Plantar foot Flashcards

1
Q

Where is skin on the foot thickest

A

over weight bearing areas (heel, lateral margin, base of hallux

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2
Q

What does the SF fascia contain

A

fibrous septa to improve grip and divide the tissue into fat filled areas for shock absorption

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3
Q

What is the deep fascia of the foot called

A

Plantar fascia

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4
Q

What is the sickened plantar fascia calles

A

Plantar aponeurosis, over plantar arch

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5
Q

What is plantar fasciitis

A

Inflammation of the plantar aponeurosis causing pain to medial foot and plantar heel

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6
Q

What can plantar fasciitis lead to

A

calcaneal spur (ossification in posterior plantar aponeurosis) causing a bursa to develop and become inflamed

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7
Q

What is in the first layer of the plantar foot

A

Flexor digitorum brevis
ABductor hallucis
ABductor digiti minimi

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8
Q

What is the function of ABductor hallucis/digiti minimi

A

To ABduct and flex the MTP joints

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9
Q

What is the function of FDB

A

flex digits 2-5 at MTP and PIP joints

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10
Q

How do tendons of FDB insert

A

They divide and insert on middle phalanges

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11
Q

What is in layer 2 of the foot

A

Tendon of FHL
Tendon of FDL
Quadrates plantae
Lumbricals

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12
Q

How does tendon of FHL insert

A

It travels between two sesamoid bones of the hallux (sesamoids ofof flexor hallucis brevis)

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13
Q

How to tendons of FDL insert

A

They divide the tendon of Flexor digitorum braves (Layer 1) and insert on distal phalanx

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14
Q

What is the action of Quadrates plantae

A

assist FDL

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15
Q

What is the function of Lumbricals

A

Flex MTP joints

Extend PIP/DIP

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16
Q

Where do the lumbricals originate/insert

A

They originate at tendons of FDL and insert on extensor expansions of digits 2-5 (medial side of each digit)

17
Q

What is in Layer 3 of plantar foot

A

Adductor hallucis (transverse and oblique heads)
Flexor hallucis brevis
Flexor digiti minimi

18
Q

How does Flexor hallucis brevis insert

A

It has two tendons with sesamoids that insert on either side of phalanx of hallux to help hold FHL tendon

19
Q

What joints do muscles of layer 3 work on

A

MTP joints only

flex MTP of hallux and digit 5, adduct MTP of hallux

20
Q

What is in layer 4 of the plantar foot

A

3 Plantar interossei (Adduct MTP of 3-5)

4 Dorsal interossi (Abduct MTP of 2-4)

21
Q

What does the medial plantar nerve innervate

A
S2-S3
-Motor to "LAFF" muscles
1st Lumbrical
Abductor hallucis
Flexor hallucis brevis
Flexor digitorum brevis
-Sensory to medial sole, tips and plantar of medial 3.5 digits
22
Q

What does the lateral plantar nerve innervate

A

everything else

23
Q

What does the medial plantar artery supply

A

SF tissues of sole, muscles of hallux

24
Q

What does the medial plantar artery continue to become

A

Superficial plantar arch (FDB)

Plantar digital arteries (hallux and medial digit 2)

25
Q

What does the lateral plantar artery supply

A

plantar foot

26
Q

What does the lateral plantar arch branch into

A

deep plantar arch (between layer 3&4)
plantar metatarsal arteries
plantar digital arteries

27
Q

Where do deep veins of the foot drain

A

Fibular and posterior tibial veins

28
Q

Where do SF veins of foot drain

A

Great and Small saphenous veins