Calcaneus

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Calcaneus
The calcaneus forms the bony part of the heel. It forms a joint with the talus bone, the subtalar joint.
Bones of the foot, with the calcaneus shown in red
Details
Identifiers
Latincalcaneus, calcaneum, os calcis
MeSHD002111
TA98A02.5.11.001
TA21468
FMA24496
Anatomical terms of bone

In humans and many other primates, the calcaneus (/kælˈkniəs/; from the Latin calcaneus or calcaneum, meaning heel;[1] pl.: calcanei or calcanea) or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock.

Structure

In humans, the calcaneus is the largest of the

tarsal bones and the largest bone of the foot. Its long axis is pointed forwards and laterally.[2] The talus bone, calcaneus, and navicular bone are considered the proximal row of tarsal bones.[3] In the calcaneus, several important structures can be distinguished:[3]

There is a large calcaneal tuberosity located posteriorly on plantar surface with medial and lateral tubercles on its surface. Besides, there is another peroneal tubercle on its lateral surface.

ankle-joint
.

On the lateral side is commonly a tubercle called the calcaneal tubercle (or trochlear process). This is a raised projection located between the tendons of the

brevis
. It separates the two oblique grooves of the lateral surface of the calcaneus (for the tendons of the peroneal muscles).

Its chief anatomical significance is as a point of divergence of the previously common pathway shared by the distal tendons of peroneus longus and peroneus brevis en route to their distinct respective attachment sites. [3]

The calcaneus is part of two joints: the proximal intertarsal joint and the

bursa
.

Development

In the calcaneus, an ossification center develops during the 4th7th week of fetal development. [3]

Function

Three muscles insert on the calcaneus: the

posterior compartment of the leg and aid in walking, running and jumping. Their specific functions include plantarflexion
of the foot, flexion of the knee, and steadying the leg on the ankle during standing. The calcaneus also serves as origin for several short muscles that run along the sole of the foot and control the toes.

Muscle attachments (seen from above)
Muscle attachments (seen from below)
Muscle Direction Attachment[4]
Gastrocnemius Insertion Calcaneal tubercle through the achilles tendon
Soleus Insertion Calcaneal tubercle through the achilles tendon
Plantaris Insertion Calcaneal tubercle either directly or through the achilles tendon
Extensor digitorum brevis Origin Dorsal side of calcaneus
Abductor hallucis Origin Medial process of calcaneus
Extensor hallucis brevis Origin Dorsal side of calcaneus
Abductor digiti minimi Origin Calcaneal tubercle
Flexor digitorum brevis Origin Calcaneal tubercle
Quadratus plantae Origin Lateral and medial processes of calcaneus

Clinical significance

Calcaneus fracture X-ray

Normally the tibia sits vertically above the calcaneus (pes rectus). If the calcaneal axis between these two bones is turned medially the foot is in an everted position (pes valgus), and if it is turned laterally the foot is in an inverted position (pes varus).[5]

Disease

The talar shelf is typically involved in subtalar or talocalcaneal tarsal coalition.

See also

Additional images

  • Left calcaneus. Animation.
    Left calcaneus. Animation.
  • Bones of foot
    Bones of foot
  • 3D rendering of a left calcaneus derived from CT scan data. The calcaneus is white, and the other bones of the foot and ankle are clear to illustrate the position and relationship of the calcaneus to the other tarsal bones.
    3D rendering of a left calcaneus derived from CT scan data. The calcaneus is white, and the other bones of the foot and ankle are clear to illustrate the position and relationship of the calcaneus to the other tarsal bones.

Notes

  1. ^ Mosby’s Medical, Nursing and Allied Health Dictionary, Fourth Edition, Mosby-Year Book Inc., 1994, p. 242
  2. ^ .
  3. ^ a b c d Platzer (2004), p 216
  4. .
  5. ^ Thieme Atlas of Anatomy (2006), p 410

References

External links