Foot and Ankle Flashcards

1
Q

the foot and ankle is a complex structure comprised of how many bones and how may articulations ?

A
  • 28 bones

- 55 articulations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the distal tibiofibular joint classified as?

A

syndesmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Talocrural joint is formed between which two structures in the ankle?

A
  • talus

- distal tibia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the classification of the talocrural joint

A
  • synovial hinge joint or modified seller joint
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

T/F

The primary motion at the talocrural joint are plantar flexion and dorsiflexion with a total range of 80-90 degrees

A

False

70-80 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/f

the majority of injuries occur on the outside of the foot

A

False

- mostly occurs on the inside of the foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F

with traumatic arthritis, inversion of the foot appears most limited clinically

A

False

- eversion is most limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the open packed and closed packed position for the subtler joint

A
  • close- packed - full inversion

- open - packed - inversion/ plantar flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name the superficial ligaments and deep ligaments of the talocalcaneal joint

A
  • superficial
    - lateral and posterior talocalcaneal lig
  • Deep
    - interosseous
    - cervical
  • axial ligaments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does the Midtarsal joint complex consist of?

A
  • talonavicular

- calcaneocuboid articulations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

T/F

the talonavicular joint is classified as a synovial, compound modified ovoid joint

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F

The calcaneocuboid joint is classified as a synovial, compound, modified ovoid joint

A

False

- it is a simple , synovial modified seller joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

T/F

In the inter metatarsal joints are classified as a simple, synovial , modified ovoid joint

A

False
only the 1st inter metatarsal joint is classified as that
- 2nd, 3rd, & 4th are classified as compound joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Name the classification of the metatarsophalngeal (MTP) joints

A

simple, synovial, modified ovoid joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the classification of the interphalangeal (IP joints)

A

simple, synovial modified seller joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Patient comes in wit complaint with one of their toes, after doing an examination of the foot you discovered the toe of complaint is locked in hyperextension of the MTP joint and flexion of the PIP + DIP joints …. what type of deformity do you think the patients has?

A

Claw Toe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T/F

in a Mallet Toe, the joints of the toe with be in hyperextension of the MTP & DIP joint and flexion of the PIP joint

A

False
that is the description of Hammer toe
- Mallet toe is HYPERFLEXION of the DIP joint with callus formations of the dorsum of the affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

T/F

the ankle retinacula function os to tether the leg tendons as they cross the ankle to enter the foot

A

True

tether means a “rope-like” attachment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

name the dorsiflexors of the anterior compartment of the foot

A
  • tibialis anterior
  • extensor digitorum longus
  • extensor hallucis longus
  • peroneus tertius
20
Q

What is the strongest dorsiflexor and inverter of the foot?

A

Tibialis Anterior Tendon

21
Q

T/F

the muscles in the posterior deep compartment are the gastrocnemius, soles and the plantar is muscles

A

False - those are the superficial compartment

22
Q

which muscles are a part of the posterior deep compartment of the foot and ankle

A
  • posterior tibialis
  • flexor digitorum longus
  • flexor halucis longus
23
Q

T/F

the lateral compartment of the foot contains the peroneus tertius muscle

A

False

  • includes the peroneus longs and brevis muscles
24
Q

Name the 1st layer of the intrinsic muscles of the foot

A
  • abductor Hallucis
  • abductor digiti minimis
  • flexor digitorum brevis
25
Q

Name the 2nd layer of the intrinsic muscles of the foot

A
  • flexor digitorum accessorius (quadratus plantae)
  • ## Lumbricales
26
Q

name the 3rd layer of the intrinsic muscles of the foot

A
  • Flexor hallucis brevis
  • flexor digiti minimis
  • adductor hallucis
27
Q

Name the 4th layer of the intrinsic muscles of the foot

A
  • Dorsal interossei

- Plantar interossei

28
Q

Which muscles does the dorsal intrinsic muscles of the foot

A
  • extensor hallucis brevis and extensor digitorum brevis muscles
29
Q

what are the 3 main arches of the foot

A
  • medial longitudinal arch
  • lateral longitudinal
  • transveres
30
Q

T/F

the medial longitudinal arch of the foot is primary formed by the 5 metatarsal bones

A

False

that is the description of the Transverse Arch

31
Q

What is the Medial Longitudinal made up of

A
  • 1st three digits and their metatarsals
  • cuneiforms
  • navicular bone
  • talus
32
Q

What is the lateral longitudinal arch made up of

A
  • digits 4 and 5 and their metatarsals
  • cuboid
  • calcaneus
33
Q

What usually leads to Morton’s neuroma and where does it typically occur?
what is the second most common area?

A
  • Dropped transveres arch leading to excessive pressure between the metatarsal heads
  • pain usually occurs between metatarsal heads of 3rd & 4th
  • second common area- between 2nd &3rd
34
Q

T/F

The saphenous nerve , provides deep distribution to the medial aspect of the foot

A
  • false it is a cutaneuos branch
35
Q

Name the branches of the tibial nerve

A
  • sural
  • medial calcaneal
  • medial plantar
  • lateral plantar
36
Q

Name the MOI for Tarsal tunnel Syndrome

A
  • Repetitive hyperflexion or hyperextension
37
Q

T/F

the dorsal is pedis artery is the main blood supply to the foot

A

False

  • anterior tibial artery
  • posterior tibial artery
38
Q

T/F

Unilateral swelling may indicate cardiac or lymphatic problem or a pelvic obstruction to venous return

A

False

bilateral

39
Q

T/ F

Frontal plane motions of the foot are dorsiflexion and plantar flexion

A

False - described sagittal plane motion

- Inversion and eversion

40
Q

what is the horizontal plane motions of the foot

A
  • adduction and abduction
41
Q

T/F

Triplanar motions occur at the talocrural, subtler, mid tarsal, joints , and the first and second rays.

A

False

first and fifth rays

42
Q

T/F

Pronation and supination are considered to a horizontal plane of motion

A

Fals

triplanar motion

43
Q

What is the normal alignment of the 1st MTP joint

A

varies between 5 degrees varus and 15 degrees valgus

44
Q

T/F
during active range of motion of the great toe, approx. 50 degrees of active plantar flexion and at least 30degrees of active extension occurs

A

False

- opposite

45
Q

T/F

Gout is more common in males between ages of 40 to 50

A

False

age more like 40 to 60

46
Q

What are the common reflexes tested in the lower extremity dermatome

A
  • achilles reflex (S1)

- Patellar reflex (L4)

47
Q

T/F

L5 reflex is the tibialis posterior muscle

A

True

it is a stretch reflex (dorsiflexion and eversion)