Foot Drop

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Foot drop is also known and "drop foot." This is where the patient cannot lift their forefoot secondary to weakness of the dorsiflexor muscles. Foot drop can be caused by muscular, skeletal, or nervous system disorders.

Anatomy

Thigh compartments
Compartment Muscles Action Nerve Supply Blood Supply
Anterior Sartorius and quadriceps muscles (rectus femoris, vastus lateralis, vastus intermedius, vastus medialis) Hip flexion Femoral nerve Superficial femoral artery
Medial Pectineus, obturator externus, gracilis, and adductor muscles (longus, brevis, magnus, minimus) Hip adduction Obturator nerve
Posterior Biceps femoris, semimembranous, and semitendinous muscles Hip extension Sciatic nerve Deep femoral artery
Leg compartments
Compartment Muscles Action Nerve Supply Blood Supply
Anterior Tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius Dorsiflexion and inversion/eversion of the ankle and extension of the toes Anterior tibial artery Deep peroneal nerve
Lateral Peroneus longus and peroneus brevis Eversion of the foot and ankle, and weak plantarflexion of the foot Peroneal artery Superficial peroneal nerve
Superficial posterior gastrocnemius, the soleus, +/- plantaris Plantarflexion and inversion of the foot at the ankle, and toe flexion Posterior tibial and peroneal arteries Tibial nerve
Deep posterior Tibialis posterior, flexor hallucis longus, flexor digitorum longus, and popliteus muscles. Plantarflexion and inversion of the foot at the ankle, and toe flexion Posterior tibial and peroneal arteries Tibial nerve