Terminology, planes and axes Flashcards
frontal plane in the foot will separate the foot into
distal and proximal portion (anterior +posterior )
transverse plane divides the foot into
dorsal and plantar portions
how many cardinal planes?
Frontal
Transverse
Sagittal
each is perpendicular to the other
adduction/abduction of the body occurs in what plane?
frontal plane
adduction/abduction of the foot occurs in what plane?
Transverse plane
ion or ing
motion
ed
position
-us or -um
deformity
Abductus
-a fixed angular relationship ( a deformity) in the foot, in a transverse plane
the foot would appear “out-toed”
-Distal segment of the joint is deviated away from the midline of the body
Dorsiflexion/plantarflexion occurs in
Sagittal plane
in dorsiflexion
the distal aspect of the foot moves toward the anterior surface of the leg
Pronation
triplane motion DORSIFLEXION EVERSION ABDUCTION none of the 3 component motions can occur independently of the other 2
Supination
triplane motion
plantarflexion
inversion
adduction
supination and pronation can occur in
- ankle joint
- subtalar joint
- oblique midtarsal joint
- longitudinal midtarsal joint
- fifth ray
angle of declination in femur is AKA
femoral torsion
angle of declination is formed by
a line tangent to the posterior condyles and a second line bisecting the neck of the femur
normal angle of femur declination in adults
8-12 degrees internally rotated
normal angle of femur declination in newborns
30 degrees internally rotated
angle of declination in 1st metatarsal
formed by a line bisecting the 1st metatarsal and a line representing the supporting surface
angle of declination in 1st metatarsal is AKA
1st metatarsal declination angle
1st metatarsal declination angle is observed in what plane ?
sagittal plane
what is gait?
manner or style of walking , running or any other form of repetitive bipedal human locomotion.
one Gait cycle is
activity from heel strike of one foot to heel strike by the SAME foot
Angle of Gait
angle observed on a transverse plane between the long axis of the foot and the line of progression of the center of body mass
A patient with an increase angle of gait will have
feet more abducted than normal (out-toed)
angle of gait is observed on what plane ?
transverse plane
base of gait
distance between the medial malleoli as they pass at midstance in gait
may also be described as distance from the line of progression
(Remember that one foot may have a wider base of gait than the other )
OKC
motion of a joint where the distal part of the joint is free to move and the proximal part of the joint is stabilized
motion of a body where one end of the body or body part is stabilized and the other end is free to move
CKC
motion occurs between 2 fixed points
congruous
optimum alignment of joint surfaces
subluxation
incomplete or partial dislocation of a joint
in a subluxed joint , the motion is ———-with the axis motion for that joint
inconsistent
both subluxed and dislocated are examples of
incongruency
coxa valga
- osseous deformity
- angle of inclination of the femur has not decrease to pre-established normal (128º)
coxa valga is usually associated with
narrower hips genu varum (bow legs )
coxa vara
- osseaous deformity
- angle of inclination of the femur has decreased beyond the pre-esablished normal
coxa vara is usually associated with
wider hips genu valgum (knock knees)
Genu valgum
abnormal abducted angle of tibia in relation to the femur
genu valgum is deformity in what plane
Frontal plane
Genu Varum
abnormal adducted angle of tibia in relation to the femur
in genu varum, the body part distal to the knee is in what position relative to the knee?
fixed inverted
genu varum is deformity in what plane?
Frontal plane
Genu Recurvatum is a deformity in what angle?
Sagittal
Genu Recurvatum
When the knee is extending beyond 180º
what is the normal angle of knee extension in children
5º to to age 5
what is cyma line?
double curved line seen on radiograph formed by combination of the line of the talonavicular joint and the line of calcaneocuboid joint
what is Equinus?
limitation of normal range of drosiflexion of the ankle joint
Equinus is a deformity in what plane?
Sagittal
Equinus is most commonly referred to
an ankle joint deformity
Eversion is a motion in what plane?
Frontal plane
What is eversion?
a frontal plane motion whereby the plantar surface of the foot rotates away from the midline of the body
At the subtalar joint, pronation is occuring but we measure
frontal plane component of pronation
What does 1st ray consist of?
the 1st cuneiform and 1st metatarsal moving about a common axis
normal 1st ray function requires
normal hallux function
what is dorsiflexed 1st ray?
Fixed sagittal plane deformity of the 1st ray in which the head of the 1st metatarsal has a greater range of dorsiflexion motion as compared to the range of plantarflexion motion
What is the normal range of dorsiflexion/plantarflexion in 1sst ray?
5mm dorsiflexion
5mm plantarflexion
plantarflexed 1sr ray?
Fixed sagittal plane deformity in which plantar surface of the 1st metatrsal head lies below the plantar plane of the lesser metatarsals
in plantarflexed 1sr ray the subtalar joint is in what position?
Neutral
in plantarflexed 1sr ray the midtarsal joint is in what position?
Fully pronated
in plantarflexed 1sr ray subtalar joint and midtarsal jont can be
Rigid and Flexible
STJ neutral position involves
- greatest compression forces and least torsional forces
- closed-pack position
STJ neutral position is measured by
comparing the leg bisection to the calcaneal bisection while the subtalar joint is in neutral position
what is the normal STJ neutral position
0 or rectus
Rearfoot
combined unit of the os calcis and the talus
Neutral Calcaneal stance position (NCSP)
angle that the posterior bisection makes with the ground when the individual is in static stance and the STJ is held in neutral
what is a normal (NCSP)?
0 or rectus
Total rearfoot deformity is equal to
Calcaulates NCSP=tibial influence + STJ NP
REARFOOT VARUS
- frontal plane osseous deformity
- sagittal bisection of the posterior surface of the heel is inverted to the ground when the subtalar joint is in neutral position (NCSP)
Rearfoot varus can be
- compensated
- uncompensated
- partially compensated
Rearfoot valgus
- frontal plane osseous deformity
- sagittal bisection of the posterior surface of the heel is everetd to the ground when the STJ is in neutral position (NCPS)
most rearfoot valgus is a result of
genue valgum
Relaxed calcaneal stance position (RCSP)
position of the sagittal bisection of the calcaneus to the ground while standing in a relaxed manner in the patient’s normal angle and base of gait.
RCSP represents
compensation at the subtalar joint
Forefoot
Portion of the foot that is distal to the midtarsal joint
midtarsal joint
talonavicular
calcaneocuboid
locking mechanism of the midtarsal joint is when
the STJ is in neutral position and midtarsal joint is maximally pronated
in locking mechanism, the midtarsal joint is
incapable of further dorsiflexion, eversion and abduction motion
locking mechanism of the midtarsal joint is a position of
stability
locking mechanism of the midtarsal joint contributes to
the mobile adapter/rigid lever function of the foot
Forefoot adductus
when the angle made by line bisecting the shaft of the 2nd metatrsal and the line representing the long axis of the rearfoot is >15º
Forefoot adductus is a deformity that is observed in what plane?
transverse plane
angulation in forefoot adductus occur at what joint?
midtarsal joint
Metatarsus adductus
when metatarsals are deviated toward the midline of the body
angulation in metatarsus adductus occur at what joint?
at tarso-metatarsal joints
Forefoot valgus
- osseous abnormality
- Entire plantar plane of the forefoot is everted relative to the sagittal bisection of the posterior surface of the calcaneous
how would one evaluate the forefoot valgus deformity?
evaluated when STJ is in neutral position and midtarsal joint is maximally pronated
forefoot varus
- osseous abnormality
- Entire plantar plane of the forefoot is inverted relative to the sagittal bisection of the posterior surface of the calcaneous
compensated forefoot varus
inverted forefoot deformity where the entire forefoot is in contact with the ground due to compensatory pronation of the subtalar joint when the foot is relaxed.
partially compensated forefoot varus
forefoot is inverted to the ground by a lesser degree than the total amount of the deformity
uncompensated forefoot varus
forefoot is inverted to the ground by the same degree as the total amount of deformity
uncompensated forefoot varus is Rare or common?
RARE
in uncompensated forefoot varus, subtalar joint
is unable to compensate
what is abnormal compensation?
a pathological , anamalous change in the osseous structure ( bones or joints)
abnormal compensation can occur in
bones or joints
abnormal compensation occurs in response to?
_a demand for motion at a joint to move contrary to its axis of motion
_motion beyond its available range of motion
forefoot supinatus
fixed supinated position of the midtarsal joint as a result of inverted SOFT TISSUE deformity of the forefoot on the rearfoot when the subtalar joint is neutral and MTJ is maximally pronated
what is the difference between forefoot varus and forefoot supinatus
forefoot varus is due to bony deformity
forefoot supinatus is due to soft tissue deformity.
melleolar position
a torsional relationship between the malleoli relative to the proximal condyles of the tibia
malleolar position is usually ——–less than tibial torsion
5º
orthoses
apparatus used to support, align, prevent or correct deformities
improve function of movable parts of the body
Axis
an axis is a line created by the intersection of 2 or more planes and about which motion can occur
if motion occurs in one plane, then the axis is located
at the intersection of the remaining 2 planes
pivot point
is the point in which the net motion is zero..like the center of a wheel
in human body the pivot point is usually
within or very near the joint
an axis located at the intersection of the frontal and sagittal planes will have motion occurring in the
Transverse plane
As the axis moves further away from a particular plane,
more motion occurs in that plane
Name 3 uniaxial joints?
- ankle joint
- Subtalar joint
- interphalangeal joints
Name 2 biaxial joints
- Knee joints (allows flexion/extension and interna/external rotation)
- metatarsophalangeal joints (allow for abduction/adduction and flexion/extension)
Name a triaxial joint
hip joint (allows for flexion/ extension, abduction/adduction, internal/external rotation)
true or false?
true uniplanar motion is not likely in the body
True
motion can be described as combination of
axes and planes (e.g. subtalar joint us uniaxial, triplanar motion)
The axis of a joint is described as the amount of
deviation from all 3 planes
when the joint axis is deviated further away from a particular plane than normal, the joint motion may be described as having
planar dominance in that particular plane