Dissection 7/8- Foot Flashcards
What type of joint is the subtalar joint? What movements does this allow?
- Synovial plane joint
- Inversion and eversion of the foot
Which two joints combine to form the midtalar joint?
- Talocalcaneonavicular Joint
- Calcaneocubiod Joint
What type of joint is the talocalcaneonavicular joint?
Synovial ball and socket
What type of joint is the calcaneocuboid joint?
Synovial plane joint
What are the main movements of the midtalar joint?
- Inversion
- Eversion
- Circumduction
Inversion of the foot is produced by which muscles via which nerves?
Tibialis anterior and tibialis posterior via the tibial/deep fibular nerves
Eversion of the foot is produced by which muscles via which nerves?
Fibularis muscles via the superficial and deep fibular nerves
What type of joint are the tarsometatarsal joints?
Synovial plane joints
What movement do the tarsometatarsal joints allow?
Gliding/sliding movements between the cuneiforms/cuboid and the metatarsals
What movements do the matatarsophalangeal joints allow?
Flexion, extension, abduction, adduction and circumduction of the digits
What type of joint are the interphalangeal joints? What movements do they allow?
Synovial hinge joints
Flexion and extension of the toes
How many tarsals/metatarsals/phalanges are found in the foot?
- 7 tarsals
- 5 metatarsals
- 14 phalanges
What bones form the hind foot?
Talus and calcaneus
What bones form the mid foot?
Navicular, cuboid and cuneiforms
What bones for the forefoot?
Metatarsals and phalanges
The deep fascia on the dorsum of the foot is continuous with what?
Inferior extensor retinaculum
What is the deep fascia of the sole of the foot?
Plantar fascia
What is the thick central part of the plantar fascia known as?
Plantar aponeurosis
What is the function of the plantar fascia?
Supports the longitudinal arches of the foot
Which bone does the plantar aponeurosis arise from? Where does it pass to?
- Arises from calcaneus
- Divides into 5 bands and passes to the toes
Give three functions of the arches of the feet.
- Shock absorption
- Push off in walking function
- Increased weight bearing capacity to the whole foot
What two structures support the arches of the foot?
- Plantar fascia
- Plantar ligaments
Which arch of the foot is split into medial and lateral parts?
Longitudinal arch
Which of the two longitudinal arches is higher and more important?
Medial
What bones is the medial longitudinal arch of the foot composed of?
- Calcaneus
- Talus
- Navicular
- 3 Cuneiforms
- 1st-3rd Metatarsals
What structure is the keystone of the medial longitudinal arch?
Talar head
Which muscles (via their tendons) help to support the medial longitudinal arch?
- Tibialis anterior
- Tibialis posterior
- Fibulas longus
The fibulas longus tendon passes in what direction?
Lateral to medial
Which arch of the foot rests on the ground when standing?
Lateral longitudinal arch
What bones is the lateral longitudinal arch of the foot composed of?
- Calcaneus
- Cuboid
- 4th and 5th Metatarsals
What bones is the transverse arch of the foot composed of?
- Cuboid
- Cuneiforms
- Bases of all 5 metatarsals
The tendons of which two muscles cross the sole of the foot obliquely and help to maintain the curvature of the transverse arch?
- Tibialis posterior
- Fibulas longus
How many intrinsic muscles of the foot are there?
20
How many of the intrinsic muscles of the foot are on the?a) plantar aspect
b) dorsal aspect
c) intermediate position
a) 14
b) 2
c) 4
From the plantar aspect, muscles of the sole of the foot are arranged into how many layers/compartments?
4
Do the plantar intrinsic muscles of the foot function individually or as a group?
Group
The interosseous muscles of the foot provide mainly what movements?
Flexion, adduction and abduction of the toes
Plantar interossei muscles allow which movement?
Adduction of the toes
Dorsal interossei muscles allow which movement?
Abduction of the toes
What is the function of the intrinsic dorsal muscles of the foot? What are these known as?
- Extensors of the toes
- Extensor hallucis brevis, extensor digitorum brevis
What is the motor supply to the intrinsic muscles of the foot (with the exception of the 2 dorsal muscles)?
Tibial nerve- branched into medial and lateral plantar nerves
What is the motor supply to the 2 intrinsic dorsal muscles of the foot?
Deep fibular nerve
What is the main nerve supplying sensory function to the dorsum of the foot?
Superficial fibular nerve
Which nerve supplies sensory function to the first interdigital cleft of the foot?
Deep fibular nerve
Which nerve supplies sensory function to the proximal lateral border of the foot?
Sural nerve
Which nerve supplies sensory function to the proximal medial border of the foot?
Saphenous nerve
Which nerve supplies sensory function to the medial plantar surface of the foot?
Medial plantar nerve
Which nerve supplies sensory function to the lateral plantar surface of the foot?
Lateral plantar nerve
Branches of which nerve supply sensory function to most of the plantar aspect of the foot?
Tibial nerve
Which nerve supplies sensory function to the heel? What is this a branch of?
Calcaneal branches of the tibial and sural nerves
What are the main three arteries in the foot?
- Dorsalis pedis
- Medial plantar
- Lateral plantar
The dorsalis pedis artery is a branch of which artery?
Anterior tibial artery
Where is the dorsalis pedis pulse taken?
Lateral to the extensor hallucinating longus tendon
The dorsalis pedis branches to give what artery? This artery is found on which aspect of the foot?
Arcuate artery on the dorsal aspect of the foot
The medial and lateral plantar arteries are branches of what artery?
Posterior tibial artery
Both the medial and lateral plantar arteries contribute to what arterial network?
Deep plantar arch
From the deep plantar arch and the arcuate artery arises what?
Metatarsal arteries
What do the metatarsal arteries branch into?
Digital arteries
How many digital arteries are there per toe?
4
What gives rise to the great and small saphenous veins?
Dorsal venous arch
Which of the great and small saphenous veins is located most medially?
Great saphenous vein
Which of the great and small saphenous veins is located most laterally?
Small saphenous vein
The deep veins of the foot drain into where?
Anterior/posterior tibial veins
Fibular veins
Which are more common in the foot: superficial or deep lymphatics?
Superficial
Medial superficial lymphatics of the foot follow which vein to where?
Great saphenous vein to the superficial inguinal lymph nodes and then deep inguinal lymph nodes
Lateral superficial lymphatics of the foot follow which vein to where?
Small saphenous vein to the popliteal lymph nodes
Deep lymphatics of the foot reach which lymph nodes first?
Popliteal
Lateral superficial and deep lymphatics of the foot follow which vessel to where after reaching the popliteal nodes?
Femoral vessels to the deep inguinal lymph nodes
All lymph from the lower limb ends up where?
External iliac nodes