Lecture 30 in class (17-7-14) Flashcards

1
Q

What are the bones of the ankle and foot

A
  • 14 phalanges
    • proximal phalanges
    • middle phalanged
    • distal phalanges
  • 5 metatarsals
  • 7 tarsals
  • talus
  • calcaneus
  • cuboid
  • navicular
  • cuneiforms
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2
Q

What is the fascica of the ankle?

A
  • superior and inferir extensor retinacula- anterior leg tendons
  • **superior and inferoir fibular retinaculua- **lateral leg tendon (evertors)
  • felxor retinaculum- deep postierior leg tendon (flexors)
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3
Q

What is in the tarsal tunnel?

A
  • Tom tibialis posterior m.
  • Dick felxor digitorum longus
  • Bloody tibialis posterior a.
  • Nervous tibial n.
  • Harry flexor hallicus longus
    *
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4
Q

What is tarsal tunnel syndrome?

A

when the tibial nerve gets entraped

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5
Q

What is the cutaneous innervation of the dorsal foot?

A
  1. saphenous
  2. deep fibular
  3. superfical fibular
  4. sural n.
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6
Q

What is the cutaneous innervation of the platar side of the foot?

A
  1. saphenous
  2. medial plantar
  3. lateral plantar
  4. tibial
  5. .sural
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7
Q

What is the innervation of hte foot?

A

Dorsal foot

  1. superfical fibular
  2. deep fibular - anterior leg of foot and all muscles of dorsum of foot

Medial Plantar (L.A.F.F)

  1. 1st Lumbricle
  2. Abductor halicus
  3. flexor hallluics brevis
  4. flexor digitorum brevis m.

Lateral plantar

all the rest of the muscles

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8
Q

Babinski sign

A

deep tendon reflex

flexion of toes is normal response after 4 years old

abdnormal= spreading of toes (this is normal under the age of 4)

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9
Q

What are the arteies of the foot?

A

from anterior al tibial

  • dorsalis pedius a
    • sole of foot deep plantar
    • across metatarsals 2-5 arcuate a

sole of foot

from posterial tibial a

  • medial plantar a
  • deep plantar arch latearal plantar
    • joined by deep plantar a from dorsum of foot
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10
Q

dorsum foot muscles

A

**extensor digigtorum brevis **calcaneous–> extensory expansion (2-4)

**extensor halicous brevis **calcanous–> proximal phalenex

extend toes/ big toe

deep fibular nerve

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11
Q

plantar aponeourissi

A
  • protects the sole of the foot
  • supports longitudinal arches
  • attaches proximal phalex–> calcaneous
  • has 5 bands that attach to digits
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12
Q

what is plantar fasciitis

A
  • most common hindfoot problem in runners
  • straning and inflammation of plantar aponeurosisi
  • hurts to walk after sleeping all night
  • can be acute or chronic
    *
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13
Q

What are the muslces in the first layer of the foot?

A
  • abuctor hallicus
  • flexor digitorum brevis
  • abductor digitiminimi
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14
Q
  1. What is the muscle on the far right?
  2. What is its insertion/ orgin
  3. What is ins innervation?
  4. What is its action?
A
  • abuctor hallicus
    • calcaneous–> prox phalanx
    • medial plantar n
    • abducts and flexes big toe at MP

1st layer

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15
Q
  1. What is the muscle in the middle?
  2. What is its insertion/ orgin?
  3. What is ins innervation?
  4. What is its action?
A
  1. flexor digitorum brevis
  2. calcaneous–> either side middle phalenx 2-5
  3. medial plantar
  4. flex toes 2-5 at pip
  5. 1st layer
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16
Q
  1. What is the muscle on the far left?
  2. What is its insertion/ orgin?
  3. What is ins innervation?
  4. What is its action?
A
  1. abductor digitiminimi
  2. calcaneous–> proximal phalex
  3. lateral plantar
  4. abduct and flex 5th toe at MP

​1st layer

17
Q

What are the muscle in the second foot Layer?

A
  • Quadrateus plantate
  • lumbriclasl (4)
  • tendon flex digitorum longus
  • tendon of flexor hallicus longus
18
Q
  1. What is the muscle at the bottom?
  2. What is its orgin/ insertion?
  3. What is its innervation?
  4. What is its action?
A
  1. Quadrateus plantate
  2. calcaneous–> medial expansion
  3. lateral plantar n
  4. assist fdl in flexing toes 2-5 help curl toes

2nd layer

19
Q
  1. What is the muscle towards the top??
  2. What is its innervation?
  3. What is its action?
A
  1. lumbriclasl (4)
  2. medical plantar n (1)/ lateral plantar 2-4
  3. flex toes 2-5 at mp extend toes 2-5 at ip jts

2nd layer

20
Q

What are muscles in Layer 3?

A
  • Flexor hallucis brevis
  • Adductor hallucis (transverse and oblique head)
  • flex digi mini
21
Q

Flexor hallucis brevis

  1. Orgin/ insertion
  2. innervation
  3. action
A
  1. cuboid and lat. cuneiform –> both sides of 1st prox phalanx
  2. medial plantar n
  3. flex big toe and mp joints

3rd layer

22
Q

Adductor hallicus

  1. Orgin/ insertion
  2. innervation
  3. action
A

(transverse and oblique head)

  1. base of metatarsals 2-4 and plantar ligaments –> lateral side of 1st prox phalanx
  2. lateral plantar
  3. adduct big toe

3rd layer

23
Q

Flexor digiti minimi

  1. Orgin/ insertion
  2. innervation
  3. action
A
  1. base 5th metatarsal–> base of 5th prox phalex
  2. lateral plantar
  3. flexes little toe at mp

3rd layer

24
Q

sesamoid bones in flexor hallucis brevis

A

can occur sometimes

25
Q

What is in the layer 4?

A
  • 3 plantar interosssei
    • lateral plantar n
    • adduct digits 3-5
  • 4 dorsal interossie
    • lateral plantar
    • abduction of toes 2-5
  • tendon tiibialis posterior
  • tendon fibularis longus
26
Q

Dorsal interossei

  1. How many?
  2. What nerve?
  3. What action?
A
  1. 4 DABS
  2. lateral plantar n
  3. aBduct digits 3-5

4th layer

27
Q

Plantar interossei

  1. How many?
  2. What nerve?
  3. What action?
A
  1. 3 PADS
  2. lateral plantar n
  3. adduct digits 3-5

4th layer

28
Q

accessory navicular bone

A

embedded in tendont of tibalis anterior

kinder procedure