Ankle - subtalar and transverse tarsal Flashcards

1
Q

joint type of subtalar joint

A

three ovoid synovial joint

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2
Q

what are the main motions of the subtalar joint

A

inversion/eversion

adduction/abduction

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3
Q

inversion (of hindfoot) and adduction

A

supination
slight plantarflexion

varus movement of clacaneus

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4
Q

eversion (of hindfoot) and abduction

A

pronation
slight dorsiflexion

valgus movement of calcaneus

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5
Q

what are the joint motions at the subtalar joint

A

inversion/eversion

abduction/adduction

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6
Q

what motions can the calcaneous perform in weight bearing

A

invert/evert but cannot dorsiflex/plantarflex or abduct/adduct

*this motion is seen as inversion/varus movement or eversion/valgus movement of the calcaneus

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7
Q

how does the talus produce movements through the subtalar joint

A

through the motion of the head of the talus, seen by changes in the medial longitudinal arch

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8
Q

how does supination occur in the subtalar joint in CKC

A

calcaneous inverts
talus abducts and dorsiflex
tibiofibular lateral rotation

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9
Q

how does pronation occur in the subtalar joint in CKC

A

calcaneous everts
talus adducts and plantarflex
tibiofibular medial rotation

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10
Q

how does supination occur in the subtalar in OKC

A

calcaneous inverts

calaneous adduction and plantar flex

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11
Q

how does pronation occur in the subtalar in OKC

A

calcaneous everts

calcaneous abduction and dorsifexion

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12
Q

closed and open pack subtalar joint motion

A

closed: full inversion
open: mid inversion/eversion and mid plantarflexion/dorsiflexion

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13
Q

transverse tarsal joint, what is composed of and joint type

A

talonavicular and calcaneocuboid

joint type: modified ovoid

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14
Q

joint motion of transverse tarsal joint

A
difficult to separate and quantify 
function of transverse tarsal joint in open chain -- adds to subtalar range 

triplanar motion at a longitudinal and oblique axis

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15
Q

what is the function of the transverse tarsal joint

A

link btw hindfoot and forefoot

add to supination/pronation ROM of subtalar joint in open chain

compensate at the forefoot for hindfoot position in closed chain

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16
Q

why does the transverse tarsal joint compensate at the forefoot for hindfoot position in closed chain?

A

to keep the foot in contact with the ground while hindfoot pronates or supinates in response to the terrain or rotations imposed by the leg

17
Q

subtalar pronation

A

both joints in open pack position

transverse tarsal can accommodate to by moving into supination

18
Q

subtalar supination

A

both joints approach closed pack position

transverse tarsal counters with pronation until a certain point, at which the transverse tarsal joint also begins to supinate

19
Q

what happens at the tarsometarsal joint when the transverse tarsal starts to move into a closed pack position during subtalar supination

A

it must counter rotate to maintain contact with the ground

20
Q

closed pack and open pack position of the transverse tarsal joint

A

closed: supination
open: mid range of supination/pronation

21
Q

capsular pattern of transverse tarsal

A

limitation in dorsiflexion, plantarflexion, adduction and internal rotation