Plantar Foot Flashcards

1
Q

what is the function of the metatarsal and phalangeal bones

A

keep the arch of the foot, distrubute mechanical stress, protect neurovascular structure

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2
Q

what bone of the foot has no muscular attachments

A

talus

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3
Q

how does the arch of the foot distribute forces

A

distribute 50% of body weight onto hindfoot and 50% on mid/forfoot

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4
Q

what are the 3 arches of the foot

A

medial longitudinal arch, lat longitudinal arch, transverse arch

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5
Q

structures that make up the medial arch

A
medial half of calc
entire talus
navicular
cuneiforms
1,2,3 metatarsals
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6
Q

what structures make up lateral longitudinal arch

A

lat half of calcaneus
cuboid
4-5 metatarsal bones

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7
Q

what structures make up transverse arch

A

coboid, cuniforms, 1-5 metatarsals

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8
Q

what are the functions of the plantar aponeurosis

A
  • support the foot arches and prevent neurovascular compression
  • absorb and distribute mechanical stress
  • enhance digital fibrous sheath
  • provide proprioseptive and pain sensations
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9
Q

The main bundle of the plantar aponeurosis originates from the

A

medial tubercle of the calcaneal tuberosity

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10
Q

what are the 3 bone attachemnts of the plntar aponeurosis

A
  1. heads 1-5 metatarsals
  2. shafts of 1st +5th metatarsals
  3. periosteum of phalangeal bones
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11
Q

what are the 3 fibrous attachments of the plantar aponeurosis

A
  1. fibrous digital sheath
  2. plantar lig
  3. deep transverse metatarsal lig
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12
Q

what does the superficial transverse metatarsal lig do

A

keep the longitudinal bands of the plantar aponeurosis connected

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13
Q

what is midline for the foot

A

2nd toe

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14
Q

when is flat foot normal and not normal

A

N- before the invd is 3 and when you are weightbearing in childhood

AbNormal- fusion of adjacent tarsal bones (ridgid flatfoot)

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15
Q

what is plantar fibromatosis

A

inherited disorder of plantar aponeurosis

-thickened nodules

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16
Q

Path of the tibial n

A

deep to flexor retinaculum and will split into the medial anterior and post calcaneal

will then split into medial and lateral plantar

17
Q

what is joggers foot

A

impingment of medial planter n under abductor hallusis

18
Q

Path of medial plantar n and terminal branches

A

deep to abductor hallusis sends branches to common plantar digital (1,2,3,4) and proper plantar digital of great toe (medial side of toe)

19
Q

path of lateral plantar n and terminal branches

A

crosses med to lat
sends branch to lat calcaneal
at 5th MT bone will split into superficial and deep plantar n

20
Q

what does the superfocial lat nerve branch into

A

the common and proper plantar digital nerves, lat to 5th toe and bw 4th and 5th

21
Q

hammer toe would be due to loss of what nerve

A

deep lateral plantar as it supplies lumbricals and interossie

22
Q

where is the lateral and medial plantar artery located in respect to the lateral and medial plantar n

A

lat plantar artery is lateral

med plantar artery is is med

23
Q

path of post tibial artery and what does it split up into at the foot

A

will reach tarsal tunnel and branch into the lat platar artery and the medial plantar artery

24
Q

path of medial plantar artery

A

dives into abductor hallucis and emerges along medial border of great toe (changing its name to proper planter)

25
path of lat plantar artery
passes toward base of 5th MT, sends plantar digital artery to 5th toe then heads towards 1st MT to unite w deep plantar artery to form plantar arterial arch
26
branches of plantar arterial arch
3 perforating arteries (bw 2,3,4) | 5 plantar metatarsal to each toe
27
Plantar reflex- what spinal lvls are tested and what is absormal
L4-S3 | abnormal (babinski sign) indicates brain injury (except babies)
28
What is joggers foot and what muscles affected
compression of medial plantar n deep to flexor retinaculum or abductor hallucis m. Abductor hallusis, flexor digitorum brevis, flexor hallucis brevis, 3.5 toes, lumbricals
29
What is Interdigital neuritis/mortons neuroma and what is affected
entrappment of plantar digital n as it passes deep to superficial transverse metatarsal lig Intermittent dull ach in 3-4 interspace