Flexor Hallucis Longus (FHL)

Authors
Affiliations

Doctor of Physical Therapy

B.S. in Kinesiology

Doctor of Physical Therapy

B.A. in Neuroscience

Schematic of Deep Flexors of the Posterior Compartment of the Leg  1: Tibialis Posterior  2: FDL  3: FHL  4: Popliteus1

Schematic of Deep Flexors of the Posterior Compartment of the Leg
1: Tibialis Posterior
2: FDL
3: FHL
4: Popliteus1

Deep Flexors of the Posterior Compartment of the Leg1

Deep Flexors of the Posterior Compartment of the Leg1

Overview

Origin

  • Fibula (posterior distal two thirds)1
  • IO membrane (adjacent)1

Insertion

1st distal phalanx (base)1

Innervation

Tibial N. (L5, S1, S2)1

Action

  • TCJ: PF1
  • STJ: INV1
  • MTP and IP 1st toe: Flexion1

MMT

“The FHB VIDEO and FHL muscles VIDEO produce MTP joint flexion and IP joint flexion. The foot is maintained in midposition. The first metatarsal is stabilized, and resistance is applied beneath the proximal and distal phalanx of the great toe into toe extension.”2

Pails & Rails

P.A.I.L.’s

  • Plantarflexion
  • Inversion
  • 1st MTP/IP flexion

R.A.I.L.’s

  • Dorsiflexion
  • Eversion
  • 1st toe MTP/IP extension

Stretch

References

1.
Gilroy AM, MacPherson BR, Wikenheiser JC, Voll MM, Wesker K, Schünke M, eds. Atlas of Anatomy. 4th ed. Thieme; 2020.
2.
Dutton M. Dutton’s Orthopaedic Examination, Evaluation, and Intervention. 5th ed. McGraw Hill Education; 2020.

Citation

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