Development of the foot and ankle Flashcards
When does foot disks are recognisable
by week 5, but toes and rays are not yet identifiable
describe the foot development at week 6 of gestation.
14-16 MM
inward rotation continues, leg left
digital rays become more distinct
LF counterclockwise. right clockwise
Describe foot development at week 7?
foot structure is clearly recognisable.
Plantar surface faces medial, dorsal surface lateral
Foot is in equines.
entire lower limb externally rotated.
Describe foot development at the end of 8th week?
continual progessive internal rotation of the thigh and leg with the foot beginning in equinus. supination and external rotation
Describe foot development in 2nd month.
equines of 90 degrees and foot adducted
Describe foot development in 3 month?
equines of 90 and foot adducted and supinated.
Describe foot development in the middle of 3rd month?
Mild equnius and foot supination still present. 1st ray adducted, continual foot dorsiflexion..
describe doot development at 4 months of pregnancy?
Foot pronates and plantar surface faces inferiorly. Equinus resolves. mild metatarsus varus remains.
note: foot pronation continues until unwinding, but still not complete at birth!
describe the foot growth growth from 1st to 3rd trimester.?
1st and second trimester rapidly growing. gets slower at third trimester.
What is the average annual groth of foot length from age 5-12 for female or 5-14 for male?
0.9cm
what age is mature foot length for female and male respectively?
14, and 16
outline the foot length growth from 2-5 years old?
on average,
half shoe size increase every2-3 month until the age of 2yrs
half shoe size increase every 3-4 months from 2-3 years
Hlaf shoe size increase every 4 months from 3-5 years
When does the mesenchymal analges of the distal tibia and fibula seprated?
at Carnegie 17 distal tibia and fibula separated. the talar element is wedged in between.
the distal end of tibia is oblique and concave
when does lateral and medial malleoli are the same length
at carnegie 18 and 20
at which carnegie laterall malleoli extends distally?
22
at which carnegie calcaneofibular contact established and when it is sperated?
20 and 22
at which Carnegie Tibiofibular joint formed?
22
when does Talus forms?
Carnegie 18
Which segment of Talus is formed in TP?
body and Trochlea
Which segment of talus is formed in sp?
talar neck and head
describe each surface of talar element which communicates with other tarsal bone.?
lower surface-calcaneus
anterior navicular
posterolateral surface-lateral malleolus
Posterior medial surface-Tibial plafond and medial malleolus
When does sustentaculum tali appears in embryonic?
at carnegie 22
What is the declination angle of talar neck relative to head???
25
Describe dimentional development of Talus?
Talar body grows more in height and posterior width than length
Talar neck declination angle continues to increase
Talar head turns more laterally relative to the body
unwinding and lateral shift of talar head-reduction of supinated rearfoot posture and adduction of the metatarsus