Foot & Ankle - Lecture Flashcards

(59 cards)

1
Q

How many bones in the ankle?

A

28

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2
Q

How many sesamoid bones in the foot?

A

2

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3
Q

How many synovial joints in the foot and ankle?

A

30

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4
Q

What bone are part of the rearfoot?

A

Talus and Calcaneus

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5
Q

Midfoot = ?

A

Navicular
Cuboid
3 Cuneiforms

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6
Q

Forefoot = ?

A

14 bones of the toes
5 metatarsals
Medial and Lateral Sesamoids

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7
Q

T or F

The Distal Tibiofibular Joint is classified as a synchondrosis

A

False

Syndesmosis

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8
Q

Where is the common area of Diastasis in the foot and ankle?

A

Tibiofibular Joint

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9
Q

What type of joint is the Talocrural joint?

A

Synovial hinge or a modified sellar

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10
Q

What is the closed packed position for the Talocrural joint?

A

Weight-bearing dorsiflexion

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11
Q

What is the open packed position for the Talocrural joint?

A

Midway between supination and pronation

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12
Q

What type of joint is the Subtler Joint?

A

Synovial, bicondylar compunt joint consisting of two separate modified ovoid surfaces with their own joint cavities.

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13
Q

Subtalar Joint aka ?

A

Talocalcaneal Joint

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14
Q

What are the approximate degrees of inversion and eversion of the ankle?

A

20 degrees inversion

10 degrees eversion

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15
Q

Describe the movement changes with chronic arthritic conditions compared to traumatic arthritis

A
Chronic = limitation of inversion 
Traumatic = limitation of eversion
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16
Q

T or F

The close-packed position for the subtalar joint is full eversion

A

False

Full inversion

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17
Q

What is the open packed position of the subtalar joint?

A

inversion/plantarflexion

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18
Q

Name the ligaments that provide deep support for the Talocalcaneal Joint

A

Interosseous cervical and axial ligaments often referred together as the interosseous ligaments

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19
Q

T or F

The calcaneocuboid joint is a compound modified ovoid joint

A

False

Simple synovial modified seller joint

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20
Q

Spring ligament is also called?

A

Plantar Calcaneonavicular

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21
Q

The spring ligament connects what structures?

A

Navicular to the sustentaculum tali on the calcaneus

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22
Q

What is the difference between the 1st inter metatarsal joint compared to the 2nd, 3rd, & 4th

A
1st = simple synovial modified ovoid joint
others = compound joints
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23
Q

T or F

The IP joints are classified as simple, synovial or modified ovoid joints

A

False

This is describing the MTP joints
IP = simple synovial modified sellar

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24
Q

What is a claw toe?

A

Hyperextension of the MTP joint & flexion of the PIP + DIP

25
Hyperextension of the MTP & DIP joint and flexion of the PIP joint is called?
Hammer Toe
26
What is Mallet Toe?
Hyper flexion of the DIP joint with callus formation on the dorm of the affected toe
27
Describe Hallux Valgus
A lateral deviation of the proximal phalanx of the 1st toe with pain on the medial side of the 1st MTP
28
What is Hallux Valgus called when it is on the 5th toe?
Tailors Bunion or a bunionette
29
Origin and insertion of the plantar fascia?
``` O = Os Calcis I = complex network to the plantar forefoot. ```
30
Pes Cavus = ?
Abnormally high arch
31
Absent of medial longitudinal arch = ?
Pes planus
32
Name the anterior compartment of muscles
Tibialis anterior extensor digitorum longus Extensor Hallicus longus Peroneus Teritus
33
What muscle is the strongest dorsiflexor and investor of the foot?
Tibialis anterior
34
What is stoppage gait?
Loss of tibialis muscle strength that leads to drop foot.
35
Posterior Superficial muscles of the foot.
Gastrocnemius, soleus and plantaris muscle.
36
What compartment contains the flexors of the foot?
Posterior Deep Compartment - posterior tibialis - flexor digitorum longus - flexor hallucis longus
37
What compartment does the Peroneus Longus and Brevis in?
Lateral Compartment
38
1st Layer of intrinsic muscles of the foot?
Abductor hallucis Abductor digiti minimis Flexor digitorum brevis
39
T or F | Quadratus plantar and lumbricales are located in the 3rd layer of intrinsic muscles
False 2nd
40
What muscles are in the 3rd layer of the intrinsic muscles
Flexor hallucis brevis Flexor digiti minimis Adductor hallucis
41
The dorsal intrinsic muscles of the foot are?
Extensor hallucis brevis and extensor digitorum brevis
42
The medial longitudinal arch is made up of what bones?
1st three digits and their Metatarsals Cuneiforms Navicular Talus
43
T or F The transverse arch of the foot is made up of the digits 4 & 5 and their metatarsals and the cuboid and calcaneus
False That is describing the lateral longitudinal arch Transverse = 5 metatarsal bones
44
Pain between the metatarsal heads typically 3rd & 4th is called?
Morton's Neuroma
45
The tibial nerve divides into?
Sural, medial calcaneal, medial plantar, and lateral plantar
46
What is Tarsal Tunnel Syndrome?
Repetitive hyperflexion or hyperextension motion resulting in tenosynovitis with resulting constriction of the posterior tibial nerve
47
What motion of the foot and ankle takes place in the frontal plane?
Inversion and Eversion
48
Sagittal plane of motion of the foot includes?
Dorsiflexion and plantarflexion
49
Adduction and Abduction occur in what plane of motion?
Horizontal
50
Triplanar motion occurs in what joints of the foot?
Talocrural, subtalar, midtarsal joints and at the first and firth rays.
51
T or F Pronation and Supination are considered triplanar motions
True
52
Supination is combined motion of?
Adduction, plantarflexion and inversion
53
Normal alignment of the 1st MTP joint varies between what degrees of varus and values
5 degrees varus and 15 degrees valgus
54
T or F Females suffer less from gout than males
True | Male 20:1 predominance
55
MC spot of Gout?
1st MTP joint
56
Increasing weakness with repeated contractions of the same resistance indicates?
Palsy
57
Consistent weakness with repeated contractions suggests?
De-conditioned muscles or a significant muscle tear
58
What nerve roots are associated with the ankle and foot
L4-S2
59
Posterior tibial nerve is sometimes tested at what disc level?
L5