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Flexor digitorum brevis muscle: want to learn more about it?

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Flexor digitorum brevis muscle

Flexor digitorum brevis muscle (musculus flexor digitorum brevis)

Flexor digitorum brevis (FDB) is a broad muscle found deep in the sole of the foot. As the plantar foot muscles can be classified either by groups (medial to lateral) or by layers (superficial to deep), the precise location of flexor digitorum brevis can be described in two ways;

Flexor digitorum brevis is in charge of the toe flexion at the metatarsophalangeal joints of the lateral four digits. It also supports the longitudinal arch of foot while propelling the body forward during gait.

Key facts about the flexor digitorum brevis muscle
Origin Medial process of calcaneal tuberosity, plantar aponeurosis and intermuscular septum
Insertion Middle phalanges of digits 2-5
Action Metatarsophalangeal joints 2-5: Toe flexion; supports longitudinal arch of foot
Innervation Medial plantar nerve (S1-S3)
Blood supply Medial and lateral plantar arteries and plantar arch, plantar metatarsal and plantar digital arteries

In this article, we will discuss the anatomy and function of the flexor digitorum brevis muscle.

Origin and insertion

Flexor digitorum brevis muscle (inferior view)

Flexor digitorum brevis muscle originates from three sites; the medial process of calcaneal tuberosity, plantar aponeurosis and intermuscular septum. Its large muscle belly spans across the medial side of the plantar aspect of the foot. Approximately halfway across the sole of the foot, the muscle fibers divide into four slits, each of them giving off its own tendon for one of the lateral four toes. The tendons course over the respective plantar surfaces of lateral four metatarsal bones and proximal phalanges

At the level of the corresponding proximal phalanx, each tendon of flexor digitorum brevis divides into two terminal slits that insert onto the base of middle phalanx of the corresponding digit. By inserting to the medial and lateral sides of middle phalanx, each terminal slit bounds a triangular passage with the dorsal surface of its middle phalanx. These passages allow the tendons of flexor digitorum longus to reach their way to their attachment on distal phalanges.

Relations

Flexor digitorum brevis is situated lateral to abductor digiti minimi and medial to abductor hallucis muscles. This muscle runs deep to the thick layer of the plantar aponeurosis. Its tendons run medially to the common plantar digital nerves and vessels. Deep to flexor digitorum brevis you can find quadratus plantae and lumbrical muscles together with the tendons of flexor digitorum longus muscle. 

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Innervation

The innervation for flexor digitorum longus muscle comes from the medial plantar nerve (S1 - S3) which is the larger of the two terminal branches of the tibial nerve

Blood supply

Flexor digitorum brevis muscle is vascularized by the branches of the posterior tibial artery; medial plantar and lateral plantar arteries. The additional blood supply comes from the branches of the anastomotic network of anterior tibial and posterior tibial arteries; plantar metatarsal arteries and common plantar digital arteries.

The majority of blood from flexor digitorum brevis muscle is drained by medial plantar vein that drains into the anterior and posterior tibial veins. Additional drainage is performed by deep plantar venous arch

Function

The main action of flexor digitorum brevis is the flexion of second to fifith digits at the metatarsophalangeal and proximal interphalangeal joints. This order of actions is different from flexor digitorum longus muscle which also acts as a flexor of phalanges, but starts with flexion in distal interphalangeal joins. The coordination between these two muscles is crucial for the gait cycle because in synergy they maintain balance by keeping the toes in firm contact with the ground. This muscle also supports the longitudinal arch of foot and stabilizes the foot while walking or running.To expand your knowledge check out the following videos and quizzes and learn the muscles of the foot. 

Flexor digitorum brevis muscle: want to learn more about it?

Our engaging videos, interactive quizzes, in-depth articles and HD atlas are here to get you top results faster.

What do you prefer to learn with?

“I would honestly say that Kenhub cut my study time in half.” – Read more. Kim Bengochea Kim Bengochea, Regis University, Denver

Show references

References:

  • Moore, K. L., Dalley, A. F., & Agur, A. M. R. (2014). Clinically Oriented Anatomy (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
  • Palastanga, N., & Soames, R. (2012). Anatomy and human movement: structure and function (6th ed.). Edinburgh: Churchill Livingstone.
  • Standring, S. (2016). Gray's Anatomy (41tst ed.). Edinburgh: Elsevier Churchill Livingstone.
  • Netter, F. (2014). Atlas of Human Anatomy (6th ed.). Philadelphia, PA: Saunders.

Layout:

  • Adrian Rad

Illustrators:

  • Flexor digitorum brevis muscle (musculus flexor digitorum brevis) - Liene Znotina
  • Flexor digitorum brevis muscle (inferior view) - Liene Znotina
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