Manual 1-19: Bones Flashcards
the ______ ligament attaches just anterior and superior to the calcaneofibular ligament which partially overlies it on the lateral surface of calcaneus
lateral talocalcaneal ligament
there is a ligament to each of the 4 bones that articulate with the intermediate cuneiform. The ligaments are:
- dorsal cuneonavicular - two dorsal intercuneiform - dorsal cuneometatarsal
what structures are attached to the plantar surface of the cuboid?
(7) - long plantar ligament - short plantar ligament - plantar cuboideonavicular ligament - tibialis posterior - flexor hallucis brevis - plantar cuneocuboid ligament - two plantar cuboideometatarsals ligaments (one to 4th, one to 5th)
the shaft of the fourth metatarsals serves as origin for what muscles?
- lateral head of third dorsal interosseous - medial head of fourth dorsal interoseous - second plantar interosseous
what structures are on the plantar surface of the cuboid?
- peroneal sulcus - peroneal ridge - both sulcus and ridge course obliquely from posterolateral to anteromedial - peroneal sulcus lies distal to the peroneal ridge - tendon of peroneus longus lies either in the peroneal groove or against the anterior aspect of the peroneal ridge - deep fibers of the long plantar ligament attach to the peroneal ridge - superficial fibers of the long plantar ligament course over the tendon of peroneus longus
the posterior surface of the medial cuneiform is _______ and articulates with the navicular.
- concave - can be triangular, pear-shaped or quadrilateral
The anterior surface of the intermediate cuneiform has a ________ facet for its articulation with the ________ metatarsal.
- triangular - second metatarsal
the body of the talus is ____ in shape
cubical
_________ takes partial origin from the surface of the base of the 5th met.
flexor digiti quint
what structures attach to the plantar surface of the base of the second met:
- long plantar ligament - tibialis posterior - plantar cuneometatarsal ligament - plantar intermetatarsal ligament - adductor hallucis (oblique head)
Describe the head of the proximal phalanx of the great toe.
- flat vertically - articular surface trochlear; large and extends more plantarly than dorsally
= inferior, tapered end of the lateral surface of body of talus
- lateral process - has large triangular facet for the lateral malleolus - rough areas anterior and posterior to articular fact for attachment of anterior talofibular and posterior talofibular ligaments
the bases of the lesser toes have _______ facets for the metatarsal heads
oval
at times, an accessory muslce called abductor os metatarsi digit minimi also inserts ___________.
plantar surface of the base of the fifth metatarsal
The posterior surface of the second met base has a ____ facet for its articulation with intermediate cuneiform. The medial surface of the base of the second met has a _______ facet for its articulation with the medial cueniform. The lateral surface of the base has ____ facets for articulation with ________.
- triangular - small, oval (occasionally a second small oval facet, located anterior and inferior to the facet for the medial cuneiform is present - it is a pressure facet for first met and forms from contact between the bones. ) - two facets, one dorsal and one plantar. a ridge of bone separates each facet into demarcates. - the two anterior demarcates are for the third met. the two posterior demarcates are for the lateral cuneiform
what separates the navicular tuberosity from the plantar surface?
groove for tendon of tibialis posterior - groove is for continuation of the tendon of tibialis posterior beyond its attachment to the tuberosity
the posterior surface of the base of third met has a _______ facet for the lateral cuneiform. the lateral surface of the base has a ________ facet for the fourth met. Just inferior to this facet, there is a distinctive ____________ characteristic of the bone.
- triangular - small, oval - groove for the interosseous intermetatarsal ligament
what 3 tubercles might be on the lateral side of calcaneus?
- retrotrochlear eminence - peroneal tubercle - third tubercle (calcaneofibular tuberosity)
what are the bones of the medial arch?
fist three metatarsals all three cuneiforms navicular calcaneus talus
the ___ surface of the lateral cuneiform is the apex of the wedge. What muscles attach to this surface? What ligaments attach to this surface?
- plantar - muscles: flexor hallucis brevis and tibialis posterior - ligaments: plantar cuneocuboid, plantar cuneonavicular, plantar intercuneiform, plantar cuneometatarsal
the cuboid tuberosity has an ______ facet
- oval - over which there is a sesamoid bone (os peroneum) in tendon of peroneus longus
on the plantar surface of the first met, the two facets for the medial and lateral sesamoid bones are separated by a small ridge of bone, ___
- the median crista
what structures does the trochlea of talus articulate with?
(5) - tibial plafond (inferior surface of tibia) - medial malleolus of tibia - lateral malleolus of fibula - anterior (inferior) tibiofibular ligament - inferior transverse ligament, which is the deep portion of the posterior (inferior) tibiofibular ligament
The posterior surface of the lateral cuneiform is ____. It articulates with the ______.
- triangular - navicular
what is the keystone of the medial arch
talus
the lateral surface of the body of talus has a ________ shape
triangular shape - apex pointing inferiorly
each metatarsal bone has __ ossification centers.
- two - diaphysis in the shaft (appears during fetus) - first met: epiphysis at base (appears during year 3) - mets 2-5: epiphysis at the head (appears during years 5-8)
describe teh facets on the anterior surface of the navicular.
- large articular facet subdivided by tow vertical crests into 3 articular area - medial (largest) pear-shaped, triangular or quadrilateral in shape - middle and lateral are triangular - each facet articulates with appropriate cuneiform
Four ligaments attach to the dorsal surface of the base of the second met:
- dorsal intermetatarsal ligament to third met - three dorsal cuneometatarsal ligaments, one for each cuneiform
what three ligaments attach to the dorsal surface of the base of the third met?
- two dorsal intermetatarsal ligaments - dorsal cuneometatarsal ligament
what attaches to the peroneal trochlea?
deep fibers of the inferior peroneal retinaculum
each proximal phalanx has ____ plantar tubercels
- two, one medial one lateral
accessory bone associated with the tuberosity of the fifth metatarsal
os vesalinum (vesalius’ bone)
the dorsal surface of the calcaneus is _______ from front to back and is ___ from side to side.
concave; convex
each phalanx has _____ ossification centers
- two - a diaphysis in the shaft - epiphysis at base
true or false: the proximal phalanges of the lesser toes are longer than the middle and distal phalanges combined.
true
base of the second met is ______ shaped. The borders are _____.
- wedge-shaped or pyramidal with apex directed plantarly - borders are dorsal, lateral, and medial
what tarsal bone has more than one ossification center?
- calcaneus has an epiphysis in the posterior extremity as well as a primary ossification center - all other tarsal have a single center
shape of the medial surface of cuboid
quadrilateral - has a triangular facet for lateral cuneiform at the dorsal, middle portion - can sometimes also be small facet for navicular
what are the two most constant sesamoid bones of the foot?
- medial (tibial) and lateral (fibular) bones within the tnedons of flexor hallucis brevis - located at the first metatarsophalangeal joint - medial sesamoid bone is usually larger than the lateral
describe shape of navicular
- boat shaped - concave proximally and convex distally - articulates with talus, three cuneifroms and cuboid, rarely with calcaneus
where would the third tubercle be found on the calcaneus?
- lateral surface - posterior and superior to retrotrochlear eminence - serves as attachment for calcaneofibular ligament
the most lateral bone in distal row of tarsal bones
cuboid
the dorsal surface of the navicular is _________ and oriented ______.
convex; superomedially
describe the calcaneal tuberosity
– depressed in the middle and prolonged into a lateral and a medial process on each side – lateral process small but very prominent – medial processs (posteromedial tubercle) is broader and larger than the lateral process
there is a transverse crest on the ______ surface of the proximal phalanx of great toe close to its base. What inserts on this crest?
- transverse - extensor hallucis brevis
what is the shape of the dorsal surface of the intermediate cuneiform?
- quadrilateral or square - the dorsal surface forms the base of the cuneiform and it sough
the medial surface of the lateral cuneiform is ____ in shape. Posteriorly, there is a _____ facet for articulation with the _______ cuneiform. Anteriorly, there are _________ demarcates for articulation with the second metatarsal.
- rectangular - vetically orientated oval facet - intermediate - two oval demarcates
what ligaments attach to the dorsal surface of the base of the 4th met?
- two dorsal intermetatarsal - dorsal cuboideometatarsals
the anterior surface of the lateral cuneiform has a ______ facet for articulation with the base of the ____ metatarsal.
- triangular - third
how many facets are on the inferior surface of the head of the talus?
- three - two facets articulate with calcaneus - third facet articulates with plantar calcaneonvaicular (spring) ligament (superior portion of ligament contains fibrocartilage upon which head of talus rests)
the tarsal canal lies _____ to tarsal sinus
medial - tarsal canal is directed anterolaterally and it is continuous with tarsal sinus
the only ligament attached to the medial surface of the lateral cuneiform is _______
interosseous intercuneiform
the posterior surface of the cuboid has a _____ shape facet for calcaneus
triangular - saddle-shaped - concave transversely and convex vertically
located at the plantar edge of the lateral surface of cuboid
peroneal notch - this notch marks the beginning of the peroneal sulcus
what is the shape of the posterior articular facet of the calcaneus?
oval shaped
the lateral surface of the lateral cuneiform is ______ with ___ facets.
- rectangular - two facets - larger more posteriorly facet is triangular and for articulation with cuboid - smaller more anterior is oval for articulation with fourth metatarsal
3 ligaments attached to medial surface of cuboid
- interosseous cuboideonavicular - itneroseous cuneocuboid - calcaneocuboid portion of the bifurcated ligament
found between the proximal and distal row
navicular
what inserts onto the tuberosity of the 5th met?
- peroneus brevis - peroneus tertius inserts onto the dorsal surface of the base and the dorsal surface of the shaft of the 5th met
deep depression on the anterior part of the dorsal surface of the calcaneus located between the middle and posterior facet
calcaneal sulcus - the calcaneal sulcus combinew with a deep groove on the plantar surface of the talus to form the tarsal sinus and tarsal canal
the medial head of the quadratus plantae attaches to the medial surface of _____
- calcaneus *** this attachment of the medial head of quadratus plantae to the medial surface of the calcaneus is more extensive than its attachment to the medial process (plantar surface)
what ligament is attached tot he heads of all five metatarsal bones?
deep transverse metatarsal ligament
the anterior surface of the navicular is _______ from side to side
convex
what attaches to the superior surface of the neck of the talus?
(dorsal) talonavicular ligament
the proximal extremity of the metatarsal is the _____ and the distal extremity is the ______
- base - head
the medial surface of the calcenus is deeply _______
- concave - plantar nerves and vessels are located in this hollow
what ligaments attach to dorsal surface of navicular?
(5) - three dorsal cuneonaviculars - dorsal cuboideonavicular - dorsal talonavicular - calcaneonavicular portion of the bifurcated ligament - tibionavicular portion of the deltoid ligament
the posterior surface of the navicular is ______
concave - contains a large oval/tear-shaped facet for articulation with head of talus
what structures attach to the medial process (posteromedial tubercle) of the calcaneus?
(7) - abductor hallucis - medial head of quadratus plantae - long plantar ligament - plantar aponeurosis - flexor retinaculum - flexor digitorum brevis - abductor digiti quinti
The posterior surface of the base of the fourth met has a _________ facet for its articulation with the ________. The medial surface of the base of the fourth met has an _____ facet for its articulation with _______.
- quadrilateral; cuboid - oval, divided by a ridge; anterior articulates with third met and posterior articulates with lateral cuneiform
the width of the calcaneus is about the same as the height, both are about ______ of its length
50%
navicular is latin for …
navy
what two tendons attach to the base of the first met?
- tibialis anterior attaches to the medial surface of the base - peroneus longus attaches to the lateral surface of the base - these tendons attach inferiorly near the plantar surface
which part of the calcaneus has a roughened area for the attachment of tendo calcaneus and plantaris?
- middle area of the posterior surface of calcaneus - at times the plantaris attaches medial to the tendo calcaneus, other times they attach together
located at the union of the body and neck of talus on inferior surface
sulcus tali
the large toe has __ phalanges. The lesser toes has ____ phalanges per toe.
- two: proximal and distal - three: proximal, middle and distal
there are usually ______ for the anterior talofibular ligament and a _____ for the posterior talofibular ligament on the ____ surface of the body of talus
- two tubercles - groove - lateral - the lateral talocalcenal ligament attaches anteroinferior to the lateral malleolar surface
what structures attach to the dorsal surface of the base of 5th met?
- peroneus tertius - dorsal cuboideometatarsals ligament - dorsal intermetatarsal ligament
accessory bone found when the secondary ossification center in the navicular tuberosity fails to fuse with the rest of the navicular
os tibiale externum