Ankle Joint Flashcards
Classification of the ankle joint.
Synovial hinge joint between the distal ends of the tibia and fibula and the body of the talus.
Where are the articular surfaces of the ankle joint located?
The tibia fibula and talus.
Describe the articular surface of the tibia
Distal end of the tibia articulates with the trochlear surface and medial edge of the body of the talus
Describe the shape of the trochlear surface.
trochlear surface is concave anteroposteriorly and slightly convex transversely with a blunt sagittal ridge (medially).
Describe the articular surface of the fibula.
the medial surface of the lateral malleolus of the fibula forms the lateral surface of the mortise of the joint. The articular surface is triangular
Describe the articular surface of the talus.
the body of the talus forms the whole of the distal surface of the ankle joint, articulating superiorly and medially with the tibia and laterally with the fibula
Describe the shape of the trochlear surface.
convex anteroposteriorly with a central longitudinal groove bound by medial and lateral lips. The surface is slightly concave transversely. The comma shaped medial surface articulates with the lateral surface of the medial malleolus. The lateral surface articulates with medial surface of the lateral malleolus.
Describe the joint capsule of the ankle.
completely surrounds the joint, attaching above to the articular margins of the tibia and fibula, and below to the articular margins of the talus, except anteriorly where it attaches to the neck of the talus. The Synovial Membrane lines the joint capsule.
What 4 ligaments make up the deltoid ligament
Anterior tibiotalar band
Posterior tibiotalar band
Tibionavicular band
Tibiocalcaneal band
Which parts of the deltoid ligament are deep?
Anterior tibiotalar band
Posterior tibiotalar band
Which parts of the deltoid ligament are superficial?
Tibionavicular band
Tibiocalcaneal band
Anterior tibiotalar band origin
Tip of medial malleolus
Posterior tibiotalar band origin
tip of medial malleolus
tibionavicular band origin
tip of medial malleolus
tibiocalcaneal band origin
Tip of medial malleolus
anterior tibiotalar band insertion
Medial part of neck of talus
Posterior tibiotalar band insertion
Medial neck of talus and medial tubercle.
tibionavicular band insertion
navicular tuberosity
tibiocalcaneal band insertion
Sustentaculum tali of the calcaneus bone
how does the anterior tibiotalar band limit movement?
Resists the forward displacement of the foot.
how does the posterior tibiotalar band limit movement?
Resists the backward displacement of the foot.
How does the tibionavicular band limit movement?
Resists eversion forces
How does the tibiocalcaneal band limit movement?
Resists the backwards displacement of the foot
what ligaments make up the lateral ligament?
Anterior talofibular, posterior talofibular and calcaneofibular ligaments
Anterior talofibular ligament origin
tip of lateral malleolus
Posterior talofibular ligament origin
Tip of lateral malleolus
calcaneofibular ligament origin
Tip of lateral malleolus
anterior talofibular ligament insertion
neck of the talus
posterior talofibular ligament insertion
lateral tubercle of the posterior process of the talus
calcaneofibular ligament insertion
peroneal tubercle on the lateral surface of the calcaneus
How does the anterior talofibular ligament resist movement?
Resists forward displacement of the foot
How does the posterior talofibular ligament resist movement?
Resists inversion forces– and resists backwards displacement of foot.
how does the calcaneofibular ligament resist movement?
Resists backwards displacement of the foot.
Anterior ligament origin
Anterior margin of lower end of the tibia
posterior ligament origin
posterior aspects of the tibia and fibula
anterior ligament insertion
anterior part of neck of the talus
posterior ligament insertion
Medial tubercle of posterior surface of the talus
How does the anterior ligament resist movement?
Resists the forward displacement of the foot.
how does the posterior ligament resist movement?
Resists the backward displacement of the foot.
What movements occur in the ankle joint?
Dorsiflexion – 20/ 30° Plantarflexion – 30/ 50°
Inversion
Eversion
What muscles allow plantarflexion?
Gastrocnemius, Soleus, Plantaris, Tibialis posterior, Flexor digitorum longus
What muscles allow dorsiflexion?
Tibialis Anterior, Extensor hallucis longus, Extensor digitorum longus, Fibularis (Peroneus) tertius
What muscles allow eversion?
Fibularis (Peroneus) longus, brevis and tertius
What muscles allow inversion?
Tibialis anterior, Tibialis posterior