Lower limb
Tarsal bones
Ossa tarsi
- Origin
- 7 tarsal bones: Talus, Calcaneus (heel bone), Navicular, Cuboid, and three Cuneiforms (medial, intermediate, lateral)
- Insertion
- Attachment site for Achilles tendon (calcaneal tuberosity), tibialis posterior (navicular tuberosity), fibularis brevis, and plantar fascia
- Function
- Forms dynamic shock-absorbing longitudinal and transverse arches of the foot; distributes body weight during stance and gait
- Innervation
- Tibial nerve (medial/lateral plantar branches) and deep fibular nerve
- Movement & chain
- Inversion (supination-adduction) and eversion (pronation-abduction) at subtalar and transverse tarsal (Chopart) joints
- Palpation
- Calcaneal tuberosity, sustentaculum tali, navicular tuberosity, and base of 5th metatarsal are prominent bony landmarks
- Clinical
- Calcaneal fracture (fall from height); talar neck fracture (aviator's fracture); plantar fasciitis; flat feet (pes planus) and high arch (pes cavus)
- Segmental innervation
- L4–S2
- In clinical practice
- Gait analysis, orthotic insole fitting, foot mechanics, and diabetic foot ulcer prevention
- Region in the model
- Lower limb