Foot and ankle Flashcards

(75 cards)

1
Q

how many bones in the ankle

A

28

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2
Q

how many articulations

A

55

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3
Q

what bones make up the rear foot

A

talus and calcaneus

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4
Q

what bones make up the mid foot

A

navicular
cuboid
3 cuneiforms

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5
Q

what bones make up the forefoot

A

14 bones of the phalanges
5 metatarsals
medial and lateral sesmoids

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6
Q

distal tibiofibular joint is classified as

A

syndesmosis

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7
Q

separation of ankle bones from injury

A

diastasis

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8
Q

talocrural joint has what shape

A

saddle shaped

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9
Q

what two bones does the talocrural joint articulate

A

talus and distal tib

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10
Q

how is the talocrural joint classified

A

synovial hinge or modified sellar

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11
Q

talocrural close packed position

A

max dorsi flexion

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12
Q

talocrural open packed position

A

plantar flexed and midway between supination and pronation

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13
Q

what is an aka for talocalcaneal

A

subtalar joint

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14
Q

what type of joint is the subtalar joint

A

synovial, bicondylar compound joint consisting of two separate modified ovoid surfaces with own cavities (one male one female)

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15
Q

in practice subtalar has how much inversion

A

2:3 20 degrees

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16
Q

in practice subtalar has how much eversion

A

1:3 10 degrees

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17
Q

in chronic arthritic conditions in subtalar joint what happens

A

limit inversion

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18
Q

traumatic arthritis in subtalar joint what happens

A

eversion is limited

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19
Q

closed pack position for subtalar joint

A

full inversion (supination)

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20
Q

open packed position for subtalar joint

A

inversion/plantarflexion

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21
Q

majority of joints in foot and ankle will be classified how

A

synovial modified ovoid

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22
Q

what are the main deep talocalcaneal joint ligaments

A

interosseous
cervical
axial

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23
Q

what are the superficial talocalcaneal joint ligaments

A

lateral and posterior

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24
Q

what two articulations are in the midtarsal joint complex

A

talonavicular

calcaneocuboid

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25
calcaneocuboid is classified as what type of joint
synovial modified sellar
26
calcaneonavicular ligament aka and location
spring ligament (navicular to sustentaculum)
27
calcaneocuboid joint includes what ligaments
long plantar ligament | part of bifurcate ligament dorsally
28
what is the most common direction to injure an ankle
plantarflexion inversion
29
interphalangeal joints are classified as what
synovial modified sellar joint
30
what is the only bone in the body with 3 anterior facets
navicular
31
cuboid navicular does what
syndesmosis- diastasis
32
when the IP joint has hyperextension of MTP flexionof PIP and DIP
claw toe- callus on MTP plantar side and PIP dorsal side
33
when the IP joint has hyperextension of MTP and DIP flexion of PIP
hammer toe- callus dorsal side PIP
34
when the IP joint has | hyperflexion of DIP
Mallet toe- callus on dorsum DIP and tip of toe
35
lateral deviation of proximal phalanx of 1st toe
hallux valgus
36
where is the pain for hallux valgus
medial side of 1st MTP
37
what can hallux valgus result in
external rotation of 1at ray
38
what is a ray
metatarsal + phalange
39
What is an adaptation to hallucinate valgus
Over lapping of toes
40
If the 5th pip laterally deviates it is known as
Taylor's bunion or bunionette
41
Where does the plantar fascia originate
Os calcis
42
Histologically what makes up the plantar fascia
Collagen and elastic fibers
43
What arch bears the most brunt from weight bearing of the body
Medial arch
44
Abnormally high arch
Pes cavus
45
Absent arch
Pes planus
46
Ortho test for arches
Ridged or supple flat feet Absence of medial arch both stand and sit= rigid Presence while seated gone when stand= supple
47
Name the compartments of the extrinsic foot muscles
Anterior Posterior superficial Posterior deep Lateral
48
Anterior compartment of extrinsic foot muscles includes
``` Dorsiflexors: Tibialis anterior Extensor digitorum longus Extensor hallicus longus Peroneus tertius ```
49
What is the strongest dorsiflexor and invertor of the foot
Anterior tibialis
50
Loss of muscle strength in the anterior tibialis results in
Foot drop | Step gate
51
Posterior superficial compartment is located where and contains what
Located posterior to interosseous membrane Contains gastroc Soleus Plantaris
52
What is contained within the posterior deep compartment
Foot flexors Posterior tibialis Flexor digitorum longus Flexor hallicus longus
53
What is contained with in the lateral compartment
Peroneus longus and brevis
54
How many layers are the intrinsic layers divided into
4
55
1st layer of intrinsic muscles
Abductor hallicus Abductor digiti minimi Flexor digitorum brevis
56
2nd layer of intrinsic muscles
Flexor digitorum accesorius | Lumbricles
57
3 rd layer
Flexor hallucis brevis Flexor digiti minimi Adductor hallucis
58
4 th layer
Dorsal interossei | Plantar interossei
59
Dorsal intrinsic muscles of the foot
Extensor hallucis brevis | Extensor digitorum brevis
60
How many arches of the foot what are they
Medial arch Lateral arch Transverse arch
61
Medial arch is made up of what bones
1st 3 digits and metatarsals Navicular Talus
62
Lateral arch is made of what bones
Digits 4 & 5 and metatarsals Cuboid Calcaneous
63
Transverse arch is made of what bones
Metatarsals
64
Pain between metatarsal heads of 3 and 4 | No apparent injury
Mortons neuroma
65
What is the test for mortons neuroma
2 hands smooth medially
66
Neuropathy of the posterior tibial N due to compression or stretching
Tarsal tunnel syndrome
67
Result of tarsal tunnel syndrome
Repetitive hyperflexion/extension resulting in tenosynovitis because,of constriction of PTN
68
Main blood supply of the foot
Anterior and posterior tibial arteries branches from popliteal A
69
Obstructed vascular supply unilaterally
Residual edema secondary to trauma
70
Bilateral swelling in the foot
Possible cardiac or lymphatic problems or pelvic obstruction to venous return
71
Frontal plane motion
Inversion and eversion
72
Sagittal plane of motion
Plantar/Doris Flexion
73
Horizontal plane of motion
Abduction adduction
74
Triplaner motion occurs in what joints
Talocrural Subtalar Mid tarsal 1&5 Rays
75
Normal alignment for 1st MTP
Varies btw 5-15 degrees valgus