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71 Cards in this Set
- Front
- Back
What muscles of the foot are innervated by the medial plantar nerve?
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Abductor hallucis, flexor digitorum brevis, first lumbrical, and flexor hallucis brevis
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What muscles dorsiflex the ankle (4)?
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Anterior tibialis, extensor hallucis longus, extensor digitorum longus, and peroneus tertius
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What dorsal ankle/foot muscles invert the foot? Which evert the foot?
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Invert:
1. Anterior tibialis 2. Extensor hallucis longus Evert: 1. Extensor digitorum longus 2. Peroneus tertius |
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What tendons plantar flex the ankle (5)? Which pass behind the lat. malleolus? Behind the medial malleolus?
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Lat. malleolus:
1. Peroneous longus 2. Peroneous brevis Med. malleolus: 1. Posterior tibialis 2. Flexor digitorum longus 3. Flexor hallucis longus |
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Tendons that pass behind the medial malleolus evert/invert the foot, and those that pass behind the lateral malleolus evert/invert the foot.
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Invert; evert
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What toe marks the midline/axis of movement for abduction/adduction of the toe?
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2nd toe
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Where does the plantar aponeurosis come from (both attachments)?
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Calcaneus to metatarsophalangeal joints
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True or false: The plantar aponeurosis can become inflamed in high-activity individuals.
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True
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What muscle(s) of the foot are located on the dorsal aspect?
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Extensor digitorum brevis
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Extensor digitorum brevis
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Origin: Ant. end of upper surface of calcaneus
Insertion: Tendons of extensor digitorum longus to toes 2,3,4 *tendon goes to great toe and can be considered part of extensor digitorm brevis or as the extensor hallucis brevis* Action: Extends MTP joints of 1,2,3,4 Innervation: Deep peroneal nerve |
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True or false: The dorsal aspect of the foot is arranged into four layers.
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False; plantar
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Where is the dorsalis pedis artery located?
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Between the extensor hallucis brevis and extensor hallucis longus
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What muscles are in the first layer of the plantar aspect of the foot?
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1. Abductor hallucis
2. Flexor digitorum brevis 3. Abductor digiti minimi |
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What do all the muscles in the 1st layer (of the plantar aspect of the foot) originate from?
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Calcaneous
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Abductor hallucis
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Origin: Calcaneous
Insertion: Proximal phalanx of great toe Action: Abduct MTP joint of big toe Innervation: Med. plantar nerve |
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Flexor digitorum brevis
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Origin: Calcaneus
Insertion: Middle phalanges of toes 2-5 (tendons are perforated by flexor digitorum longus) Action: Flex MTP and PIP joints for toes 2-5 Innervation: Med. plantar nerve |
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Abductor digiti minimi
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Origin: Calcaneus
Insertion: Proximal phalanx of little toe Action: Abduct MTP joint for little toe Innervation: Lat. plantar nerve |
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What muscles are in the 2nd layer of the plantar aspect of the foot?
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1. Quadratus plantae
2. Lumbricals 3. Tendons of flexor digitorum longus and flexor hallucis longus |
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Quadratus plantae
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Origin: Calcaneus
Insertion: Tendon of flexor digitorum longus Action: Assists flexor digitorum longus Innervation: Lat. plantar nerve |
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Lumbricals
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Origin: Tendons of flexor digitorum longus
*cross MTP joint-flexor side to extensor side* Insertion: Tendons of extensor digitorum longus Action: Flex MTP and extend IP joints for toes 2-5 Innervation: Lat. plantar nerve (except 1st lumbrical - med. plantar nerve) |
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What muscles are found in the 3rd layer of the plantar aspect of the foot?
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1. Flexor hallucis brevis
2. Adductor hallucis 3. Flexor digiti minimi brevis |
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Flexor hallucis brevis (a,n)
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Action: Flexes MTP joint for big toe
Innervation: Med. plantar nerve |
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Adductor hallucis (a,n)
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Action: Adduct MTP joint for big toe
Innervation: Lat. plantar nerve |
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Flexor digiti minimi brevis (a,n)
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Action: Flexes MTP joint for little toe
Innervation: Lat. plantar nerve |
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What is found in the 4th layer of the plantar aspect of the foot?
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1. Dorsal interossei
2. Plantar interossei 3. Tendons of peroneus longus and posterior tibialis |
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Dorsal interossei (a,n)
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Action: Abduct MTP joint for toes 2,3,4
Innervation: Lat. plantar nerve |
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Plantar interossei (a,n)
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Action: Adduct MTP joints for toes 3,4,5
Innervation: Lat. plantar nerve |
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On the plantar aspect of the foot, the tendons of the peroneus longus are more lat/med than the posterior tibialis tendon.
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Lateral
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What is the nerve innervation to the dorsal aspect of the foot (motor and cutaneous)?
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Motor: Deep peroneal nerve
Cutaneous: Mostly superficial nerve |
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What artery supplies the dorsal aspect of the foot?
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Dorsalis pedis (continuation of tibial artery)
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What nerves supply the plantar aspect of the foot?
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Med. and lat. plantar (cutaneous and motor)
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What arteries supply the plantar aspect of the foot? What artery do they branch from?
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Med. and lat. plantar arteries (branch from posterior tibial artery)
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The nerves innervating the planter aspect of the foot pass behind/in front of the medial/lateral malleolus.
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Behind; medial
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What type of joint is the inferior tibiofibular joint?
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Syndesmosis
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What are the four components of the inferior tibiofibular joint?
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1. Tibia and fibula
2. Interosseous ligament 3. Transverse ligament 4. Ant. and post. tibiofibular ligaments |
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What is the talocrural joint more commonly known as?
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Ankle joint
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What type of joint is the talocrural joint? What movements is it capable of?
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Hinge; can dorsiflex and plantar flex
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During action, ankle action is above/below the talus and foot action is above/below the talus.
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Above; below
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During ankle movement, the talus stays with the leg/foot. During foot movement, the talus stays with the leg/foot.
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Foot; leg
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What bones articulate in the talocrural joint?
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Tibia, fibula, and talus
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What are the lateral thickenings/ligaments associated with the talocrural joint? What do they do?
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1. Anterior talofibular
2. Calcaneofibular 3. Posterior talofibular All reinforce the lat. side of the ankle. |
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True or false: The lateral thickenings in the talocrural joint can be torn during extreme eversion.
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False; inversion
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What type of joint are the metatarsophalangeal joints?
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Condyloid
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What type of joints are the interphalangeal joints?
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Hinge
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What are the two plantar ligaments?
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1. Long plantar
2. Short plantar |
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Where is the long plantar ligament attached? The short plantar?
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Long plantar: Calcaneous to cuboid
Short plantar: Calcaneous to cuboid |
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What do the plantar ligaments do?
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Reinforce the arches of the foot
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The longitudinal arch of the foot is made of ____ columns.
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Two
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What makes up the medial column of the longitudinal arch of the foot?
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1. Metatarsals 1-3
2. Cuneiform (3) 3. Navicular 4. Talus 5. Calcaneus |
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What makes up the lateral column of the longitudinal arch of the foot?
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1. Metatarsals 4 and 5
2. Cuboid 3. Calcaneus |
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What makes up the series of arches in the transverse arch of the foot?
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1. Heads of metatarsals 1-5
2. Cuneiforms 3. Navicular 4. Cuboid |
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What is the medial thickening of the talocrural joint?
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Deltoid ligament (from the med. malleolus of tibia to the navicular/calcaneus)
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What is significant about the deltoid ligament?
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It is one of the strongest ligaments in the body. In extreme eversion, it may pull off a piece of bone rather than tear.
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What joints are important for eversion and inversion?
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Intertarsal joints
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How many intertarsal joints are there?
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Six
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True or false: The talus remains with the foot during inversion and eversion.
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False; leg
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The plane for inversion and eversion deviates 60 degrees laterally/medially.
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Laterally
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What are the three major intertarsal joints?
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1. Subtalar
2. Transverse tarsal (talocalcaneonavicular and calcaneocuboid) |
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What makes up the subtalar joint? What type of joint is it?
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It is a plane joint and is made up of the talus and calcaneus.
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What is unique about the subtalar joint?
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It is a plane joint that can slightly abduct and adduct the foot.
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What makes up the talocalcaneonavicular joint? What type of joint is it?
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It is a plane joint made up by the head of the talus fitting into a socket formed by the navicular and calcaneus.
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What is unique about the talocalcaneonavicular joint?
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It is a plane joint but resembles a ball and socket in appearance and function (it can rotate)
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What is the plantar calcaneonavicular ligament also known as? Where does it attach?
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Spring ligament - connects the sustentaculum tali of calcaneus and navicular
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What makes up the calcaneocuboid joint? What type of joint is it?
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It is a plane joint made up by the calcaneus and cuboid.
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What is unique about the calcaneocuboid joint?
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It is a plane joint that resembles a saddle joint.
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What type of joints are the other (besides three main) intertarsal joints?
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Plane joints
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What type of joints are the intermetatarsal joints?
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Plane joints
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What ligament is associated with the calcaneocuboid joint?
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Bifurcated ligament that connects the calcaneus with the cuboid and navicular.
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What does the bifurcated ligament do?
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Reinforces the calcaneocuboid joint.
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What actions are involved in pronation of the foot?
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Dorsiflexion, eversion, and abduction
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What actions result in supination of the foot/ankle?
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Plantar flexion, inversion, and adduction
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