2. FUNCTIONS OF FOOT
Support body weight
As shock absorbers
As spring boards for propelling during walking,
running, and jumping.
It can adapt itself to uneven surfaces.
Long flexors and small muscles of the foot
assist in propulsive action
3. The weight of the body
transferred to talus from tibia
Then it is transmitted to
calcaneus
Anteriorly the ball of foot
4. Between these weight bearing points are the
elastic arches of the foot
Slightly flattened by body weight during
standing
Recoil back to normal-weight removed
5. Arches of Foot
Longitudinal arch of the foot
Medial longitudinal arch
Lateral longitudinal arch
Transverse arch of the foot
6. Medial longitudinal arch
Higher and important than lateral
Composed of – Calcaneous
- Talus
- Navicular
- 3 cuneiform
- 3 metatarsals
Talar head is key stone of this arch
7. Tibialis anterior attached to – 1st
metatarsal,medial cuneiform – strength for this
arch.
Fibularis longus tendon – pass laterally to this
arch providing
support
8. Lateral longitudinal Arch
Flatter than medial longitudinal arch.
Rests on the ground during standing.
It is made up of – calcaneous, cuboid, 2 lateral
metatarsals.
9. Transverse arch
Runs from side to side
It is formed by – cuboid, cuneiforms, bases of
metatarssals
Medial and lateral parts of longitudinal arch act
as pillars
Tendons of fibularis
longus and tibialis
posterior
10. Integrity of bony arches
Maintained by passive factors
and dynamic supports
11. Passive factors
Shape of the united bones
Four successive layers of fibrous tissue –
bowstring the longitudinal arch
Plantar aponeurosis
Long plantar ligament
Plantar calcaneocuboid (short plantar) ligament
Plantar calcaneonavicular (spring) ligament
12. Dynamic supports
Active bracing action of intrinsic muscles of
foot
Active and tonic contraction of muscles with
long tendons extending in to foot
Flexor hallusis and digitorum longus – longitudinal
arch
Fibularis longus and tibialis posterior – transverse
arch
Plantar ligaments and plantar aponeurosis bear
13. MECHANISM OF ARCH
SUPPORT
SHAPE OF BONES
Bones are wedge-
shaped with the thin
edge lying inferiorly
This applies particularly
to the bone
occupying
the center
of the arch
“keystone”