Orthopedic Hospital of Oklahoma

Structures of the Foot and Ankle

The structures of the foot are comprised of a highly integrated group of 26 bones, with numerous muscles, tendons, and ligaments holding the bony structures together in proper alignment and providing support for balance and movement.

The ankle is formed by the juncture of three bones - the lower ends of the tibia and fibula (the lower leg) and the uppermost bone of the foot, called the talus. The uniquely curved dome of the talus bone permits the hinge like movement of the foot. 

Beneath the ankle joint are additional tarsal bones, which form the lower portion of the heel and its connection to the metatarsal bones of the foot. The Achilles' tendon joins the heel to the muscles of the calf. 

The metatarsal bones form a portion of the arch, or instep, of the foot and connect to the phalanges, or toe bones. A broad sheath of tendons called the plantar fascia supports and cushions the foot and heel. A thick layer of fatty tissue between the skin and the underside of the foot and ankle provides additional cushioning from the stresses of weight bearing and joint movement.