Test 3 Flashcards
What are the 3 groups of bones in the feet and what make up each?
- Hind Foot: Talas & Calcaneus
- Mid Foot: Navicular & Cuboid & 3 Cuneiforms
- Forefoot: Metatarsals & Phalanges
What is the overall function of the ankle?
- provides a stable base
- provides a rigid lever for propulsion
- provides shock absorption
- allows you to accommodate to various terrains and gives balance
What mm is the Hind Foot responsible for?
Makes initial contact with ground during gait
What mm is the Mid Foot responsible for?
Provides stability and mobility as movement is transmitted from hind foot to forefoot
What mm is the Forefoot responsible for?
Adapts to surfaces and is the last part of foot to leave the ground during gait
What % of weight bearing does the Tibia and Fibula responsible for?
Tibia- 90%
Fibula- 10%
What are the 3 joints at the ankle/foot?
Talocrual Joint
Talocalcaneal Joint or Subtalar Joint
Transverse Tarsal Joint
Talocrual Joint (ankle joint): where is it located, what mm occurs and what is its importance?
Location: talus, distal fibula, distal tibia
MM: 30-50* plantar flexion and 20* dorsiflexion only
Importance: it has static and dynamic stabilizers that prevent excessive motion
Talocalcaneal Joint (Subtalar joint): where is it located, what mm occurs and what is its importance?
Location: talas and calcaneus
MM: gliding jt allows inversion (2x more) and eversion only
Importance: functional in wt bearing is critical for dampening rotational forces imposed by body wt while maintaining contact of the foot to the surface
Transverse Tarsal Joint: where is it located, what mm occurs and what is its importance?
Location: calcaneal/cuboid and talus/navicular
MM: inversion and eversion
Importance: allows the forefoot to get to the ground no matter what
Static stabilizers: Deltoid Lig. prevent what motion? Anterior Talofibular and Calcaneofibular Lig prevent what motion?
Deltoid: Prevent EVERSION
Anterior Talo & Calcaneo: Prevent INVERSION
Dynamic Stabilizers prevent what?
Prevent excessive motion in the opposite direction
What Dynamic Stabilizers are used in the following: Dorsiflexion, Plantar Flexion, Inversion and Eversion?
Dorsiflexion: Gastrocnemius and Soleus
Plantar Flexion: Tibialis Anterior, Ext Hallicus Longus, Ext Digitorum Longus
Inversion: Peronius Longus, Brevis, Tertius
Eversion: Tibialis Posterior, Flex Hallicus Longus, Flex Digitorum Longus
Static Stabilizer are always what?
Ligaments
Dynamic Stabilizers are always what?
Muscles
What position is the foot stale and mobile?
Stable: Supinated
Mobile: Pronated
Supination involves what mm in OKC?
Inversion, adduction and plantar flexion
Pronation involves what mm in OKC?
Dorsiflexion, abduction, eversion
What is the overall function of the Metatarsalphalangeal joints?
Allows foot to maintain contact with the ground as heel comes off
What are the 6 Plantar Arches? What is their function?
Function: help support the foot
Longitudinal- calcaneus to toes
Transverse- 1st, 2nd, 3rd Cuneiforms and cuboid
Spring Lig- calcaneonavicular Lig opposes flattening of medial arch and supports talus
Long Plantar Lig- calcaneus to cuboid forward to metatarsals
Metatarsal- across ball of foot
Plantar Aponeurosis- calcaneus to phalanges
Define Pes Planus
Flat foot
Define Pes Cavus
High arch foot, prone to plantar fasciitis
Define Plantar Fasciitis
Irritation of the plantar fascia
Pain usually in the am when you get out of bed or overuse or poor arch support
Define Hallux Valgus
Bunion lateral deviation of MP jt
Define Claw Toe
Hyper extension of MP and flexion of IP
Define Hammer Toe
Hyper extension of MP and DIP and flexion of PIP
What are the 7 bones in the feet?
Calcaneus Talas Navicular Cuboid 1st cuneiform 2nd cuneiform 3rd cuneiform
If you have a 1st* sprain what Lig is affected?
A
If you have a 2nd* sprain what Lig is affected?
Q
If you have a 3rd* sprain what Lig is affected?
Q
If you invert the calcaneus what have to done to the foot?
Foot supination
If you evert the calcaneus what have you done to the foot?
Foot pronation
When you start at a squatting position and move to standing position what happens at the hip, knee and ankle?
Hip- ext
Knee- ext
Ankle- plantar flex
When you start in a standing position and you move into a squat what happens at the hip, knee and ankle?
Hip- flex
Knee- flex
Ankle- dorsiflexion
What are the bones of the knee?
Femur and tibia
How do the femoral condyles roll in knee flexion and extension?
They roll posteriorly while sliding anteriorly with knee flexion on a fixed tibia
Vice versa for extension
The Medial Plateau is how much larger than the Lateral Plateau?
50% larger
What is the function of the Meniscus?
- absorb 50-60% loading
- thicker to help increase joint congruency