1.1 Articulated foot bones (right foot). (a) Superior view. (b) Lateral view. (c) Medial view.
1.2.1 The tarsal bones
The tibia and fibula in the leg articulate with only the talus of the foot, at the ankle joint. The talus thus receives the weight of the whole body. The talus sits on the calcaneus, which touches the ground at its posterior tuberosity, and therefore part of the body weight is transmitted through the calcaneus to the ground. The body weight is further distributed from the talus and calcaneus, through other tarsal bones, and then to the metatarsals, the heads of which also touch the ground and support the body weight.
The calcaneus
Of all the seven tarsal bones, the calcaneous is the largest and is the only one that touches the ground (see Fig. 1.1b and 1.1c). It articulates with the talus above it and the cuboid anterior to it. It is shaped somewhat like a rectangular box, with a shelf-like protrusion from the medial upper surface called the sustentaculum tali, which is partly responsible for supporting the talus (see Fig. 1.2a and 1.2b). The inferior surface of the sustentaculum tali is grooved by the tendon of the flexor hallucis longus, the long flexor of the big toe (see Fig. 1.2b).
1.2 The right calcaneus. (a) Superior view. (b) Inferior view. (c) Lateral view.
The superior surface of the calcaneus has three articular surfaces, all of which are located on its anterior half (see Fig. 1.2a):
โ The anterior talar articular surface. A small concave articular surface on the superior surface of the anteromedial corner of the calcaneus.
โ The middle talar articular surface. A concave articular surface on the superior surface of sustentaculum tali, close to or even fused with the anterior talar articular surface. The anterior and middle talar articular surfaces articulate with the head of the talus, in the talocalcaneonavicular joint, a ball-and-socket synovial joint formed by the head of the talus (the ball) and the calcaneus and navicular (the socket).
โ The posterior talar articular surface. A convex articulating surface, for articulating with a concave articular surface on the inferior aspect of the talus. The joint thus formed is the subtalar joint.
The calcaneal sulcus is the deep groove separating the anterior and middle articular surfaces from the posterior articular surface. The calcaneal sulcus, together with the talar sulcus on the inferior surface of the talus, forms the tarsal canal, which widens laterally into the tarsal sinus. The two bones are firmly attached to each other by the talocalcaneal interosseous ligament in the talar canal and the ligamentum cervicis tali in the tarsal sinus (see Fig. 1.3).
1.3 Dorsolateral view of an osteoligamentous specimen of the human right foot, with all tendons and muscles on the foot dorsum removed.
The part of the calcaneus posterior to the articulations with the talus is the calcaneal tuberosity (see Fig. 1.1b). The posterior surface of the tuberosity receives the calcaneal tendon (Achilles tendon). Superior to the attachment of the calcaneal tendon, there may be a smooth area for a bursa between the deep surface of the tendon and the calcaneus. On the inferior surface of the calcaneal tuberosity are medial and lateral tubercles or processes, separated by a V-shaped notch (see Fig. 1.2b). These are the weight-bearing areas of the calcaneus. Further anteriorly, on the inferior surface of the most anterior part of the calcaneus, is the calcaneal tubercle, to which the longer plantar ligament attaches, on its way from the medial and lateral calcaneal tubercles to the inferior surfaces of the middle three metatarsals.
On the lateral surface of the calcaneus (see Fig. 1.2c), there is a small bony prominence, the peroneal trochlea. The peroneus brevis tendon passes above the trochlea with the peroneus longus tendon below it, and is bound down to the calcaneus by the inferior peroneal retinaculum.
The talus
The talus receives the weight of the whole body from the tibia and fibula, and transmits the weight to the calcaneus and navicular. It has a body, which is projected anteriorly into the talar head. Between the body and the head is a short neck (see Fig. 1.4a).
1.4 The right talus. (a) Medial view. (b) Inferior view.
The body has large articular surfaces on its superior and inferior surfaces. The inferior articular surface, called the posterior calcaneal articular surface, articulates with the convex, posterior talar articular surface on the superior surface of the calcaneus (see Fig. 1.4b). The superior articular surface, called the trochlea, is a dome-shaped surface for articulating with the tibia (see Fig. 1.1). The trochlea is broader anteriorly than posteriorly. It extends onto the medial and lateral side of the body for articulating with the medial (from the tibia) and the lateral malleoli (from the fibula). The surface on the medial side of the body is comma-shaped, with the tail directed posteriorly (see Fig. 1.4a). The surface on the lateral side is triangular in shape, much larger, and covers almost the entire lateral surface of the body.
The body is projected posteriorly as the posterior process, which is grooved by the tendon of the flexor hallucis longus (see Fig. 1.4a,b). The bony prominences of the medial and lateral side of the groove are called the medial and lateral tubercles, respectively.
The head of the talus is covered by a large articular surface which is subdivided into different parts for articulating with different structures (see Fig. 1.4b). The anterior part of the head is convex and articulates with the concave, posterior surface of the navicular. The very lateral part of this convex surface also articulates with the medial band of the bifurcate ligament (both the medial and lateral bands arise from the superior surface of the calcaneus just behind the calcaneocuboid joint, with the medial band going to the navicular and the lateral band to the cuboid) (see Fig. 1.3).
The inferior part of the head bears two small, flat articular areas for the anterior and middle talar articular surfaces on the body of the calcaneus and the sustentaculum tali (see Fig. 1.4b). They are respectively called the anterior and middle calcaneal articular surfaces. Between the navicular surface and the calcaneal surfaces on the talar head is another triangular articular surface for the spring (or calcaneonavicular) ligament (see Fig. 1.4b), which closes the gap between the calcaneus and navicular (see Fig. 1.1c), so that the weight-bearing talus will not separate the two bones, and touches the group.
The navicular
Navicular means 'boat-shaped', and this bone is so named because of its anterior convexity and posterior concavity. Th...