Reference > Anatomy of the Human Body > Page 491
Henry Gray (1825–1861).  Anatomy of the Human Body.  1918.
the transverse sulcus which separates the toes from the sole. The deeper stratum divides into two slips which embrace the side of the Flexor tendons of the toes, and blend with the sheaths of the tendons, and with the transverse metatarsal ligament, thus forming a series of arches through which the tendons of the short and long Flexors pass to the toes. The intervals left between the five processes allow the digital vessels and nerves and the tendons of the Lumbricales to become superficial. At the point of division of the aponeurosis, numerous transverse fasciculi are superadded; these serve to increase the strength of the aponeurosis at this part by binding the processes together, and connecting them with the integument. The central portion of the plantar aponeurosis is continuous with the lateral and medial portions and sends upward into the foot, at the lines of junction, two strong vertical intermuscular septa, broader in front than behind, which separate the intermediate from the lateral and medial plantar groups of muscles; from these again are derived thinner transverse septa which separate the various layers of muscles in this region. The upper surface of this aponeurosis gives origin behind to the Flexor digitorum brevis.
  The lateral and medial portions of the plantar aponeurosis are thinner than the central piece, and cover the sides of the sole of the foot.
  The lateral portion covers the under surface of the Abductor digiti quinti; it is thin in front and thick behind, where it forms a strong band between the lateral process of the tuberosity of the calcaneus and the base of the fifth metatarsal bone; it is continuous medially with the central portion of the plantar aponeurosis, and laterally with the dorsal fascia.
  The medial portion is thin, and covers the under surface of the Abductor hallucis; it is attached behind to the laciniate ligament, and is continuous around the side of the foot with the dorsal fascia, and laterally with the central portion of the plantar aponeurosis.
  The muscles in the plantar region of the foot may be divided into three groups, in a similar manner to those in the hand. Those of the medial plantar region are connected with the great toe, and corrrespond with those of the thumb; those of the lateral plantar region are connected with the little toe, and correspond with those of the little finger; and those of the intermediate plantar region are connected with the tendons intervening between the two former groups. But in order to facilitate the description of these muscles, it is more convenient to divide them into four layers, in the order in which they are successively exposed.

The First Layer (Fig. 443).
Abductor hallucis.
Flexor digitorum brevis.
Abductor digiti quinti.
  The Abductor hallucis lies along the medial border of the foot and covers the origins of the plantar vessels and nerves. It arises from the medial process of the tuberosity of the calcaneus, from the laciniate ligament, from the plantar aponeurosis, and from the intermuscular septum between it and the Flexor digitorum brevis. The fibers end in a tendon, which is inserted, together with the medial tendon of the Flexor hallucis brevis, into the tibial side of the base of the first phalanx of the great toe.

Variations.—Slip to the base of the first phalanx of the second toe.
  The Flexor digitorum brevis 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. Its deep surface is separated from the lateral plantar vessels and nerves


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