Ankle joint Flashcards

1
Q

What type of synovial joint is the ankle

A

Hinge (one plane)

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2
Q

What movements does the ankle joint permit

A

Dorsiflexion and plantarflexion

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3
Q

What are the articulating surfaces at the ankle joint

A

Tibia and fibula produce a bracket shaped socket called a mortise
Body of talus fits into the mortise

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4
Q

Significance of articulating talus shape in terms of movement

A

Body of talus is wider anteriorly so during dorsiflexion, the talus gets wedged between the malleoli
This means dorsiflexion is more limited and more stable than plantarflexion

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5
Q

What are the groups of ankle ligaments

A

Collateral ligaments
Medial ligament (deltoid)
Lateral ligament

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6
Q

What are the collateral ligaments

A

Medial - from tibia to talus, from tibia to calcaneus

Lateral - from fibula to talus, room fibula to calcaneus

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7
Q

What is the medial ligament made up of

A

Anterior tibiotalar
Posterior tibiotalar
Tibial navicular
Tibial calcaneal

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8
Q

Where does the medial ligament originate

A

Medial malleolus

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9
Q

Where does the lateral ligament originate

A

Lateral malleolus

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10
Q

What is the lateral ligament made up of

A

Anterior talofibular
Posterior talofibular
Calcaneofibular

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11
Q

Where do plantar flexors pass at the ankle

A

Posterior to malleoli

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12
Q

Where do dorsiflexors pass at the ankle

A

Anterior to malleoli

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13
Q

Where do inverters insert

A

Medial aspect of foot

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14
Q

Where do everters insert

A

Lateral aspect of foot

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15
Q

Where is the joint capsule lax

A

Anterior and posterior

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16
Q

Neurovascular supply of ankle joint

A

Arterial - Malleolar branches of anterior tibial, posterior tibial and fibular arteries
Innervation - tibial and deep fibular nerves

17
Q

What is an ankle sprain

A

Partial or complete tear in ankle ligaments

18
Q

How do ankle sprains usually occur

A

Excessive inversion in a plantar flexed foot

19
Q

Which ligament is most likely to get damaged in an ankle sprain

A

Anterior talofibular ligament
Lateral ligament is weaker than medial
Lateral ligament resists inversion

20
Q

What’s a Potts fracture

A

Bimalleolar (medial and lateral malleoli) or trimalleolar (medial and lateral malleoli, and distal tibia) fracture

21
Q

How do Potts fractures occur

A

Forced eversion pulls on medial ligament causing an avulsion fracture of medial malleolus
Talus moves laterally, breaking off the lateral malleolus
Tibia forced anteriorly, shearing off the distal part against the talus