Plantar plate | |
---|---|
Details | |
From | Metatarsal and phalanx |
To | Phalanx |
Identifiers | |
Latin | ligamenta plantaria |
MeSH | D000069262 |
TA98 | A03.6.10.803 |
FMA | 71425 |
Anatomical terminology |
In the human foot, the plantar or volar plates (also called plantar or volar ligaments ) are fibrocartilaginous structures found in the metatarsophalangeal (MTP) and interphalangeal (IP) joints. The anatomy and composition of the plantar plates are similar to the palmar plates in the metacarpophalangeal (MCP) and interphalangeal joints in the hand; the proximal origin is thin but the distal insertion is stout. Due to the weight-bearing nature of the human foot, the plantar plates are exposed to extension forces not present in the human hand. [1]
The plantar plate supports the weight of the body and restricts dorsiflexion, whilst the main collateral ligament and the accessory collateral ligament (together referred as the collateral ligament complex, CLC) prevent motions in the transverse and sagittal planes. [2] The major difference between the plantar plates of the MTP and IP joints is that they blend with the transverse metatarsal ligament in the MTP joints (not present in the toes). The MTP joint of the first toe differs from those of the other toes in that other muscles act on the joint, and in the presence of two sesamoid bones.
The plantar plate is firm but flexible fibrocartilage with a composition similar to that found in the menisci of the knee (composed roughly of 75% type-I collagen), and can thus withstand compressive loads and act as a supportive articular surface. Most of its fibers are oriented longitudinally, in the same direction as the plantar fascia, and the plate can thus sustain substantial tensile loads in this direction. [2]
At the metatarsophalangeal joint the plantar plate plays an important role in the foot's weight-bearing function.
The plantar plate is attached to the proximal phalanx, to the major longitudinal bands of the plantar fascia, and to the collateral ligaments. Together with the collateral ligaments, it forms a soft tissue box which is connected to the sides of the metatarsal head. The plate from the substantial distal insertion of the plantar fascia and can withstand tensile loads in line with the fascia itself. The plate can withstand compressive loads from the metatarsal head because of the orientation of the fibers in its fibrocartilage. [3]
The skeleton of the foot rests on a multi-layered ligamentous system of beams and trusses that responds to weight-bearing on irregular surfaces. A transverse system at the MTP joints is formed by the plantar plates and the deep transverse metatarsal ligament. The strong, longitudinal fibres of the deep plantar fascia are inserted along this transverse system to form a strong longitudinal system. The longitudinal system controls the longitudinal arches of the foot, whilst the transverse system controls the splay of the forefoot. Both systems are centered on the plantar plates and activated weight-bearing pressure on the metatarsal heads. [4]
The tendon of the extensor digitorum longus muscle extends the MTP joint by using the plantar fibro aponeurotic structure as a sling. The muscle becomes a deforming force if the MTP joint is held in an extended position over a long time, such as in a high-heeled footwear. The muscle extends at the IP joints when the MTP joint is flexed or in neutral position. Flexion is primarily performed by intrinsic foot muscles; the second toe (the) is unique as it has two dorsal interossei but no plantar interossei muscles. The lumbrical muscles, attached to the medial side of the lesser toes, act as unopposed adductor, but become insufficient plantar flexors with chronic extension. [5]
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 or nails.
The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh and even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower limb extending from the knee to the ankle, also known as the crus or, especially in non-technical use, the shank. Legs are used for standing, and all forms of locomotion including recreational such as dancing, and constitute a significant portion of a person's mass. Female legs generally have greater hip anteversion and tibiofemoral angles, but shorter femur and tibial lengths than those in males.
The extensor digitorum muscle is a muscle of the posterior forearm present in humans and other animals. It extends the medial four digits of the hand. Extensor digitorum is innervated by the posterior interosseous nerve, which is a branch of the radial nerve.
In human anatomy, the dorsal interossei of the foot are four muscles situated between the metatarsal bones.
The extensor digitorum longus is a pennate muscle, situated at the lateral part of the front of the leg.
The Adductor hallucis arises by two heads—oblique and transverse and is responsible for adducting the big toe. It has two heads, both are innervated by the lateral plantar nerve.
Flexor hallucis brevis muscle is a muscle of the foot that flexes the big toe.
In human anatomy, plantar interossei muscles are three muscles located between the metatarsal bones in the foot.
The lumbricals are four small skeletal muscles, accessory to the tendons of the flexor digitorum longus muscle. They are numbered from the medial side of the foot.
In human anatomy, the dorsal interossei (DI) are four muscles in the back of the hand that act to abduct (spread) the index, middle, and ring fingers away from hand's midline and assist in flexion at the metacarpophalangeal joints and extension at the interphalangeal joints of the index, middle and ring fingers.
The interphalangeal joints of the hand are the hinge joints between the phalanges of the fingers that provide flexion towards the palm of the hand.
The sole is the bottom of the foot.
The metatarsophalangeal joints are the joints between the metatarsal bones of the foot and the proximal bones of the toes. They are condyloid joints, meaning that an elliptical or rounded surface comes close to a shallow cavity.
The arches of the foot, formed by the tarsal and metatarsal bones, strengthened by ligaments and tendons, allow the foot to support the weight of the body in the erect posture with the least weight.
The transverse metatarsal ligament is a narrow band which runs across and connects together the heads of all the metatarsal bones. It is blended anteriorly with the plantar (glenoid) ligaments of the metatarsophalangeal articulations.
The interphalangeal joints of the foot are between the phalanx bones of the toes in the feet.
The fourth metatarsal bone is a long bone in the foot. It is smaller in size than the third metatarsal bone and is the third longest of the five metatarsal bones. The fourth metatarsal is analogous to the fourth metacarpal bone in the hand
The third metatarsal bone is a long bone in the foot. It is the second longest metatarsal. The longest being the second metatarsal. The third metatarsal is analogous to the third metacarpal bone in the hand
The second metatarsal bone is a long bone in the foot. It is the longest of the metatarsal bones, being prolonged backward and held firmly into the recess formed by the three cuneiform bones. The second metatarsal forms joints with the second proximal phalanx through the metatarsophalangeal joint, the cuneiform bones, third metatarsal and occasionally the first metatarsal bone.
The following outline is provided as an overview of and topical guide to human anatomy: