Foot and ankle injuries Flashcards
Where is the leg?
From the knee to the ankle
What is a foot?
From ankle to toes
What is the hind foot?
Talus and calcaneus
What is the mid foot?
Navicular, cuboid and cuneiforms
What is the forefoot?
5 metatarsals and 14 phalanges
What is the sole?
Plantar surface of foot
What is the heel?
Posterior half of calcaneus
What is the ball of the foot?
1st metatarsal and 1st proximal phalanx of 1st toe
What terminology is used to describe the lower limb?
Planter vs dorsal
Distal vs proximal
Plantarflexion vs dorsiflexion
Eversion vs inversion
What is supination of the foot?
Inversion of hind foot, adduction of forefoot, plantarflexion
What is the medial malleolus made of?
Tibia
What is the lateral malleolus made of?
Fibula
What is the malleolar mortise?
Roof of ankle
What is the sustentaculum tali?
Part of the calcaneus that is supporting the talus
Which toe has no middle phalanx?
Big toe
Where does the saphenous nerve come from?
Femoral nerve
Where does the lateral rural nerve come from?
From common fibular nerve
Where does the sural nerve come from?
Common fibular and tibial
Where does the medial calcaneal nerve come from?
Tibial nerve
What are the 6 nerves in the foot?
Saphenous Lateral sural Sural Superficial fibular Deep fibular Medial calcaneal
What are the 3 arteries in the foot?
Dorslis pedis artery
Posterior tibial artery
Terminal branch of fibular artery
Where is the dorsalis pedis artery?
Between extensor hallucis longus tendon and extensor digitorum longus tendon
Where is the posterior tibial artery?
Between medial malleolus and achilles tendon
Where is the long saphenous vein?
Anterior of medial malleolus, lies on tibia
Where is the short saphenous vein?
Superior to lateral malleolus
What are the two veins in the foot?
Long/short saphenous vein
Characteristics of the sole of the foot
Thick skin
Pad of fat as shock absorber
Divided by fibrous septa
What is the central section of the deep fascia?
Palmar aponeurosis
What are the two longitudinal arches?
Medial and lateral
What is pes planus?
Flat foot
How does pes planus form?
Medial longitudinal arch collapses
What does the tibialis posterior muscle do?
Holds plantar surface of tarsal bone - acts as suspension bridge
What are the three stapling ligaments?
Plantar calcaneonavicular
Short plantar
Long plantar
Which type of joint is the ankle joint?
Hinge type of synovial joint
Which bones participate in the ankle joint?
Malleolar mortise and trochlear surface
When is the ankle more unstable?
Max plantarflexion
What does the tibialis anterior do?
Dorsiflexion
What does the extensor hallucis longus do?
Dorsiflexion
What does the extensor digitorum Longus do?
Dorsiflexion
What does the tibialis posterior do?
Plantarflexion
What does the flexor digitorum longus do?
Plantarflexion
What does the flexor hallucis longus do?
Plantarflexion
What does the fibularis longus do?
Plantarflexion
What does the fibulas brevis do?
Plantarflexion
Which 3 ligaments make up the lateral collateral ankle ligament?
Fibula anterior talofibular, posterior talofibular, calcaneofibular
Which muscle makes up the medial ankle ligament?
Deltoid
Where does the medial collateral ligament go?
From tibia to calcaneus
Consequences of wearing high heels
Calluses, metatarsalgia, corns, tendonitis, bunions, shortened achilles tendon, neck pain
What is a biomalleolar fracture?
Fracture both malleolus
Where is the subtalar joint?
Found between talus and calcaneus
Which type of joint is the subtalar joint?
Plane synovial
Which ligaments attach to the subtalar joint?
Medial, lateral and posterior talocalcaneal
How do you assess a patient with a suspected ankle injury?
History taking Look Feel Move Tests
What is Hallux Valgus?
Bunions
Vagus strain on 1st metatarsophalangeal joint
What causes bunions?
Tight fitting, high heeled shoes and arthritis
Treatment for bunions
More spacious shoes, reducing standing time, foot pads to relieve pressure, NSAIDs
What is hammer toe?
Dorsiflex metatarsophalangeal joints
Plantarflex interphalangeal joints
Causes of hammer toe
Tight fitting shoes, loss of action of lumbricals
What do the lumbricals do?
Flex metatarsophalangeal joints, extend interphalangeal joints
Treatment for hammer toe
More spacious shoes, foot pads/exercises, surgery
What is talipes equinovarus?
Club foot
Characteristics of clubfoot
Strong plantarflexion and inversion posture
Overtightness of tibialis posterior, flexor digitorum longus and flexor hallucis longus
Treatment for club foot
Stretch muscles to realign bones, plaster of Paris, force ankle towards dorsiflexion