The Foot Flashcards

1
Q

What muscles does the lateral plantar nerve innervate?

A
(All the rest)
abductor digiti minimi m
quadratus plantae
interossei
Flexor digiti minimi brevis m
adductor hallucis m
lateral 3 lumbricals
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2
Q

What is the first division of the posterior tibial A in the foot?

A

lateral and medial plantar arteries

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3
Q

What does the first dorsal metatarsal arise from?

A

deep plantar a

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4
Q

What nerve innervates the dorsal foot muscles?

A

lateral (muscular) branch of the deep fibular n

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5
Q

What are the attachments of quadratus plantae?

What is its action?

A

calcaneus to tendon of FDL

Assists FDL in flexing lateral 4 digits (keeps them from being pulled medial)

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6
Q

What muscles does the medial plantar nerve innervate?

A
(exceptions)
Abductor Hallucis M
Flexor digitorum brevis m
flexor hallucis brevis m
Medial first lumbrical m
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7
Q

What is the first layer of plantar muscles?

A

abductor digiti minimi
flexor digitorum brevis
abductor hallucis

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8
Q

What is “layer zero” of the plantar foot?

What do the 5 slips of this connect to?

A

Plantar aponeurosis

connect to tendon sheaths

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9
Q

Which plantar muscles have 2 heads? What are they?

A

adductor Hallucis m = oblique and transverse heads

flexor hallucis brevis m = medial and lateral heads

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10
Q

What do the medial and lateral plantar nerves arise from?

A

Tibial nerve

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11
Q

What is Hallux valgus?

A

lateral deviation of great toe –> tissues swell –> pressure and friction causes bunion

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12
Q

What 2 arteries join to make the deep plantar arch?

A

lateral plantar a and deep branch of medial plantar a

mostly lateral plantar a

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13
Q

What is mallet toe?

A

flexion in DIP joint

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14
Q

What leg artery divides to supply the dorsum of the foot?

A

anterior tibial A

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15
Q

Which plantar artery has a deep and superfical branch?

Which branch meets the deep plantar arch?

A

medial plantar a

deep branch goes to deep plantar arch

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16
Q

What is the 4th layer of plantar muscles?

A

Interossei

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17
Q

What does the lateral plantar a give rise to past the plantar arterial arch?

A

3rd-6th plantar metatarsal and plantar digital arteries

18
Q

What plantar muscle’s tendons have sesamoid bones?

What is the function of those bones?

A

Flexor hallucis brevis

protect first metatarsal head and tendon of FHL when standing and walking

19
Q

What is plantar fasciitis?

A

plantar aponeurosis inflammation at proximal attachment (calcaneus)
pain most severe after sitting and getting out of bed
may lead to heel spur

20
Q

Where does extensor digitorum brevis attach?

A

anterior to lateral malleolus

2-5 intermediate phalanges

21
Q

What is the first branch off of the anterior tibial a in the ankle?

A

lateral malleolar a

22
Q

What does the medial plantar artery give rise to?

A

medial 2 plantar metatarsal and plantar digital arteries

23
Q

What are the attachments of lumbricals?

What is their function?

A

FDL tendon to medial aspect of extensor expansion

flex MP joint and extend PIP and DIP joints

24
Q

What is the second layer of plantar muscles?

A

quadratus plantae
tendons of flexor hallucis longus and flexor digitorum longus
lumbricals

25
What 2 muscles does the medial plantar artery pass between?
abductor hallucis and FDB
26
What is trigger toe?
in great toe: extended MP, flexed IP
27
How many plantar interossei are there? What is their function?
3 | PAD = Adduct toes toward 2nd digit
28
Where is the arcuate artery?
on dorsum of foot - where lat tarsal a and dorsalis pedis meet
29
What does the anterior tibial a divide into on the foot?
lateral tarsal a | dorsalis pedis
30
What is the midline of toe motion?
2nd toe
31
What nerve does the lateral plantar artery run with?
lateral plantar n
32
What is claw toe?
extenion at mp joint and flexion at both pip and dip joints
33
Where does extensor hallucis brevis attach?
anterior to lateral malleolus | proximal 1st phalanx
34
How many dorsal interossei are there? What is their function?
4 | DAB = ABduct toes away from 2nd digit
35
What is a bunion? | What is a corn?
tender and inflamed bursa of toe | inflamed area of thick skin over PIP joints
36
What is hammer toe?
extension at MP joint and flexion at Pip joint
37
What does the deep plantar A arise from?
dorsalis pedis
38
What is the 3rd layer of plantar muscles?
Flexor digiti minimi brevis Adductor hallucis m (transverse and oblique heads) Flexor Hallucis brevis m (medial and lateral heads) Opponens digiti minimi (often not present)
39
What leg artery divides to supply the plantar foot?
posterior tibial A
40
What does the arcuate artery give rise to?
2nd to 5th dorsal metatarsal arteries --> dorsal digital arteries
41
What are the two muscles on the dorsum of the foot?
Extensor hallucis brevis | Extensor digitorum brevis
42
what can happen to sesamoid bones when you have a bunion?
sesamoid bones get displaced and cause gate disfunction