Lecture 5 leg ankle and foot

Question 1

C1 has only (blank) rami…

Answer 1

ventral rami out for somatic motor functions only

Question 2

Posterolateral plafond =

Answer 2

posterior malleolus of tibia

Question 3

Tarsals =

Answer 3

Midfoot + hindfoot

Question 4

Which tarsal has no muscle attachments?

Answer 4

Talus

Question 5

Over 60% of the Talus is covered by

Answer 5

Articular cartilage

Question 6

Osteochondritis dissecans (OCD) is like

Answer 6

Avascular necrosis

Question 7

Femoral triangle boundaries and contents?

Answer 7

Boundaries:

Medial: adductor longus
Lateral: sartorius

Floor = pectinous medially, iliopsoas laterally

Contents:
Femoral V.A.N (medial to lateral)

Question 8

Severs disease =

Answer 8

Achilles tendon pulls the growth plate off calcaneus (apophysis) in young kids

Question 9

Talocrural joint is comprised of

Answer 9

malleoli of tibia/fibula; plafond (posterior malleolus); talus

Question 10

Sinus tarsi =

Answer 10

lateral foot pooling with blood due to injury

Question 11

Lisfranc joint =

Answer 11

Tarsometatarsal joint

Question 12

Choparts joint =

Answer 12

Transverse tarsal joint (midfoot+forefoot)

Question 13

Name the three foot arches

Answer 13

Transverse (medial to lateral), medial transverse, and lateral transverse

Question 14

ADD/plantarflexion/ inversion; raising arch =

Answer 14

Supination

Question 15

ABD/dorsiflexion/ eversion ; depressing arch =

Answer 15

Pronation

Question 16

Medial/Inferior calcaneal and medial/lateral plantar nerves are…

Answer 16

Calcaneal= cutaneous only

Plantar= mixed

Question 17

L3 dermatome

Answer 17

-Dorsal ramus for lower back
- Lateral femoral cutaneous nerve for lateral thigh
- femoral nerve for middle anterior thigh
- obturator nerve for the medial thigh to the knee

Question 18

Medial leg to the foot arch =

Answer 18

L4 dermatome femoral nerve (saphenous)

Question 19

Posterior leg to lateral foot =

Answer 19

sural nerve

Question 20

Dorsal foot except for area between big toe and 2nd toe =

Answer 20

Superficial fibular nerve

Question 21

Area between big toe and second toe =

Answer 21

Deep fibular nerve

Question 22

Popliteal artery to tibial artery:

Answer 22

Popliteus

Question 23

Saphenous veins are commonly used for

Answer 23

grafts

Question 24

Muscle that unlocked the knee when initiating flexion by pulling lateral meniscus

Answer 24

Popliteus

Question 25

The posture muscle

Answer 25

Soleus

Question 26

Tom dick and henry (tarsal tunnel) from anterior to posterior

Answer 26

-Tibialis posterior tendon
- Flexor digitorum longus tendon
- tibial artery
- tibial nerve
- flexor hallucis longus tendon

Question 27

What occurs when the tibialis anterior muscle is compromised

Answer 27

Foot drop

Question 28

Anastomosis (connection) of medial/lateral plantar cutaneous innervation

Answer 28

Mortons neuroma

Question 29

Special test: full weight bearing with big toe extension; passively extend big toe then push medial arch

Answer 29

Windlass test

Question 30

There are two (blank) bones around distal attachment of each head of flexor hallucis longus

Answer 30

Sesamoid

Question 31

DAB and PAD

Answer 31

Dorsal interossi = DAB

Plantar interossi= PAD

Question 32

Weakness of intrinsic foot muscles can cause

Answer 32

Clawed toes

Question 33

Fat pad atrophy special tests

Answer 33

• deep palpation of heel to reproduce pain
• squeeze heel together before palpation to reduce pain