lecture 21: leg and foot (bones and joints) Flashcards
how many joints are there in the legs
3
what are the 3 joints of the leg
proximal tibiofibular
middle tibiofibular
distal tibiofinular
what type of joint is the proximal tibiofibular
synovial plane and gliding
true or fasel: there is alot of movement at the proximal tibiofibular jt
false, limited movement
what are the two ligaments of the proximal tibiofibular
posterior and anterior ligament of the head of fibula
(anchors to tibia)
what is the connective tissue membrane in the lower leg
interosseus membrane
what type of joint is the middle tibiofibular
syndesmosis
wht is the function of the interosseus membrane of the leg
anchors the bones together
what type of joint is the distal tibiofibular
syndesmosis
what are the ligaments of the distal tibiofibular lig
anterior and posterior tibiofibular lig
transverse tibiofibular lig
what is the shape at the distal leg
U shape bracket for ankle joint
what are the 3 divisions of the foot
phalanges
metatarsals
tarsals
how many phalanges are there
14
what does hallux mean
big toe
true or flase, every finger has 3 phalanges (proximal, middle, fistal)
false, hallux only has two
(proximal, distal)
how many metatarsal are there
5
what are the intermediate bones between phalanfes and tarsals
metatarsals
where is metatarsal 1 in line with
big toe
true or false: metatarsal 1 is lateral
false, medial
how many tarsal are there &
7
what is equivalent to the carpals in the hand but in the foot
tarsals
what makes up the forefoot
metatarsalss and phalanges
what makes up the midfood
cuneiforms
navicular
cuboid
what makes up the hindfoot
talus and calcaneus
what are the 3 cuneiforms
medial
intermediate
lateral
whcich foot bone is most medial
navicular
which foot bone is most lateral
cboid
what part of the tarsals does articulation with the tibia and fibula
talus
what makes up the heel bone
calcaneus
what is the function of the calcaneous
increases lever arm for gastroc and soleus
what is the acronym for the bones of the foot tarsals
Tiny Cats Need MILC
how many sesmoid bones are there in the foot
2
what is the function of the sesmoid bones in the big toe
increase lever arm for the hallux digital flexors
=increases torque
what are common injuries of the sesamoids
sesamoiditis, sesamoid fractures q
what stance puts alot of pressure on the sesamoids
catchers stance
(being in extra dorsiflexion)
what type of foot strike can increase sesmoid injuryt
forefoot strike in running
(ball of foot gets all loading)
how many arches are there in the foot
3
what are arch functions
load absorption, increased rigidity for propulsion
energy storage
what are the 3 arches of the foot
medial longitudinal arch
lateral longitudinal arch
transverse arch
what is the keystone of the medial longitudinal arch
talus
what is the keystone of the lateral long arch
cuboid
which arch is less significant
lateral
(shallower)
what is a keystone of the arches function
allows arch to be weightbearing
transverse arch is made up of what bones
cuneiforms and cuboids
what is the keystone of the transverse arch
intermediate cunieform
true or false: are the arches unique for humasn
yes, necessary for bipedalgait
passive support for the arches of the foot is from what
ligaments
what soft tissues allow for longitudinal arch support
spring ligament (calcaneonavicular)
short plantar lig
long plantar lig
short plantar lig extends where to where
calcaneous to cuboid
long plantar lig extends where to where
calceanus to the base of lateral metatarsals
fibularis longus tendon passes under what ligament
long plantar
what soft tissues provide transverse arch support
tibialus posterior tendon
fibularis longus tendon
what is the true ankle joint
talocrural joint
what makes up the borders of the u shape for ankle joint
medial and lateral malleolus
understand talus of troclea fitting between malleoli
the talocrural joint is what type of joint
complex synovial hinge joint (3 articulating bones)
what are the 3 articulating bones of the talocrural joint
tibia, fibula, talus
explain dorsiflexion
decrease in the angle measuring from the dorsum of the foot
explain plantarflexion
decrease in the angle measuring from the plantar surface of the foot
medial collateral ligament of the ankle is aka
deltoid ligament
where does the medial collateral ligament extend from
tibia to talus and calcaneus
what 3 ligaments make up the deltoid ligament
1) tibionavicular
2) anterior tibiotalar
3) posterior tibiotalar
the anterior tibiotalar lig prevents what movement
limits plantarflexion
the posterior tibiotalar lig prevents what movement
limits dorsiflexion
what are the ligaments of the lateral colalteral lig
anterior talofibular
calcaneofibular
posterior talofibq
what motion does the anterior talofibular limit
limit plantarflexion
where does the lateral collateral lig extend from
extend from fibula to talus and calcaneus
what do the calcaneofibular and posterior talofibular ligs limit in motion
limit dorsiflexion
what type of joints are the DIP and PIP of the foot
hinge joints
what type of joints are the metatarsophalangeal joitns
condylloid/ellipsoidal
what type of joints are the tarsometatarsal joints
plane/gliding
what joints make the boundary between forefoot and midfoot
tarsometatarsal
tranverse tarsal joint is made up of what 2 joints
calcaneocuboid joint
what type of joint is the calcaneocuboid joint
plane/gliding joints
what forms the boundary between hindfoot and midfoot
transverse tarsal joint
what is the function of the talonavicualr joint
contributes to motion of more complex talocalcaneonaviuclar joint
what is the subtalar joint (another name)
talocalcaneonavicular joint
how many articulartions/joints are there in the subtalar joint
4
what type of joint is the talonavicular joints
ball and socket
what type of joint is the middle and andterior talocalcaneal joint
gliding/planar
what type of joints is the anatomic subtalar joint (posterior talocalcaneal joint)
gliding/planar
what motion is possible at the talocalcaneonavicular joint
eversion
inversion
what is inversion
lifting the medial plantar surface of the foot
what is eversion
lifting the lateral plantar surface of the foot
where does inversion/eversion occur
at the subtalar/TCN joint
(not the ankle joint)
in the TCN joint, at the front, what type of joint is it
ball and socket
in the TCN joint, at the back, what type of joint is it
gliding
what is pronation a mix of (what movements)
dorsiflexion, eversion, abduction
what is supination a mix of
plantarflexion, inversion, adduction
what is pronation vs supination of the foot
complex combination of movemetns at the ankle (D/P) and talocalcaneonavicular joints (E/I) and other joints of the foot (Ab/AD)
what is pronation and supination important for
normal movements during gait
ex: to distribute/transfer weight properly, to comfrom to uneven surfaces
overpronation or underpronation (supination) during gait or stance can lead to waht
foot and leg injuries
including arch collapse