Foot and ankle injuries Flashcards

1
Q

Where is the leg?

A

From the knee to the ankle

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2
Q

What is a foot?

A

From ankle to toes

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3
Q

What is the hind foot?

A

Talus and calcaneus

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4
Q

What is the mid foot?

A

Navicular, cuboid and cuneiforms

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5
Q

What is the forefoot?

A

5 metatarsals and 14 phalanges

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6
Q

What is the sole?

A

Plantar surface of foot

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7
Q

What is the heel?

A

Posterior half of calcaneus

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8
Q

What is the ball of the foot?

A

1st metatarsal and 1st proximal phalanx of 1st toe

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9
Q

What terminology is used to describe the lower limb?

A

Planter vs dorsal
Distal vs proximal
Plantarflexion vs dorsiflexion
Eversion vs inversion

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10
Q

What is supination of the foot?

A

Inversion of hind foot, adduction of forefoot, plantarflexion

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11
Q

What is the medial malleolus made of?

A

Tibia

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12
Q

What is the lateral malleolus made of?

A

Fibula

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13
Q

What is the malleolar mortise?

A

Roof of ankle

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14
Q

What is the sustentaculum tali?

A

Part of the calcaneus that is supporting the talus

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15
Q

Which toe has no middle phalanx?

A

Big toe

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16
Q

Where does the saphenous nerve come from?

A

Femoral nerve

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17
Q

Where does the lateral rural nerve come from?

A

From common fibular nerve

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18
Q

Where does the sural nerve come from?

A

Common fibular and tibial

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19
Q

Where does the medial calcaneal nerve come from?

A

Tibial nerve

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20
Q

What are the 6 nerves in the foot?

A
Saphenous
Lateral sural
Sural
Superficial fibular
Deep fibular
Medial calcaneal
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21
Q

What are the 3 arteries in the foot?

A

Dorslis pedis artery
Posterior tibial artery
Terminal branch of fibular artery

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22
Q

Where is the dorsalis pedis artery?

A

Between extensor hallucis longus tendon and extensor digitorum longus tendon

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23
Q

Where is the posterior tibial artery?

A

Between medial malleolus and achilles tendon

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24
Q

Where is the long saphenous vein?

A

Anterior of medial malleolus, lies on tibia

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25
Where is the short saphenous vein?
Superior to lateral malleolus
26
What are the two veins in the foot?
Long/short saphenous vein
27
Characteristics of the sole of the foot
Thick skin Pad of fat as shock absorber Divided by fibrous septa
28
What is the central section of the deep fascia?
Palmar aponeurosis
29
What are the two longitudinal arches?
Medial and lateral
30
What is pes planus?
Flat foot
31
How does pes planus form?
Medial longitudinal arch collapses
32
What does the tibialis posterior muscle do?
Holds plantar surface of tarsal bone - acts as suspension bridge
33
What are the three stapling ligaments?
Plantar calcaneonavicular Short plantar Long plantar
34
Which type of joint is the ankle joint?
Hinge type of synovial joint
35
Which bones participate in the ankle joint?
Malleolar mortise and trochlear surface
36
When is the ankle more unstable?
Max plantarflexion
37
What does the tibialis anterior do?
Dorsiflexion
38
What does the extensor hallucis longus do?
Dorsiflexion
39
What does the extensor digitorum Longus do?
Dorsiflexion
40
What does the tibialis posterior do?
Plantarflexion
41
What does the flexor digitorum longus do?
Plantarflexion
42
What does the flexor hallucis longus do?
Plantarflexion
43
What does the fibularis longus do?
Plantarflexion
44
What does the fibulas brevis do?
Plantarflexion
45
Which 3 ligaments make up the lateral collateral ankle ligament?
Fibula anterior talofibular, posterior talofibular, calcaneofibular
46
Which muscle makes up the medial ankle ligament?
Deltoid
47
Where does the medial collateral ligament go?
From tibia to calcaneus
48
Consequences of wearing high heels
Calluses, metatarsalgia, corns, tendonitis, bunions, shortened achilles tendon, neck pain
49
What is a biomalleolar fracture?
Fracture both malleolus
50
Where is the subtalar joint?
Found between talus and calcaneus
51
Which type of joint is the subtalar joint?
Plane synovial
52
Which ligaments attach to the subtalar joint?
Medial, lateral and posterior talocalcaneal
53
How do you assess a patient with a suspected ankle injury?
``` History taking Look Feel Move Tests ```
54
What is Hallux Valgus?
Bunions | Vagus strain on 1st metatarsophalangeal joint
55
What causes bunions?
Tight fitting, high heeled shoes and arthritis
56
Treatment for bunions
More spacious shoes, reducing standing time, foot pads to relieve pressure, NSAIDs
57
What is hammer toe?
Dorsiflex metatarsophalangeal joints | Plantarflex interphalangeal joints
58
Causes of hammer toe
Tight fitting shoes, loss of action of lumbricals
59
What do the lumbricals do?
Flex metatarsophalangeal joints, extend interphalangeal joints
60
Treatment for hammer toe
More spacious shoes, foot pads/exercises, surgery
61
What is talipes equinovarus?
Club foot
62
Characteristics of clubfoot
Strong plantarflexion and inversion posture | Overtightness of tibialis posterior, flexor digitorum longus and flexor hallucis longus
63
Treatment for club foot
Stretch muscles to realign bones, plaster of Paris, force ankle towards dorsiflexion