Medial plantar nerve | |
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Details | |
From | Tibial nerve |
Innervates | Sole, abductor hallucis muscle, flexor digitorum brevis muscle, flexor hallucis brevis muscle, 1 medial lumbrical |
Identifiers | |
Latin | nervus plantaris medialis |
TA98 | A14.2.07.066 |
TA2 | 6590 |
FMA | 44716 |
Anatomical terms of neuroanatomy |
The medial plantar nerve (internal plantar nerve) is the larger of the two terminal divisions of the tibial nerve (medial and lateral plantar nerve), which accompanies the medial plantar artery.
From its origin under the laciniate ligament it passes under cover of the abductor hallucis muscle, and, appearing between this muscle and the flexor digitorum brevis, gives off a proper digital plantar nerve and finally divides opposite the bases of the metatarsal bones into three common digital plantar nerves.
The branches of the medial plantar nerve are: (1) cutaneous, (2) muscular, (3) articular, (4) a proper digital nerve to the medial side of the great toe, and (5) three common digital nerves.
The cutaneous branches pierce the plantar aponeurosis between the abductor hallucis and the flexor digitorum brevis and are distributed to the skin of the sole of the foot.
The muscular branches supply muscles on the medial side of the sole, including the abductor hallucis, the flexor digitorum brevis, the flexor hallucis brevis, and the first lumbrical; those for the abductor hallucis and flexor digitorum brevis arise from the trunk of the nerve near its origin and enter the deep surfaces of the muscles; the branch of the flexor hallucis brevis springs from the proper digital nerve to the medial side of the great toe, and that for the first lumbrical is from the first common digital nerve.
The articular branches supply the articulations of the tarsus and metatarsus.
The proper digital nerve of the great toe (nn. digitales plantares proprii; plantar digital branches) supplies the flexor hallucis brevis and the skin on the medial side of the great toe.
The three common digital nerves (nn. digitales plantares communes) pass between the divisions of the plantar aponeurosis, and each splits into two proper digital nerves—those of the first common digital nerve supply the adjacent sides of the great and second toes; those of the second, the adjacent sides of the second and third toes; and those of the third, the adjacent sides of the third and fourth toes.
The third common digital nerve receives a communicating branch from the lateral plantar nerve; the first gives a twig to the first lumbricals.
Each proper digital nerve gives off cutaneous and articular filaments; and opposite the last phalanx sends upward a dorsal branch, which supplies the structures around the nail, the continuation of the nerve being distributed to the ball of the toe.
It will be observed that these digital nerves are similar in their distribution to those of the median nerve in the hand.
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.
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.
Toes are the digits of the foot of a tetrapod. Animal species such as cats that walk on their toes are described as being digitigrade. Humans, and other animals that walk on the soles of their feet, are described as being plantigrade; unguligrade animals are those that walk on hooves at the tips of their toes.
The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus.
In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds.
The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the arm, forearm and hand, and is primarily used for climbing, lifting and manipulating objects.
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.
The flexor hallucis longus muscle (FHL) attaches to the plantar surface of phalanx of the great toe and is responsible for flexing that toe. The FHL is one of the three deep muscles of the posterior compartment of the leg, the others being the flexor digitorum longus and the tibialis posterior. The tibialis posterior is the most powerful of these deep muscles. All three muscles are innervated by the tibial nerve which comprises half of the sciatic nerve.
The abductor hallucis muscle is an intrinsic muscle of the foot. It participates in the abduction and flexion of the great toe.
The flexor digitorum brevis is a muscle which lies in the middle of the sole of the foot, immediately above the central part of the plantar aponeurosis, with which it is firmly united.
The superficial fibular nerve is a mixed nerve that provides motor innervation to the fibularis longus and fibularis brevis muscles, and sensory innervation to skin over the antero-lateral aspect of the leg along with the greater part of the dorsum of the foot.
The plantar nerves are a pair of nerves innervating the sole of the foot. They arise from the posterior branch of the tibial nerve.
The deep fibular nerve begins at the bifurcation of the common fibular nerve between the fibula and upper part of the fibularis longus, passes infero-medially, deep to the extensor digitorum longus, to the anterior surface of the interosseous membrane, and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial terminal branch.
The abductor digiti minimi is a muscle which lies along the lateral (outer) border of the foot, and is in relation by its medial margin with the lateral plantar artery, vein and nerves.
In humans, the sole of the foot is anatomically referred to as the plantar aspect.
In the palm of the hand the median nerve is covered by the skin and the palmar aponeurosis, and rests on the tendons of the flexor muscles. Immediately after emerging from under the transverse carpal ligament the median nerve becomes enlarged and flattened and splits into a smaller, lateral, and a larger, medial portion.
The following outline is provided as an overview of and topical guide to human anatomy:
Dorsal digital nerves of foot are branches of the intermediate dorsal cutaneous nerve, medial dorsal cutaneous nerve, sural nerve and deep fibular nerve.
The proper plantar digital nerves of medial plantar nerve are nerves of the foot. They primarily arise from the medial plantar nerve's superficial and deep branches. The superficial branch of the medial plantar nerve turns into a proper digital nerve and is responsible for supplies the medial side of the great toe.
The common plantar digital nerves of medial plantar nerve are nerves of the foot. The three common digital nerves pass between the divisions of the plantar aponeurosis, and each splits into two proper digital nerves:
This article incorporates text in the public domain from page 963 of the 20th edition of Gray's Anatomy (1918)