joints and movements not finished Flashcards
weight bearing surfaces
trochlear surfaces of
the tibia and talus
stabilising surfaces
medial and lateral malleoli that grip the body of the talus
The ankle joint is most stable in dorsiflexion (the close packed position)
ankle joint movements
Uniaxial joint 1 degree of movement Sagittal plane/frontal axis Dorsiflexion (extension) Plantarflexion (flexion) Neutral position in standing plantigrade
dorsiflexion
Tibialis Anterior Extensor Digitorum Longus Extensor Hallucis Longus Peroneus Tertius 20° - 30° knee extended 35° if knee flexed Tension in antagonists Posterior part of deltoid ligament Calcaneofibular ligament Wedging of talus between the malleoli
plantar flexion
Gastrocnemius: Soleus Tibialis Posterior Peroneus Longus et Brevis Flexor Hallucis Longus Flexor Digitorum Longus 50° Tension in antagonists Anterior part of deltoid ligament Anterior talofibular ligament
ankle joint stability
The ankle joint is stabilised medially by:
the medial (deltoid) ligament
and
laterally by the lateral ligaments
The Subtalar Joint
A synovial modified saddle joint (plane joint) Between concave facet on inferior surface of body of talus AND convex articular facet on superior surface of calcaneus Thin loose capsule, lined with synovial membrane Medial, posterior & lateral talocalcanean ligaments Movements – inversion and eversion of the foot
Subtalar Joint-ligaments
Medial talocalcanean Medial-posterior talus Sustentaculum talus Posterior talocalcanean Lateral talus Upper medial calcaneus Lateral talocalcanean Deep to calcaneofibular ligament Posterior talus Lateral calcaneus Interosseous talocalcanean Floor of sinus tarsi talus
Transverse (Mid) Tarsal Joint
The functional description of the: Talocalcaneonavicular joint and the Calcaneocuboid joint
Movements of:
Pronation
and
Supination
Talocalcaneonavicular joint
Synovial ball and socket joint: Ball – head of talus Socket – part bone, part ligament Anterior= navicular Posterior = sustentaculum tali + calcaneus Medially = plantar calcaneonavicular (spring) ligament Laterally = calcaneonavicular part of bifurcate ligament
Subtalar & Midtarsal Joints - movements
Inversion Adduction of forefoot Supination (sole faces medially) \+ plantarflexion of ankle Eversion Abduction of forefoot pronation (sole faces laterally) \+ dorsiflexion of ankle
inversion
Tibialis Anterior Tibialis Posterior Extensor & Flexor Hallucis Longus 45° – 60° Greater in plantarflexion Dorsal talonavicular ligament
eversion
Peroneus Longus, Brevis & Tertius
15° - 30°
Impact of talus on floor of sinus tarsi
Plantar calcaneocuboid ligament
Calcaneo-cuboid joint
? synovial plane joint/? synovial saddle joint Anterior surface of calcaneus Posterior surface of cuboid Simple capsule lined with synovial membrane Plantar calcaneocuboid (short plantar) ligament Bifurcate ligament Calcanealcuboid Ligamant Calcaneonavicular ligament
Bifucate Ligament
Calcaneocuboid Ligament
Calcaneonavicular Ligament