Calf (leg)

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Calf
Sb calf.png
The calf is the back portion of the lower leg
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Cross-section of lower right leg, through the calf, showing its 4 compartments: anterior at upper right; lateral at center right; deep posterior at center; superficial posterior at the bottom
Details
Identifiers
Latin sura
Greek acfle
TA98 A01.1.00.039
TA2 164
FMA 22474
Anatomical terminology

The calf (pl.: calves; Latin: sura) is the back portion of the lower leg in human anatomy. [1] The muscles within the calf correspond to the posterior compartment of the leg. The two largest muscles within this compartment are known together as the calf muscle and attach to the heel via the Achilles tendon. Several other, smaller muscles attach to the knee, the ankle, and via long tendons to the toes.

Contents

Etymology

From Middle English calf, kalf, from Old Norse kalfi, possibly derived from the same Germanic root as English calf ("young cow"). Cognate with Icelandic kálfi ("calf of the leg"). [2] Calf and calf of the leg are documented in use in Middle English circa AD 1350 and AD 1425 respectively. [3]

Historically, the absence of calf, meaning a lower leg without a prominent calf muscle, was regarded by some authors as a sign of inferiority: it is well known that monkeys have no calves, and still less do they exist among the lower orders of mammals. [4]

Structure

The calf is composed of the muscles of the posterior compartment of the leg: The gastrocnemius and soleus (composing the triceps surae muscle) and the tibialis posterior. The sural nerve provides innervation.

Clinical significance

Medical conditions that result in calf swelling among other symptoms include deep vein thrombosis [5] compartment syndrome, [6] [7] Achilles tendon rupture, and varicose veins.

Idiopathic leg cramps are common and typically affect the calf muscles at night. [8] Edema also is common and in many cases idiopathic. In a small study of factory workers in good health, wearing compression garments helped to reduce edema and the pain associated with edema. [9] A small study of runners found that wearing knee-high compression stockings while running significantly improved performance. [10]

The circumference of the calf has been used to estimate selected health risks. In Spain, a study of 22,000 persons 65 or older found that a smaller calf circumference was associated with a higher risk of undernutrition. [11] In France, a study of 6265 persons 65 or older found an inverse correlation between calf circumference and carotid plaques. [12]

Calf augmentation and restoration is available, using a range of prosthesis devices and surgical techniques.

Training and Exercise

The calves can be isolated by performing movements involving plantarflexion (pointing the toes down). The two major categories of calf exercises are those that maintain an extended knee, and those that maintain a flexed knee.

The first category includes movements such as standing calf raises, donkey calf raises and stair calves. The second category includes movements that maintain a bent knee, such as seated calf raises. Movements with a straight knee will target the gastrocnemius muscle more, and movements with a bent-knee will target the soleus muscle more. However, both variations will target both muscles to a large degree.

It is important to train the calves relatively close to failure, which is 0-4 repetitions away from technical failure. They recover quickly, often requiring rest times of as little as 10 seconds and often no more than 60 seconds. Ensuring a 1-2 second pause at the top and bottom of the movement will put more emphasis on the muscle, and less emphasis on the achilles tendon.

See also

Related Research Articles

<span class="mw-page-title-main">Foot</span> Anatomical structure found in vertebrates

The foot is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is a separate organ at the terminal part of the leg made up of one or more segments or bones, generally including claws and/or nails.

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<span class="mw-page-title-main">Knee</span> Leg joint in primates

In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia, and one between the femur and patella. It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis.

<span class="mw-page-title-main">Sciatic nerve</span> Large nerve in humans and other animals

The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals which is the largest branch of the sacral plexus and runs alongside the hip joint and down the lower limb. It is the longest and widest single nerve in the human body, going from the top of the leg to the foot on the posterior aspect. The sciatic nerve has no cutaneous branches for the thigh. This nerve provides the connection to the nervous system for the skin of the lateral leg and the whole foot, the muscles of the back of the thigh, and those of the leg and foot. It is derived from spinal nerves L4 to S3. It contains fibers from both the anterior and posterior divisions of the lumbosacral plexus.

<span class="mw-page-title-main">Fibula</span> Leg bone in vertebrates

The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.

<span class="mw-page-title-main">Achilles tendon</span> Tendon at the back of the lower leg

The Achilles tendon or heel cord, also known as the calcaneal tendon, is a tendon at the back of the lower leg, and is the thickest in the human body. It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus (heel) bone. These muscles, acting via the tendon, cause plantar flexion of the foot at the ankle joint, and flexion at the knee.

<span class="mw-page-title-main">Achilles' heel</span> Critical weakness which can lead to downfall in spite of overall strength

An Achilles' heel is a weakness in spite of overall strength, which can lead to downfall. While the mythological origin refers to a physical vulnerability, idiomatic references to other attributes or qualities that can lead to downfall are common.

<span class="mw-page-title-main">Baker's cyst</span> Medical condition

A Baker's cyst, also known as a popliteal cyst, is a type of fluid collection behind the knee. Often there are no symptoms. If symptoms do occur these may include swelling and pain behind the knee, or knee stiffness. If the cyst breaks open, pain may significantly increase with swelling of the calf. Rarely complications such as deep vein thrombosis, peripheral neuropathy, ischemia, or compartment syndrome may occur.

<span class="mw-page-title-main">Popliteal artery</span> Continuation of the femoral artery that supplies the lower leg

The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.

<span class="mw-page-title-main">Soleus muscle</span> Powerful muscle in the back part of the lower leg

In humans and some other mammals, the soleus is a powerful muscle in the back part of the lower leg. It runs from just below the knee to the heel and is involved in standing and walking. It is closely connected to the gastrocnemius muscle, and some anatomists consider this combination to be a single muscle, the triceps surae. Its name is derived from the Latin word "solea", meaning "sandal".

<span class="mw-page-title-main">Triceps surae muscle</span> Pair of muscles: gastrocnemius and the soleus

The triceps surae consists of two muscles located at the calf – the two-headed gastrocnemius and the soleus. These muscles both insert into the calcaneus, the bone of the heel of the human foot, and form the major part of the muscle of the posterior leg, commonly known as the calf muscle.

<span class="mw-page-title-main">Gastrocnemius muscle</span> Calf muscle

The gastrocnemius muscle is a superficial two-headed muscle that is in the back part of the lower leg of humans. It is located superficial to the soleus in the posterior (back) compartment of the leg. It runs from its two heads just above the knee to the heel, extending across a total of three joints.

<span class="mw-page-title-main">Tibial nerve</span> Branch of the sciatic nerve

The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.

<span class="mw-page-title-main">Popliteus muscle</span> Muscle responsible for unlocking the knees during walking

The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the gait cycle. In open chain movements, the popliteus muscle medially rotates the tibia on the femur. It is also used when sitting down and standing up. It is the only muscle in the posterior (back) compartment of the lower leg that acts just on the knee and not on the ankle. The gastrocnemius muscle acts on both joints.

<span class="mw-page-title-main">Plantaris muscle</span> One of the superficial muscles of the superficial posterior compartment of the leg

The plantaris is one of the superficial muscles of the superficial posterior compartment of the leg, one of the fascial compartments of the leg.

<span class="mw-page-title-main">Toe walking</span> Medical condition

Toe walking refers to a condition where a person walks on their toes without putting much or any weight on the heel or any other part of the foot. This term also includes the inability to connect one's foot fully to the ground while in the standing phase of the walking cycle. Toe walking in toddlers is common. Children who toe walk as toddlers commonly adopt a heel-toe walking pattern as they grow older. If a child continues to walk on their toes past the age of three, or cannot get their heels to the ground at all, they should be evaluated by a health professional who is experienced in assessing children's walking.

Calf raises are a method of exercising the triceps surae, tibialis posterior, and peroneal muscles of the lower leg. The movement performed is plantar flexion, also called ankle extension.

<span class="mw-page-title-main">Locomotor effects of shoes</span>

Locomotor effects of shoes are the way in which the physical characteristics or components of shoes influence the locomotion neuromechanics of a person. Depending on the characteristics of the shoes, the effects are various, ranging from alteration in balance and posture, muscle activity of different muscles as measured by electromyography (EMG), and the impact force. There are many different types of shoes that exist, such as running, walking, loafers, high heels, sandals, slippers, work boots, dress shoes, and many more. However, a typical shoe will be composed of an insole, midsole, outsole, and heels, if any. In an unshod condition, where one is without any shoes, the locomotor effects are primarily observed in the heel strike patterns and resulting impact forces generated on the ground.

The accessory soleus muscle is an accessory muscle of the calf which is rarely present in humans; it is, however, the most common accessory muscle of the ankle.

References

  1. "calf" . Oxford English Dictionary (Online ed.). Oxford University Press.(Subscription or participating institution membership required.)
  2. "calf - Wiktionary". en.wiktionary.org. Retrieved 2020-03-22.
  3. Hans Kurath (1959). Middle English dictionary. University of Michigan Press. p. 128. ISBN   978-0-472-01031-8. page 20
  4. Maria Montessori (1913). Pedagogical anthropology. Frederic Taber Cooper. Frederick A. Stokes Company. pp.  508. page 311
  5. David Simel; Drummond Rennie; Robert Hayward; Sheri A Keitz (2008). The rational clinical examination: Evidence-based clinical diagnosis. McGraw-Hill Professional. p. 500. ISBN   978-0-07-159030-3. page 229
  6. Drey IA, Baruch H (February 2008). "Acute compartment syndrome of the calf presenting after prolonged decubitus position". Orthopedics. 31 (2): 184. doi:10.3928/01477447-20080201-08. PMID   19292184.
  7. Hartgens F, Hoogeveen AR, Brink PR (August 2008). "[Athletes with exercise-related pain at the medial side of the lower leg]". Nederlands Tijdschrift voor Geneeskunde (in Dutch). 152 (33): 1839–43. PMID   18783163.
  8. Young G (2009). "Leg cramps". Clinical Evidence. 2009. PMC   2907778 . PMID   19445755.
  9. Blättler W, Kreis N, Lun B, Winiger J, Amsler F (2008). "Leg symptoms of healthy people and their treatment with compression hosiery". Phlebology. 23 (5): 214–21. doi:10.1258/phleb.2008.008014. PMID   18806203. S2CID   23827067.
  10. Kemmler W, von Stengel S, Köckritz C, Mayhew J, Wassermann A, Zapf J (January 2009). "Effect of compression stockings on running performance in men runners". Journal of Strength and Conditioning Research. 23 (1): 101–5. doi: 10.1519/JSC.0b013e31818eaef3 . PMID   19057400. S2CID   5809442.
  11. Cuervo M, Ansorena D, García A, González Martínez MA, Astiasarán I, Martínez JA (2009). "[Assessment of calf circumference as an indicator of the risk for hyponutrition in the elderly]". Nutrición Hospitalaria (in Spanish). 24 (1): 63–7. PMID   19266115.
  12. Debette S, Leone N, Courbon D, Gariépy J, Tzourio C, Dartigues JF, Ritchie K, Alpérovitch A, Ducimetière P, Amouyel P, Zureik M (November 2008). "Calf circumference is inversely associated with carotid plaques" (PDF). Stroke: A Journal of Cerebral Circulation. 39 (11): 2958–65. doi: 10.1161/STROKEAHA.108.520106 . PMID   18703804.