Clan-Slam – MIK and Clanlands!

If  you are like me, you binge watched Men in Kilts as soon as it became available on Starz.  What a delightful respite after a very looong Droughlander! At least we can rewatch as we wait and wait and wait for season six of Outlander! 😉

Also, I immediately snagged hard copy and digital versions of Clanlands, the book written by these two inventive lads. And, I listened to the audible version, the official title of the books being: Clanlands: Whisky, Warfare, and a Scottish Adventure Like No Other.

Basically,  TV series and various book forms offer a splendid record of one big, fabulous road trip taken by Sam Heughan and Graham McTavish, stars of the beloved Outlander TV series. And, in an interesting switch-up, the books, the show, and the audible versions are not precisely the same. So, if you are able, I recommend all three forms for conspicuous consumption! 😋

As if reading about this Scottish pair isn’t sufficient to pique ones interest, the book forward is written by Herself, Diana Gabaldon! With typical wit and charm, her first words are:

“Well, in The Beginning…there was a man in a kilt.” 😍

Now, I don’t want to crow (well, maybe a little), but I snagged an autographed version of the hard copy of Clanlands. 🤗

Yes, I know. The “autograph” consists of Sam’s initials and Graham’s… what? There’s maybe a “G” in there, but can the last line possibly read as McTavish??? 🤷‍♀️

The book of their Scottish odyssey begins with this prophetic promise:

“The story of two men who know nothing”

Sam and Graham

Followed by:

“It’s a dangerous business, Graham, going out your door. You step onto the road, and if you don’t keep your feet, there’s no knowing where you might be swept off to.”

Sam Heughan on behalf of

J.R.R. Tolkien, The Lord of the Rings

Annnnd….. it goes downhill from there.

Seriously, they begin an arduous week-long journey “to find the real Scotland and what it means to be Scottish,” while sequestered in a Fiat Auto-Roller Clan-Van sporting a gear shift! Now, I wonder who came up with that Clan-Plan? 🤔

It had been years since Sam used a gear shift. So, Graham-wise patiently reviewed the ABC mnemonic for the three foot pedals: A = acceleration; B = brake; C= clutch.  A discussion then ensues – is the ABC from left to right or right to left? Right to left assures Graham. 

“Ka-chunk wheeeeeeeeeeeerrrrrrrrrt ka-chunk”

And, They’re off! 😱

The camper looks rather typical from the outside, but was ever so exotic on the inside. Looks a wee bit crowded for these two rather largish Scots!

Between camper van excursions the blokes also travel by bike.

Look ma – No hands! 🙌🏻

They also toured by tandem bike, ending with the slightly naughty, but apropos ditty, “Shovellin’ Coal” by Tony Pranses! 

Travel by kayak.  Well, below is not a kayak – more like a rowboat. Notice Graham relaxes as “coxswain” while Sam and Gary Lewis (aka Colum McKenzie) work! Row, row, row your boat! 🚣🏼

And, the most notable mode of transport: a motorbike with sidecar! Guess who’s driving “Miss Daisy?”

(Sam looks grim; Graham appears worrit)

Their adventure took them to the Highlands of Scotland where they scampered up hills.

And, gazed on magestic vistas! (These guys own a lot of clothes!)

They pulled fishing nets from the sea. And, why wouldn’t they? Scotland has over 6,000 miles of coastline!!!

Hum…. wonder if they had fishing licenses? (Nice shades, Graham!) 😎

They marched with a bagpipe band, possibly the Inverness Youth Pipe Band, as described in Clanlands:

‘Scotland the Brave’ is blasting from the next room as the Inverness Youth Pipe Band warm up, the base drum reverberating off the walls.”

Clearly, Graham and Sam are pumped by the pipes! Bagpipes, that is. 😉

Dressed in snappy threads, they visit Clava Cairn, a type of Bronze Age circular chamber tomb near Inverness. (Like Jamie and Claire, they are separated by 202 years 😜) 

Btw, I was privileged to tour this amazing historical site in 2016. Please go if you get the chance. You won’t regret it.  

The lads even put on Sunday best to attempt the Scottish sword dance.

Not sure what  in the world Sam is doing, but  Lord of the Dance, it is NOT!  Tiptoeing through the tulips, perhaps? 😂

Joy!  Joy!  Joy! One of their happiest moments involved the delightful daredevils rolling in grain on a malting floor, later to be transformed into whisky! 🥃 Happy dance!!!

But, for me, their most impressive accomplishment was not the history lessons, geography tidbits, driving (sort of) tips, clan warfare, or cultural subtleties. Nope, it was the  inventive bits of “slander” furiously lobbed between Sam  and Graham. The first one appears on p. 9 of Clanlands:

“I’m not a ginger [Graham:You kind of are] or a virgin, either!”

Alrighty, then! 😲

Having grown up with three brothers, I well understand, that such defamations often represent the highest form of affection expressed between bros. (Sad isn’t it? 😜)

So what did these two jokesters do? Well, they plastered each other with  various and sundry Clan-slams: zingers, insults, slanders, one-liners, jokes, barbs, quips, ribs, ripostes, giggles, boffo, waggery, drollery, disparagements, jeers, taunts, pokes, prods, nudges and digs! All were meant to gently malign and disparage but, most of all, to entertain with the gentlest of intents! 💓

Sam and Graham have always sparred with each other, even as their respective characters in the Outlander series!

Take this faceoff from Starz, Outlander episode 209, Je Suis Prest. (Psst….Mine is bigger than yours! aka, who’s the man?) 😂

Dougal “pursues” Jamie at Prestonpans (Starz, Outlander episode 210, Prestonpans)! Watch yer back, McDubh! 😉

Oops, Jamie finishes off Dougal. My apologies, uncle! 🗡 (Starz, Outlander episode 213, Dragonfly in Amber) 😱

The lingual gymnastics executed by the two stars immediately grabbed my attention prompting me to start a running tab of their salty jibes. Sharing my initial compendium via Twitter, I was gobsmacked by this response from Sam:

Which was quickly followed by Graham’s reply!

After publishing my first list, I have expanded it,  adding a few “insults” missed the first time around. Below, is my latest compilation. Doubtless, I have missed a few so will update if I find more. 

Which are your favorites? I am very fond of Mr. Shouty for Graham and Booze Hound for Sam (clothes hound might also work). Other favs are Scottish Baby Jesus (re Sam’s birth place) and Capricorn Goat (Graham’s a January babe).

Now, a quick bit of math reveals that Clan-Man, Graham, is a less prolific insulter than Sam, producing only 75% as many grand-slams as those  inflicted by the Hot Scot. This may mean Graham is a nicer guy, or perhaps more gentlemanly not to express every thought that rattles his grey matter, or mayhap he has more important things to do. What do you think?

Ahhhh! Finally at journey’s end, Sam and Graham take a well-earned rest, backs resting against the trusty camper van and cheeks on the as-phalt 😜. (Psst… Honestly, they look a wee bit wasted!)

In the end, let us recall, these two blokes harbor great affection for one another. Sam makes this abundantly clear on the final page of Clanlands…  His touching tribute to Graham:

Lord, ye gave me a rare friend,

and God! I loved the old sod well.”

Sam Heughan on behalf of Diana Gabaldon,

Dragonfly in Amber

As for me, I remain a die-hard, Clan-Fan!

The deeply grateful,

Outlander Anatomist

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Photo Credits:  www.Starz.com; Clanlands; Ed Miller; www.brainstudy.info; www.heraldscotland.com; www.monstersandcritics.com; www.oprahdaily.com, www.outlanderanatomy.com; www.scotsman.com; www.sundaypost.com; www.thescottishsun.co.uk; www.thedipp.com; www.vulture.com; You tube

Meet Graham McTavish – OV Party in the Suites

Sunday was a wonderful day for me. I joined Outlandish Vancouver (OV) for a “Party in the Suites” with none other than Dougal-in-Disguise, Graham McTavish!  🤗

What is Outlandish Vancouver? In normal years, OV is an annual event held in Surrey, British Columbia 🇨🇦, independent from but concurrent with Surrey International Writer’s Conference (SiWC). Click the link to find Outlandish Vancouver website or, if you prefer,  the OV Facebook page!

Who is the mastermind behind OV? Well, it is KoKo, a.k.a. Pippi Pipkin (she is a wee lass)!  She came up with this wonderful plan and now enjoys a volunteer staff including Sam and  Karin (see next image).

Fans and OV admin folks gathered on Zoom a few minutes before the start of Graham’s session to share info about appropriate discussion topics, courtesy for virtual events, and filming/audio recording rules.

We were all smiles and delighted to be part of this wonderful event!

Then, Graham appeared exactly on time, looking dashing, as always,  in sweater, beard, smile and mellifluous voice.  We individually introduced ourselves and then we were off on a delightful Q and A trip with Mr. McTavish. Lucky us!

First, Graham was congratulated for Clanlands: Whisky, Warfare, and a Scottish Adventure Like No Other!, the new book authored by Graham and Sam Heughan. Graham is delighted with the book’s reception and its speedy advance to the top of multiple best seller lists! 📚

We learned an interesting fun fact about Graham’s name. One fan had the last name of Thompson. Turns out, Thompson is the anglicized version of McTavish. I didn’t know! 🤔

As a child in the 1960s, Graham lived in Vancouver, B. C. That prompted an invitation to attend the next in-person OV event. He said he would 💓 to come! Fingers crossed that this wish becomes reality once COVID is beaten back. 🤞🏻

One fan had a series of snappy questions for Graham (I think it was Keri). All her questions concerned Sam and Graham on the road for Clanlands book. Here they are:

Q: Who has the messier luggage?

A: Both of us are messy. But, as he thought about it, Sam’s luggage is the messiest!

Q: Who is more of a chatter box?

A: I am! Graham out-chatters Sam!

Q: Who is the more competitive?

A: Sam!!! He is competitive to a ridiculous level –  very, Very VERY competitive! 😆

Q: Who can do the most pushups?

A: Graham couldn’t answer because he doesn’t how many Sam can do. He also did not tell us how many he can do.

Q: Who is the most shy?

A: Both of these fellows are shy, but Sam is more so. Graham pointed out that many actors are shy, by nature. Acting probably gives them license to express themselves while taking on another identity.

Q: Who is more of a diva?

A: Ha, ha. It’s Graham! He qualified that response, pointing out neither of these lads are divas and Sam puts up with more discomforts than he should. Graham perfers his creature comforts! 😃

Q: Who forgets their lines more?

A. Sam. 😲

Q: Who was the most demanding of the Clanland crew?

A: Graham! 😇

Q: Who best wears the kilt?

A. Graham, of course!!! 😜

How many Clanlands book plates have he and Sam signed? Graham thought for a moment and then replied – he thinks it is 8,000 – 9,000! 😳

In answer to the question, did you read Outlander book before accepting the role of clan war chief, Dougal MacKenzie? Graham replied, “No.” However, he noted, almost none of the cast had read the books before filming but did so in very quick order. Furthermore, Graham was offered the part and felt Dougal was a perfect fit for him.

Have roles been easier to snag since Outlander? Graham answered, yes, it is easier now.  He likes to work and keep busy. He prefers roles which involve horseback, swords, guns, cloaks, and candles. He has never played a lawyer.

Now, wait just a minute! 🖐🏻 As I recall, William Buccleigh (Buck) MacKenzie is a lawyer!!! 😉

What did you think of your wig as Buck? His daughter prefers him in the wig (she is young). I, for one, like his full beard and bald pate! 😄

What is your favorite form of exercise? Long distance cycling, says Graham…as in many miles. He has cycled all over Scotland, Ireland, and England. Since it is an outdoors activity, he has been able to continue unabated during COVID. Although he didn’t mention it, I wager he has also cycled all over New Zealand! 🇳🇿

What role would you like to play but haven’t as yet?  Graham said he is not interested in rolls in procedural dramas such as a lawyer (too late – see above!) or a doctor. Most of all, he would love to play a cowboy in a bona fide, hay-burner western! 🤠

In  Preacher, he did play a sort-of cowboy, starring as The Saint of Killers –  complete with guns, horse, saber, and Stetson hat! He was thrilled that the saber he carried was of Civil War vintage and even bore the marks of battle!

Graham pointed out that a Scotsman playing a cowboy isn’t farfetched.  At least two Native American tribes were lead by Highlanders: Alexander McGillivray led the Creeks, and Duncan McDonald’s family were leaders of the Nez Perce tribe.

Q: Are audible and printed versions of Clandlands identical?

A: No, indeed, they are not!  The audio version was created over a three day span in a London studio, where as the written version was a collaboration that lasted a number of weeks. Ergo, they are very similar but not identical.

After visiting various Scottish museums with Sam, Graham became enchanted with the weaponry. He was able to handle them and assured us that Highlander weapons were perfectly balanced, well-designed killing machines! The dirk could pierce a Kevlar vest! And, the basket hilt of the broadsword not only protected the dominant hand, it was used like a metal fist to smash bones. (Pssst….. maybe it’s a guy thing) 😉

Graham was so impressed with the weapons, he commissioned a New Zealand swordsmith to make him a Scottish broadsword. He thinks it might come in handy when suitors of his eldest daughter come around – she just attended her first ball. 😆

BTW: The below image (Outlander, episode 209, Je Suis Prest) was written by Matt B. Roberts. The script called for Dougal, Angus, and Rupert to run butt naked in a Highland charge! This is based in history, as fighting naked has been attributed to Celtic warriors as early as 225 B. C. E. And, Highlanders carried on the tradition, dropping the kilt and fighting in sark or birthday suits. In the end (haha), Outlander opted for kilts, only! 😅

I  can personally vouch for Highlander weapons. Yours truly posing with spiked targe, broadsword, and dirk in 2016, Scotland! Targe and dirk were held in the non-dominant hand and broadsword in the dominant. Note the steel spike extending from the targe? That thing was almost a foot long. As the warrior struck with the broadsword, he also stabbed with dirk and slashed with targe spike!  Are you scared? 😜

Are you and Sam really friends? Yes! They enjoy a terrific friendship. Age difference is not a factor. 🤗

And, the last question was excellent: When you think of Outlander, what is the first thing you think of? Without hesitation, Graham answered, “laughter!” Especially with season one combo of characters!

Thus ended our happy hour with Graham McTavish. Thank you, Graham,  for providing us with the splendid characters of Dougal and Buck! Until next time. 🤞🏻

PS: Remember, if you wish to find out more about OV, you can find them on FB or their website.

PSS: Some OV images were taken by my iPhone from my iPad . Thus, they are a wee bit blurry. 🙄

The deeply grateful,

Outlander Anatomist

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Photo and Video Credits: Sony/Starz, Outlandish Vancouver, KoKo Pipkin, Outlander Anatomy

Anatomy Lesson #59: Complete Feet

Hello, anatomy students! Hello feet! Today’s anatomical offering derives from the Old English fot, meaning “foot.” 

You might think Outlander has little to say about feet, but not so. Outlander has fleet feet, sweet feet, trick-or-treat feet, body heat feet, upbeat feet, mincemeat feet, eek feet, beat feet and indiscrete feet. As always, Outlander images and quotes are sprinkled throughout the lesson. Yay!

You might also think society has little to say about feet, but not so. Dozens of feet adages accent life’s little highs and lows:

  • Foot in both camps (fence sitter)
  • Ankle deep (in trouble)
  • Back on your feet (on the mend)
  • Bound hand and foot (hampered)
  • Cold feet (lost interest)
  • Get your feet wet (get involved)
  • Drag your feet (unenthusiastic)
  • Feet of clay (flawed)
  • Foot in mouth (oops!)
  • Keep feet on the ground (be sensible)
  • Footloose (6 degrees of Kevin Bacon)

As a grad student, my gross anatomy prof declared feet the ugliest body part! Beauty being in the eye of the beholder aside, our foot is far more specialized than our hand as no other animal has a foot quite like ours! I hold with the master, Leonardo DaVinci who opined: 

The human foot is a masterpiece of engineering and a work of art.

Yes!    

Understand, the human foot is a truly complex mechanical structure consisting of 26 bones, 33 joints, and more than a hundred muscles, tendons, and ligaments! Despite this complexity, our feet usually work pretty well, especially if we care for them.  Also, know this lesson is geared for general readers, so the most complex features and smallish details are not covered.

Before we begin the lesson, let’s take a gander at Claire’s fleet feet (Outlander ep 101 Sassenach) as she retreats from redcoat muskets firing live rounds! Her poor heels are rubbed raw from running – leather shoon sans sox. Not a good plan, but did the lass have another choice? Och!

Foot: Always prudent to begin a lesson with definitions. In anatomy, the foot is the lower limb below (distal to) the ankle joint (Image A –  blue line).

Orienting ourselves further, the top of foot is the dorsal surface; the bottom (sole) is the plantar surface. Inner side is the medial surface and the outer side is the  lateral surface.

 

Image A 

Skeleton: We begin with the foot skeleton, a foundation of 26 bones. Image B shows bones of a right foot, 26 in all. The left panel shows bones from the bottom or plantar perspective. The right panel shows foot bones from above, the dorsal view.

Toe bones are homologous to digits of the hand (Anatomy Lesson #22, Jamie’s Hand – Symbol of Sacrifice). They are numbered 1-5 beginning with the big toe and working to the little toe.

Phalanges: Toes contain 14 phalanges (Image B, pink) – three bones per each toe, except the big toe which, like the thumb, only contains two phalangeal bones. And, the big or great toe goes by the scientific name, hallux.

Metatarsals: Five metatarsal bones (aqua) are homologous with metacarpals of the hand. 

Tarsals: Seven tarsal bones are homologous to eight carpals of the wrist, although more massive and oddly-shaped than the small carpals.  The largest, the calcaneus, is the heel bone. Atop it is the talus which helps form the ankle joint. 

There won’t be a quiz of tarsal bones <g>, but, just so you know, their names are (Image B):

  • three cuneiforms – 1, 2, & 3 (start counting on big toe side – orange)
  • cuboid (pink)
  • navicular (green)
  • calcaneus (yellow)
  • talus (blue)

 

Image B 

Need another Outlander hit? My pleasure. No, really! The morning after (he, he), Claire sports a pair of verra sweet feet (Starz ep 107, The Wedding)! Aw, look at those wee tootsies, shyly nesting. It was a big, big night! ’Nuf said! 😉

Oops, not quite, ‘nuf said. A lovely foot passage from Dragonfly in Amber book. Herself even mentions metatarsals!

“I’m honest enough to say that I dinna care what the right and wrong of it may be, so long as you are here wi’ me, Claire,” he said softly. “If it was a sin for you to choose me … then I would go to the Devil himself and bless him for tempting ye to it.” He lifted my foot and gently kissed the tip of my big toe. I laid my hand on his head; the short hair felt bristly but soft, like a very young hedgehog. “I don’t think it was wrong,” I said softly. “But if it was … then I’ll go to the Devil with you, Jamie Fraser.” He closed his eyes and bowed his head over my foot. He held it so tightly that I could feel the long, slender metatarsals pressed together; still, I didn’t pull back. I dug my fingers into his scalp and tugged his hair gently.

Divisions: Foot bones are divided into three regions. Such divisions aren’t whimsy, they are important in issues such as evaluating trauma, surgical amputation of part of all of a foot or evaluation of foot mechanics. 

  • Forefoot: Includes phalanges and metatarsals (Image C – white, left side). 
  • Mid-foot: Includes three cuneiforms, cuboid and navicular (Image C, turquoise). 
  • Hind-foot: calcaneus and talus (Image C – white, right side). 

Image C 

Ligaments: Now, the 26 foot bones don’t just hang out under the skin. They are firmly bound to each other and to our leg bones via dozens of ligaments (Image D)!

Ligaments are fibrous tissues binding bone to bone and they are critical for foot integrity because feet bear our weight against gravity! Loose or torn ligaments give folks many problems because these compromise the integrity of the skeletal system! 

Image D shows only some of the numerous ligaments anchoring and stabilizing foot bones; here, we see lateral and dorsal ligaments. The plantar and medial ligaments are not visible.

The lesson won’t discuss these ligaments in detail because they are complex and tedious, but the image dramatically emphasizes some of the many ligaments needed to stabilize the foot skeleton!

Image D 

Arches: We all know the foot has an arch, but did you know it actually has three arches (some count a 4th partial arch)? Two are longitudinal and one is transverse. The arches are maintained by interlocking tarsal and metatarsal bones, supported by ligaments and very strong tendons (image E).

  •  medial longitudinal arch (Image E – blue dashed line) extends from heel bone to first three metatarsals. Typically, it curves above the ground. When barefoot at the beach, it does not leave an imprint in sand (unless one is seriously flatfooted!).
  •  lateral longitudinal arch (Image E – green line) is a low arch arch between calcaneus and 5th metatarsal. When barefoot, it typically leaves an imprint in sand.
  • transverse arch (Image E – red line) runs across the foot at the tarsometatarsal joints (defined below).  

Although these arches are supported by strong ligaments and tendons, they exhibit some mobility when weight is applied to or removed from the foot. This springiness makes walking and running more economical in terms of energy.

Image E 

Speaking of arches, how ‘bout some booted ones! Yep, another dose to wake you students! BJR’s booted “trick or treat feet” (Starz, ep 108, Both Sides Now) will do the trick, nicely! The blackguard throws Claire over his desk preparing to further assault her. Darn! She canna reach the sgian dubh in her boot! No treat here – all vicious tricks!

Diana describes Claire’s toes just after Jamie squats in the prison window (Outlander book). 

Randall bent and scooped up the gun in a quicksilver motion. As soon as the knife left my throat, I tried to sit up, but he placed a hand on my chest and shoved me flat again. He held me down with one hand, using the other to aim the pistol at Jamie. The discarded knife lay somewhere on the floor near my feet, I thought. Now, if only I had prehensile toes.… The dirk in my pocket was as unreachable as if it were on Mars.

Plantar Aponeurosis: Remove plantar skin (very difficult on a cadaver) and a triangular sheet of connective tissue is revealed, the plantar aponeurosis. It is anchored to the calcaneus, flares in the mid-foot and ends as five (or more) bands radiating toward bases of the toes (Image F). 

The tough, fibrous aponeurosis is made mostly of collagen fibers. As such, it is a shock absorber when the foot strikes the ground. It also stabilizes arches of the foot and allows flexion at the first metatarsophalangeal joint, which carries the majority of body weight during ambulation.

If the plantar aponeurosis becomes injured or inflamed, it may cause plantar fasciatis. A painful condition common to athletes, it causes stinging foot pain that can lead to further leg injuries if untreated.

 

Image F 

Another break for Outlander! This is a splendid example of body heat feet (Starz, ep 109, The Reckoning). Things are on broil up at Castle Leoch! Claire’s right heel hooks over Jamie’s Fraser plaid….hum…. Talk about a foothold! Snort!

Joints: We have covered joints (the anatomical type) in prior lessons (e.g. Anatomy Lesson #2, When Claire Meets Jamie or How to Fall in Love While Reducing a Dislocated Shoulder Joint!).  

To reiterate, joints are sites where two or more bones meet; some are moveable and some are not. Moveable joints allow for motion and there are several types. Our 33 foot joints fall into the following categories:

  • TC Joint (1): between distal tibia, fibula and talus, a.k.a. talocrural or ankle joint
  • IT Joints (13): between tarsal bones 
  • TM Joints (5): between metatarsals and tarsals
  • MP Joints (5) : between proximal phalanges and metatarsals
  • IP Joints (9): between phalangeal bones

Reducing the technicality of this topic, we will only cover the superbly designed TC or ankle joint! The ankle joint is a mortise joint, a term used in carpentry. Here, the talus projects upwards and fits inside a three-sided bone box formed by tibia and fibula of the leg  (Anatomy Lesson #27, Colum’s Legs and Other Things, Too!). Thus, our “ankle bones” are not separate bones, they are parts of tibia and fibula.  The inner ankle bone is actually the medial malleolus of the tibia; the outer ankle bone is the lateral malleolus of the fibula. This is a highly stable hinge joint that allows movement (see below).

Image G 

Before the lesson turns to movements, let’s take a quick keek at Jamie’s upbeat feet! Cheerfully dressed in nothing but a sark, he strides to the freezing mill stream to sleuth out a prob with the water wheel (Starz ep 113, Lallybroch). Seems it is producing gritty bannocks! Upbeat feet, that is, until a mess ‘o Redcoats arrive! Notice: his right foot is lifted at the ankle, a movement known as dorsiflexion. Yep! Read on to learn more about this term.

Movements: Various movements occur at the foot joints. Some are slight; others are more generous and important for ambulation. The talocrural joint (ankle joint) allows for six movements at the ankle; the first four are demonstrated in Image H: 

  • dorsiflexion: lifting foot at the ankle
  • plantar flexion: pointing the foot at the ankle
  • inversion: turning sole medially (toward midline)
  • eversion: turning sole laterally (toward the side)
  • abduction: turning foot to side (slight)
  • adduction: turning foot toward midline (slight)

Psst…..Practitioners often prefer the terms, supination for inversion and pronation for eversion.

Image H 

Next, there are toe movements which can occur independent of the ankle joint. These involve IP and MP joints: 

  • flexion: curling the toes 
  • extension: lifting the toes
  • abduction: spreading the toes
  • adduction: returning the toes to a resting position

Image I 

Back for an Outlander scene and a collective gasp!  Jenny takes a hot poker to the sole of a redcoat captive. Ouch! The poor man now has mincemeat feet. What ya doing Jenny?

Spill, messenger! Where is my bro??? In no uncertain terms, Big Sis declares to Claire: 

Love Forces a Person to choose!

Extrinsic Muscles: First, a wee definition…long time students will remember that in anatomy the leg is the lower limb between knee and ankle joints; thigh is between hip and knee joints. Most people use the term lower leg for the anatomical leg.

Muscles acting on the foot are classified as extrinsic muscles, those originating in the leg, and intrinsic muscles, those originating in the foot.

Amazing Fact: all leg muscles, excepting one, actually act on the foot! These are so complex, they must be simplified. Yes, Image J is simplified!!!

Extrinsic muscles in Fig. J (anterior and side muscles – left panel):

  • tibialis anterior – dorsiflexes & supinates foot
  • extensor hallucis longus – extends big toe & dorsiflexes foot
  • extensor digitorum longus – extends toes 2-5 & dorsiflexes foot
  • fibularis longus & fibularis brevis – pronate & plantar flex foot

Extrinsic muscles in Fig. J (superficial posterior muscles – middle panel):

  • gastrocnemius – plantar flexes foot (cut away in image)
  • soleus – plantar flexes foot

(Note: gastroc and soleus jointly share the massive achilles tendon which inserts into calcaneus. Normally, these are extremely strong plantar flexors)

Extrinsic muscles in Fig. J (deep posterior muscles – right panel):

  • flexor hallucis longus – flexes big toe & plantar flexes foot
  • flexor digitorum longus – flexes toes 2-5 & plantar flexes foot
  • tibialis posterior – plantar flexes & supinates foot

Image J 

Whew. That was scary! Time for another Outlander treat to lower the blood pressure. Oops, this is pretty scary, too (Starz ep 209, Je Suis Prest) – yuk! It’s eek feet for puir Angus – the lad has been careless with his feet. Nurse Claire warned him to keep them dry! 

Back to anatomy. No, we are not finished with muscles. Gasp!

Intrinsic Muscles of Dorsum (top) of Foot: As stated above, intrinsic muscles arise from foot bones. There are two smallish muscles on the dorsum of the foot, not shown in Image K. 

  • extensor hallucis brevis – extends the big toe
  • extensor digitorum brevis – extends toes 2-5

Intrinsic Muscles of Plantar Foot: Believe it or not, 18 muscles are located deep to the plantar aponeurosis. Who would have thought??? These are arranged in four layers (Image K –  from left to right). If you think these look challenging, you are right. Outside the head, the foot is one of the most difficult body parts to dissect! 

First structure in Image J (left panel) 

  • Plantar aponeurosis – not a muscle

1st Layer of Intrinsic Muscles in Image J ( 2nd panel):

  • abductor hallucis – draws big toe towards midline of body
  • abductor digiti minimi (I love this name!) – draws 5th toe away from foot
  • flexor digitorum brevis – flexes toes 2-5

2nd Layer of Intrinsic Muscles in Image J (3rd panel)

  • Lumbricals – both flex & extend different phalanges of toes 2-4
  • Quadratus plantae – flexes toes 2-4

3rd Layer of Intrinsic Muscles in Image J (4th panel)

  • flexor hallucis brevis – flexes big toe
  • adductor hallucis – draws big toe towards foot
  • flexor digiti minimi brevis – flexes 5th toe

4th Layer of Intrinsic Muscles in Image J (5th panel –  horizontal)

  • dorsal interossei – abduct toes 2-4 (spreads toes)
  • plantar interossei – adduct toes 3-5 (returns toes to resting position)

Image K

Now, given that mess of muscles, you probably appreciate how complex foot movements can be achieved. With some 20 intrinsic and 10 extrinsic muscles controlling our feet, they are quite capable, indeed!

Back to Outlander! We see Claire’s poor, weary beat feet, exposed to sand, surf, sun and formicidae (Anatomy Lesson #55, Formidable Formicidae) in Outlander ep 311, Uncharted! Trudging in wet shoes, dealing with festering ant bites, surviving snake slithers…. Diana explains Claire’s feet in Voyager book:

Squads of tiny purple crabs ran off in profound agitation at my approach. My feet sank into the mud to the ankles, and I thought better of putting on my shoes, wet as they were… My feet were bruised and sore, and punctured by fallen palmetto fronds, but the path before us looked relatively smooth.

We really must take good care of our feet if we want them to last. Exercise, weight control, healthy diet, wearing supportive shoes all help ensure the feet bear our weight for a lifetime. Even to the most careful, our feet suffer many assaults: bone spurs, athlete’s foot, plantar fasciitis, corns, bunions, Morton’s neuroma, flat feet, hammer toe, warts, stress fractures, etc. Or, we lose toes because of poor circulation, trauma, or developmental issues –  such problems have plagued us since ancient times. To the point, the oldest known functional prosthesis is an Egyptian wooden mummy toe  (Image L). It actually articulates at the laced surfaces. So clever! 

Hey, wait! How do we know it is not a daddy toe? He, he!

Image L 

Speaking of toes, Voyager book describes a splendid battle with pirates aboard ship. Sadly, the scene did not make it into the TV version. But, here is a shocking tidbit from the bloody fight:

Cursing incoherently under my breath, I ran to the bottom of the ladder, and reaching up, swung the long-handled amputation knife at his foot, as hard as I could. There was a high-pitched screech from the pirate. Something flew past my head, and a spray of blood spattered across my cheek, wet-hot on my skin. Startled, I dropped back, looking down by reflex to see what had fallen. It was a small brown toe, calloused and black-nailed, smudged with dirt.

Alrightie then! <G>

Let’s consider how you can hurt your neat, sweet, elite, complete feet… In your wildest dreams, do you think shoes such as these are good for feet (Image M)? Wear high heels for long, and one guarantees that later in life, the wearer will have foot problems. The foot is not designed to walk around on the metatarsophalangeal joints (ball) of the foot, which is why wearing spikes hurt!!!

Gentle admonition: if you wear this type of footwear, you should stop.

Image M 

Closing this lesson with indiscrete feet: no Outlander lass is quite as indiscrete and raunchy as Geillis (Gillian) Edgars Duncan Abernathy. Puir young Ian; that dear lad’s cheek is no place for a witch’s foot (Outlander ep 313, The Bakra)! 

BTW, the prominent ridges passing to 2nd to 5th toes are tendons of extensor digitorum longus! Yay!

Bottom line: The complete and complex human foot is truly an anatomical work of art. Let’s vow to take good care of ours!

The deeply grateful,

Outlander Anatomist

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Photo Creds: Sony/Starz; www.cba.ca (Image – L); www.DHgate.com (Image M ); www.digikalla.info (Image J); www.earthslab.com (Image G); www.footankle.strker.com (Image C); www.goodfeet.com (Image A); www.heatheappointments.com (Image I); www.nurseslab.com  (Image K – ); www.slideplayer.com (Image E, Image F, Image H); www.teachmeanatomy.com (Image B); www.wickimedia.commons.org (Image D)