foot Flashcards

1
Q

name the 7 tarsal bones

A

calcaneus, talus, navicualr, 3 cuneiforms, cuboid

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2
Q

rearfoot

A

talus, calcaneus

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3
Q

midfoot

A

navicular, cuboid, cuneiforms

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4
Q

forefoot

A

metatarsals, phalanges

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5
Q

what kind of joint is the distal tibiofibular

A

syndesmosis

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6
Q

what kind of joint is the talocrual (ankle joint)

A

modified hinge
distal tib, fib, and talus
dorsiflexion/plantarflexion

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7
Q

what kind of joint is the subtalar joint?

A

synovial plane
talus, calncaneus
inversions and eversion

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8
Q

medial/deltoid ligament

A

tibionavicular
anterior and posterior tibiotalar
tibiocalcaneal

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9
Q

lateral ankle ligaments

A

anterior and posterior talofibular

calcaneofibular

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10
Q

spring ligament

A

plantar calcaneus

important in the transfer of weight from the talus and in maintaining the longitudinal arch of the foot

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11
Q

plantar calcaneonavicular ligament

A

sustaculum tali to the posterior inferior surface of the navicular

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12
Q

long plantar ligament

A

forms a tunnel for fibularis longus; supports arches of the foot; calcaneus to cuboid, just prximal to PL tunnel then attaches on metatarsals

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13
Q

short plantar ligament

A

maintains longitudinal arch; calcaneus to cuboid

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14
Q

subtalar ligaments

A

medial, lateral, and posteror talocalcaneal ligaments

support the capsule, interosseous talocalcaneal ligament binds bones together

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15
Q

3 contributing factors to support the arches of the foot

A
  1. Bony architecture
  2. Strong plantar ligaments and aponeurosis
  3. Bracing action of the muscles of the foot. foot muscles are not so much for fine movement: as in the hand, but more for the support of the arches
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16
Q

arches of the foot

A

lateral longitudinal arch
medial longitudinal arch
transverse arch

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17
Q

ligament supports of the MLA

A
plantar calcaneonavicular (spring ligament)
plantar apponeurosis
plantar clcaneocuboid (short plantar ligament)
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18
Q

ligament supports of the LLA

A
long plantar ligament
plantar apponeurosis
plantar calcaneocuboid (short plantar ligament)
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19
Q

muscle supports of the MLA

A

tibialis anterior
peroneus longus
abductor hallucis
flexor digitorum brevis

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20
Q

muscle supports of the LLA

A

flexor digitorum brevis

abductor digiti minimi

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21
Q

abductor hallucis innervation

A

medial plantar nerver

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22
Q

abductor hallucis action

A

abducts great toe, supports medial longitudinal arch of foot

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23
Q

flexor digitorum brevis innervation

A

medial planter nerve

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24
Q

flexor digitorum brevis action

A

short flexor of toes 2-4, supports medial and longitudinal arches

25
abductor digiti minimi innervation
lateral plantar nerve
26
abductor digiti minimi action
abducts 5th digit, supports lateral longitudinal arch
27
quadratus plantae innervation
lateral plantar nerve
28
quadratus plantae origin
2 heads from calcaneus
29
quadratus plantae insertion
tendon of flexor digitorum longus
30
quatratus plantae action
assists by aligning pull of FDL tendon
31
lumbricals innervation
1: medial plantar | 2,3,4: lateral plantar
32
lumbricals action
flex MTPs and extends IPs
33
lumbricals origin
FDL tendons
34
lumbricals insertion
extensor expansion of extensor digitorum longus
35
flexor hallucis brevis innervation
medial plantar
36
adductor hallucis innervation
lateral plantar
37
flexor digiti minimi innervation
lateral plantar nerve
38
flexor hallucis brevis action
flexes 1st MTP joint | 2 heads with sesamoid bone in each tendon
39
adductor hallucis action
adducts great toe and helps flex 1st MTP joint; supports the transverse arch of foot
40
flexor digiti minimi action
flexes 5th MTP joint
41
interossei innervation
lateral planter
42
plantar interossei
3 insert on base of proximal phalangies 3-5 and extensor expansion adduct digits 3-5 and flex MTP joints and extend IP
43
dorsal interossei
4 insert on base of proximal phalanges and extensor expansion of digits 2-4 abduct, flex MTP, extend IP
44
1st layer of foot
abductor hallucis flexor digitorum brevis abductor digiti minimi
45
2nd layer of foot
lumbricals quadratus plantae tendons of flexor hallucis longus and flexor digitorum longus
46
3rd layer
adductor hallucis flexor hallucis brevis flexor digiti minimi brevis
47
4th later
interossei
48
medial plantar never
terminal branch of tibial nerve | motor and sensory
49
lateral plantar
terminal branch of tibial nerve | motor and sensory
50
sural nerve
sensory fibers
51
saphenous nerve
cutaneous branch of femoral nerve
52
jones' fracture
avulsion fracture of the styloid of metatarsal 5 | inversion ankle; direct blow
53
potts fracuture
medial malleolus pulled off by deltoid ligaments; talus shifts laterally shearing off the lateral malleolus severe eversion injury
54
tarsal tunnel syndrome
tibial nerve entrapment within the tarsal tunnel (medial malleolus, calcaneus, talus, deltoid ligament)
55
mortons neuroma
entrapment neuropathy of interdigital (plantar) nerve, usually between 3rd and 4th metatarsal head
56
turf toe
sprain of the 1st MTP joint | due to forced hyperextension or plantarflexion MOI
57
hallux valgus
lateral deviation of 1st phalanx
58
windlass mechanism
The longitudinal arch support which prevents arch collapse during weight bearing is provided in part by the plantar fascia. During the toe-off phase of gait, the plantar fascia is stretched over the dorsiflexing MTP joints. This stretch tension prevents the calcaneus and metatarsals from spreading away from one another. The result is an increase in arch height and a decrease in arch length as the opposite ends of the arch are pulled closer together. This mechanism not only allows for a supported arch, but it also creates an elastic stretch that aids in forward propulsion during gait.