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71 Cards in this Set

  • Front
  • Back
What muscles of the foot are innervated by the medial plantar nerve?
Abductor hallucis, flexor digitorum brevis, first lumbrical, and flexor hallucis brevis
What muscles dorsiflex the ankle (4)?
Anterior tibialis, extensor hallucis longus, extensor digitorum longus, and peroneus tertius
What dorsal ankle/foot muscles invert the foot? Which evert the foot?
Invert:
1. Anterior tibialis
2. Extensor hallucis longus
Evert:
1. Extensor digitorum longus
2. Peroneus tertius
What tendons plantar flex the ankle (5)? Which pass behind the lat. malleolus? Behind the medial malleolus?
Lat. malleolus:
1. Peroneous longus
2. Peroneous brevis
Med. malleolus:
1. Posterior tibialis
2. Flexor digitorum longus
3. Flexor hallucis longus
Tendons that pass behind the medial malleolus evert/invert the foot, and those that pass behind the lateral malleolus evert/invert the foot.
Invert; evert
What toe marks the midline/axis of movement for abduction/adduction of the toe?
2nd toe
Where does the plantar aponeurosis come from (both attachments)?
Calcaneus to metatarsophalangeal joints
True or false: The plantar aponeurosis can become inflamed in high-activity individuals.
True
What muscle(s) of the foot are located on the dorsal aspect?
Extensor digitorum brevis
Extensor digitorum brevis
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
True or false: The dorsal aspect of the foot is arranged into four layers.
False; plantar
Where is the dorsalis pedis artery located?
Between the extensor hallucis brevis and extensor hallucis longus
What muscles are in the first layer of the plantar aspect of the foot?
1. Abductor hallucis
2. Flexor digitorum brevis
3. Abductor digiti minimi
What do all the muscles in the 1st layer (of the plantar aspect of the foot) originate from?
Calcaneous
Abductor hallucis
Origin: Calcaneous
Insertion: Proximal phalanx of great toe
Action: Abduct MTP joint of big toe
Innervation: Med. plantar nerve
Flexor digitorum brevis
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
Abductor digiti minimi
Origin: Calcaneus
Insertion: Proximal phalanx of little toe
Action: Abduct MTP joint for little toe
Innervation: Lat. plantar nerve
What muscles are in the 2nd layer of the plantar aspect of the foot?
1. Quadratus plantae
2. Lumbricals
3. Tendons of flexor digitorum longus and flexor hallucis longus
Quadratus plantae
Origin: Calcaneus
Insertion: Tendon of flexor digitorum longus
Action: Assists flexor digitorum longus
Innervation: Lat. plantar nerve
Lumbricals
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)
What muscles are found in the 3rd layer of the plantar aspect of the foot?
1. Flexor hallucis brevis
2. Adductor hallucis
3. Flexor digiti minimi brevis
Flexor hallucis brevis (a,n)
Action: Flexes MTP joint for big toe
Innervation: Med. plantar nerve
Adductor hallucis (a,n)
Action: Adduct MTP joint for big toe
Innervation: Lat. plantar nerve
Flexor digiti minimi brevis (a,n)
Action: Flexes MTP joint for little toe
Innervation: Lat. plantar nerve
What is found in the 4th layer of the plantar aspect of the foot?
1. Dorsal interossei
2. Plantar interossei
3. Tendons of peroneus longus and posterior tibialis
Dorsal interossei (a,n)
Action: Abduct MTP joint for toes 2,3,4
Innervation: Lat. plantar nerve
Plantar interossei (a,n)
Action: Adduct MTP joints for toes 3,4,5
Innervation: Lat. plantar nerve
On the plantar aspect of the foot, the tendons of the peroneus longus are more lat/med than the posterior tibialis tendon.
Lateral
What is the nerve innervation to the dorsal aspect of the foot (motor and cutaneous)?
Motor: Deep peroneal nerve
Cutaneous: Mostly superficial nerve
What artery supplies the dorsal aspect of the foot?
Dorsalis pedis (continuation of tibial artery)
What nerves supply the plantar aspect of the foot?
Med. and lat. plantar (cutaneous and motor)
What arteries supply the plantar aspect of the foot? What artery do they branch from?
Med. and lat. plantar arteries (branch from posterior tibial artery)
The nerves innervating the planter aspect of the foot pass behind/in front of the medial/lateral malleolus.
Behind; medial
What type of joint is the inferior tibiofibular joint?
Syndesmosis
What are the four components of the inferior tibiofibular joint?
1. Tibia and fibula
2. Interosseous ligament
3. Transverse ligament
4. Ant. and post. tibiofibular ligaments
What is the talocrural joint more commonly known as?
Ankle joint
What type of joint is the talocrural joint? What movements is it capable of?
Hinge; can dorsiflex and plantar flex
During action, ankle action is above/below the talus and foot action is above/below the talus.
Above; below
During ankle movement, the talus stays with the leg/foot. During foot movement, the talus stays with the leg/foot.
Foot; leg
What bones articulate in the talocrural joint?
Tibia, fibula, and talus
What are the lateral thickenings/ligaments associated with the talocrural joint? What do they do?
1. Anterior talofibular
2. Calcaneofibular
3. Posterior talofibular

All reinforce the lat. side of the ankle.
True or false: The lateral thickenings in the talocrural joint can be torn during extreme eversion.
False; inversion
What type of joint are the metatarsophalangeal joints?
Condyloid
What type of joints are the interphalangeal joints?
Hinge
What are the two plantar ligaments?
1. Long plantar
2. Short plantar
Where is the long plantar ligament attached? The short plantar?
Long plantar: Calcaneous to cuboid
Short plantar: Calcaneous to cuboid
What do the plantar ligaments do?
Reinforce the arches of the foot
The longitudinal arch of the foot is made of ____ columns.
Two
What makes up the medial column of the longitudinal arch of the foot?
1. Metatarsals 1-3
2. Cuneiform (3)
3. Navicular
4. Talus
5. Calcaneus
What makes up the lateral column of the longitudinal arch of the foot?
1. Metatarsals 4 and 5
2. Cuboid
3. Calcaneus
What makes up the series of arches in the transverse arch of the foot?
1. Heads of metatarsals 1-5
2. Cuneiforms
3. Navicular
4. Cuboid
What is the medial thickening of the talocrural joint?
Deltoid ligament (from the med. malleolus of tibia to the navicular/calcaneus)
What is significant about the deltoid ligament?
It is one of the strongest ligaments in the body. In extreme eversion, it may pull off a piece of bone rather than tear.
What joints are important for eversion and inversion?
Intertarsal joints
How many intertarsal joints are there?
Six
True or false: The talus remains with the foot during inversion and eversion.
False; leg
The plane for inversion and eversion deviates 60 degrees laterally/medially.
Laterally
What are the three major intertarsal joints?
1. Subtalar
2. Transverse tarsal (talocalcaneonavicular and calcaneocuboid)
What makes up the subtalar joint? What type of joint is it?
It is a plane joint and is made up of the talus and calcaneus.
What is unique about the subtalar joint?
It is a plane joint that can slightly abduct and adduct the foot.
What makes up the talocalcaneonavicular joint? What type of joint is it?
It is a plane joint made up by the head of the talus fitting into a socket formed by the navicular and calcaneus.
What is unique about the talocalcaneonavicular joint?
It is a plane joint but resembles a ball and socket in appearance and function (it can rotate)
What is the plantar calcaneonavicular ligament also known as? Where does it attach?
Spring ligament - connects the sustentaculum tali of calcaneus and navicular
What makes up the calcaneocuboid joint? What type of joint is it?
It is a plane joint made up by the calcaneus and cuboid.
What is unique about the calcaneocuboid joint?
It is a plane joint that resembles a saddle joint.
What type of joints are the other (besides three main) intertarsal joints?
Plane joints
What type of joints are the intermetatarsal joints?
Plane joints
What ligament is associated with the calcaneocuboid joint?
Bifurcated ligament that connects the calcaneus with the cuboid and navicular.
What does the bifurcated ligament do?
Reinforces the calcaneocuboid joint.
What actions are involved in pronation of the foot?
Dorsiflexion, eversion, and abduction
What actions result in supination of the foot/ankle?
Plantar flexion, inversion, and adduction