Kinesiology of foot

Question 1

Proximal tibiofibular joint (H) classification

Answer 1

Non-axial plane synovial joint

Question 2

Ligaments of fibular HD

Answer 2

Ant/post bands

Question 3

Proximal Tibiofibular joint CPP

Answer 3

Full dorsiflexion

Question 4

Proximal tibiofibular joint Capsular Pattern

Answer 4

Pain on stress

Question 5

Proximal tibiofibular joint typical dislocation

Answer 5

Rare: typically superior dislocation of fibular HD

Question 6

Intermediate tibiofibular joint classification

Answer 6

Functional: amphiarthroidal (Ltd mobility)
Structural: Fibrous syndesmosis

Question 7

Intermediate tibiofibular joint ligaments

Answer 7

Interosseus membrane
Prox/distal hiatus for arteries to pass through

Question 8

Distal tibiofibular joint classification

Answer 8

Functional: ampiarthroidal (Ltd mobility)
Structural: fibrous syndesmosis

Question 9

Distal tibiofibular joint ligaments and movement

Answer 9

Lig: Ant/post tibfib lig
mvmnt: small amounts of joint separation (1-2mm) w full dorsiflexion

Question 10

Strongest of the ankle ligaments

Answer 10

Interosseus ligament

Question 11

Interosseous ligament kinematics

Answer 11

Class 2 lever
Small motions at the lateral malleolus result in large motions in proximal tib/fib joint

Question 12

Distal tibiofibular joint CPP

Answer 12

Full dorsiflexion

Question 13

Distal tibiofibular joint capsular pattern

Answer 13

Pain on stress

Question 14

Distal tibiofibular joint typical dislocation

Answer 14

High distraction force in the distal joint may lead to dislocation of fibula

Question 15

With ________, the fibula abducts away from the tibia and fibula rotates ________ at distal end

Answer 15

Dorsiflexion, medially

Question 16

With ___________, the fibula adducts toward the tibia and rotates ______ at the distal end

Answer 16

Plantarflexion, Laterally

Question 17

Ankle mortise is made up of..

Answer 17

Medial malleolar and inf. articular facets of tibia
Lateral malleolar articular facet of fibula
Deep fibres of post. tibfib lig. (dist. to TF joint)

Question 18

Talocrural joint classification

Answer 18

Uniaxial hinge synovial

Question 19

The medial malleolus is slightly _____/______ compared to the lat. malleolus

Answer 19

Anterior/superior thus not a true medial-lateral axis

Question 20

Both the knee and ankle move upon _____ axis

Answer 20

Oblique

Question 21

In open chain, during dorsiflexion slight _______ must occur at the subtalar joint

Answer 21

Eversion

Question 22

During open chain dorsiflexion of the talocrural joint the tib/fib rotate _______ and slides _______

Answer 22

Medially, superiorly

Question 23

Plantarflexion at TC joint open chain

Answer 23

Slight inversion must occur at the subtalar joint
Occurs due to oblique axis

Question 24

Plantarflexion at TC joint open chain the tib/fib rotate _____ and fibula adducts and slides _______

Answer 24

Laterally, inferiorly

Question 25

Lateral colateral ligament has ___ bands to limit inversion/ varus strain

Answer 25

3

Question 26

ATFL limits plantarflexion PTFL limits dorsiflexion Both also limit ________

Answer 26

Inversion

Question 27

Talocrural joint CPP

Answer 27

Full dorsiflexion

Question 28

Talocrural joint Capsular pattern

Answer 28

Plantarflexion > dorsiflexion

Question 29

Talocrural joint typical dislocation

Answer 29

Uncommon, posterior more common than anterior, due to trauma Typically see malleolar fracture first

Question 30

Talocrural joint open chain _____ talar dome moves on stationary ______ distal tibia

Answer 30

Convex on Concave thus opposite directions

Question 31

Talocrural joint closed chain _______ distal tibia moves on stationary _____ talus

Answer 31

Concave on Convex thus same directions

Question 32

Subtalar joint has __ bands within the sinus tarsi which restrict end range ________

Answer 32

2 bands ant/post, end range eversion

Question 33

The true _______ subtalar joint consists only of the ______ articulation because it has its own capsule

Answer 33

anatomical posterior

Question 34

Subtalar joint CPP`

Answer 34

Full supination

Question 35

Subtalar joint Capsular pattern

Answer 35

Varus (inversion) > Valgus (eversion)

Question 36

Subtalar joint typical dislocation

Answer 36

Talar dislocation relatively rare Calcaneal impaction from landing hard on the heel can sublux talus but not often dislocate it

Question 37

S-shaped articulation that acts as a bridge between hindfoot and midfoot

Answer 37

Composed of 2 seperate joints: Talocalcaneonavicular: talocalcaneal/talonavicular joint Calcaneocuboid joint | Transverse tarsal joint

Question 38

Talocalcaneal joint classificaton

Answer 38

Uniaxial plane synovial joint

Question 39

subtalar and Talocalcaneal joints are in which axis

Answer 39

Oblique triplanar axis (axis bisecting all 3 planes)

Question 40

roll/glide for the subtalar/talocalcaneal joint in closed chain

Answer 40

posterior Concave talus moves over (relatively) stationary convex calcaneus Thus roll/glide are in the same direction

Question 41

Pronation in closed chain

Answer 41

Calcaneal eversion Talar head: add/plantarflxn internal rotn of tib/fib medial longitudinal arch depresses

Question 42

Supination in closed chain

Answer 42

Calcaneal inversion Talar HD: Abd/dorsiflxn ext. rotn of tib/fib Medial longitudinal arch elevates

Question 43

roll/glide for the subtalar/talocalcaneal joint in open chain

Answer 43

Convex calcaneus moves over the concave talus Thus roll/glide is in the opposite direction

Question 44

Supination in open chain

Answer 44

Calcaneus: inversion, adduction, plantar flexion

Question 45

pronation in open chain

Answer 45

calcaneus: eversion, abduction, dorsiflexion

Question 46

talonavicular joint open kinetic chain

Answer 46

concave proximal navicular moving on convex talar head Same

Question 47

Talonavicular joint closed chain roll/glide

Answer 47

Closed is opposite talar HD moving on navicular

Question 48

Plantar calcaneonaviuclar (spring) ligament

Answer 48

Supports talus and therefore the medial longitudinal arch

Question 49

Talocalcaneonavicular (TCN) CPP

Answer 49

Supination

Question 50

TCN joint capsular pattern

Answer 50

Dorsiflexion > PLnatar flexion of talar HD

Question 51

TCN typical dislocation

Answer 51

uncommon, more common fracture

Question 52

TCN joint blood supply/innervation

Answer 52

anterior tibial artery Plantar and deep fibular n.