[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 layers
page 265
page 266
Intrinsic Foot Muscles
Muscle Proximal Attachment
(Origin)
Distal Attachment (Insertion) Layer of
plantar foot
Innervation Action
Abductor
hallucis
Medial process of
calcaneal tuberosity
Medial side, base of proximal
phalanx of first toe
First Layer:
deep to
plantar
aponeurosis
Medial plantar
nerve (S2-S3)
Abducts and flexes first toe
Flexor
digitorum
brevis
Medial process of
calcaneal tuberosity
Four tendons split to allow
passage of long flexor tendons,
insert on middle phalanges
First Layer:
deep to
plantar
aponeurosis
Medial plantar
nerve (S2-S3)
Flexes second through fifth
toes
Abductor
digiti
minimi
Calcaneus Lateral side, proximal phalanx
of fifth toe
First Layer:
deep to
plantar
aponeurosis
Lateral plantar
nerve (S2-S3)
Abducts and flexes fifth toe
Quadratus
plantae
Medial and lateral
sides of plantar
surface of calcaneus
Lateral edge of flexor digitorum
longus tendon
Second 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
tendons
Medial side of dorsal digital
expansions
Second 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