Sitting or lying supine
Ask the patient to remove shoes and socks.
Anterior to the patient / lateral to the foot.
Please sit down. May I touch the outside of your foot? (or point to the area). Please spread your toes apart (or demonstrate). (If needed sayÖ. ìhold this position while I try to push your little toe in toward your other toesîÖ.)
Guide or ask the patient to sit down. With the patient relaxed and with permission, place your fingers on the lateral foot along the fifth metatarsal bone and ask the patient to abduct the little toe or if not possible to isolate the little toe, to abduct the toes. This muscle action produces a palpable muscle bulge, which may be visually observed, on the lateral foot along the fifth metatarsal. Palpation of the tendon to the fifth toe is palpable on the lateral aspect of the fifth metatarsophalangeal joint as the little toe abducts and then relaxes.
With unclear muscle activity, increase the contraction of the abductor digiti minimi by asking the patient to abduct the little toe while you provide a push on this toe in the direction of little toe adduction.
With unclear muscle activity, increase the contraction of the abductor digiti minimi by asking the patient to abduct the little toe while you provide a push on this toe in the direction of little toe adduction.
VH - Leg and foot skeleton with extensor hallucis brevis muscle and tendon and the rest of the extensor digitorum brevis muscle and tendons ñ add anterior tibialis muscle and tendon, extensor hallucis longus muscle and tendon, extensor digitorum longus muscle and tendons and peroneus tertius muscle and tendon on one side