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105 Cards in this Set
- Front
- Back
What are the two components of the sciatic nerve?
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Tibial nerve and the common fibular nerve
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Describe the region innervated by the posterior cutaneous nerve of the thigh.
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Skin over anal region, superior posterior aspect of thigh, superior part of calf,
scrotum in male and labia majora in female |
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list of nerves of the sacral plexus that are exclusively motor
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Motor
– Nerve to quadratus femoris and inferior gemellus - Nerve to obturator internus and superior gemellus - Nerve to piriformis - Inferior and superior gluteal |
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list of nerves of the sacral plexus that are sensory
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Sensory
– Posterior cutaneous nerve of thigh |
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list of nerves of the sacral plexus that are a combination of motor and sensory
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Combination
– pudendal - common fibular - tibial, |
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What muscle is innervated by the superior gluteal nerve
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- Gluteus minimus
- Gluteus medius - Tensor fasciae latae muscles |
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What muscle is innervated by the inferior gluteal nerve
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gluteus maximus
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What muscle is innervated by the nerve to obturator internus and superior gemellus
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- obturator internus
- superior gemellus |
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What muscle is innervated by the nerve to piriformis
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piriformis
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What muscle is innervated by the nerve to quadratus femoris and inferior gemellus
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Quadratus femoris
Inferior gemellus |
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Describe the adductor canal
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- Begins where sartorius crosses adductor longus
- Ends in the adductor hiatus formed by adductor magnus - Contents: femoral artery & vein, saphenous nerve |
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marks the end of the adductor canal at the opening of the long tendon of the adductor magnus
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adductor hiatus
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What is the most lateral structure of the thigh? What muscle is the most medial muscle of the thigh?
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Lateral – iliotibial tract
Medial - gracilis |
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List the muscles that are components of the free appendage ( intrinsic) to the thigh
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- Iliac region (iliacus)
– Gluteal region – Thigh compartments (3) – Leg compartments (3) – Dorsum of the foot – Sole of the foot |
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List the muscles that are components of the extrinsic to the free appendage to the thigh
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– Psoas major
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list the muscles of the anterior compartment of the thigh
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- Pectineus (not in free appendage)
- Illiopsoas: psoas major, psoas minor, iIliacus Sartorius - Quadriceps femoris: rectus femoris, vastus lateralis, vastus medialis, vastus intermedius |
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list the muscles of the posterior compartment of the thigh
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Hamstrings
o Semitendinosus o Semimembranosus o Biceps femoris |
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list the muscles of the medial compartment of the thigh
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Adductor longus
Adductor brevis Adductor magnus Gracilis Obturator externus |
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Name the muscle(s) having an origin on the ASIS.
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ASIS – Tensor fascia latae, Sartorius
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Name the muscle(s) having an origin on the
AIIS. |
AIIS – Rectus femoris
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Name the muscle(s) having an insertion on the ITB.
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Tensor fascia latae, gluteus maximus
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State the muscle or structure that forms each of the following boundaries of the femoral triangle:
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Base - inguinal ligament (external oblique)
Lateral - sartorius Medial - adductor longus Floor - iliopsoas & pectineus |
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What are the contents of the femoral triangle from lateral to medial?
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FEMORAL
- Nerve - Artery - Vein - Lymphatics. |
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How is the great saphenous vein associated with the femoral triangle?
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The femoral canal opens at the distal end as the saphenous hiatus
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What muscles comprise the quadriceps femoris group of muscles?
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Muscles
- Rectus femoris - vastus lateralus - vastus medialis - vastus intermedius |
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Where do muscles of the quadriceps femoris insert?
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Insertion
- patella via quadriceps tendon - then tibial tuberosity via patellar ligament |
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What quadriceps femoris muscles act at the hip?
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Action at hip - Rectus femoris
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What quadriceps femoris muscles act at the knee?
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Action at knee – all of them
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What are the criteria/features that define hamstring muscles?
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Origin on ischial tuberosity Insert on a bone of the leg (tibia or fibula) Innervated by tibial nerve (of the sciatic nerve)
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What muscles comprise the hamstrings group of muscles?
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Muscles
- Semitendinosus, - Semimembranosus - Biceps femoris (long head only), - Part of the adductor magnus (the ‘hamstring’ AKA vertical or posterior portion) |
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Where do muscles of the hamstrings
group originate? |
originate
- Ischial tuberosity |
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What muscle mostly belongs to the adductor muscle group, but also has a hamstring component?
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Adductor magnus
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Where do muscles of the hamstrings group insert?
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Insertion
- Insert on a bone of the leg (tibia or fibula) |
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At what joint(s) do muscles
of the hamstrings group have action? |
Joints – hip and knee
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What portion of the Adductor magnus muscle has a hamstring component? Why is that portion considered to be a hamstring component?
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vertical or posterior portion
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Describe the tendon insertion of biceps femoris
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fibular head and lateral tibial condyle
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Describe the tendon insertion of the semimembranosus
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medial condyle of tibia
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Describe the tendon insertion of the semitendinosus
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pes anserine tendon at upper tibia
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What are the contents of the subsartorial canal?
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femoral artery & vein, saphenous nerve
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Name the muscles that comprise the pes anserine group of muscles
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sartorius
gracilis semitendinosus muscles |
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What is the conjoined tendon of pes anserine muscles sometimes called?
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pes anserine tendon
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indicative point of give when performing a drawer test of the knee that suggests a tearing of the ACL or PCL
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end point laxity
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moving from bent to straight (anteriorly)
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extension (at the knee)
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moving from straight to bent (posteriorly)
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flexion (at the knee)
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the type of joint that the knee and ankle are
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hinge joint
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the joint in the knee between the patellar and femur
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patellofemoral joint
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diamond-shaped depression of the posterior aspect of the knee
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popliteal fossa
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connects the lateral and medial menisci
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transverse ligament of the knee
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What tendon can be observed and palpated on the lateral boundary of the popliteal fossa?
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Tendon of biceps femoris
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What tendon can be observed and palpated on the medial boundary of the popliteal fossa?
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Tendon of semitendinosus muscle
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What are the functions of menisci of the knee?
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act as shock absorbers, and fill in gaps during joint movement
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what substance are menisci of the knee composed?
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fibrocartilage
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What is the referent for assigning the description anterior and posterior to the cruciate ligaments?
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The intercondylar eminence of the tibia is the referent for assigning “anterior” or “posterior” to the cruciate ligaments
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What is the function of the anterior cruciate ligament?
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prevents anterior displacement of the tibia
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What is the function of the posterior
cruciate ligament? |
prevents posterior displacement of the tibia
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Where are the two cruciate ligaments located inside the knee
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- within the Fibrous capsule
- outside of the Synovial capsule |
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What are the relative strengths of the two cruciate ligaments?
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PCL is stronger
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What are the names of the genicular arteries?
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superior medial genicular artery inferior medial g.a.
superior lateral g.a. inferior lateral g.a. middle g.a. |
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What comprises the unhappy triad of injuries?
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ACL
MCL Medial meniscus |
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What does the anterior drawer test evaluate?
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evaluates the integrity of the ACL
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What does the posterior drawer test evaluate?
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evaluates the integrity of the PCL
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How does constantly walking or jogging on the same side of the road contribute to patellofemoral stress syndrome?
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Roads slope down on the sides, so the knee that is closer to the center of the road endures greater mechanical stress because it does not fully extend during a stride
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extends between tibia and fibula and separates the anterior from the posterior compartment
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interosseous membrane
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small branches off of fibular artery
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perforating branch(es)
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List of muscles of the anterior compartment of the leg
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Tibialis anterior
Extensor hallucis longus Extensor digitorum longus Fibularis (peroneus) tertius |
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List of muscles of the lateral compartment of the leg
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Fibularis (peroneus) longus
Fibularis (peroneus) brevis |
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List of muscles of the superficial posterior compartment of the leg
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Soleus
Gastrocnemius Plantaris (tendon) |
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List of muscles of the deep posterior compartment of the leg
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Popliteus tibialis
Posterior flexor Digitorum longus Flexor hallucis longus |
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What is the overall action of muscles of the Anterior compartment of the leg
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Dorsiflexion at the ankle, inversion of the foot
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name of nerve innervating muscles in the Anterior compartment of the leg
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deep fibular nerve
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What is the overall action of muscles of the Lateral compartment of the leg
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Eversion of the foot, weak plantarflexion
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name of nerve innervating muscles in the Lateral compartment of the leg
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superficial fibular nerve
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What is the overall action of muscles of the Posterior compartment of the leg
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Flexion of the toes
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name of nerve innervating muscles in the Posterior compartment of the leg
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tibial nerve
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What muscles comprise the triceps surae?
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the combination of the gastrocnemius and soleus muscles
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What muscles are likely to be affected by injury to the common fibular nerve?
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muscles in the anterior and lateral compartments of the leg
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What area of cutaneous sensation would also be affected?
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anterolateral aspect of the leg and the dorsum of the foot due to loss of cutaneous sensation provided by the fibular nerve
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How would common fibular nerve injury affect the way a person walks?
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The condition makes it impossible to make the heel strike the ground first—the foot drops and the toes drag on the floor when walking.
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What are the symptoms of deep fibular neuritis?
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pain, 1st / 2nd toe numbness and tingling, and weakness of big toe dorsiflexion
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What are the names of the “Tom, Dick, and Harry” muscles? Where are these muscles located?
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Tom – Tibialis posterior, Tibialis anterior
Dick – Flexor digitorum longus Harry – Flexor hallucis longus They all pass deep to the flexor retinaculum |
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an enlargement of bone or tissue, or a tender and inflamed subcutaneous bursa that has formed around the metatarsophalangeal joint at the base of the big toe in hallux valgus.
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Bunion
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Contraction of the flexor muscles of the foot that is not balanced by the other foot muscles, or which is abnormal due to disease, flatfoot, or improper footwear
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Clawfoot
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Congenital deformity in which the foot is twisted inferiorly and medially, and the angle of the arch is increased.
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Clubfoot
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pulling the foot up
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Dorsiflexion
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tilting the foot up laterally
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eversion (at the ankle)
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pes planus, A condition in which the longitudinal arch or instep of the foot collapses and comes in contact with the ground
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flatfoot
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a foot deformity caused by pressure from footwear, and degenerative joint disease.
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hallux valgus
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a deformity of the proximal interphalangeal joint causing it to be permanently bent. The base of the toe points upward and the end of the toe points down.
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Hammertoe
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tilting the foot up medially
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inversion (at the ankle)
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Straining and inflammation of the plantar aponeurosis
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plantar fasciitis
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pushing the foot down
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plantar flexion
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another name for clubfoot
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talipes equinovarus
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Under what conditions is the ankle joint most stable (have its greatest strength)?
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When it is completely dorsiflexed
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What is the function of the medial ligament of the ankle?
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Anchors the medial malleolus to the talus
Stabilizes the ankle joint during eversion |
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What are the relative strengths of the medial and lateral ligaments of the ankle?
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The lateral ligaments are considerably weaker
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What tendon can be observed and palpated near the lateral malleolus of the ankle?
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Fibularis longus
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What nerve innervates the extensor digitorum brevis muscle(s)? What does that nerve then
become? |
Deep fibular nerve
Lateral and medial terminal branches |
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list of muscles in the 1st layer plantar layers of the foot
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Abductor digiti minimi
Abductor hallucis Flexor digitorum brevis |
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ist of muscles in the 2nd layer plantar layers of the foot
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Lumbricals
Quadrates plantae Tendon of flexor hallucis longus Tendons of flexor digitorum longus |
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ist of muscles in the 3rd layer plantar layers of the foot
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Adductor hallucis
Flexor hallucis brevis Flexor digiti minimi Flexor digiti minimi plantae |
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ist of muscles in the 4th layer plantar layers of the foot
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Dorsal/plantar interosseous muscles
Fibularis longus tendon Tibialis posterior (insertion) |
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Differentiate clawfoot from hammertoe regarding the number of toes typically involved.
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Clawfoot normally consists of the lateral 4 toes
Hammertoe normally only affects one toe |
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List the intrinsic muscles of the foot
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Lumbricals
Quadrates plantae Adductor hallucis Flexor hallucis brevis Flexor digiti minimi Flexor digiti minimi plantae Dorsal/plantar interosseous muscles |
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What is the dorsalis pedis artery derived from?
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Anterior tibial
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What are the terminal branches of the posterior tibial artery?
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lateral plantar artery - plantar arch
- plantar metatarsal arteries medial plantar artery - plantar digital arteries |