Hana Mariah Saim 10-1-303

Introduction - The larger of the two terminal branches of the tibial nerve. - accompanies the medial plantar artery. - its origin under the "flexor retinaculum" it passes deep into the muscles of the toes, and becomes the "proper plantar digital nerve" to the great toe. - . It finally divides opposite the bases of the toes into the three "common digital nerves."

Distribution The branches of the medial plantar nerve are: (1) cutaneous (2) muscular (3) articular (4) a proper digital nerve to the medial side of the great toe, (5) three common digital nerves.

Introduction - a branch of the tibia nerve, in turn a branch of the sciatic nerve. - supplies the skin of the fifth and lateral half of the fourth toes, as well as most of the deep muscles of the foot. - its distribution can be compared to the ulnar nerve in the hand.

Distribution - The third common digital nerve receives a communicating branch from the lateral plantar nerve; the first gives a twig to the first Lumbricalis. - Each proper digital nerve gives off cutaneous and articular filaments. - It passes obliquely forward with the lateral plantar artery to the lateral side of the foot.

Causes of Injury of Medial Plantar Nerve and Lateral Plantar Nerve. - Frequently seen as a sports injury, lateral plantar nerve pain can be caused by fractures or repetitive stress injury. - The most common pathology relates to external compression from shoes that are too tight or to plaster casts. - Associations include posttraumatic fibrosis, tendon sheath cysts, rheumatoid arthritis, and hyperthyroidism.

Deformities
Claw Toe Hammer Toe Mallet Toe

DIP: flexion

normal

flexion

PIP: flexion

flexion

normal

MTP: hyperextension

normal (slight extension)

normal

 Treatments

of Medial Plantar Nerve and Lateral Plantar Nerve. -treated by wearing arch supports and taking non steroid anti-inflammatory drugs (NSAID) like ibuprofen.

- Cases of Baxter's nerve pain which do not respond to this treatment can be treated with surgery.

Physical exam of Medial Plantar Nerve and Lateral Plantar Nerve. - Injury to lateral/medial plantar nerve leads to weak or absent MTP flexion (intrinsic minus).

Reference http://www.innerbody.com/image_nervov/nerv53new.html http://www.innerbody.com/image_nervov/nerv56new.html http://www.ehow.com/facts_5589427_lateralplantar-nerve-pain.html#ixzz1OKkIm9fc http://www.orthobullets.com/foot-andankle/7004/nerve-of-the-foot