Group X. Function: Movements of forefoot and toes; propulsion thrust in walking. Intrinsic muscles of the foot: Plantar: Flexor digitorum brevis; abductor hallucis; abductor digiti minimi; quadratus plantae; lumbricales; flexor hallucis brevis; adductor hallucis; flexor digiti minimi brevis; dorsal and plantar interossei. Other important plantar structures: Plantar aponeurosis, long plantar and calcaneonavicular ligament, tendons of posterior tibial, peroneus longus, and long flexors of great and little toes (DC 5310)
Diagnostic Code 5310 covers injuries to Muscle Group X, the small intrinsic muscles of the foot that control toe movement and provide the propulsion thrust used in walking. The rating is split into two surfaces. PLANTAR (the sole-side muscles, including flexor digitorum brevis, abductor hallucis, the quadratus plantae, the lumbricales, the interossei, and supporting plantar aponeurosis and tendons) rates from 0% to 30% by severity: 30% severe, 20% moderately severe, 10% moderate, 0% slight. DORSAL (the top-side muscles, including extensor hallucis brevis and extensor digitorum brevis, plus the cruciate, crural, deltoid ligaments and the long toe-extensor and peroneal tendons) rates from 0% to 20% by severity: 20% severe, 10% moderately severe, 10% moderate (both rate 10% at this group), 0% slight. The higher Plantar rating reflects the more central role of the plantar muscles in push-off and weight-bearing during walking.
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