Arches of the Foot Flashcards

1
Q

What are the main arches of the foot?

A

The main arches of the foot are the medial longitudinal arch, lateral longitudinal arch, and transverse arch.

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2
Q

What bones form the medial longitudinal arch of the foot?

A

The medial longitudinal arch is formed by the calcaneus, talus, navicular, cuneiforms, and first three metatarsals.

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3
Q

What structures provide support to the medial longitudinal arch?

A

The medial longitudinal arch is supported by the plantar fascia, spring ligament, tibialis anterior and posterior tendons, and intrinsic foot muscles.

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4
Q

What bones form the lateral longitudinal arch of the foot?

A

The lateral longitudinal arch is formed by the calcaneus, cuboid, and fourth and fifth metatarsals.

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5
Q

What structures maintain the stability of the lateral longitudinal arch?

A

The lateral longitudinal arch is maintained by the long and short plantar ligaments, fibularis longus and brevis tendons, and intrinsic foot muscles.

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6
Q

What bones contribute to the transverse arch of the foot?

A

The transverse arch is formed by the cuboid, cuneiforms, and bases of the metatarsals.

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7
Q

What is the function of the arches of the foot?

A

The arches of the foot absorb shock, provide flexibility, distribute weight, and aid in propulsion during walking.

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8
Q

What ligament is the primary support of the medial longitudinal arch?

A

The spring ligament (plantar calcaneonavicular ligament) is the primary support of the medial longitudinal arch.

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9
Q

How does the plantar aponeurosis contribute to arch support?

A

The plantar aponeurosis helps maintain the arches by providing tension and distributing pressure during weight-bearing.

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10
Q

What is the role of the spring ligament in foot arch support?

A

The spring ligament supports the head of the talus and prevents medial longitudinal arch collapse.

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11
Q

Which tendons help maintain the integrity of the medial longitudinal arch?

A

The tibialis anterior, tibialis posterior, and fibularis longus tendons help maintain the medial longitudinal arch.

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12
Q

What muscles support the lateral longitudinal arch?

A

The fibularis longus, fibularis brevis, and intrinsic foot muscles support the lateral longitudinal arch.

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13
Q

How does the fibularis longus tendon contribute to foot arch stability?

A

The fibularis longus tendon stabilizes the transverse and lateral longitudinal arches by anchoring the first metatarsal and medial cuneiform.

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14
Q

What role do intrinsic foot muscles play in arch maintenance?

A

Intrinsic foot muscles (e.g., flexor hallucis brevis, abductor hallucis) help maintain arch shape and function.

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15
Q

Which muscles provide dynamic support to the transverse arch?

A

The tibialis posterior, fibularis longus, and intrinsic foot muscles (e.g., adductor hallucis) support the transverse arch.

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16
Q

What are the weight-bearing areas of the foot in normal posture?

A

The weight-bearing areas of the foot are the calcaneus, first metatarsal head, and fifth metatarsal head.

17
Q

What is pes planus, and how does it affect the arches of the foot?

A

Pes planus (flatfoot) is the loss of the medial longitudinal arch, leading to foot instability and altered gait mechanics.

18
Q

What is pes cavus, and how does it affect foot biomechanics?

A

Pes cavus (high arch) is an exaggerated medial longitudinal arch, often causing foot rigidity and increased pressure on the metatarsal heads.

19
Q

What is the clinical significance of arch collapse in the foot?

A

Arch collapse can cause pain, gait abnormalities, and increased risk of plantar fasciitis and stress fractures.

20
Q

How does aging affect the arches of the foot?

A

Aging leads to decreased ligament elasticity and muscle strength, which can result in arch flattening.

21
Q

What are the main differences between rigid and flexible flatfoot?

A

Rigid flatfoot has a structurally collapsed arch, whereas flexible flatfoot appears normal when non-weight-bearing but flattens during standing.

22
Q

What imaging modalities are used to assess foot arch integrity?

A

Imaging modalities such as X-rays, CT scans, and MRIs assess foot arch structure and integrity.

23
Q

How do foot orthotics help in managing arch abnormalities?

A

Foot orthotics provide support and correction for arch abnormalities, improving biomechanics and reducing pain.

24
Q

What is the windlass mechanism, and how does it relate to foot arches?

A

The windlass mechanism describes how dorsiflexion of the great toe tightens the plantar fascia, reinforcing the medial longitudinal arch.

25
Q

How do high-heeled shoes affect foot arch biomechanics?

A

High-heeled shoes shift weight anteriorly, increasing pressure on the metatarsals and altering arch biomechanics.

26
Q

What are the consequences of excessive pronation on the foot arches?

A

Excessive pronation can lead to arch collapse, overuse injuries, and medial ankle pain.

27
Q

How does the plantar fascia contribute to the arches of the foot?

A

The plantar fascia provides passive tension that helps maintain the medial longitudinal arch.

28
Q

What role does the calcaneus play in the foot’s arches?

A

The calcaneus serves as the posterior foundation for the longitudinal arches and absorbs impact forces.

29
Q

How does the talus contribute to arch stability in the foot?

A

The talus acts as a keystone for the medial longitudinal arch, distributing weight and maintaining stability.

30
Q

What are the main differences in function between the medial and lateral longitudinal arches?

A

The medial longitudinal arch is higher and more elastic, while the lateral longitudinal arch is lower and more rigid for weight transfer.