Exam Q: Ankle region

Question 1

Name the bones

Answer 1

Tibia and fibula

Question 2

Choose one bone. Classify the bone according to its shape. Why is it classified this way?

Answer 2

Tibia = long.

Shaft and two extremities

Question 3

Side the bone. WHy is it from the … side?

Answer 3

Right/left.
Distal end-lateral = Malleolus
Med border = sharp interosseous border
Prox end = facet for articulation with lat condyle of tib

Question 4

Name the joints tibia and fibula participates in?

Answer 4

Tibia = knee jt + T-F joints, ankle joint
Fibula = T-F joints + ankle joints

Question 5

On the bone, identify the major bony features on the shaft and distal end of tibia

Answer 5

Soleal line, ant border, interosseous border, medial malleolus, fibular notch

Question 6

Describe and identify the location of anatomical structure that contribute ot the stability of ankle jt

Answer 6

Eg:
Lig: MCL (4), LCL (3)
M: ant, lat, post comp of leg

Question 7

With reference to the ankle jt - identify the type of joint and the articular surfaces

Answer 7

Modified HINGE jt.

Inf surface of distal tibia, med malleolus, lat malleolus, sup surface of talus + ??

Question 8

On the model, palpate major bony features around ankle region

Answer 8

Med + lat malleolus,
sup surface of talus,
head of talus, calcaneus,
tub of navicular

Question 9

Name and identify on the model the location of major blood vessels and nerves that traverse ankle region

Answer 9

Ant: Ant tibial art + dorsalis pedis art, deep fibular n

Med: Post tibial art, tibial n

Lat: Superficial fibular n

Question 10

Name + demonstate movements (inc plane and axis) that occur at ankle jt.
Use model

Answer 10

Dorsi- / Plantarflexion: Sagittal plane about frontal axis

Question 11

Select 2 movements that occur at the ankle or subtalar jt:

For each movement:

• Name the movement
• name the major M group involved in movement
• On the model, identify location of the M group and palpate M belly and tendon of insertion (!)
• Demonstrate major M group working either con or eccentrically

Answer 11

Eg: DORSIFLEXION

• dorsiflexors of ankle (TA main one)
• ant comp of leg
• exercise??

PLANTARFLEXION:

• plantarflexors of ankle
• Post comp of leg
• exercise?

Question 12

Position gastrocnemius in its lengthened position

Position soleus in its lengthened position

Discuss reasons for choice of positions.

Answer 12

Gastroc vs soleus.
Principle of passive insufficiency?!

WHAT?? :-(

Question 13

On the model, palpate the LCL of the ankel jt. 
What movement(s) may be limited by LCL? Why?

Answer 13

LCL = 3 parts (ant T-F, C-F, post T-F)

Inversion. Under tension.limiting structures.