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TABLE 6.3 Summary of Attachments and Primary Actions of Intrinsic Muscles of the Foot
Muscle Proximal attachment(s) Distal attachment(s) Primary action(s)
Dorsal aspect
Extensor hallucis
brevis
Lateral portion of dorsal
surface of calcaneus
Dorsal surface of base of
distal phalanx of great toe
Extension of MTP joint of great
toe
Extensor digitorum
brevis
Lateral portion of dorsal
surface of calcaneus
Tendons of extensor
digitorum longus (toes 2-4)
Extension of MTP and IP joints
of toes 2-4
Plantar aspect
First layer
Abductor hallucis Tuberosity of calcaneus
Plantar aponeurosis
Medial side of base of
proximal phalanx of great
toe
Abduction and flexion of MTP
joint of great toe
Flexor digitorum
brevis
Tuberosity of calcaneus
Plantar aponeurosis
Both sides of middle
phalanges of toes 2-5
Flexion of MTP and proximal IP
joints of toes 2-5
Abductor digiti
minimi brevis
Tuberosity of calcaneus
Plantar aponeurosis
Lateral side of base of
proximal phalanx of fifth
toe
Abduction of MTP joint of toe 5
Flexion of proximal IP joint of
toe 5
Second layer
Quadratus plantae Two heads:
Medial surface
Lateral margin of plantar
surface of calcaneus
Tendons of flexor digitorum
longus
Assists flexor digitorum longus
with flexion of distal IP joints of
toes 2-5
Lumbricals Tendons of flexor digitorum
longus
Medial aspect of expansion
over toes 2-5
Flexion of MTP joints of toes 2-5
Extension of proximal and
distal IP joints of toes 2-5
Third layer
Flexor hallucis
brevis
Plantar surfaces of cuboid
and lateral cuneiforms
Both sides of base of prox-
imal phalanx of great toe
Flexion of MTP joint of great toe
Adductor hallucis Oblique head: bases of
metatarsals 2-4
Transverse head:
plantar ligaments of
metatarsophalangeal joints
Tendons of both heads
attach to lateral side of
base of proximal phalanx of
great toe
Adduction of MTP joint of great
toe
Flexion of MTP joint of great toe
Assists in support of trans-
verse metatarsal arch of foot
Flexor digiti minimi
brevis
Base of fifth metatarsal Base of proximal phalanx of
fifth toe
Flexion of MTP joint of toe 5
Fourth layer
Plantar interossei
(three muscles)
Bases and medial sides of
metatarsals 3-5
Medial sides of proximal
phalanges of toes 3-5
and tendons of extensor
digitorum longus
Adduction of toes 3-5
Flexion of MTP joints of toes 3-5
Extension of distal IP joints of
toes 3-5
Dorsal interossei
(four muscles)
Adjacent sides of
metatarsals 1-5
First: medial side of proximal
phalanx of second toe
Second to fourth: lateral
sides of toes 2-4 and
tendons of extensor
digitorum longus
Abduction of MTP joints of toes
2-4
Flexion of MTP joints of toes
2-4
Extension of distal IP joints of
toes 2-4