Ch.10 Ankle & Foot Joint Flashcards
How many bones in each ankle & foot joint
26
Two main functions of ankle & foot joint
Support & propulsion
What can lead to foot discomfort
Improper probation & supination
2 phases of walking
Stance phase
Swing phase
4 parts of stance phase (HsMTsTo)
• Heel-strike: landing on heel, foot should be in supination
• Midstance: foot moves into pronation
• Terminal stance: center of gravity is over standing foot
• Toe-off: foots returns to supination during push off
Swing phase of walking & % used when walking/running
• Occurs when foot leaves ground & leg moves forward to another point of contact
• Walking: ~40% of cycle
• Running: ~60% of cycle
What makes up some of the 26 bones in each foot?(17)
• 7 tarsal bones
• 5 metatarsals
• 5 phalanges
Bones part of ankle
Fibula & Tibia
Tarsal bones (rear & midfoot) (7)
• Calcaneus: Heel bone
• Talus
• Navicular
• Cuboid
• 3 cuneiform bones: medial, intermediate, lateral
How many phalanxes in each toe?
• 3 phalanxes in each except 1st toe which has 2 phalanxes
1st toe is big toe
Bony Landmarks: Foot/Ankle joint (DmTpFdlFhlTM)
• Distal malleoli of tibia & fibula
-Tibialis posterior
-Flexor digitorum longus
-Flexor hallucis longus
• Tarsals
• Base of metatarsals
Pulley for tendons to increase MA Dmtf
Distal malleoli of tibia & fibula
“Tom, Dick & Harry” muscles immediately posterior to medial malleolus
• Tibialis posterior
• Flexor Digitorum longus
• Flexor Hallucis longus
Syndesmotic amphiarthrodial joint joined at both proximal & distal tibiofibular joints that gives minimal movement
Tibiofibular joint
Ligaments an dense interosseus membrane between tibia & fibula provide support found where?
Tibiofibular joint
Hinge ANKLE joint
Talocrural joint
Movements of Talocrural joint
• Plantar flexion
• Dorsiflexion
• Greater dorsiflexion with knee flexed
• Fibula rotates slightly with dorsiflexion/plantar flexion
Bones part of Talocrural joint TDtDf
Talus, distal tibia, & distal fibula
Gliding joints STt
• Subtalar (talocalcaneal) & transverse tarsal (talonavicular & calcaneocuboid) joints
Subtalar (talocalcaneal) & transverse tarsal (talonavicular & calcaneocuboid) joints’ combined movement
• 20º-30º of inversion
• 5º-15º of eversion
Joints between the 7 bones of the foot that is Arthrodial joints giving Minimal movement
Intertarsal joints
Condyloid joints where phalanges join metatarsals
• Metatarsophalangeal (MP) joints
Phalangeal joints IPPIPDIP
• Great toe interphalangeal (IP)
joint
• Proximal interphalangeal (PIP)
joints
• Distal interphalangeal (DIP) joints
Maintained by ligaments in the foot and ankle and Arches may be high, medium or low
Foot arches
Arch
• Medial: medial foot, helps with shock absorption
• Lateral: lateral foot, aids in balance
Longitudinal arch
Arch: 1st – 5th metatarsal, adapts foot to the ground
Transverse arch
Common ankle injury stretching or tearing of 1+ ligaments
Ankle sprain
Common ankle sprain injury
excessive inversion that injures lateral
ligament structures
Less common ankle sprain injury
excessive eversion that injures
medial structures
“High ankle sprain” occurs at…
tibiofibular joint, and involves a
tibiofibular ligament