Kinesiology of foot Flashcards
Proximal tibiofibular joint (H) classification
Non-axial plane synovial joint
Ligaments of fibular HD
Ant/post bands
Proximal Tibiofibular joint CPP
Full dorsiflexion
Proximal tibiofibular joint Capsular Pattern
Pain on stress
Proximal tibiofibular joint typical dislocation
Rare: typically superior dislocation of fibular HD
Intermediate tibiofibular joint classification
Functional: amphiarthroidal (Ltd mobility)
Structural: Fibrous syndesmosis
Intermediate tibiofibular joint ligaments
Interosseus membrane
Prox/distal hiatus for arteries to pass through
Distal tibiofibular joint classification
Functional: ampiarthroidal (Ltd mobility)
Structural: fibrous syndesmosis
Distal tibiofibular joint ligaments and movement
Lig: Ant/post tibfib lig
mvmnt: small amounts of joint separation (1-2mm) w full dorsiflexion
Strongest of the ankle ligaments
Interosseus ligament
Interosseous ligament kinematics
Class 2 lever
Small motions at the lateral malleolus result in large motions in proximal tib/fib joint
Distal tibiofibular joint CPP
Full dorsiflexion
Distal tibiofibular joint capsular pattern
Pain on stress
Distal tibiofibular joint typical dislocation
High distraction force in the distal joint may lead to dislocation of fibula
With ________, the fibula abducts away from the tibia and fibula rotates ________ at distal end
Dorsiflexion, medially
With ___________, the fibula adducts toward the tibia and rotates ______ at the distal end
Plantarflexion, Laterally
Ankle mortise is made up of..
Medial malleolar and inf. articular facets of tibia
Lateral malleolar articular facet of fibula
Deep fibres of post. tibfib lig. (dist. to TF joint)
Talocrural joint classification
Uniaxial hinge synovial
The medial malleolus is slightly _____/______ compared to the lat. malleolus
Anterior/superior thus not a true medial-lateral axis
Both the knee and ankle move upon _____ axis
Oblique
In open chain, during dorsiflexion slight _______ must occur at the subtalar joint
Eversion
During open chain dorsiflexion of the talocrural joint the tib/fib rotate _______ and slides _______
Medially, superiorly
Plantarflexion at TC joint open chain
Slight inversion must occur at the subtalar joint
Occurs due to oblique axis
Plantarflexion at TC joint open chain the tib/fib rotate _____ and fibula adducts and slides _______
Laterally, inferiorly
Lateral colateral ligament has ___ bands to limit inversion/ varus strain
3
ATFL limits plantarflexion
PTFL limits dorsiflexion
Both also limit ________
Inversion
Talocrural joint CPP
Full dorsiflexion
Talocrural joint Capsular pattern
Plantarflexion > dorsiflexion
Talocrural joint typical dislocation
Uncommon, posterior more common than anterior, due to trauma Typically see malleolar fracture first
Talocrural joint open chain _____ talar dome moves on stationary ______ distal tibia
Convex on Concave thus opposite directions
Talocrural joint closed chain _______ distal tibia moves on stationary _____ talus
Concave on Convex thus same directions
Subtalar joint has __ bands within the sinus tarsi which restrict end range ________
2 bands ant/post, end range eversion
The true _______ subtalar joint consists only of the ______ articulation because it has its own capsule
anatomical
posterior
Subtalar joint CPP`
Full supination
Subtalar joint Capsular pattern
Varus (inversion) > Valgus (eversion)
Subtalar joint typical dislocation
Talar dislocation relatively rare
Calcaneal impaction from landing hard on the heel can sublux talus but not often dislocate it
S-shaped articulation that acts as a bridge between hindfoot and midfoot
Composed of 2 seperate joints:
Talocalcaneonavicular: talocalcaneal/talonavicular joint
Calcaneocuboid joint
Transverse tarsal joint
Talocalcaneal joint classificaton
Uniaxial plane synovial joint
subtalar and Talocalcaneal joints are in which axis
Oblique triplanar axis (axis bisecting all 3 planes)
roll/glide for the subtalar/talocalcaneal joint in closed chain
posterior Concave talus moves over (relatively) stationary convex calcaneus
Thus roll/glide are in the same direction
Pronation in closed chain
Calcaneal eversion
Talar head: add/plantarflxn
internal rotn of tib/fib
medial longitudinal arch depresses
Supination in closed chain
Calcaneal inversion
Talar HD: Abd/dorsiflxn
ext. rotn of tib/fib
Medial longitudinal arch elevates
roll/glide for the subtalar/talocalcaneal joint in open chain
Convex calcaneus moves over the concave talus
Thus roll/glide is in the opposite direction
Supination in open chain
Calcaneus: inversion, adduction, plantar flexion
pronation in open chain
calcaneus: eversion, abduction, dorsiflexion
talonavicular joint open kinetic chain
concave proximal navicular moving on convex talar head
Same
Talonavicular joint closed chain roll/glide
Closed is opposite
talar HD moving on navicular
Plantar calcaneonaviuclar (spring) ligament
Supports talus and therefore the medial longitudinal arch
Talocalcaneonavicular (TCN) CPP
Supination
TCN joint capsular pattern
Dorsiflexion > PLnatar flexion of talar HD
TCN typical dislocation
uncommon, more common fracture
TCN joint blood supply/innervation
anterior tibial artery
Plantar and deep fibular n.