Manual 1-19: Bones Flashcards

1
Q

the ______ ligament attaches just anterior and superior to the calcaneofibular ligament which partially overlies it on the lateral surface of calcaneus

A

lateral talocalcaneal ligament

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2
Q

there is a ligament to each of the 4 bones that articulate with the intermediate cuneiform. The ligaments are:

A
  • dorsal cuneonavicular - two dorsal intercuneiform - dorsal cuneometatarsal
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3
Q

what structures are attached to the plantar surface of the cuboid?

A

(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)

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4
Q

the shaft of the fourth metatarsals serves as origin for what muscles?

A
  • lateral head of third dorsal interosseous - medial head of fourth dorsal interoseous - second plantar interosseous
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5
Q

what structures are on the plantar surface of the cuboid?

A
  • 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
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6
Q

the posterior surface of the medial cuneiform is _______ and articulates with the navicular.

A
  • concave - can be triangular, pear-shaped or quadrilateral
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7
Q

The anterior surface of the intermediate cuneiform has a ________ facet for its articulation with the ________ metatarsal.

A
  • triangular - second metatarsal
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8
Q

the body of the talus is ____ in shape

A

cubical

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9
Q

_________ takes partial origin from the surface of the base of the 5th met.

A

flexor digiti quint

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10
Q

what structures attach to the plantar surface of the base of the second met:

A
  • long plantar ligament - tibialis posterior - plantar cuneometatarsal ligament - plantar intermetatarsal ligament - adductor hallucis (oblique head)
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11
Q

Describe the head of the proximal phalanx of the great toe.

A
  • flat vertically - articular surface trochlear; large and extends more plantarly than dorsally
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12
Q

= inferior, tapered end of the lateral surface of body of talus

A
  • 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
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13
Q

the bases of the lesser toes have _______ facets for the metatarsal heads

A

oval

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14
Q

at times, an accessory muslce called abductor os metatarsi digit minimi also inserts ___________.

A

plantar surface of the base of the fifth metatarsal

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15
Q

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 ________.

A
  • 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
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16
Q

what separates the navicular tuberosity from the plantar surface?

A

groove for tendon of tibialis posterior - groove is for continuation of the tendon of tibialis posterior beyond its attachment to the tuberosity

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17
Q

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.

A
  • triangular - small, oval - groove for the interosseous intermetatarsal ligament
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18
Q

what 3 tubercles might be on the lateral side of calcaneus?

A
  • retrotrochlear eminence - peroneal tubercle - third tubercle (calcaneofibular tuberosity)
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19
Q

what are the bones of the medial arch?

A

fist three metatarsals all three cuneiforms navicular calcaneus talus

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20
Q

the ___ surface of the lateral cuneiform is the apex of the wedge. What muscles attach to this surface? What ligaments attach to this surface?

A
  • plantar - muscles: flexor hallucis brevis and tibialis posterior - ligaments: plantar cuneocuboid, plantar cuneonavicular, plantar intercuneiform, plantar cuneometatarsal
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21
Q

the cuboid tuberosity has an ______ facet

A
  • oval - over which there is a sesamoid bone (os peroneum) in tendon of peroneus longus
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22
Q

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, ___

A
  • the median crista
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23
Q

what structures does the trochlea of talus articulate with?

A

(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

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24
Q

The posterior surface of the lateral cuneiform is ____. It articulates with the ______.

A
  • triangular - navicular
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25
Q

what is the keystone of the medial arch

A

talus

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26
Q

the lateral surface of the body of talus has a ________ shape

A

triangular shape - apex pointing inferiorly

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27
Q

each metatarsal bone has __ ossification centers.

A
  • 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)
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28
Q

describe teh facets on the anterior surface of the navicular.

A
  • 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
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29
Q

Four ligaments attach to the dorsal surface of the base of the second met:

A
  • dorsal intermetatarsal ligament to third met - three dorsal cuneometatarsal ligaments, one for each cuneiform
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30
Q

what three ligaments attach to the dorsal surface of the base of the third met?

A
  • two dorsal intermetatarsal ligaments - dorsal cuneometatarsal ligament
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31
Q

what attaches to the peroneal trochlea?

A

deep fibers of the inferior peroneal retinaculum

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32
Q

each proximal phalanx has ____ plantar tubercels

A
  • two, one medial one lateral
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33
Q

accessory bone associated with the tuberosity of the fifth metatarsal

A

os vesalinum (vesalius’ bone)

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34
Q

the dorsal surface of the calcaneus is _______ from front to back and is ___ from side to side.

A

concave; convex

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35
Q

each phalanx has _____ ossification centers

A
  • two - a diaphysis in the shaft - epiphysis at base
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36
Q

true or false: the proximal phalanges of the lesser toes are longer than the middle and distal phalanges combined.

A

true

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37
Q

base of the second met is ______ shaped. The borders are _____.

A
  • wedge-shaped or pyramidal with apex directed plantarly - borders are dorsal, lateral, and medial
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38
Q

what tarsal bone has more than one ossification center?

A
  • calcaneus has an epiphysis in the posterior extremity as well as a primary ossification center - all other tarsal have a single center
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39
Q

shape of the medial surface of cuboid

A

quadrilateral - has a triangular facet for lateral cuneiform at the dorsal, middle portion - can sometimes also be small facet for navicular

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40
Q

what are the two most constant sesamoid bones of the foot?

A
  • 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
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41
Q

describe shape of navicular

A
  • boat shaped - concave proximally and convex distally - articulates with talus, three cuneifroms and cuboid, rarely with calcaneus
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42
Q

where would the third tubercle be found on the calcaneus?

A
  • lateral surface - posterior and superior to retrotrochlear eminence - serves as attachment for calcaneofibular ligament
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43
Q

the most lateral bone in distal row of tarsal bones

A

cuboid

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44
Q

the dorsal surface of the navicular is _________ and oriented ______.

A

convex; superomedially

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45
Q

describe the calcaneal tuberosity

A

– 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

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46
Q

there is a transverse crest on the ______ surface of the proximal phalanx of great toe close to its base. What inserts on this crest?

A
  • transverse - extensor hallucis brevis
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47
Q

what is the shape of the dorsal surface of the intermediate cuneiform?

A
  • quadrilateral or square - the dorsal surface forms the base of the cuneiform and it sough
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48
Q

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.

A
  • rectangular - vetically orientated oval facet - intermediate - two oval demarcates
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49
Q

what ligaments attach to the dorsal surface of the base of the 4th met?

A
  • two dorsal intermetatarsal - dorsal cuboideometatarsals
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50
Q

the anterior surface of the lateral cuneiform has a ______ facet for articulation with the base of the ____ metatarsal.

A
  • triangular - third
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51
Q

how many facets are on the inferior surface of the head of the talus?

A
  • 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)
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52
Q

the tarsal canal lies _____ to tarsal sinus

A

medial - tarsal canal is directed anterolaterally and it is continuous with tarsal sinus

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53
Q

the only ligament attached to the medial surface of the lateral cuneiform is _______

A

interosseous intercuneiform

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54
Q

the posterior surface of the cuboid has a _____ shape facet for calcaneus

A

triangular - saddle-shaped - concave transversely and convex vertically

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55
Q

located at the plantar edge of the lateral surface of cuboid

A

peroneal notch - this notch marks the beginning of the peroneal sulcus

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56
Q

what is the shape of the posterior articular facet of the calcaneus?

A

oval shaped

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57
Q

the lateral surface of the lateral cuneiform is ______ with ___ facets.

A
  • rectangular - two facets - larger more posteriorly facet is triangular and for articulation with cuboid - smaller more anterior is oval for articulation with fourth metatarsal
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58
Q

3 ligaments attached to medial surface of cuboid

A
  • interosseous cuboideonavicular - itneroseous cuneocuboid - calcaneocuboid portion of the bifurcated ligament
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59
Q

found between the proximal and distal row

A

navicular

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60
Q

what inserts onto the tuberosity of the 5th met?

A
  • peroneus brevis - peroneus tertius inserts onto the dorsal surface of the base and the dorsal surface of the shaft of the 5th met
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61
Q

deep depression on the anterior part of the dorsal surface of the calcaneus located between the middle and posterior facet

A

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

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62
Q

the medial head of the quadratus plantae attaches to the medial surface of _____

A
  • 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)
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63
Q

what ligament is attached tot he heads of all five metatarsal bones?

A

deep transverse metatarsal ligament

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64
Q

the anterior surface of the navicular is _______ from side to side

A

convex

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65
Q

what attaches to the superior surface of the neck of the talus?

A

(dorsal) talonavicular ligament

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66
Q

the proximal extremity of the metatarsal is the _____ and the distal extremity is the ______

A
  • base - head
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67
Q

the medial surface of the calcenus is deeply _______

A
  • concave - plantar nerves and vessels are located in this hollow
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68
Q

what ligaments attach to dorsal surface of navicular?

A

(5) - three dorsal cuneonaviculars - dorsal cuboideonavicular - dorsal talonavicular - calcaneonavicular portion of the bifurcated ligament - tibionavicular portion of the deltoid ligament

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69
Q

the posterior surface of the navicular is ______

A

concave - contains a large oval/tear-shaped facet for articulation with head of talus

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70
Q

what structures attach to the medial process (posteromedial tubercle) of the calcaneus?

A

(7) - abductor hallucis - medial head of quadratus plantae - long plantar ligament - plantar aponeurosis - flexor retinaculum - flexor digitorum brevis - abductor digiti quinti

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71
Q

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 _______.

A
  • quadrilateral; cuboid - oval, divided by a ridge; anterior articulates with third met and posterior articulates with lateral cuneiform
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72
Q

the width of the calcaneus is about the same as the height, both are about ______ of its length

A

50%

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73
Q

navicular is latin for …

A

navy

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74
Q

what two tendons attach to the base of the first met?

A
  • 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
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75
Q

which part of the calcaneus has a roughened area for the attachment of tendo calcaneus and plantaris?

A
  • middle area of the posterior surface of calcaneus - at times the plantaris attaches medial to the tendo calcaneus, other times they attach together
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76
Q

located at the union of the body and neck of talus on inferior surface

A

sulcus tali

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77
Q

the large toe has __ phalanges. The lesser toes has ____ phalanges per toe.

A
  • two: proximal and distal - three: proximal, middle and distal
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78
Q

there are usually ______ for the anterior talofibular ligament and a _____ for the posterior talofibular ligament on the ____ surface of the body of talus

A
  • two tubercles - groove - lateral - the lateral talocalcenal ligament attaches anteroinferior to the lateral malleolar surface
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79
Q

what structures attach to the dorsal surface of the base of 5th met?

A
  • peroneus tertius - dorsal cuboideometatarsals ligament - dorsal intermetatarsal ligament
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80
Q

accessory bone found when the secondary ossification center in the navicular tuberosity fails to fuse with the rest of the navicular

A

os tibiale externum

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81
Q

what divides the posterior surface of talus into medial and lateral tubercles?

A
  • posterior process is grooved by tendon of flexor hallucis longus, which divides the posterior process into medial and lateral tubercels
82
Q

the ___________ muscle is attached to the lateral surface of the shaft of first met.

A
  • medial head of the first dorsal interosseous muscle - shaft has three surfaces: lateral, inferior, and dorsomedial
83
Q

the shafts of the second, third and fourth mets have how many surfaces?

A

3 - dorsal - lateral - medial in cross section the shaft of a metatarsal would appear triangular in shape

84
Q

the shafts of the metatarsal have longitudinal curve that is _____ dorsally and ______ plantarly

A
  • convex - concave
85
Q

the only ligament attached to the lateral surface of the lateral cuneiform is the …

A

interosseous cuneocuboid

86
Q

what facet on the calcaneus is supported by the sustentaculum tali?

A

middle facet

87
Q

the apex of the 5ht met points _________.

A
  • plantarly and laterally - known as the styloid process of the fifth
88
Q

where are the articular surfaces on the base of the third met?

A
  • one on posterior surface - one on the lateral surface - two on the medial surface
89
Q

what attaches to the medial surface of the base of the second met?

A

lisfranc’s ligament

90
Q

comma-shaped facet on medial surface of talus articulates with _______.

A
  • medial malleolus - inferior to the surface the medial surface is rough where the anterior tibiotalar ligament (part of deltoid) is attached
91
Q

the tarsal sinus lies at the _________ end of the tarsal canal

A

lateral

92
Q

the superior surface of the body of the talus is called the _______

A
  • trochlea - because it is shaped like a pulley - convex from anterior to posterior
93
Q

the peroneal ridge on cuboid terminates laterally as..

A

cuboid tuberosity

94
Q

largest facet on the dorsal surface of calcaneus

A

posterior articular facet

95
Q

what are the bones of the lateral arch

A

mets 4 and 5 cuboid calcaneus talus

96
Q

oval, concave articular surface on great toe =

A

glenoid cavity - glenoid cavity is smaller than the head of the metatarsal which articulates with it

97
Q

the anterior third of the calcaneus contains what two facets?

A

anterior and middle - they articulate with the talus

98
Q

what tendons attach to the talus?

A

NONE! no muscle or tendons attach to talus

99
Q

posterior limit of plantar surface of calcaneus

A

calcaneal tuberosity

100
Q

cuneiform is latin for …

A

wedge

101
Q

a thickening in the planatar aponerosis called the ______ ligament, attaches to the plantar surface of the base of the 5th met.

A

calcaneometatarsal ligament (plantar ligament of the sole

102
Q

what attaches to the medial surface of the 5th met?

A

an interosseous intermetatarsal ligament

103
Q

what attaches to the lateral edge/surface of the navicular?

A
  • lateral calcaneonavicular portion of the bifurcated ligament (also attaches dorsally) - cuboideonavicular ligament
104
Q

what ligaments attach to the medial surface of the medial cuneiform

A

(5) - medial cuneonavicular - dorsal cuneonavicular - dorsal intercuneiform - dorsal cuneometatarsal (to first met) - dorsal cuneometatarsal (to 2nd met)

105
Q

the shaft of the 5th met has a different orientation than those of the 2nd-4th. The surfaces are:

A

dorsal, medial, and inferior

106
Q

the lateral tubercle on posterior talus is larger than the medial. what three ligaments attach to it?

A
  • posterior talofibular - posterior talocalcaneal - fibulotalocalcaneal
107
Q

where is the neck of the talus seen most easily?

A

-on lateral and superior surfaces - on medial and inferior surfaces the neck is represented by a deep groove called the sulcus tali

108
Q

where is the anterior tubercle of the calcaneus?

A

near the anterior border of the plantar surface of the calcaneus there is a tubercle for the plantar calcaneocuboid ligament (short plantar ligament)

109
Q

what structures attach to the crest of the base of the third met?

A

(6) - oblique head of adductor hallucis - tibialis posterior - long plantar ligament - plantar cuneometatarsal ligament - two plantar intermetatarsal ligaments

110
Q

The ________ surface of the intermediate cuneiform has a articular facet shaped like an inverted L.

A
  • medial - the horizontal part is superior and the vertical part is posterior - non-articular area is for an interosseous intercuneiform ligament with the medial cuneiform
111
Q

how often is the third tubercle on lateral side of calcaneus present?

A

40-50%

112
Q

what two ligaments attach at the posterior third of the dorsal surface of calcaneus?

A

posterior talocalcaneal fibulocalcaneal

113
Q

what structures have attachment to the depression between the medial and lateral processes of the calcaneal tuberosity?

A

long plantar ligament and abductor digit quiniti

114
Q

what is the keystone of the lateral arch

A

cuboid “although all the weight is transferred only via the talus, the cuboid is considered the keystone of this arch”

115
Q

accessory bone associated with the lateral cuneiform

A

os uncinatum

116
Q

why is the facet on anteroinferior aspect of medial cuneiform unique?

A
  • does not articulate with another tarsal bone but has small facet near its anteroinferior aspect - small bursa lies between this facet and a sesamoid bone within the tendon of tibialis anterior
117
Q

the shaft of the 5th metatarsal serves as origin for what muscles?

A
  • lateral head of the fourth dorsal interoseous - third plantar interosseous
118
Q

the large, oval concave facet on the inferior surface of the body of the talus articulates with _______. The facet is named __________.

A
  • calcaneus at subtalar joint - posterior articular facet
119
Q

name all the structures attached to the tarsal sinus

A

(7) - extensor digitorum brevis - inferior extensor retinaculum - inferior peroneal retinaculum - cervical ligament - bifurcate ligament - dorsal calcaenocuboid ligamnet - lateral calcenocuboid ligament ( sometimes absent)

120
Q

posterior surface of talus aka

A
  • posterior process - ledge of bone that projects posteriorly and inferiorly
121
Q

how often is the peroneal trochlea present?

A
  • 33% of time - rarely, there is second groove located superior to the peroneal trochlea and formed by the tendon of peroneus brevis (usually not present)
122
Q

The posterior surface of the intermediate cuneiform has _______ facet for its articulation with the ______.

A
  • triangular - navicular
123
Q

the _____ surface of the medial cuneiform is its base.

A

plantar

124
Q

what ligaments attach to the plantar surface of the intermediate cuneiform?

A
  • plantar cuneonavicular - two plantar intercuneiforms
125
Q

the plantar surface of the base of the 5th met is grooved by ______

A

tendon of abductor digiti quinti

126
Q

on the dorsal surface of the distal phalanx of great toe, ___________ attaches to a tuberosity near the base. However, on the plantar surface, ______________ attaches to an obliquely directed ridge which courses along the entire plantar surface.

A
  • extensor hallucis longus - flexor hallucis longus
127
Q

which ligaments attach on the superior surface of the cuboid?

A

(5) - dorsal calcaneocuboid - dorsal cuneocuboid - dorsal cuboideonavicular - two dorsal cuboideometatarsals (one ligament to 4th; one to 5th) - lateral calcaneocuboid

128
Q

formerly known as scaphoid

A

navicular

129
Q

like the second and third met, the plantar surface of the base of the fourth met serves as origin for the _________.

A

oblique head of adductor hallucis

130
Q

the base of the 5th met is _______ in shape

A

triangular or pyramidal

131
Q

what lies within the tarsal canal?

A

talocalcaneal ligament

132
Q

the distal phalanx of the great toe does not line up with the proximal phalanx on the same plane. How much does it deviate?

A

deviates laterally by 15 degrees

133
Q

the heads of the metatarsal are convex. The _____ surface of each head extends back proximally further than does the _____ surface.

A
  • proximally; dorsal
134
Q

the sulcus tali and calcaneal sulcus together form the …

A

tarasal sinus and tarsal canal

135
Q

name the most common accessory bones

A

os trigonum os tibiale os intermetatarseum each of these bones is found in about 10% of the population

136
Q

accessory bone located between the emdial cuneiform and th abses of the first and second metatarsals

A

os intermetatarseum

137
Q

what two ligaments attach to the lateral surface of the medial cuneiform

A
  • lisfranc’s ligament (interosseous tarsometatrsal ligament attached to lateral surface of medial cuneiform and second met) - interosseous intercuneiform ligament to intermediate cuneiform
138
Q

the lateral surface of the calcaneus is broader _______ than _____.

A

– posteriorly; anteriorly - this surface can have 1-3 tubercles

139
Q

two ligaments attach to the lateral surface of the base of the second met:

A
  • interosseous intermetatarsal - interosseous cuneometatarsal
140
Q

how is the second met unique compared to other mets?

A
  • longest of mets - extends more proximally - articulates proximally with all three cuneiforms
141
Q

what does the tarsal canal contain?

A
  • interosseous talocalcaneal ligament
142
Q

the bases of the metatarsal bone articulate with ________ and the bases of the lesser metatarsal also articulate with _______

A
  • distal row of tarsal bones - with each other
143
Q

the plantar surface of the calcaneus is _______ side to side and wider _____ than ______ making it somewhat triangular in shape.

A

convex ; posteriorly than anteriorly

144
Q

what shape is the facet on the anterior surface of the calcaneus that articulates with the cuboid? what attaches to its medial margin?

A
  • triangular - the facet is convex transversely and concave vertically therefore it appears saddle-shaped - the plantar calcaneonavicular (spring) ligament attaches to the medial margin
145
Q

when secondary ossification in the lateral tubercle of posterior process of talus fails to fuse it creates an accessory bone called __________

A

os trigonum

146
Q

The lateral surface of the intermediate cuneiform has both an articular area and a nonarticular area. The articular facet is smooth and has the shape of ______. The nonarticular area is for attachment of _______.

A
  • elongated oval, elongated in vertical direction - interoseous intercuneiform ligament to the lateral cuneiform
147
Q

On the plantar surface of the proximal phalanx of great does, there are ____ tubercle near the base.

A
  • two - medial plantar tubercle is large; attached to it are teh medial head of glexor hallucis brevis and abductor hallucis - attached to lateral plantar tubercle are the lateral head of gleoxr hallucis brevis and sdductor hallucis
148
Q

what bones form the transverse arch?

A

four tarsal bones of the distal row ( cuboid, 3 cuneiforms) all five metatarsal bones

149
Q

the anterior surface of the head of the talus has a large _____, _________ facet for its articularion with navicular

A

ovoid, convex

150
Q

the posterior surface of the base of the first met has a ________ facet for its articulation with the medial cuneiform

A
  • concave, reniform (kidney-shaped) facet
151
Q

several ligaments attach to the plantar surface of the medial cuneiform. what are they?

A

(4) - plantar cuneonavicular - plantar intercuneiform - plantar cuneometatarsal (to first met) - plantar cuneometatarsal (to second met)

152
Q

where is the transverse arch of the foot located?

A

tarsometatarsal junction

153
Q

what is the sequence of ossification in the foot bones? (when begin ossification)

A
  1. metatarsals and phalanges: 9-12 wks in utero 2. calcaneus: months 4-7 in utero 3. talus: month 6 in utero 4. cuboid: birth 5. lateral cuneiform: during year 1 6. medial cuneiform: during year 2 7. intermediate cuneifrom: during year 3 8. navicular: during year 3 - last tarsal to begin ossification 9. sesamoids: each has its own ossification center
154
Q

List of other sesamoid bones in order of decreasing frequency.

A
  1. w/i tendon of flexor digitorum brevis to the second toe, at the MPJ 2. w/i tendon of flexor digitorum brevis to the fifth toe, at the MPJ 3. w/i tendon of tibialis posterior, beneath the navicular 4. w/i tendon of flexor digitorum brevis to third toe, at MPJ 5. w/i tendon of flexor digitorum brevis to fourth toe at the MPJ 6. w/i tendon of flexor hallucis longus at the IPJ 7. w/i tendon of flexor digitorum longus at the proximal interphalangeal joints (freq 2,5,3,4) 8. w/i any of follwing tendons as they cross malleoli: tibailis posterior, flexor digitorum longus, flexor hallucis longus, peroneus longus, perneus brevis
155
Q

the shaft of the proximal phalanx of the great toe is ______ plantarly. It is slightly grooved at each end by the ___________. The shaft of the proximal phalanx is _______ dorsally.

A
  • concave - tendon of flexor hallucis longus - convex
156
Q

what attaches to the medial tuberosity on the navicular?

A
  • tibialis posterior (may have os tibiale externum accessory bone) - medial cuneonavicular ligament (attaches to medial cuneiform)
157
Q

what attaches to the medial tubercle on posterior surface of talus?

A
  • medial talocalcaneal ligament and posterior tibiotalar ligament (part of deltoid) - if present, the medial band of posterior talocalcaneal ligament also attaches to medial tubercle
158
Q

orientation of the cuboid

A

-superior surface is directed superolateral - inferior surface is directed inferomedial

159
Q

what forms an osseofibrous canal for the tendon of the peoneus longus?

A
  • long plantar ligament and cuboid form an osseofibrous canal for the tendon of the peroneus longus
160
Q

what is the shape of the anterior surface of the medial cuneiform>

A

kidney shaped/ reniform surface - this surface articulates with base of the first metatarsal

161
Q

the shaft of the second met gives rise to what muscles ?

A
  • lateral head of first dorsal interosseous (from medial surface) - medial head of second dorsal itnerosseous (from lateral surface)
162
Q

what tendons have partial insertion to the plantar surface of medial cuneiform

A
  • tibialis anterior - tibialis posterior - peroneus longus
163
Q

Name the bone located within the tendon of the tibialis anterior as it crosses the smooth facet on the medial cuneiform.

A
  • no special name - almost always present
164
Q

what attaches to the lateral tubercle of the fifth toe?

A

abductor digiti quinit and flexor digiti quinit (brevis)

165
Q

the ____ surface of the intermediate cuneiform is the the apex of wedge.

A
  • plantar - thin, crest-like surface
166
Q

For toes three through five, the ___________ tuebrcle is for plantar interosei.

A
  • medial plantar tubercle - Both tubercles of toe two and the lateral tubercles for toes 3 and 4 are for dorsal interossei. - lateral tubercle of the fifth toe is for abductor digiit quinti and flexor digiti quinit (brevis)
167
Q

the lateral surface of the medial cuneiform is _____ and has __ facets

A
  • concave - two - small oval facet foudn anteriorly for the bas eof the second metatarsal - facet for intermeidate cuneiform has teh shape of an inverted L - horizontal part of L is superior and the vertical part is posterior
168
Q

how many muscles originate from the shaft of the third met?

A
  • lateral head of second dorsal interosseous - medial head of third dorsal interosseous - first plantar interosseous
169
Q

what structures attach to the sustentaculum tali?

A

(4) - tibiocalcaneal ligament (part of deltoid ligament) - medial talocalcaneal ligament - recurrent band of tibialis posterior (partial insertion) - plantar calcaneonavicular (spring) ligament

170
Q

the proximal phalanx has a large base directed _______.

A

transversley

171
Q

the ______ diameter of the head of the first met is greater than the ________ diameter. For the other four mets, the _______ diameter is greater than the transverse.

A
  • transverse; vertical - vertical; transverse
172
Q

the “beak” of cuboid

A
  • the coronoid process - located on plantar surface where the medial and posterior borders meet
173
Q

proximal row

A

calcaneus and talus for these bones, the plantar surface is also called the distal surface

174
Q

the articular surface of the second met head diverges into medial and lateral condyles. what structure passes between these condyles?

A

flexor tendons

175
Q

last tarsal bone to begin ossificiation

A

navicualr

176
Q

the distal phalanx of the great toe has ______ oriented base.

A
  • large, transversely oriented
177
Q

medial surface of medial cuneiform has a ___ shape

A

quadrialteral

178
Q

what structures attach tot he plantar surface of the fourth met?

A
  • oblique head of adductor hallucis - tibialis posterior - long plantar ligamnet - plantar cuboideometatarsal ligament - two plantar intermetatarsal ligaments
179
Q

the ligaments attached to the plantar surface of the navicular bone are:

A

(3) - spring ligament (plantar calcaneonavicular) - plantar cuboideonavicular ligament - three plantar cuneonavicualr ligaments (one to each cuneiform)

180
Q

smallest and most typical cuneiform

A

intermediate cuneiform

181
Q

the ______ area of the posterior surface of the calcaneus is smooth.

A
  • superior - it is covered by a bursa that lies deep to the tendo calcaneus - the inferior and middle are are roughened
182
Q

the medial surface of the base of the third met has _____ demarcates for articulation with ________. What attaches to the medial surface?

A
  • two, one dorsal and one plantar - second metatarsal - interosseous intermetatarsal ligament
183
Q

tubercle directly posterior to the peroneal trochlea/tuberosity on the lateral surface of calcaneus

A
  • retrotrochlear eminence - located in middle third of lateral surface
184
Q

what facets are located on the inferior surface of the head of the talus?

A

anterior calcaneal facet – articulates with anterior talar facet middle calcaneal facet – articulates with middle talar facet

185
Q

each of the tarsal bones is a …

A

short, irregular bone

186
Q

shortest metatarsal

A
  • first - also thickest, heaviest and strongest
187
Q

the lateral surface of the base of the 4th met has a _______ facet for ________.

A
  • large, triangular or oval - fifth metatarsal - an interosseous intermetatarsal ligament is attached to this surface
188
Q

accessory bone associated with the lateral tubercle of the posterior process of the talus

A

os trigonum

189
Q

ridge of bone formed by a groove for the tendon of peroneus longus

A
  • peroneal trochlea - lies anterior to retrotrochlear eminence on lateral calcaneus - groove for the tendon of peroneus longus lies inferior and posterior to the peroneal trochlea
190
Q

shelf-like projection from medial surface of calcaneus

A

sustentaculum tali - superior surface of sutentaculum tali articulates with talus - inferior surface is grooved by tendon of flexor hallucis longus

191
Q

how is the head of the talus directed?

A

anteriorly medially slightly inferiorly

192
Q

what two ligaments attach to the base of the first met>

A
  • dorsal and plantar cuneometatarsal ligaments - these attache to medial and inferior surfaces respectively
193
Q

how many surfaces does the base of the first metatarsal have?

A
  • inferior, medial and lateral (ellen: and posterior?) - base is somewhat triangular
194
Q

primary feature of the lateral surface of the base of the 5th met

A

tuberosity of the 5th met

195
Q

The posterior surface of the base of the 5th met has a _____ facet for the _______. The medial surface has a ____ facet for the 4th met.

A
  • triangular; cuboid - triangular or oval; fourth met
196
Q

the dorsal surface of the lateral cuneiform is _______ in shape. what ligaments attach here?

A
  • rectangular - (4) - dorsal cuneocuboid - dorsal cuneonavicular - dorsal intercuneiform - two dorsal cuneometatarsal ligaments
197
Q

sesamoid bone located within the tendon of peroneus longus as it crosses the cuboid

A

os peroneum

198
Q

the anterior surface of the cuboid has a vertical ridge that separates two facets. Describe the shape of the medial and lateral facet.

A
  • medial facet is quadrilateral in shape and is for articulation with base of 4th metatarsal - lateral facet is triangular with apex directed laterally for articulation with 5th metatarsal
199
Q

what structures attach to the plantar surface of the base of the 5th met?

A
  • flexor digiti quinti brevis - plantar ligament of the sole - plantar cuboideometatarsals ligament - plantar intermetatarsal ligament
200
Q

what structures attach to the lateral process (posterolateral tubercle) of calcaneus ?

A

(4) - abductor digiti quinti - lateral head of quadratus plantae - long plantar ligament - plantar aponeurosis