcaneal tuberosity and plantar aponeurosis
|
Sides of middle phalanges digits 2-5
|
Medial Plantar
|
| Abductor Digiti Minimi |
Abduction and flexion of 5th toe |
Calcaneal tuberosity and plantar aponeurosis |
Lateral sides of proximal phalanx of 5th toe |
Lateral Plantar |
Plantar Foot: 2nd Layer
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Quadratus Plantae |
Straightens line of pull of flexor digitorum longus |
Medial Head: medial surface of calcaneus
Lateral head: lateral border of inferior surface of calcaneus
|
Lateral margin of tendon of flexor digitorum longus |
Lateral Plantar |
| Lumbricals |
Flexion of 2-5 MTP joints |
Tendon of flexor digitorum longus |
Dorsal surfaces of proximal phalanges of digits 2-5 |
Medial Plantar for 2 and Lateral Plantar for 3-5
|
Plantar Foot: 3rd Layer
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Flexor Hallucis Brevis |
Flexion of 1st MTP joint |
Cuboid and lateral cuneiform |
Medial and lateral sides of base of first proximal phalanx |
Medial Plantar |
| Adductor Hallucis |
Weak adduction of 1st toe |
Transverse Head: Ligaments of 3-5th metatarsal heads
Oblique head: 2-4 metatarsals and tendon of peroneus longus
|
Lateral side of bases of first proximal phalanx |
Lateral Plantar |
| Flexor Digiti Minimi Brevis |
Flexion of 5th toe MTP joint |
Base of 5th metatarsal and tendon of peroneus longus |
Lateral side of base of 5th proximal phalanx |
Lateral Plantar |
Plantar Foot: 4th Layer
Muscle
|
Action
|
Origin
|
Insertion
|
Innervation
|
| Dorsal Interosseous |
Abduction of digits 3 and 4 from 2nd digit |
Adjacent sides of metatarsals |
Bases of proximal phalanges |
Lateral Plantar |
| Plantar Interosseous |
Adduction of digits 3-5 towards 2nd digit |
Bases of medial sides of 3-5 metatarsals |
Medial sides of bases of proximal phalanges of the same toes |
Lateral Plantar |
