Sitting or lying supine
Ask the patient to remove shoes and socks.
Anterior to the patient / medial to the foot.
Please sit down. May I touch the inside 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 big 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 medial foot along the first metatarsal bone and ask the patient to abduct the hallux or if not possible to isolate the hallux, to abduct the toes. This muscle action produces a palpable muscle bulge, which may be visually observed, on the medial foot along the first metatarsal. Palpation of the tendon to the hallux is palpable on the medial aspect of the first metatarsophalangeal joint. Muscle and tendon are palpable as the hallux either abducts or flexes (contracting the muscle) or extends (stretching the muscle) and then relaxes.
With unclear muscle activity, increase the contraction of the abductor hallucis by asking the patient to abduct or flex the hallux while you provide a push on this toe in the direction of hallux adduction or extension.
With unclear muscle activity, increase the contraction of the abductor hallucis by asking the patient to abduct or flex the hallux while you provide a push on this toe in the direction of hallux adduction or extension.
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