Joints Of Lower Extremity Flashcards

1
Q

Talocrural joint

A

Articulation of tibia and fibula with the talus

Synovial hinge type

More stable in dorsiflexion than plantar flexion, due to a wider talus bone anteriorly than posteriorly

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2
Q

Where does the tibia articulate with the talus?

A

Two places

Inferior surface forms, the roof of the malleolar mortise transferring the bodies weight to the talus

Medial malleolus articulates with the medial surface of the talus

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3
Q

Intrinsic ligaments of the ankle

A

Lateral collateral ligaments three ligaments that attaches to the lateral malleolus to the talus and calcaneus

Anterior talofibular ligament

Posterior talofibular ligament

Calcaneofibular ligament

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4
Q

Anterior talofibular ligament

A

Runs from the lateral malleolus to the neck of the talus

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5
Q

Posterior talofibular ligament

A

Runs from the lateral malleolus to the lateral tubercle of the posterior process of the talus

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6
Q

Calcaneofibular ligament

A

Runs from the lateral malleolus to the lateral surface of the calcaneus

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7
Q

Medial collateral ligaments

A

Deltoid ligaments

Consists of four parts that attach the medial malleolus to the talus calcaneus and navicular

Tibionavicular ligament
Anterior tibiotalar ligament
posterior tibiotalar ligament
tibiocalcaneal ligament

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8
Q

Blood supply for the ankle

A

Malleolar branches of the fibular and anterior and posterior tibial arteries

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9
Q

Information for the ankle

A

Nerves are derived from the saphenous, tibial, sural, and superficial and deep fibular nerves

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10
Q

Important intertarsal joints

A

Subtalar or talocalcaneal joint

Transverse tarsal joint or Calcaneocuboid and Talonavicular joints

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11
Q

Intertarsal joints, allow what movement

A

Inversion, and eversion of the foot

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12
Q

Subtalar joint

A

Articulation of the talus and calcaneus

Synovial

Permits inversion and eversion of the foot

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13
Q

Transverse tarsal or midtarsal joint

A

Two separate joints

Talocalcaneonavicular and calcaneocuboid

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14
Q

Talocalcaneanonavicular

A

Synovial ball and socket

Plantar calcaneonavicular ligament or spring ligament

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15
Q

Calcaneanonavicular ligament

A

Spring ligament

Band that extends from the sustentaculum tali to the posterior surface of the navicular bone

Plays an important role in maintaining a longitudinal arch of the foot

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16
Q

Calcaneocuboid joint

A

Synovial
Long plantar ligament
Short plantar ligament or plantar calcaneocuboid ligament

17
Q

Long plantar ligament

A

Plantar surface of the calcaneus to the keyboard and second third and fourth metatarsal head

Forms a tunnel for passing tendons, and help support the longitudinal arch of the foot

18
Q

Short plantar ligament or plantar calcaneocuboid a ligament

A

Plantar surface of the calcaneus to the cuboid

Assist with longitudinal arch and joint support

19
Q

What supports the transverse tarsal joint dorsally?

A

Bifurcated ligament
dorsal Talonavicular ligament

20
Q

Bifurcated ligament

A

Calcaneocuboid
Calcaneonavicular

21
Q

What actions occur in the forefoot at the metatarsophalangeal and interphalangeal joints?

A

Flexion and extension

22
Q

All bones of the foot proximal to the metatarsophalangeal joints are united by what?

A

Dorsal and plantar ligaments

23
Q

The bones of the metatarsophalangeal and interphalangeal joints are united by what?

A

Lateral and medial collateral ligaments

24
Q

Blood supply for the tarsals and metatarsals

A

Medial and lateral plantar arteries from posterior tibial artery

Dorsalis pedis and Arcuate arteries from anterior tibial artery

25
Q

Innervation of the metatarsals and tarsals

A

Medial and lateral plantar nerves from tibial nerve

Medial and intermediate dorsal cutaneous nerves from superficial peroneal nerve

Deep peroneal nerve

26
Q

Navicular drop test

A

You have a patient sitting with her foot resting on the ground not with full weight, and you measure with a ruler from the navicular tuberosity to the floor

Then you have her stand with her full weight through her foot, and then re-measure the distance from the navicular tuberosity to the floor

If there’s a significant change, that indicates that there’s insufficiency or weakness, or laxity in the arches of the foot or a fallen arch