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CATA 337 > Leg and ankle > Flashcards

Leg and ankle Flashcards

(57 cards)

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1
Q

3 functions of lower leg, ankle and foot

A

Impact absorption and Adaptation to uneven surfaces
Propulsion: act like a flexible lever
Support: act like a rigid structure that holds up the entire body

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2
Q

medial ligament of the feet

A

tibiocalcaneus, tibionavicular, plantar calcanei-navicular, anterior tibionavicular, post tibiotalar,

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3
Q

lateral ligament of the feet

A

post talofibular, ant talofibular, calcaneofibular, interosseao talocalcaneao, dorsal calcaneocuboid

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4
Q

posterior ligament of the feet

A

post tibiofibular, posterior talofibular, deltoid ligament

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5
Q

anterior ligament of the feet

A

dorsal talonavicular, dorsal talar lig, bifurcate lig

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6
Q

what are the 3 joints of the hind foot + leg + mvt and ligament involve

A

Tibiofibular joint -> Ant and post tib-fib
Talocrural joint -> DF and PF
med\lat lig
Subtalar joint (Talocalcanean) -> Gliding\rotation

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7
Q

tibiofibular joint : resting position, closed pack position and capsular pattern

A

Resting position:Plantar flexion
Close packed position: max dorsiflexion
capsular pattern: pain when joint is stressed packed position:

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8
Q

talocrural ankle joint: resting position, closed pack positon, capsular pattern

A

Resting position: 10 plantar flexion, midway between inversion and eversion
Close packed position: Maximum dorsiflexion
capsular pattern: plantar flexion, dorsiflexion

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9
Q

subtalar joint: resting position, closed pack positon, capsular pattern

A

resting position: midway between extreme ROM
closed packed position: supination
caspular pattern: limited ROM valgus and varus

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10
Q

joint of mid foot

A

Talocalcaneonavicular
Cuneonavicular
Cuboideonavicular
Intercuneiform
Cuneocuboid
Calcaneocuboid

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11
Q

fonction of mid foot joint

A

All the joints work together to allow the foot to adapt to many positions, but individually, each joint has limited movement.

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12
Q

midtarsal joint: resting position, closed packed position, capsular pattern

A

resting position: Midway between extremes of range of motion (ROM)
Close packed position: Supination
Capsular pattern: Dorsiflexion, plantar flexion, adduction medial rotation

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13
Q

Forefoot joint

A

tarsometatarsal (lisfranc joint) , intermetatarsal, metatarsophalangeal

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14
Q

what is the first symptom someone with a lisfranc injury have ?

A

can’t do plantar flexion while weightbaring (calf raise)

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15
Q

what is the name of the injury occurring at the tarsometatarsal joint

A

lisfranc

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16
Q

tarsometatarsal joint: resting position, closed packed position, capsular pattern

A

RP: midway between extremest ROM
CPP: supination
CP: none

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17
Q

metatarsophalangeal joint: resting position, closed packed position, capsular pattern

A

RP: 10 extension
CPP: full extension
CP: big toe extension, flexion and second to fifth toe variable

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18
Q

interphalangeal joint:resting position, closed packed position, capsular pattern

A

RP: slight flexion
CPP: full extension
CP: flexion, extension

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18
Q

interphalangeal joint:resting position, closed packed position, capsular pattern

A

RP: slight flexion
CPP: full extension
CP: flexion, extension

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19
Q

what do we need to observe when assessing a foot injury (during walking)

A

open chain -> swing phase look to see if talus is fixed
closed chain -> stance phase look to see if talus adapt

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19
Q

what do we need to observe when assessing a foot injury (during walking)

A

open chain -> swing phase look to see if talus is fixed
closed chain -> stance phase look to see if talus adapt

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20
Q

how munch weight is taking by the heel when normally standing and how munch by the metatarsal head

A

50 to 60 and 40 to 60

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21
Q

what is the typical angle of the toe when standing

Study These Flashcards
A

12 to 18 degree from sagittal axis of the body vs 5 in child

22
Q

the medial longitudinal arch is support by what and form by what

Study These Flashcards
A

form by Calcaneal tuberosity, talus, navicular, 3 cuneiforms, 1-3 MT
supporter by: tib. Ant. and Post. Flex. Digi. Long\brevis
Flex. Hallux long., Abd. Hallucis, plantar fascia, spring big

23
lateral longitudinal arch is form by and supported by
form by Calcaneus, cuboid, 4-5 metatarsal supported by peroneus longus \ brevis \tertius, Abd dig. minimi, Flex. digi. Brevis, plantar fascia, long/short plantar
24
transverse arch is support and form by
form by: Navicular, cuneiforms, cuboid, and metatarsal bones supported by: Tib. Post, Tib ant. , Peroneus longus ,Plantar fascia
25
what happened during single leg support if the glut min and med is weak
the pelvis will drag down and shift center of gravity
26
what is the normal gait
Heel contact in slight (Hip) LR with knee extended (up to 5° flex), foot is supinated
27
during the mid stance the foot move to a supinate or pronate position
pronate
28
during the push off the foot need to supinate or pronate
supinate
29
do to weakness in which muscle the hip drop during walking
glut med
30
due to weakness in which muscle the trunk stay in a extension position when walking
glut max
31
due to weakness in which muscle there's a limitation in the push off phase
plantar flexor
32
ROM needed to descend and walking up stair
descend: full dorsiflexion walk up; doors at 10o and 20 to 25o plantar flexion
33
which test is done in order to measure the ankle dorsiflexion
ankle lunge test
34
what are the active WB mat
A, Plantar flexion. B, Dorsiflexion. C, Supination. D, Pronation. E, Toe extension. F, Toe flexion.
35
Active NWB met
A, Plantar flexion. B, Dorsiflexion. C, Supination. D, Pronation. E, Toe extension. F, Toe flexion. G, Toe abduction. H, Toe adduction.
36
passive NWB met
Talocrural DF/PF Subtalar In/Ev lMid-Tarsal Ad/Abd Toe F/E, Ad/Abd
37
resisted isometric met of lower leg, ankle, foot
A, Knee flexion. B, Dorsiflexion. C, Plantar flexion. D, Supination. E, Pronation. F, Toe extension.
38
what are the chronic special tests of lower leg
Neutral position of Talus (WB, NWB) Fig Leg-heel alignment Tibial torsion Feiss line Leg length “Too-many-toes
39
what are the acute special test
Drawer Kleiger Squeeze
40
what is test with ant drawer test
ant. talofibular ligament
41
what does kleiger test
tib fib ligament (high syndemsosis lig), deltoid lig
42
what test can we use to test a syndesmosis injury
distal tibiofibular compression test
43
what is test during talar tilt
laxity in medial and lateral lig
44
which test is testing arterial blood supply and consist of
burger's leg elevated 45, sit over edge positif is return of blood longer than 2 minutes
45
what does a lack of reflex in Achille can indicate
possible spine issue
46
which muscle do we test if we want to test reflex in lower leg
Achille and tib post
47
what is the name of the test for nerve
tinel's sign
48
where does medial plantar nerve can get compresse or intrape
under spring lig (calauaneonavicualr lig)
49
where does post tibial nerve can get compress
under flexor retinaculum
50
where does deep perioneal nerve can get pinched
superior extensor retinaculum or inferior extensor retinaculum
51
where does lateral + medial branch of deep perineal nerve can get pinched
lat: extensor tendon med: hallucis longus brevis tendon
52
which nerve can be pinched by the fascia in the foot
sup peroneal nerve
53
which nerve can be stretch during inversion
sural nerve, superficial peroneal
54
which mvt can stretch the sural nerve
inversion
55
where do we palpate in the Ottawa ankle rule
Posterior edge, tip of lat.Malleolus Base of 5th Posterior edge, tip of med. Malleolus Navicular

CATA 337 (2 decks)

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