Ankle and Foot Flashcards
What is special about muscle at the foot?
They are dynamic, meaning shorten or lengthen
Blood supply in general for foot?
Nerve supply for foot?
anterior/posterior tibial artery
common peroneal, femoral and tibial nerves
How is the ankle and foot divide?
hindfoot, midfoot and forefoot
Name of the bone for hindfoot and midfoot?
Tarsal
What are bone parts of hindfoot?
Calcaneus
Talus
What bones are parts of midfoot?
Cuboid
3-Cuniform
Navicular
What bones are part of forefoot?
metatarsal and phalanges
What is special about talus bone?
no muscle attachment and hard to be repaired
What are the joints involved in Talus?
Talocrural
subtalor
transverse tarsal
Talocrural Joint?
Subtalor Joint?
transverse tarsal
superior articulate of talus with tibia/fibula
Inferior articulate of talus with calcaneus
anterior articulate of talus with navicular
What bones are part of calcaneus?
sustentaculum tali
heel
tendo calcaneus
tuber calcanei
Tendo Calcaneus
Tuber Calcanei
farthest point of posterior of calcaneus
Lowest point of inferior of calcaneus
What is the muscle for only dorsal foot?
extensor digitorum brevis
OIANB of extensor digitorum brevis?
Anterior/Lateral Calcaneus
Extensor expansion of toes 1-4
Extension of toes 1-4
Deep peroneal N
Dorsalis Pedis
How is the nerve innervaton for the plantar foot?
All nerve supply is lateral planatar N except abductor hallucis, flexor digitorum brevis, flexor hallucis brevis (medial plantar N)
What muscles are in the 1st layer of the foot?
Abductor Hallucis
Flexor Digitorum Brevis
Abductor Digiti Minimi
2nd layer foot muscle?
quadratus plantae
lumbricals
3rd muscles layer of foot?
flexor hallucis brevis
adductor hallucis
flexor digitorum minimi
4th muscle layers of foot?
dorsal interossei
plantar interossei
OIANB of abductor hallucis?
Calcaneous
medial aspect of proximal phalanx of great toe
Flexion/Abduction of great toe
Medial Plantar N+A
OIANB of Flexor Digitorum Brevis
Calcaneous
Middle phalanges Toes 2-5
Flexion of toes 2-5
Medial Plantar A+N
Abductor digiti minimi
calcaneous
lateral phalanges of toes 5
flexion/abduction of toes 5
lateral plantar N+A
OIANB of Quadratus Plantae
Calcaneous
Lateral surface of Flexor Digitorum Longus
Flexion of toes 2-5 at DIP joints
Lateral Plantar N+A
Lumbricals OIANB?
Tendons of flexor digitorum longus
extensor expansion of toes 2-5
Flexion of toes 2-5 at MTP joints
Extension of toes 2-5 at IP joints
Toe 2: Medial Plantar N
Toes 3-5: Lateral Plantar N
Lateral Plantar A
OIANB of flexor hallucis brevis
Cuboid and lateral cuneiform
Medial/Lateral side of phalanx great toe
Flexion of great toe at MTP joints
Medial Plantar A+N
OIANB of Adductor Hallucis
Complicated one
Lateral phalanx of great toe
Flexion/Adduction of great toe at MTP joints
Lateral Plantar N+A
Flexor Digiti minimi
Metatarsal of 5th toe
Lateral base of phalanx of toes 5
flexion of toes 5 at MTP joints
Lateral Plantar A+N
What muscles has dorsalis pedis A + deep peroneal N? What is its action?
Extensor Digitorum Brevis
Extension of toes 1-4
What muscles has the origin of tendons of FDL? What is its action?
Lumbricals
Extension of toes 2-5 at IP joints
Flexion of toes 2-5 at MIP joints
What is action of ant/post retinacula?
extensor reniculae
Property of superior extensor retinacula?
inf extensor retinacula
not strong, transversely fiber
more complicated, distinct fiber
Where does the inf extensor retinacula originate? What are the branches of this?
calcaneus
lower limb/upper limbs
Where does upper limb of inf ext retinacula insert? lower limb?
the medial calleoulus
plantar fascia of foot
Retinacula in foot?
Extensor/Flexor
Superior/Inferior Peroneal
What side is the flexor retinaculae on? what does it cover? What does it connect?
medial side
Tom, Dick and Nervous Harry
connect calcaneus with medial maleolus
What does the extensor retinacula cover?
anterior leg compartment
What side is the peroneal retinaculae on? What does it hold? 2 branch?
Lateral
Peroneus longus/brevis
Superior/Inferior
Branches of dorsalis pedis
lateral tarsal
deep plantar a
arcuate a
Branch of arcuate foot BS?
dorsal metatarsal a
dorsal digital a
plantar foot BS?
posterior tibial A
Medial Plantar/Lateral Plantar
vein
Where does the medial/lateral plantar supply?
big toe and medial side
baby toe and lateral side
What branches are of plantar arterial arch?
4 branches of plantar metatarsal a
3 perforating A
What does 3 perforating A supply?
dorsal metatarsal arteries
Foot veins?
dorsal digital
dorsal venous arch
Where does the dorsal digital veins feed into?
dorsal venous arch
nerve of the foot?
medial/lateral plantar
sural
sapphenous
superficial/deep peroneal
Where does medial/later plantar N branch from? saphenous? sural?
tibia
femoral
common peroneal & tibia
What side does the saphenous supply? sural?
Medial arch & ankle/ Lateral side
Where does the deep peroneal supply?
the wedge between 1st and 2nd toe
What type of joint is the 1st joint of ankle (proximal tibia-fibula)? 2nd joint?
plane joint (sliding vertical, fibular rotaion)
syndesmosis
Ligaments for type 2 joint of ankle?
ant/post fibula-tibia
interosseous lig
What bone support the weight bearing in leg?
tibia and not ffibia
Ligaments that reinforce talocrural joint?
1 medial and 3 lateral collateral ligament
What are the medial collateral ligaments in ankle?
tibiocalcaneal
tibiotalar
tibionavicular
Medial colatteral ligament connect what to what?
medial malleolus to sustentaculum tali
navicular tuberosity
body of talus
What are the lateral collateral lig?
talofibular (post/ant)
calcaneofibular
What ligament usually damaged when sprain ankle? What side of this ligament on?
anterior talofibular lig
medial