4 - Palpations of Tarsal + Foot Flashcards

1
Q

What is the general location of the talus?

A

BETWEEN CALCANEUS AND LOWER LEG, TIBIA

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2
Q

How would you describe the talus?

A

LARGE BONE IN THE ANKLE

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3
Q

Name the structures surrounding the talus?

A
TIBIA
\+
CALCANEUS
\+
NAVICULAR
\+ 
INFERIOR EXTENSOR RETINACULUM
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4
Q

What attaches at the talus?

A

ANTERIOR TIBIOTALAR LIGAMENT
+
POSTERIOR TIBIOTALAR LIGAMENT

(no muscles)

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5
Q

Where is the neck of the talus?

A

PROXIMAL TO HEAD IN ANTERIOR PORTION

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6
Q

Where is the body of the talus?

A

POSTERIOR PORTION

supporting tibia

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7
Q

How would you palpate the talus?

*** 3 steps

A
LOCATE NAVICULAR TUBERCLE
\+
SLIDE PROXIMALLY TO DEPRESSION OF HEAD OF TALUS
\+
EVERT FOOT TO PRONOUNCE TALAR HEAD
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8
Q

What is the general location of the calcaneus?

A

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

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9
Q

How would you describe the calcaneus?

A

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

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10
Q

Name the structures surrounding the calcaneus?

A
SUSTENTACULUM TALI, TALUS
\+
TALUS
\+
CUBOID
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11
Q

The sustentaculum tali is a ___________ projecting shelf.

A

MEDIALLY

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12
Q

What attaches at the calcaneus?

A
LONG and SHORT PLANTAR LIGAMENTS
\+
ABDUCTOR DIGITI MINIMI (LATERAL PROCESS)
\+
ABDUCTOR HALLUCIS (MEDIAL PROCESS)
(etc)
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13
Q

How would you palpate the calcaneus?

*** 3 steps

A
FOLLOW MEDIAL MALLEOLI DOWN TO HEEL
\+
EXPLORE SHAPE AND GIRTH
\+
IDENTIFY TUBEROSITY AT BASE OF HEEL
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14
Q

What is the general location of the cuboid?

A

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

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15
Q

How would you describe the cuboid?

A
ONE OF 7 TARSAL BONES
\+
CUBE SHAPED
\+
PROVIDES STABILITY
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16
Q

Name the structures surrounding the cuboid?

A
4TH and 5TH METATARSALS
\+
CUNEIFORMS
\+
CALCANEUS
17
Q

What attaches at the cuboid?

A

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

18
Q

How would you palpate the cuboid?

*** 2 steps

A

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

19
Q

What is the general location of the navicular?

A

DORSAL, MEDIAL SIDE OF THE FOOT

20
Q

How would you describe the navicular?

A

BOAT SHAPED
+
ONE OF 7 TARSAL BONES

21
Q

Name the structures surrounding the navicular?

A

1 - 3 CUNEIFORMS
+
TALUS

22
Q

What attaches at the navicular?

A

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

23
Q

How would you palpate the navicular?

*** 3 steps

A
LOCATE BASE OF FIRST METATARSAL
\+
MOVE PROXIMALLY ACROSS MEDIAL CUNEIFORM
\+
EXPLORE NAVICULAR TUBEROSITY
24
Q

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

A

TUBEROSITY OF 5TH METATARSAL

25
Q

What is the general location of the cuneiforms?

A

BETWEEN NAVICULAR AND METATARSALS

26
Q

How would you describe the cuneiforms?

A

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

27
Q

Name the structures surrounding the cuneiforms?

A
CUBOID (dorsal)
\+
NAVICULAR
\+
1ST, 2ND, 3RD METATARSALS
28
Q

What attaches at the cuneiforms?

A

SOME DISTAL ATTACHMENTS FROM TIBIALIS ANTERIOR AND POSTERIOR

29
Q

How would you palpate the cuneiforms?

A
LOCATE BASE OF FIRST METATARSAL
\+
SLIDE PROXIMALLY TO 1ST CUNEIFORM
\+
SLIDE LATERALLY ACROSS DORSAL SURFACE OF CUNEIFORMS
30
Q

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

A

NAVICULAR
+
CUNEIFORMS