Random Important Facts Flashcards
The only bone of the foot that articulates with leg bones
Talus
Rear foot
Talus and Calcaneus
Midfoot
Navicular
Cuboid
Medial, Middle, and Lateral Cuneiforms
Forefoot
Metatarsals and Phalanges
Retinacula
Fascia thickenings
Act as pulleys by keeping tendons close to the joint
Mechanically they decrease the leverage on the tendons
But increase range of motion
Prevent bowstring
Weightbearing foot bones
50% through calcaneus
50% through metatarsals
Medial Longitudinal arch
Calcaneus
Talus
Navicular
Medial, Middle, Lateral Cuneiforms
Metatarsals 1-3
Lateral Longitudinal Arch
Calcaneus
Cuboid
Metatarsals 4, 5
Transverse Tarsal Arch
Base of the metatarsals
Cuboid
Cuneiforms
Windlass Mechanism
Plantar aponeurosis originates from calcaneus and attaches to base of the proximal phalanxes
Traverses longitudinal arches and the metarsalphalangeal (MTP) joints
Toe extension during push off acts to tighten the plantar aponeurosis
Helps to stabilize the longitudinal arches of the foot during push off
Open Chain Pronation
Non-weightbearing
Calcaneal Eversion
Calcaneal Dorsiflexion
Forefoot ABduction
Open Chain Supination
Non-weightbearing
Calcaneal Inversion
Calcaneal Plantarflexion
Forefoot ADduction
Closed Chain Pronation
Weight Bearing
Calcaneal Eversion
Forefoot ABduction
Talar ADduction and Plantarflexion
Knee Flexion and valgus
Hip Internal Rotation and Flexion
Closed Chain Supination
Weight Bearing
Calcaneal Inversion
Forefoot ADduction
Talar ABduction and Dorsiflexion
Knee Extension and Varus
Hip External Rotation and Extension
Femoral Triagle
Boundaries
Medially by the Adductor Longus
Laterally by the Sartorius
Proximally by the Inguinal Ligament
Contains
Femoral Nerve
Femoral Artery
Femoral Vein
Floor
Illiopsoas
Pectineus
Palpated with slightly flexed, abducted, externally rotated hip
Hip joint angle of inclination
Frontal Plane
Femoral neck to shaft angle
Normally 125-135 degrees
135, Coxa Valga, results in increased hip abduction
Hip joint femoral head anterversion
Transverse Plane
Femoral Neck relative to Anatomical Knee Axis
If head is anterior to axis, femur is anteverted
If head is posterior to knee axis, femur is retroverted
Normal is 12 degrees femoral anteversion
Bursae of the knee
Collapsed bags or sheaths lined with synovial membrane/fluid
Form deep to tendons or muscles that rub over another structure with movement
Reduce rubbing friction between muscle/tendon and structure it passes over
11 bursae in the knee
Tibiofemoral Alignment
Angle formed by long axis of femur and the tibia in the frontal plane
Shaft of femur runs inferiomedially in normal adult
Tibiofemoral alignment is normally 170-175
Q angle
Angle created by joining 2 lines
ASIS to mid patella
Mid patella to tibial tuberosity
15 degrees or less considered normal in adult
Greater Q angle corresponds to increased genu valgum
Typically larger in females
Acetabulum facts
Faces anterolateroinferiorly
Acetabular Labrum (fibrocartilagenous lips) increases stability of the joint, but sacrifices mobility
Acetabular notch is bridged by Transverse ligament
Wolfes Law
1
Trendelumberg gait (compensated/uncompensated)
1
Trendelumberg sign
1
Flexor Hood Mechanism
1
Anatomical Snuff Box
Medial Boundary: Extensor Pollicis Longus
Lateral Boundary:
Abductor Pollicis Longus
Ext Pollicis Brevis
Floor: Scaphoid bone
Content: Radial Artery
Extensor Expansion
Extensor expansion inserts onto metacarpal heads, base of the proximal phalanx and palmar ligament plates
Continues along phalanxes dividing into bands which insert onto base of the middle and distal phalanxes
Tendons flatten out as they pass over the distal ends of the metacarpals
Carpal Tunnel
Made up of flexor retinaculum and carpals
Houses various flexor tendons and median nerve
Flexor retinaculum of wrist
Connects pisiform and hook of hamate to scaphoid and trapezium
Tie beam which maintains concavity of wrist in transverse plane
Prevents bow stringing of extrinsic hand flexors
Surface for muscular attachments
Cubital fossa
Triangular space and the anterior aspect of the elbow
Borders are
Medially: Pronator teres
Laterally: Brachioradialis
Superiorly: Epicondylar line
Contents from lateral to medial:
Biceps tendon
Brachial artery
Terminal branches (Radial and ulnar)
Median and radial nerves