Lecture - The Ankle Joint Flashcards

1
Q

What shape is the socket formed by the tibia and fibula?

A

A bracket (mortise) shape

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2
Q

How are the tibia and fibula bound together at the ankle joint?

A

By strong tibiofibular ligaments

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3
Q

What are the two major groups of ligaments involved in the ankle joint?

A

Medial and lateral ligaments

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4
Q

Where does the medial ligament originate from?

Where do they end up?

A

The medial malleolus

Calcaneus, navicular and talus

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5
Q

What is the major function of the medial ligament of the ankle?

A

Resists over-eversion

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6
Q

Where does the lateral ligament originate?

Where does it end up?

A

Lateral malleolus

Talus and calcaneus

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7
Q

Explain why the ankle joint can be thought of as a “ring”

A

In the coronal plane, the ankle bones and ligaments can be visualised in a ring -
Upper part = tib/fib
Lower part = subtalar joint
Sides = medial and lateral ligaments

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8
Q

Why is the fact that the ankle forms a ring clinically relevant?

A

Unlikely to break in only one place

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9
Q

What sort of joint is the ankle joint?

A

hinge type synovial joint

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10
Q

How many planes of movement are possible at the ankle?

What movements are they?

A

Just one

Plantarflexion/dorsiflexion

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11
Q

Which muscles allow plantarflexion of the foot?

A

Gastrocnemius
Soleus
Plantaris
Posterior tibialis

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12
Q

Which muscles produce dorsiflexion of the foot?

A

Tibialis anterior
Extensor hallucis longus
Extensor digitorum longus

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13
Q

Does the ankle joint perform eversion and inversion of the foot?

A

No - subtalar joint

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14
Q

Which muscles allow eversion of the foot?

A

Fibularis longus and brevis

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15
Q

Which muscles allow inversion of the foot?

A

Tibialis anterior and posterior

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16
Q

When does an ankle sprain usually occur? Why?

A

When foot is over-inverted

Over-inversion prevented by the lateral ligament but this is weaker than the medial ligament

17
Q

What is a Pott’s fracture?

Why does it usually occur?

A

Fracture of both malleoli and the distal tibia

Due to over-eversion of foot

18
Q

Describe the sequence of events that result in a Pott’s fracture.

A

Forced eversion pulls the medial ligament, producing avulsion fracture of medial malleolus
Talus moves laterally - breaks off lateral malleolus
Tibia is forced anteriorly - shears off distal tibia against talus

19
Q

Which bones articulate to form the ankle joint?

A

The tibia, fibula and talus