Extensor digitorum longus <ul><li>Action </li></ul><ul><ul><li>Extend the 2 nd  through 5 th  toes, dorsiflex the ankle, e...
Extensor digitorum longus <ul><ul><li>Supine </li></ul></ul><ul><ul><li>Palpating the distal tendon </li></ul></ul><ul><ul...
Test for extensor digitorum  longus & brevis
Test for extensor digitorum  longus & brevis <ul><li>Patient:  Supine or sitting </li></ul><ul><li>Fixation:  The examiner...
Extensor hallucis longus <ul><li>Action </li></ul><ul><ul><li>Extend the 1 st  toe, dorsiflex the ankle, invert the foot <...
Extensor hallucis longus <ul><ul><li>Ask pt. to extend his first toe </li></ul></ul><ul><ul><li>Follow the tendon toward t...
Test for extensor hallucis  longus & brevis
Test for extensor hallucis  longus & brevis <ul><li>Patient:  supine or sitting </li></ul><ul><li>Fixation:  The examiner ...
All flexors <ul><ul><li>Locate medial malleolus </li></ul></ul><ul><ul><li>Slide off the malleouls posteriorly and proxima...
All flexor “ Tom, Dick AN’ Harry”
Test for flexor hallucis longus
Test for flexor hallucis longus <ul><li>Patient:  Supine or sitting </li></ul><ul><li>Fixation:  The examiner stabilizes t...
Muscles of the foot
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Leg&Foot 3

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  • Leg&Foot 3

    1. 1. Extensor digitorum longus <ul><li>Action </li></ul><ul><ul><li>Extend the 2 nd through 5 th toes, dorsiflex the ankle, evert the foot </li></ul></ul><ul><li>Origin </li></ul><ul><ul><li>Proximal anterior shaft of fibula and interosseous membrane </li></ul></ul><ul><li>Insertion </li></ul><ul><ul><li>Middle and distal phalanges of 2 nd through 5 th toes </li></ul></ul><ul><li>Innervation </li></ul><ul><ul><li>Deep peroneal (L5-S1) </li></ul></ul>
    2. 2. Extensor digitorum longus <ul><ul><li>Supine </li></ul></ul><ul><ul><li>Palpating the distal tendon </li></ul></ul><ul><ul><li>Ask pt. to extend his toe </li></ul></ul><ul><ul><li>Follow the tendons toward ankle (converge into single bundle underneath extensor retinaculum) </li></ul></ul><ul><ul><li>Explore the belly b/w tibialis anterior and peroneal muscles </li></ul></ul>
    3. 3. Test for extensor digitorum longus & brevis
    4. 4. Test for extensor digitorum longus & brevis <ul><li>Patient: Supine or sitting </li></ul><ul><li>Fixation: The examiner stabilize the foot in slight plantar flexion </li></ul><ul><li>Test: Extension of all joint of the 2 nd through 5 th digits </li></ul><ul><li>Pressure: Against the dorsal surface of the toes, in the direction of flexion </li></ul>
    5. 5. Extensor hallucis longus <ul><li>Action </li></ul><ul><ul><li>Extend the 1 st toe, dorsiflex the ankle, invert the foot </li></ul></ul><ul><li>Origin </li></ul><ul><ul><li>Middle anterior surface of fibula and interosseus membrane </li></ul></ul><ul><li>Insertion </li></ul><ul><ul><li>Distal phalange of 1 st toe </li></ul></ul><ul><li>Innervation </li></ul><ul><ul><li>Deep peroneal (L5-S1) </li></ul></ul>
    6. 6. Extensor hallucis longus <ul><ul><li>Ask pt. to extend his first toe </li></ul></ul><ul><ul><li>Follow the tendon toward the ankle </li></ul></ul>
    7. 7. Test for extensor hallucis longus & brevis
    8. 8. Test for extensor hallucis longus & brevis <ul><li>Patient: supine or sitting </li></ul><ul><li>Fixation: The examiner stabilizes the foot in slight plantar flexion </li></ul><ul><li>Test: Extension of the metatarsophalangeal and interphalangeal joint of the great toe </li></ul><ul><li>Pressure: Against the dorsal surface of the distal and proximal phalanges of the great toe in the direction of flexion </li></ul>
    9. 9. All flexors <ul><ul><li>Locate medial malleolus </li></ul></ul><ul><ul><li>Slide off the malleouls posteriorly and proximally into the space b/w the shaft of tibia and calcaneal tendon </li></ul></ul><ul><ul><li>Difficult isolate specific tendon </li></ul></ul>
    10. 10. All flexor “ Tom, Dick AN’ Harry”
    11. 11. Test for flexor hallucis longus
    12. 12. Test for flexor hallucis longus <ul><li>Patient: Supine or sitting </li></ul><ul><li>Fixation: The examiner stabilizes the metatarsophalangeal joint in a neutral position and maintains the ankle joint approximately midway between dorsal and plantar flexion </li></ul><ul><li>Test: Flexion of the interphalangeal joint of the great toe </li></ul><ul><li>Pressure: Against the plantar surface of the distal phalanx, in the direction of extension </li></ul>
    13. 13. Muscles of the foot

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