Gross 2 Foot and Ankle Flashcards

1
Q

What bones make up the Hindfoot?

A

Talus and Calcaneus

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

What bones make up the Midfoot?

A

Navicular, Cuneiform, Cuboid

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

What bones make up the Forefoot?

A

Metatarsals, and Phalanges

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

Describe the Dorsum of the foot/ Dorsal surface of the foot.

A

Skin is thinner and looser

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

Describe the Sole of the foot/Plantar Surface.

A

-Skin is thicker and highly innervated
-Heel: Part of the sole under the calcaneus
-Fat pad for shock absorption
-Ball of the foot: part of the sole under the metatarsal heads

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

What are the requirements of the Ankle?

A

Must be both rigid and mobile:

-Rigid for propulsion for walking, running, jumping
-Mobile to accommodate to uneven terrain, absorb shock and control proximal forces

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

What are the ten articulations of the foot?

A

1) Inferior TibioFibular
2) Talocrural (Ankle)
3) Talocalcaneal (Anatomical subtalar)
4) Talocalcaneonavicular (Transverse Tarsal Joint)
5) Calcaneocuboid (Transverse Tarsal Joint)
6) Cuneonavicular
7) Tarsalmetatarsal
8) Intermetatarsal
9) Metatarsalphalangeal
10) Interphalangeal

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

What are the three motions that take place when you Doriflex?

A

-Inversion
-Adduction
-Dorsiflexion

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

What are the three motions that take place when you platarflex?

A

-Eversion
-Abduction
-Platarflexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What limits the spreading of the distal tibio-fibular articulation?

A

Interosseous Fibular Ligament

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

A high grade sprain of the interosseous (Crural) Fibular Ligament would result in excessive motion at which joint?

A

Distal Tibiofibular Joint

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

What bones make up the articulation of Talocrural joint?

A

Talus with the distal tibia/fibula

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

What type of joint and what motions does the Talocrural joint produce?

A

Type:
Hinge type synovial joint

Movement:
Dorsiflexion and Platarflexion

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

What ligaments help stabilize the Talocrural Joint?

A

Lateral and Medial Collateral Ligaments

-As well as the ligaments of the inferior tibiofibular joint

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

What are the Lateral Collateral Ligament of the Ankle? (3)

A

-Anterior Talofibular
-Posterior Talofibular
-Calcaneal Fibular

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

What are the four Deltoid Ligaments?

A

Anterior Tibiotalar Lig.
Posterior Tibiotalar Lig.
Tibionavicular Lig.
Tibiocalcaneal Lig.

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

What are the Lateral Collateral Ligaments of the ankle?

A

-Anterior Talofibular Lig.
-Calcaneal Fibular Lig.
-Posterior Talofibular Lig.

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

What type of joint and what movements does the TaloCalcaneal (Subtalar) Joint Provide?

A

Type: Plane of Synovial Joint

Movement: Eversion/Inversion

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

What ligaments help support the Talocalcaneal (Subtalar) Joint?

A

Medial, Lateral, Posterior and Interosseous Talocalcaneal Ligament: binds bones together

-Calcaneal Fibular limits excessive inversion

-Tibiocalcaneal fibers of deltoid limits excessive eversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What type of joint is Transverse Tarsal?

A

A Compound Joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What two joints make up the Transverse Tarsal Joint?

A

Talonavicular and Calcaneocuboid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the articulation for Talonavicular (Transverse Tarsal)?

A

Articulation with head of talus to posterior aspect of navicular bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the articulation for Calcaneocuboid (Transverse Tarsal)?

A

Anterior end of calcaneus articulates with posterior surface of cuboid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the movements of the Transverse Tarsal Joint?

A

Supination and Pronation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What ligaments help stabilize the Calcaneocuboid?
Dorsal Calcaneocuboid ligament, Plantar Calcaneocuboid (short plantar), Long Plantar Ligament support
26
What bones make up the Medial, Intermediate, and Lateral Tarsometatarsal Joints?
Medial: Medial Cuneiform with the 1st metatarsal Intermediate: Intermediate and lateral cuneiform with 2nd-3rd metatarsal Lateral: Cuboid and the 4th-5th metatarsal
27
What are the motions for the Tarsometatarsal Joint?
-Small amount of flexion and extension -Limited rotation and abduction at the 1st TMT
28
What are the three Intertarsal Joints?
Cuneonavicular Intercuneiform Cuneocuboid
29
What type of joint and what articulations make up Metatarsal Phalangeal Joint?
-Condyloid Synovial Joint -Heads of metatarsal bones articulate with bases on proximal phalanges
30
What ligaments help support the Metatarsal Phalangeal Joint?
Collateral ligaments support capsule on each side; Plantar ligaments supports plantar part of capsule
31
What motions does the Metatarsal Phalangeal Joint produce?
Flexion, Extension Some Abduction, Adduction and Circumduction
32
What type of joint and what articulations make up the Interphalangeal Joint?
Hinge Synovial Joint Head of proximal phalanx articulates with the base of distal phalanx
33
What ligaments help support the Interphalangeal Joint?
Collateral and Plantar ligaments
34
What motions does the Interphalangeal joint produce?
Flexion and Extension
35
What are the three major ligaments of the foot?
-Plantar Calcaneonacivular Ligament (Spring Ligament) -Long Plantar Ligament -Plantar Calcaneocuboid Ligament (Short Plantar Ligament
36
What is the first layer of intrinsic muscles of sole? (3)
- Abductor Halluces - Flexor Digitorum Brevis - Abductor Digiti Minimi
37
What is the second layer of intrinsic muscles of sole? (2)
- Quadratus Plantae - Lumbricals
38
What is the third layer of intrinsic muscles of sole? (3)
- Flexor Halluces Brevis - Adductor Halluces - Flexor Digiti Minimi Brevis
39
What is the fourth layer of intrinsic muscles of sole? (2)
- Planter Interossei - Dorsal Interossei
40
What are the two dorsal muscles of the foot?
- Extensor Digitorum Brevis - Extensor Halluces Brevis
41
How is weight bearing distributed in the foot?
- Tibia loads body weight onto talus - Then to the Calcaneus - From the calcaneus to the ball of the foot - These weight bearing areas are supported by 3 elastic arches
41
What is the Medial Longitudinal Arch composed of?
Calcaneus, Talus, navicular, cuneiforms, and 3 metatarsals
41
What is the Lateral Longitudinal Arch Composed of?
Calcaneus, Cuboid, and lateral metatarsals
42
What is the Transverse Arch composed of?
Cuboid, cuneiforms, and bases of metatarsals
43
What are the Passive supports that support the arch?
-Shapes of bones -Plantar Aponeurosis -Long Plantar Ligaments -Short Plantar Ligaments -Spring Ligaments
44
What are the Dynamic Supports that support the arch?
-Active bracing of intrinsic muscles -Active contraction of the long tendons (extrinsic muscles) acting on the arch --FHL, FDL-> Longitudinal Arch --Fibularis Longus/Brevis and Tibialis Posterior -> Transverse arch
45
What make up the Planter Fascia?
Medial Plantar Fascia Plantar Aponeurosis -Distally 5 bands -Reinforced by the superficial transverse metatarsal ligaments Lateral Plantar Fascia
46
Which arteries supply the nail beds and distal phalanges?
Plantar digital Artery and their dorsal branches from Medial and Lateral Plantar A.
47
Where are the Superficial veins formed? Where do the Great and Small Saphenous vein run?
Formed at the Dorsal venous arch of the foot. - The Great Saphenous vein runs medially - The Small Saphenous vein runs laterally
48
The Deep vein communicates with which vein on the pathway back to IVC?
The Superficial Vein (Great and Small Saphenous)
49
What nerve innervates the Extensor Digitorum Brevis?
Deep Fibular Nerve
50
What nerve innervates Abductor Hallucis?
Medial Plantar N.
51
What nerve innervates Quadratus Plantae?
Lateral Plantar N.
52
What nerve innervates First Lumbrical?
Medial Plantar N.
53
What nerve innervates Abductor Digiti Minimi?
Lateral Plantar N.
54
What nerve supplies skin of the medial side of the **SOLE** of foot and sides of first 3 digits?
Medial Plantar N.
55
What nerve innervates Digiti Minimi Brevis?
Lateral Plantar N.
56
What nerve innervates the Dorsal Interossei?
The Deep Branch of Lateral Plantar N.
57
What nerve innervates the Lateral Three Lumbricals?
The Deep Branch of Lateral Plantar N.
58
What nerve innervates Adductor Hallucis?
The Deep Branch of Lateral Plantar N.
59
What nerve supplies the the skin on sole lateral to a line splitting the 4th digit?
The Deep Branch of Lateral Plantar N.