Foot/Ankle FINAL Flashcards

1
Q

Bones of the foot/ankle

A
2 sesamoid
tibia
fibula
7 tarsal
5 metatarsal
14 phalanges
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2
Q

how many joints in the foot/ankle

A

33

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3
Q

what are the 7 tarsal bones

A
talus
calcaneus
navicular
cuboid
medial, intermediate and lateral cuneiform
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4
Q

the ankle joint is comprised of what 2 major joints

A
  1. distal tibiofibular

2. talocrural

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5
Q

distal tibiofib is supported by what

A

3 ligaments and a membrane

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6
Q

what type of tissue makes up tibiofib joint

A

dense fibrous tissue

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7
Q

which joint is considered the primary ankle joint? why?

A

talocrural; where most ankle motion occurs

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8
Q

what bones comprise the talocrural joint

A

talus tibia fibula

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9
Q

the tibia and tibia form a _____ for the talus

A

mortise

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10
Q

PM’s of ankle dorsiflexion

A

tibialis anterior
extensor hallucis longus
extensor digitorum longus

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11
Q

PM’s of ankle plantarflexion

A

gastrocnemius
soleus
plantaris
**form achilles tendon

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12
Q

PM’s ankle inversion

A

tibialis posterior
flexor digitorum longus
flexor hallucis longus

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13
Q

PM’s ankle eversion

A

Peroneus longus & brevis

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14
Q

during normal walking, ankle ROM i about ___ deg. dorsiflexion to about ___ deg. plantarflexion

A

10-20

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15
Q

ankle motion _____ as people walk faster

A

decreases (this is opp. of knee and hip)

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16
Q

When standing on your toes of one leg, joint reaction forces (JRF) are about ___x body weight.

A

2x

17
Q

When walking, JRF peaks at about __x body weight. Why?

A

5x

- tension of gastroc-soleus muscles

18
Q

During faster walking, the JRF peak is still about the same, however the _____ is different.

A

pattern

19
Q

2 JRF peaks occur instead of one. what are they

A
  1. loading response (heel strike)

2. late stance (propulsion/toe off)

20
Q

the foot can be subdivided into what3 sections

A
  1. rearfoot (calcaneus and talus)
  2. midfoot (navicular, cuboid, cuneiforms)
  3. forefoot (metatarsal, phalanges)
21
Q

when Foot movement occurs generally in all 3 planes simultaneously is it called

A

triplanar movement

22
Q

2 major foot movements

A

pronation supination

23
Q

supination is a combo of what 3 movements

A
  1. plantar flexion
  2. adduction
  3. inversion
24
Q

pronation is a combo of what 3 movements

A
  1. dorsiflexion
  2. abduction
  3. eversion
25
Q

4 main foot jointd

A
  1. subtalar (talocalcaneal)
  2. midtarsal (chopart’s)
  3. intertarsal and tarsometatarsal
  4. metatarsophalangeal
26
Q

3 arches of the foot

A

medial longitudinal, lateral longitudinal, transverse

27
Q

arch aka high arch

A

medial longitudinal

28
Q

arches of the foot are supported by what 4 things

A
  1. architecture of tarsal
  2. orientation of joints/ligaments
  3. plantar ligaments and fascia
  4. muscle forces
29
Q

what are these called?
High arch:
Low arch/flat feet:
Normal arch:

A

high: pes cavus
low: pes planus
normal: neutral

30
Q

what is plantar fascia

A

thick connective tissue that supports the arch of the foot

31
Q

where does plantar fascia run to and from

A

from calcaneal tuberosity to heads of metatarsal bones

32
Q

what is plantar fascia responsible for

A

windlass effect

33
Q

what is plantar fascia aka

A

aponeurosis fascia

34
Q

what is the windlass affect

A

passive mechanism [does not require muscle contraction] for increasing arch height & rigidity of the foot during walking.

35
Q

when does the windlass effect occur

A

when the toes (especially hallux) extend during the toe-off phase of gait