The Foot and Ankle Flashcards
What 7 bones form the tarsals?
Calcaneus
Talus
Navicular
Cuboid
Medial cuneiform
Intermediate cuneiform
Lateral cuneiform
How many metatarsals are there?
5
How many phalanges are there?
14
Name the bones in a toe
Proximal, middle and distal phalange
Name the bones in the hallux
Proximal and distal phalange
What bones articulate at the talocrural joint?
Medial malleolus of the tibia, lateral malleolus of the fibula and talus
What type of joint is the talocrural joint?
Hinge
What bones articulate at the subtalar joint?
Talus and calcaneus
What type of joint is the subtalar joint?
Gliding
Where specifically are the two transverse tarsal joints found?
Between talus and navicular, and calcaneus and cuboid.
What type of joints are the transverse tarsal joints?
Gliding
Where are intertarsal joints found?
Between tarsals
Where are tarsometatarsal joints found?
Between tarsals and metatarsals
Where are MTP (metatarsophalangeal) joints found?
Between metatarsals and phalanges
Where are interphalangeal joints found?
Between bones of the phalanges
What is the end of the tibia called?
Medial malleolus
What is the end of the fibula called?
Lateral malleolus
Does the lateral or medial malleolus sit lower?
Lateral malleolus
Movement at the talocrural joint
40-50 degree plantar flexion
15-20 degree dorsi flexion
What does the achilles tendon attach?
Gastrocnemius to calcaneus
What are the three structural arches?
Medial and lateral longitudinal arch and transverse arch
Role of medial longitudinal arch
Shock absorption
What is the role of the lateral longitudinal arch?
Balance
Role of the transverse arch
Adapts foot to ground
Plantar Fascia
Stabilisation of the medial longitudinal arch and helps propel the body forward.
Connects calcaneus to phalanges
Common injury: plantar fasciitis
Pronation
Eversion and dorsi flexion
Supination
Inversion and plantar flexion
Four muscle compartments of the foot and ankle
Anterior
Lateral
Deep posterior
Superficial posterior
Superficial posterior muscles in the foot and ankle
Gastrocnemius
Soleus
Plantaris
Movement caused by superficial posterior muscles in the foot and ankle
Plantarflexion
Deep posterior muscles in the foot and ankle
Flexor Digitorum Longus
Flexor hallucis Longus
Tibialis Posterior
Popliteus
Movements caused by deep posterior muscles in the foot and ankle
Plantarflexion
Inversion
Flexion of toes
Anterior muscles in the knee and ankle
Tibialis anterior
Extensor Hallucis Longus
Extensor Digitorum Longus
Peroneus Tertius
Movements caused by anterior muscles in the foot and ankle
Dorsiflexion
Inversion
Eversion
Extension of toes
Lateral muscles in the foot and ankle
Peroneus Longus
Peroneus Brevis
Movements caused by lateral muscles in the foot and ankle
Plantarflexion and eversion
Origins of gastrocnemius
(M): Posterior of the medial femoral condyle
(L): Posterior of the lateral femoral condyle
Insertion of the gastrocnemius
Posterior surface of calcaneus via Achilles tendon
Innervation of gastrocnemius
Tibial nerve
Palpation of gastrocnemius
Upper half of posterior lower leg
Soleus origin
Posterior of proximal fibula and proximal 2/3s of posterior tibia
Innervation of soleus
Tibial nerve
Palpation of soleus
Under gastrocnemius - easier when knee is flexed
Origin of tibialis anterior
Upper 2/3 of lateral surface of tibia
Insertion of tibialis anterior
Inner surface of medial cuneiform and base of 1st metatarsal
Origin of tibialis posterior
Posterior surface of the upper half of interosseus membrane and adjacent surfaces of tibia and fibula.
Insertion of soleus
Posterior of calcaneus via achilles tendon
Insertion of tibialis posterior
Inferior surfaces of navicular, cuneiforms, cuboid and bases of 2nd, 3rd and 4th metatarsal
Plantarflexors
Gastrocnemius
Soleus
Tibialis Posterior
FDL
FHL
Peroneus Longus
Peroneus Brevis
Dorsiflexors
Tibialis Anterior
EDL
EHL
Peroneus Tertius
Invertors
Tibialis Anterior
Tibialis Posterior
FDL
FHL
Evertors
Peroneus Longus
Peroneus Brevis
Peroneus Tertius
EDL
3 shapes of foot arches
Pes planus (flat-footed)
Neutral
Pes cavus (high arch)
Pronation of the foot
Eversion and dorsi flexion
Supination of the foot
Inversion and plantar flexion