Ankle 3 Flashcards
- Anterior Compartment
- Concentric
DF of ankle for foot clearance during swing
Anterior Compartment
Eccentric
Controlled PF to prevent foot slap at Initial contact
- Posterior Compartment
- Eccentric
to control forward progression of tibial over foot (DF)
Posterior Compartment
Isometric
allow a rigid forefoot during heel off
- Lateral Compartment
- Eccentric
at heel off to counter supination and to stabilize first ray at heel off
- Medial Attachments
- Eccentric
from initial contact to mid stance to control pronation
- Foot Alignment
- Measure DF with knee extended
Less ROM becasue Gastroc is tight
Measure DF with knee flexed
ROM is increased
Medial Longitudinal Arch
calcaneus, talus, navicular, three cuneiforms, and three metatarsals
Medial Longitudinal Arch
Runs from
calcaneus to metatarsal heads
Medial Longitudinal Arch supported by
spring ligament
Spring Ligament attachments
sustenaculum talus to navicular tuberosity
In the young child, the foot appears to be
flat
Lateral Longitudinal Arch
calcaneus, cuboid, and lateral two metatarsals
Lateral Longitudinal Arch
Runs from
calcaneus to metatarsal heads
Lateral Longitudinal Arch
Supported by
long plantar ligament
Long plantar ligament extends to
lateral 4 metatarsals
Transverse Arch
cuboid, cuneiforms, and bases of the metatarsals
Function of the Arches
Protect neurovascular structures on plantar surface, absorb shock, and store energy
Arches develop in parallel with
gait
Pes Planus
lose normal arch with pronated or flat feet, more pressure on MLA and tibialis posterior
Proximal Tibiofibular Joint Supported by
capsule, anterior and posterior ligaments to the head of the fibula and the interosseous membrane
Distal Tibiofibular Joint supported by
Interosseous membrane
Anterior and posterior tibiofibular ligaments
Talocrural Joint
- Collateral ligaments reinforce capsule
medially and laterally
Ankle DF
Deg ____
Due to _______
15-25
shape of trochlea
Ankle PF
40-55
Pronation
DF + slight ABD and eversion
Supination
PF + slight adduction and inversion
Talocrural
- Arthrokinematics
- Open Chain
Talus on tibia (convex on concave)
Talocrural
- Arthrokinematics
- Close Chain
Tibia on talus (concave on convex)
Tibionavicluar ligament
Limits eversion
Tibiocalcaneal Ligament
limits eversion
Posterior tibiotalar ligament
- Limits eversion
- Limits DF
Anterior tibiotalar ligament
Limits eversion, PF
Anterior talofibular ligament
- Limits anterior displacement of talus
- Limits inversion
- Limits PF
Calcaneofibular ligament
- Limits inversion
- Limits DF
Posterior talofibular ligament
- Limits posterior displacement of talus
- Limits DF
- Arthrokinematics Talocrural Joint (Ankle)
- Open Chain DF
anterior roll and posterior slide
Arthrokinematics Talocrural Joint (Ankle)
Open Chain PF
posterior roll and anterior slide
Arthrokinematics Talocrural Joint (Ankle)
Closed Chain DF
anterior roll/slide
Arthrokinematics Talocrural Joint (Ankle)
Closed chain PF
Posterior roll/slide