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Posterior Compartment of the Leg
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Components
Posterior leg compartment muscles | Origin | Insertion | Action | Nerve roots | Nerves |
---|---|---|---|---|---|
Accessory Soleus | Variable: often from anterior distal tibia or fibula, or from soleal line (distinct from main soleus) | Calcaneus (medial side) or medial Achilles tendon | Assists in ankle plantarflexion | S1 S2 | Tibial nerve (branch of same segmental origin as soleus) |
Flexor Digitorum Longus | Posterior surface of the tibia below the soleal line; fascia of tibialis posterior | Base of the distal phalanges of toes 2โ5 (plantar surface) | Flexes lateral four toes (DIP, PIP, MTP), assists ankle plantarflexion and inversion, supports longitudinal arch | L5 S1 S2 | Tibial nerve |
Flexor Hallucis Longus | Inferior two-thirds of the posterior fibula and interosseous membrane | Base of the distal phalanx of the great toe (plantar surface) | Flexes the great toe (MTP and IP joints), assists plantarflexion, supports longitudinal arch | L5 S1 S2 | Tibial nerve |
Gastrocnemius | Lateral head โ lateral condyle of femur (posterior aspect); Medial head โ medial condyle of femur (popliteal surface above medial condyle) | Posterior calcaneus via calcaneal (Achilles) tendon | Plantarflexes ankle (especially with knee extended); flexes knee | Tibial nerve (S1โS2) | |
Plantaris | Lateral supracondylar ridge of the femur and oblique popliteal ligament | Calcaneus (medial to Achilles tendon) or into the Achilles tendon | Weak plantarflexion of ankle and knee flexion | L5 S1 S2 | Tibial nerve |
Popliteus | Lateral condyle of femur and lateral meniscus | Posterior surface of tibia above soleal line | Unlocks the knee by medially rotating tibia (or laterally rotating femur), weak knee flexion, stabilizes knee | L4 L5 S1 | Tibial nerve |
Soleus | Posterior aspect of head of fibula; proximal fibular shaft; soleal line of tibia; middle third of medial tibial border | Posterior calcaneus via calcaneal tendon | Plantarflexes ankle (independent of knee position); stabilizes leg over foot (postural) | Tibial nerve (S1โS2) | |
Tibialis Posterior | Posterior tibia (below soleal line), posterior fibula, and interosseous membrane | Navicular tuberosity, cuneiforms, cuboid, bases of 2ndโ4th metatarsals | Inverts foot, assists plantarflexion, supports medial arch | L4 L5 S1 | Tibial nerve |
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- This page was last edited 18:52, 16 April 2025 by Jeremy Steinberg.
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