[Plate 522, Muscles of Sole of Foot: Second Layer]Four layers in the sole of the foot
Individual muscles of little importance as fine control of the toes is not required
A neurovascular plane exists between the first and second and third and fourth layerspage 265
page 266Intrinsic Foot Muscles
Muscle Proximal Attachment
(Origin)Distal Attachment (Insertion) Layer of
plantar footInnervation ActionAbductor
hallucisMedial process of
calcaneal tuberosityMedial side, base of proximal
phalanx of first toeFirst Layer:
deep to
plantar
aponeurosisMedial plantar
nerve (S2-S3)Abducts and flexes first toeFlexor
digitorum
brevisMedial process of
calcaneal tuberosityFour tendons split to allow
passage of long flexor tendons,
insert on middle phalangesFirst Layer:
deep to
plantar
aponeurosisMedial plantar
nerve (S2-S3)Flexes second through fifth
toesAbductor
digiti
minimiCalcaneus Lateral side, proximal phalanx
of fifth toeFirst Layer:
deep to
plantar
aponeurosisLateral plantar
nerve (S2-S3)Abducts and flexes fifth toeQuadratus
plantaeMedial and lateral
sides of plantar
surface of calcaneusLateral edge of flexor digitorum
longus tendonSecond LayerLateral plantar
nerve (S1-S3)Corrects for oblique pull of
FDL tendon; thus assists in
flexion of toes
LumbricalsFirst: Medial side of
tendon to second toe
Second through
fourth: Adjacent sides
of contiguous
tendonsMedial side of dorsal digital
expansionsSecond LayerMedial one:
Medial plantar
nerve
Lateral three:
Lateral plantar
nerve (S2-S3)Flex proximal phalanges at
MP joint, extend distal
phalanges at PIP and DIP
joints