Wk 5: ankle & foot

Question 1

Interphalangeal joints - ligaments

Answer 1

• Collateral ligaments
• Plantar ligaments

Question 2

Collateral ligaments limit (interphalangeal)

Answer 2

flexion

Question 3

Plantar ligaments limit (interphalangeal)

Answer 3

extension

Question 4

Interphalangeal joints classification

Answer 4

synovial
uniaxial
hinge

Question 5

Interphalangeal joints movements

Answer 5

flexion and extension

Question 6

Metatarsophalangeal joints – ligaments

Answer 6

Collateral ligaments
Plantar ligaments
Deep transverse metatarsal ligaments

Question 7

Collateral ligaments (metatarsophalangeal)

Answer 7

• Limits: flexion
• Prevents: adduction and abduction in flexion

Question 8

Plantar ligaments (metatarsophalangeal)

Answer 8

• Forms part of the articular surface
• Limits: extension

Question 9

Deep transverse metatarsal ligaments (metatarsophalangeal)

Answer 9

• Keeps the metatarsal heads together
• Important in weight bearing

Question 10

Metatarsophalangeal joints classification

Answer 10

synovial
biaxial
condyloid

Question 11

Metatarsophalangeal joints movements

Answer 11

flexion/extension
abduction/adduction

Question 12

Metatarsophalangeal joints aritcular surfaces

Answer 12

head of the metatarsal and base of the adjacent phalanx

Question 13

Tarsometatarsal joint classification

Answer 13

synovial
multiaxial
plane

Question 14

Tarsometatarsal joint movements

Answer 14

flexion & extension
(some ab & rotation at the first joint)

Question 15

Tarsometatarsal joint articular surfaces

Answer 15

• 1st metatarsal with medial cuneiform
• 2 nd (recessed) with intermediate cuneiform, as well as medial & lateral cuneiforms
• 3 rd with lateral cuneiform
• 4 th with lateral cuneiform & cuboid
• 5 th with cuboid

Question 16

Calcaneocuboid joint classification

Answer 16

synovial
multiaxial
plane

Question 17

Calcaneocuboid joint articular surfaces

Answer 17

Facet on anterior surface of calcaneus

Posterior facet of the cuboid

Question 18

Calcaneocuboid joint ligaments

Answer 18

• Plantar calcaneocuboid (short plantar) ligament
• Long plantar ligament
• Bifurcate ligament (lateral part only)

Question 19

Talocalcaneonavicular joint classification

Answer 19

synovial
multiaxial
ball & socket

Question 20

Talocalcaneonavicular joint articular surfaces

Answer 20

• Anterior facet on upper surface of calcaneus (female): sometimes in two parts
• Posterior facet of the navicular (female)
• Plantar calcaneonavicular (spring) ligament
• Head and (partially) neck of the talus (male)

Question 21

Subtalar joint classification

Answer 21

synovial
multiaxial
plane

Question 22

Subtalar joint articular surfaces

Answer 22

Facet on under surface of the talus (female)

Posterior facet on upper surface of calcaneus (male)

Question 23

Subtalar joints ligaments

Answer 23

• Interosseous (talocalcaneal) ligament
• Two bands both anterior to the joint
• Run almost vertically in the space between talus and calcaneus
• Calcaneal parts of the ankle ligaments also cross this joint

Question 24

Talocalcaneonavicular joint ligaments

Answer 24

• Plantar calcaneonavicular (spring) ligament
• Bifurcate ligament (medial part only)

Question 25

Inversion

Answer 25

* Plantarflexion * Adduction * Supination

Question 26

Eversion

Answer 26

* Dorsiflexion * Abduction * Pronation

Question 27

Joints of the foot

Answer 27

* Subtalar Mid-tarsal * Tarsometatarsal * Metatarsophalangeal * Interphalangeal

Question 28

Lateral collateral ligaments

Answer 28

Anterior talofibular Posterior talofibular Calcaneofibular

Question 29

Anterior talofibular limits

Answer 29

plantarflexion

Question 30

Anterior talofibular prevents

Answer 30

posterior slide of fibula and tibia on talus

Question 31

Posterior talofibular limits

Answer 31

dorsiflexion

Question 32

Posterior talofibular prevents

Answer 32

anterior slide of tibia and fibula on talus

Question 33

Calcaneofibular limits

Answer 33

dorsiflexion

Question 34

Calcaneofibular prevents

Answer 34

adduction at ankle

Question 35

Medial collateral (deltoid) ligament shape

Answer 35

Extensive, triangular in shape

Question 36

Superficial parts of medial collateral ligament

Answer 36

* Tibionavicular * Tibiocalcaneal Together prevent abduction at ankle

Question 37

Deep parts of medial collateral ligament

Answer 37

* Anterior tibiotalar: limit plantarflexion * Posterior tibiotalar: limit dorsiflexion

Question 38

Articular surface tibia

Answer 38

* Inferior (trochlear) surface of the tibia * Medial (tibial) and lateral (fibular) articular facets

Question 39

Articular surface talus

Answer 39

male surface * Tibiotalar surface is weightbearing * Medial and lateral articular facets are non weightbearing

Question 40

Articular surface trochlear of the talus

Answer 40

wider anteriorly * Ankle moves into dorsiflexion it becomes more stable

Question 41

Joint capsule

Answer 41

* Attaches to the articular margins of the bones involved * More extensive anteriorly where it extends onto the neck of the talus * Collateral ligaments provide medial and lateral reinforcement to the capsule

Question 42

ankle joint classification

Answer 42

synovial uniaxial hinge

Question 43

ankle joint movements

Answer 43

dorsiflexion 30° plantarflexion 50°