Ankle Flashcards

(30 cards)

1
Q

Deep socket (mortise) formed by lower ends of tibia and fibula (+ malleoli)
Upper part of body of talus

A

ANKLE JOINT (TALOCRURAL JOINT)

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2
Q

What ttype of joint is the ankle joint?

A

Type of joint: synovial hinge joint

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3
Q

T or F
haracteristics
★ Fibular malleolus covers the entire lateral surface
of the talus
★ Tibial malleolus covers only 1/3 of the medial
surface of the talus

A

TRUE

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4
Q

★ On superior view: body of the talus is ____-shaped (wider anterior portion)
★ On superior view: medial malleolus is anterior to lateral malleolus in the transverse plane

A

★ On superior view: body of the talus is
wedge-shaped (wider anterior portion)
★ On superior view: medial malleolus is anterior to
lateral malleolus in the transverse plane

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5
Q

The deltoid ligament is consist of?

A
  1. Ant. talotibial ligament
  2. Tibionavicular ligament
  3. Calcaneotibial ligament
  4. Post talotibial
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6
Q

P: medial malleolus
D: talus, navicular, sustentaculum talu

A

MEDIAL (DELTOID) LIGAMENT (strong)

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7
Q
  1. Posterior talofibular ligament: lateral malleolus to
    post. tubercle of talus
  2. Calcaneofibular ligament: lateral malleolus to
    lateral surface to calcaneus
  3. Anterior talofibublar ligament: lateral malleolus to
    lateral surface of talus
A

LATERAL LIGAMENT (weaker)

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8
Q

NERVE SUPPLY

A
  • Deep peroneal (ant), tibial nerve (post), superficial peroneal nerve (post)
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9
Q

toes pointing upwards

A

Dorsiflexion

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10
Q

Dorsiflexion is produced by what group of muscle?

A

Produced by muscles in the anterior leg compartment
★ Limited by the tension of tendocalcaneus, post.
fibers of medial ligament and calcaneofibular
ligament

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11
Q

toes pointing downwards

A

Plantarflexion

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12
Q

plantar flexion is produced by what group of muscle?

A

Produced by muscles in the posterior leg compartment
★ Limited by the tension of opposing muscles, anterior fibers of medial ligament and anterior talofibular ligament

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13
Q

During plantarflexion, narrower posterior portion leaves some space for lateral motion
○ More unstable position and places more
burden on the ligaments
○ Ankle sprains more commonly occur in
plantarflexion

A

Note

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13
Q

T or F
During dorsiflexion, wider anterior portion of talus is firmly & snugly wedged between the mortise

A

TRUE

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14
Q

T or F
Medial ligament is much weaker than the medial ligament
Medial ligament most frequently injured in ankle sprains

A

FALSE
Lateral ligament is much weaker than the medial
ligament
○ Lateral ligament most frequently injured in
ankle sprains

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15
Q

PROXIMAL TIBIOFIBULAR JOINT consist of?

A

Consist:
★ Lateral condyle of tibia
★ Head of fibula

15
Q

PROXIMAL TIBIOFIBULAR JOINT ligaments

A

Ligaments:
★ Anterior ligament
★ Posterior ligament
★ Interosseous membrane also strengthens the
joint

15
Q

What type of joint is the PROXIMAL TIBIOFIBULAR JOINT

A

Type of joint: Synovial plane (gliding)

16
Q

nerve supply and movements in prox. talofibular joint

A

Nerve supply: common peroneal nerve
Movements:
small amounts of gliding movement takes place during movements at the ankle joint

17
Q

DISTAL TIBIOFIBULAR JOINT consist of?

A

Consist:
★ Fibular notch of the tibia
★ Lower end of fibula

18
Q

Distal tibiofibular joint is what type of joint?

A

Type of joint: fibrous joint

18
Q

Ligaments of the distal tibiofibular joint?

A

Ligaments:
★ Anterior ligament
★ Posterior ligament
○ Flat bands connect the bones in front and
behind the interosseous ligament
★ inferior Transverse ligament – from medial
surface of upper part of lateral malleolus to
posterior border of lower end of tibia
★ Interosseous ligament – strong, thick band that
connects the bones together

18
Q

Nerve supply and movements od the distal tibiofibular joint

A

Nerve supply: deep peroneal nerve and tibial nerve
Movements:
movement takes place during movements at the ankle
joint

18
Q

Apex and base od the Plantar aponeurosis

A

★ Apex: attached to calcaneus
★ Base: divides at bases of toes into 5 slips (divides into superficial and deep)

18
triangular thickening of deep fascia w/c occupies central area
Plantar aponeurosis
18
MUSCLES OF THE SOLE OF THE FOOT 1st layer
Abductor hallucis Flexor digitorum brevis Abductor digiti minimi (FAA)
18
functions of Plantar aponeurosis
Functions: ★ Firm attachment to overlying skin ★ Protect underlying vessels, nerves, tendons and their synovial sheaths ★ Assist in maintaining arches of the foot
18
MUSCLES OF THE SOLE OF THE FOOT 4th layer
Interossei Peroneus longus Tibialis posterior
18
MUSCLES OF THE SOLE OF THE FOOT 3rd layer
Flexor hallucis brevis Adductor hallucis Flexor digiti minimi brevis (FAF)
18
MUSCLES OF THE SOLE OF THE FOOT 2nd layer
Quadratus plantae Lumbricals Flexor digitorum longus tendon Flexor hallucis longus (LQFF)