Ankle Foot Study Guide Flashcards
(54 cards)
. What are some unique features for each of the tarsal bones?
Talus:
-1st bone we come to if er move distally from leg bones
-Mortise, head, body, trochlea, articular cartilage
- Transfers wight from tibia to calcaneus and forefoot
- No tendon / muscle attachments
Calcaneus:
-Largest, strongest tarsal
-transfers weight from talus to ground
-Sustentaculum tali, calcaneal tuberosity
Navicular
- Navicular Tuberosity
Cuboid:
Cuneiform:
- Medial, intermediate, lateral
Transverse Tarsal Joint:
- Separates hindfoot and midfoot
Tarsometatarsal Joint
- Separates hindfoot and midfoot
Which bones make up Hindfoot
-talus
-Calcaneus
Which bones make up midfoot
-Navicular
-Cuboid
-1-3 Cuneiforms
Which bones make up the forefoot
- 5 metatarsal bones
- Phalanges
Primary/contributing muscles of Dorsiflexion
-Tibialis Anterior is the strongest Dorsiflexor
-Extensor Hallucis Longus does dorsiflexion and extension of great toe
-Extensor Digitorum Longus dorsiflexes ankle and Extends lateral 4 digits
-Fibularis Tertius Dorsiflexes ankle joint and aids in eversion if subtalar joint
Primary/contributing muscles of Plantarflexion
- Gastrocnemius is the main plantar flexor
-Soleus is the workhorse of plantarflexion; can plantarflex regardless of knee position because it does not cross the knee
-Fibularis Longus/brevis both assist in plantarflexion
Primary/contributing muscles of inversion
Tibialis Posterior is the best invertor
Primary/contributing muscles of eversion (look up in book)
What is the best muscle to maintain longitudinal arch during weight bearing?
Tibialis Posterior
Describe the Longitudinal arch of foot ( Medial/Lateral)
Medial= calcaneus, talus, navicular, cuneiforms, medial 3 metatarsals
Lateral= Cuboid, cuneiforms, bases of metatarsal
Describe the Transverse arch of the foot
- cuboid, cuneiforms, base of metatarsals
Explain the Passive and Dynamic supports of the foot
Passive:
-Noncontractile
-Bone shapes
-Plantar aponeurosis
-Plantar ligaments (Spring, Long, Short)
Dynamic:
- Contractile
- Intrinsic foot muscles
-Extrinsic (Tendons, FHL,FDL, Fibularis Longus, Tibialis Posterior
What happens to the Tibiofibular Syndesmosis during ankle Dorsiflexion?
a. Why does this occur? b. What ligaments restrain this?
- During ankle dorsiflexion the tibiofibular syndesmosis helps prevent mortis from splaying
A= Stability of ankle joint, keeps lateral malleolus firmly against lateral surface of talus
B= Union of Tibia and Fibula by interosseous membrane (shafts) and anterior, Interosseous and posterior tibiofibular ligaments (making up inferior tibiofibular joint uniting distal ends of bones)
Bones that make up Talocrural Joint
- Mortis/ Talus
- Hinge type joint
- Has a capsule
Bones that make up Subtalar Joint
- Talus/Calcaneus
-Majority inversion/eversion occurs
Bones that make up the Metatarsophalangeal Joint
-Connects head of metatarsals with bases of proximal phalanges
-Toe flexion, extension, abduction, adduction
Bones that make up the Transverse Tarsal Joint
- Made up of 2 separate Joints
1. Talonavicular joint
2. Calcaneal cuboid joint
-Plays role in eversion and inversion
Bones that make up Tarsometatarsal Joint
- Connects each tarsal bone to a metatarsal
- Where forefoot begins
What bones make up the Proximal Interphalangeal Joint
- Connects 1 phalanx to the next
What toe only has 1 IP joint ?
Great toe
A: Interphalangeal Joints can only…….
B: Interphalangeal joints can not do …..
A= can only do toe flexion/extension
B=Cannot do abduction/adduction
Which bones are connected by Anterior Talofibular ligaments & which motions are restrained
- Flat weak band
-Extends anteromedially from lateral malleolus to neck of the talus
-resistant to inversion
Which bones are connected by the Posterior Talofibular ligaments & which motions are restrained
- Thick fairly strong band
-Runs horizontally medially and slightly posteriorly from malleolar fossa of the fibula to the lateral tubercle of the talus - Resists ankle joint inversion
Which bones are connected by the Calcaneofibular ligament and which motions are restrained
- Round cord
- Passes postero-inferiorly from the tip of the lateral malleolus to the lateral surface of the calcaneus
-Medial ankle: stabilizes the ankle joint during eversion and prevents subluxation