4 - Palpations of Tarsal + Foot

Question 1

What is the general location of the talus?

Answer 1

BETWEEN CALCANEUS AND LOWER LEG, TIBIA

Question 2

How would you describe the talus?

Answer 2

LARGE BONE IN THE ANKLE

Question 3

Name the structures surrounding the talus?

Answer 3

TIBIA
\+
CALCANEUS
\+
NAVICULAR
\+ 
INFERIOR EXTENSOR RETINACULUM

Question 4

What attaches at the talus?

Answer 4

ANTERIOR TIBIOTALAR LIGAMENT
+
POSTERIOR TIBIOTALAR LIGAMENT

(no muscles)

Question 5

Where is the neck of the talus?

Answer 5

PROXIMAL TO HEAD IN ANTERIOR PORTION

Question 6

Where is the body of the talus?

Answer 6

POSTERIOR PORTION

supporting tibia

Question 7

How would you palpate the talus?

*** 3 steps

Answer 7

LOCATE NAVICULAR TUBERCLE
\+
SLIDE PROXIMALLY TO DEPRESSION OF HEAD OF TALUS
\+
EVERT FOOT TO PRONOUNCE TALAR HEAD

Question 8

What is the general location of the calcaneus?

Answer 8

WITHIN FOOT
+
AKA HEEL BONE, KNOWN FOR ITS LOCATION AT THE BACK

Question 9

How would you describe the calcaneus?

Answer 9

LARGEST BONE OF THE FOOT
+
HAS TUBEROSITY, PART OF WHICH MAKES CONTACT WITH GROUND

Question 10

Name the structures surrounding the calcaneus?

Answer 10

SUSTENTACULUM TALI, TALUS
\+
TALUS
\+
CUBOID

Question 11

The sustentaculum tali is a ___________ projecting shelf.

Answer 11

MEDIALLY

Question 12

What attaches at the calcaneus?

Answer 12

LONG and SHORT PLANTAR LIGAMENTS
\+
ABDUCTOR DIGITI MINIMI (LATERAL PROCESS)
\+
ABDUCTOR HALLUCIS (MEDIAL PROCESS)
(etc)

Question 13

How would you palpate the calcaneus?

*** 3 steps

Answer 13

FOLLOW MEDIAL MALLEOLI DOWN TO HEEL
\+
EXPLORE SHAPE AND GIRTH
\+
IDENTIFY TUBEROSITY AT BASE OF HEEL

Question 14

What is the general location of the cuboid?

Answer 14

LATERAL BONE OF THE FOOT
+
BETWEEN CALCANEUS AND LATERAL BONES OF MIDFOOT AND FOREFOOT

Question 15

How would you describe the cuboid?

Answer 15

ONE OF 7 TARSAL BONES
\+
CUBE SHAPED
\+
PROVIDES STABILITY

Question 16

Name the structures surrounding the cuboid?

Answer 16

4TH and 5TH METATARSALS
\+
CUNEIFORMS
\+
CALCANEUS

Question 17

What attaches at the cuboid?

Answer 17

TENDONS OF PERONEUS LONGUS PASS TO ARTICULATE WITH TUBEROSITY OF 5TH MT
+
DORSAL SURFACE PARTIALLY COVERED BY BELLY OF EXTENSOR DIGITORUM BREVIS

Question 18

How would you palpate the cuboid?

*** 2 steps

Answer 18

DRAW IMAGINARY LINE FROM TUBEROSITY OF 5TH MT TO LATERAL MALLEOLUS
+
CUBOID IS SUPERIOR TO TUBEROSITY TOWARD MALLEOLUS

Question 19

What is the general location of the navicular?

Answer 19

DORSAL, MEDIAL SIDE OF THE FOOT

Question 20

How would you describe the navicular?

Answer 20

BOAT SHAPED
+
ONE OF 7 TARSAL BONES

Question 21

Name the structures surrounding the navicular?

Answer 21

1 - 3 CUNEIFORMS
+
TALUS

Question 22

What attaches at the navicular?

Answer 22

POSTERIOR TIBIAL TENDON
+
TIBIALIS ANTERIOR and ENTENSOR HALLUCIS LONGUS TENDONS PASS DORSUM OF NAVICULAR

Question 23

How would you palpate the navicular?

*** 3 steps

Answer 23

LOCATE BASE OF FIRST METATARSAL
\+
MOVE PROXIMALLY ACROSS MEDIAL CUNEIFORM
\+
EXPLORE NAVICULAR TUBEROSITY

Question 24

Which is further distal, the tuberosity of the 5th metatarsal, or the navicular tuberosity?

Answer 24

TUBEROSITY OF 5TH METATARSAL

Question 25

What is the general location of the cuneiforms?

Answer 25

BETWEEN NAVICULAR AND METATARSALS

Question 26

How would you describe the cuneiforms?

Answer 26

PART OF WHY WE ARE PLANTIGRADES (unlike dogs) + ROW OF 3 BONES IN FOOT, FIRST IS MEDIAL

Question 27

Name the structures surrounding the cuneiforms?

Answer 27

``` CUBOID (dorsal) + NAVICULAR + 1ST, 2ND, 3RD METATARSALS ```

Question 28

What attaches at the cuneiforms?

Answer 28

SOME DISTAL ATTACHMENTS FROM TIBIALIS ANTERIOR AND POSTERIOR

Question 29

How would you palpate the cuneiforms?

Answer 29

``` LOCATE BASE OF FIRST METATARSAL + SLIDE PROXIMALLY TO 1ST CUNEIFORM + SLIDE LATERALLY ACROSS DORSAL SURFACE OF CUNEIFORMS ```

Question 30

Which tarsal bones would you begin to palpate by locating the base of the first metatarsal?

Answer 30

NAVICULAR + CUNEIFORMS