Foot and Ankle Flashcards
Name the 4/(5) Joints of the ANKLE
Superior Tibio-Fibular Joint
Inferior Tibio-Fibular Joint
Talocrural Joint (ankle joint)
Subtalar Joint
Midtarsal Joints - Talocalcaneonavicular
Calcaneocuboid
What type of joint is the Superior Tibio-Fibular Joint?
Synovial Plane Joint
What are the articular surfaces of the Superior Tibio-Fibular Joint?
Head of the Fibular
Tibial-Lateral condyle
What are the ligaments of Superior Tibio-Fibular Joint?
Anterior and Posterior Ligaments of the Fibular Head
What type of joint is the Inferior Tibio-Fibular Joint?
Fibrous Syndesmosis Joint
What are the articular surfaces of the Inferior Tibio-Fibula joint?
Medial Aspect of Fibula
Fibular notch on the lateral aspect of Tibia
What are the ligaments of the Inferior Tibio-Fibular Joint?
Anterior Inferior Ligament
Posterior Inferior Ligament
Transverse Tibio-Fibular Ligament
What type of joint is the Talocrural joint (ankle joint)?
Uniaxial Joint
What is the term for ‘neutral position in standing’ ?
Plantigrade
What type of joint is the Subtalar Joint?
Synovial Plane (modified saddle)
What are the articular surfaces of the Subtalar Joint?
Talus articulates with the Calcaneus
What term is used to describe the Mid-Tarsal Joints?
‘S’ shaped
What are the ‘2’ Mid Tarsal joints?
Talocalcaneonavicular
Calcalneocuboid
Name the 4 joints of the FOOT
TMT - tarsometatarsal
MTP - Metatarsalphalangeal
PIP - Proximal interphalangeal
DIP - distal interphalangeal
What type of joint is the TMT joint?
Synovial Plane Joint
What type of Joint is the MTP joint?
Synovial Ellipsoid Joint
What type of joints are the PIP & DIP joints?
Synovial Hinge joints
What are the MEDIAL ligaments of the ANKLE joint?
Tibiocalcaneal Ligament
Tibionavicular Ligament
Anterior Tibiotalar Ligament
Posterior Tibiotalar Ligament
Plantar Calcaneonavicular Ligament
What are the LATERAL ligaments of the ANKLE joint?
Calcaneofibular ligament
Anterior Talofibular ligament
Posterior Talofibular Ligament
What are the FUNCTIONS of the FOOT & ANKLE?
Stable base of support
Absorbs shock of body weight
Allows adjustment of line of gravity
important role in sensation/ proprioception / balance
Conforms the foot to irregular terrain
Provides propulsion & restraint in walking
Provides a rigid lever for push-off
Name the PRIME MOVER and list the muscles involved in the movement: ANKLE DORSIFLEXION
PRIME MOVER: Tibialis Anterior
Extensor Digitorum Longus
Extensor Hallucis Longus
Peroneus Tertius
Name the PRIME MOVER and list the muscles involved in the movement: ANKLE PLANTAR FLEXION
PRIME MOVER: Gastrocnemius / Soleus
Tibialis Posterior
Peroneus Longus & Brevis
Flexor Hallucis Longus
Flexor Digitorum Longus
Name the PRIME MOVER and list the muscles involved in the movement: (ANKLE) INVERSION
PRIME MOVER: Tibialis Anterior & Tibialis Posterior
Extensor Hallucis Longus
Flexor Hallucis Longus
Name the PRIME MOVER and list the muscles involved in the movement: (ANKLE) EVERSION
PRIME MOVER: Peroneus Longus
Peroneus Brevis
Peroneus Tertius
What is the ROM in ANKLE DORSIFLEXION?
20-30 degrees when knee is EXTENDED
35 degrees when the knee is FLEXED
What limits the ANKLE during movement: DORSIFLEXION?
Tension in antagonists
Ligaments - Calcaneofibular ligament
What is the ROM in ANKLE PLANTAR FLEXION?
50 degrees
What limits movement during ANKLE PLANTAR FLEXION?
Tension in antagonists
Ligaments - Anterior Talofibular Ligament
What is the ROM during ANKLE INVERSION?
45 -60 degrees
(Greater in plantar flexion)
What limits movement during ANKLE INVERSION?
Ligament - Dorsal Talonavicular ligament
What is the ROM during ANKLE EVERSION?
15-30 degrees
What limits movement during ANKLE EVERSION?
Impact of Talus on floor of Sinus Tarsi
Ligament - Plantar Calcaneocuboid
Name the PRIME MOVER and list the muscles involved in the movement: FOOT FLEXION
PRIME MOVERS: Flexor Digitorum Longus
Flexor Hallucis Brevis
The Lumbricals
The Interossei
Assisted by: Flexor Digitorum Accessoruis
What is the ROM during FOOT FLEXION?
40 degrees
45 degrees (GREAT TOE)
Name the PRIME MOVER and list the muscles involved in the movement: FOOT EXTENSION
PRIME MOVERS: Extensor Digitorum Longus
Extensor Digitorum Brevis
Extensor Hallucis Longus (GREAT TOE)
What is the ROM during FOOT EXTENSION?
40 degrees
70 degrees (GREAT TOE)
What limits movement during FOOT EXTENSION?
Plantar ligaments
Name the PRIME MOVER and list the muscles involved in the movement: FOOT ABDUCTION (foot in plantigrade)
PRIME MOVERS: Abductor Hallucis
ADM - Abductor Digit Minimi
Dorsal Interossei (2nd, 3rd, & 4th) toes
Name the PRIME MOVER and list the muscles involved in the movement: FOOT ADDUCTION (foot in PLANTIGRADE)
PRIME MOVERS: Adductor Hallucis
Plantar Interossei (3rd, 4th & 5th) toes
What limits movement during FOOT ADDUCTION?
Apposition of soft tissue
Name the PRIME MOVER and list the muscles involved in the movement: TOE FLEXION
(Interphalangeal)
PRIME MOVERS: Flexor Hallucis Longus
Flexor Digitorum Longus
Flexor Digitorum Brevis
Assisted By: Flexor Digitorum Accessorius
What is the ROM during TOE FLEXION?
PIP - 35 degrees
DIP - 60 degrees
IP (GREAT TOE) - 90 degrees
Name the PRIME MOVER and list the muscles involved in the movement: TOE EXTENSION
(Interphalangeal)
PRIME MOVERS: Extensor Hallucis Longus
Extensor Digitorum Longus
Extensor Digitorum Brevis
Assisted By: The Lumbricals
What is the ROM during TOE EXTENSION?
PIP - 0 degrees
DIP - 30 degrees
IP ( GREAT TOE) - 0 degrees
What limits movement during TOE EXTENSION?
Tension in antagonists
Plantar Ligaments