quiz #6 - ankle Flashcards

1
Q

hindfoot - joints

A

-distal tibiofibular
-talocrural (mortise/ankle)
-subtalar (talocalcaneal)

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2
Q

midfoot - joints

A

-talocalcaneonavicular
-cuboideonavicular
-calcaneocuboid
-distal intertarsals
(intercuneiform, cuneonavicular, cuneocuboid)

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3
Q

forefoot - joints

A

-tarsometatarsal
-intermetatarsal
-metatarsophalangeal
-interphalangeal

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4
Q

distal/ inferior tibiofibular joint (review)

A

fibrous, syndesmosis, amphiarthrosis, uniaxial

-articular area on inferior end of fibula with facet on inferior end of tibia

ligaments: interosseous membrane (lower), anterior & posterior inferior tibiofibular

gliding

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5
Q

talocrural (ankle/ mortise) joint - hindfoot: type & movements

A

synovial, hinge, diarthrosis, uniaxial

dorsiflexion, plantar flexion

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6
Q

talocrural (ankle/ mortise) joint - hindfoot: articular surfaces

A

inferior articular & medial malleolar surfaces of tibia

lateral malleolar articular surface of fibula

trochlea of talus

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7
Q

talocrural (ankle/ mortise) joint - hindfoot: ligaments

A

-fibrous capsule
-medial collateral (deltoid) ligament (posterior tibiotalar, tibiocalcaneal, tibionavicular, anterior tibiotalar)
-lateral collateral (anterior talofibular, posterior talofibular, calcaneofibular)

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8
Q

what is the “deltoid” ligament also known as?

A

medial collateral ligament

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9
Q

medial collateral (deltoid) ligament - talocrural
*“tibio” first

A

-posterior tibiotalar
-tibiocalcaneal
-tibionavicular
-anterior tibiotalar

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10
Q

lateral collateral ligament - talocrural
*bone & “fibular” second

A

-anterior talofibular
-posterior talofibular
-calcaneofibular

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11
Q

which lateral collateral ligament is most commonly sprained & what is the mechanism of injury? (talocrural)

A

anterior talofibular ligament (ATFL)

inversion ankle sprain

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12
Q

talocrural (ankle/ mortise) joint - hindfoot: loose packed position

A

10º plantar flexion, midway between eversion & inversion

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13
Q

talocrural (ankle/ mortise) joint - hindfoot: close packed position

A

maximum dorsiflexion

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14
Q

talocrural (ankle/ mortise) joint - hindfoot: capsular pattern of restriction

A

plantar flexion first, then dorsiflexion

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15
Q

dorsiflexion & plantar flexion - roll/ slide (talocrural)

A

dorsiflexion: roll = anterior, slide = posterior

plantar flexion: roll = posterior, slide = anterior

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16
Q

subtalar/ talocalcaneal joint - hindfoot: type & movements

A

synovial, plane, diarthrosis, triaxial

gliding & rotation, inversion & eversion

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17
Q

subtalar/ talocalcaneal joint - hindfoot: articular surfaces

A

posterior, anterior & middle articular surface for calcaneus on talus

facets on superior surface of calcaneus

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18
Q

subtalar/ talocalcaneal joint - hindfoot: ligaments

A

-fibrous capsule
-medial, lateral & posterior talocalcaneal

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19
Q

subtalar/ talocalcaneal joint - hindfoot: loose packed position

A

midway between extremes of ROM

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20
Q

subtalar/ talocalcaneal joint - hindfoot: close packed position

A

supination (inversion)

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21
Q

subtalar/ talocalcaneal joint - hindfoot: capsular pattern of restriction

A

limited ROM

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22
Q

talocalcaneonavicular joint - midfoot: type & movements

A

synovial, both ball & socket, & plane, diarthrosis, multiaxial

gliding & rotation, inversion & eversion

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23
Q

talocalcaneonavicular joint - midfoot: articular surfaces

A

facet on head of talus, facet on proximal side of navicular, anterior talar facet, middle talar facet, sustentaculum tali

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24
Q

talocalcaneonavicular joint - midfoot: ligaments

A

-fibrous capsule
-dorsal talonavicular
-plantar calcaneonavicular/spring
-calcaneonavicular portion of bifurcate ligament

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25
Q

what is the “spring” ligament also known as?

A

plantar calcaneonavicular

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26
Q

calcaneocuboid joint - midfoot: type & movements

A

synovial, saddle, diarthrosis, uniaxial

gliding & rotation

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27
Q

calcaneocuboid joint - midfoot: articular surfaces

A

anterior articular surface of calcaneus, posterior articular surface of cuboid

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28
Q

calcaneocuboid joint - midfoot: ligaments

A

-fibrous capsule
-calcaneocuboid portion of bifurcate ligament
-plantar calcaneocuboid/short plantar
-long plantar ligament
-dorsal calcaneocuboid

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29
Q

2 main accessory ligaments of the calcaneocuboid joint

A

-short planater (plantar calcaneocuboid) ligament
-long plantar ligament

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30
Q

calcaneocuboid joint - midfoot: loose packed position

A

midway between extremes of ROM

31
Q

calcaneocuboid joint - midfoot: close packed position

A

supination (inversion)

32
Q

calcaneocuboid joint - midfoot: capsular pattern of restriction

A

dorsiflexion, plantar flexion, ADDuction, medial rotation

33
Q

cuboideonavicular joint - midfoot: type & movements

A

fibrous, uniaxial

gliding & rotation

34
Q

cuboideonavicular joint - midfoot: articular surfaces

A

articular surface on lateral aspect of navicular, articular surface on posteromedial side of cuboid

35
Q

cuboideonavicular joint - midfoot: ligaments

A

-fibrous capsule
-dorsal cuboideonavicular
-interosseous cuboideonavicular
-long plantar

36
Q

cuboideonavicular joint - midfoot: loose packed position

A

midway between extremes of ROM

37
Q

cuboideonavicular joint - midfoot: close packed position

A

supination (inversion)

38
Q

cuboideonavicular joint - midfoot: capsular pattern of restriction

A

dorsiflexion, plantar flexion, ADDuction, medial rotation

39
Q

distal intertarsal joints - midfoot: type & movements

A

synovial, plane, diarthrosis, uniaxial

gliding & rotation

40
Q

distal intertarsal joints - midfoot: articular surfaces

A

articular surface of navicular, cuboid, cuneiform, metatarsals

41
Q

distal intertarsal joints - midfoot: ligaments

A

-fibrous capsules
-dorsal & plantar cuneonavicular
-intercuneiform
-cuneocuboid

42
Q

MIDFOOT - loose/ close packed position & capsular pattern of restriction (talocalcaneonavicular
cuboideonavicular, calcaneocuboid
distal Intertarsal)

A

loose: midway between extremes of ROM
close: supination (inversion)

capsular pattern: dorsiflexion, plantar flexion, ADDuction, medial rotation

43
Q

tarsometatarsal joints - forefoot: type & movements

A

synovial, plane, diarthrosis, uniaxial

gliding

*links forefoot to rearfoot

44
Q

tarsometatarsal joints - forefoot: articular surfaces

A

articular surfaces of convex distal tarsals, & concave bases of metatarsals

45
Q

tarsometatarsal joints - forefoot: ligaments

A

-fibrous capsules
-dorsal interosseous
-long plantar
-interosseous
-Lisfranc ligament

46
Q

tarsometatarsal joints - forefoot: loose packed position

A

midway between extremes of ROM

47
Q

tarsometatarsal joints - forefoot: close packed position

A

supination (inversion)

48
Q

tarsometatarsal joints - forefoot: capsular pattern of restriction

A

NONE

49
Q

intermetatarsal joints - forefoot: type & movements

A

synovial, plane, diarthrosis, uniaxial

gliding

50
Q

intermetatarsal joints - forefoot: articular surfaces

A

adjacent surfaces of bases of metatarsals

51
Q

intermetatarsal joints - forefoot: ligaments

A

-fibrous capsules
-dorsal, plantar, interosseous intermetatarsal
-deep transverse metatarsal

52
Q

metatarsophalangeal joints - forefoot: type & movements

A

synovial, condyloid, diarthrosis, biaxial

flexion, extension, ADD, ABD

53
Q

metatarsophalangeal joints - forefoot: articular surfaces

A

convex heads of metatarsals, concave bases of proximal phalanges

54
Q

metatarsophalangeal joints - forefoot: ligaments

A

-fibrous capsule
-medial collateral
-lateral collateral

55
Q

metatarsophalangeal joints - forefoot: loose packed position

A

10º extension

56
Q

metatarsophalangeal joints - forefoot: close packed position

A

full extension

57
Q

metatarsophalangeal joints - forefoot: capsular pattern of restriction

A

big toe: extension, flexion

2-5 toes: variable

57
Q

interphalangeal joints - forefoot: type & movements

A

synovial, hinge, diarthrosis, uniaxial

flexion, extension

58
Q

interphalangeal joints - forefoot: articular surfaces

A

heads of proximal phalanges, bases of distal phalanges

59
Q

interphalangeal joints - forefoot: ligaments

A

-fibrous capsule
-medial collateral
-lateral collateral

60
Q

interphalangeal joints - forefoot: loose packed position

A

slight flexion

61
Q

interphalangeal joints - forefoot: close packed position

A

full extension

62
Q

interphalangeal joints - forefoot: capsular pattern of restriction

A

flexion, extension

63
Q

plantar fascia

A

flat, thick band of CT that connects calcaneal tuberosity to ligaments around heads of metatarsal bones

supports arch on bottom of foot & is very strong

64
Q

plantar fasciitis

A

if plantar fascia is stretched/ overworked & becomes inflamed

65
Q

retinacula of ankle

A

retinaculum = band of thickened deep fascia

occurs in region of body where tendon groups pass through, usually around joints

function: stabilize & hold tendons in place

66
Q

3 retinacula of ankle

A

-superior & inferior extensor retinaculum
-superior & inferior fibular retinaculum
-flexor retinaculum

67
Q

superior & inferior extensor retinaculum

A

holds down extensor tendons

68
Q

superior & inferior fibular retinaculum

A

holds down fibular or peroneal tendons

69
Q

flexor retinaculum

A

holds down flexor tendons

70
Q

bursa

A

fluid filled sac, cushions & lubricates against friction between tendons & bones when moving against each other

71
Q

bursa of ankle - location

A

one main region that gets high friction & require bursa: between calcaneus & achilles tendon

72
Q

2 bursa between achilles tendon & calcaneus

A

superficial or subcutaneous calcaneal bursa

deep or retrocalcaneal bursa