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26 Cards in this Set
- Front
- Back
Hindfoot Components
|
talus
calcaneus subtalar joint |
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Midfoot Components
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cuneiforms
navicular cuboid midtarsal joint |
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Forefoot Components
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metatarsals
phalanges MTP joints IP joints |
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Subtalar Joint
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-plane jt
-articulation between the talus and calcaneus -allows mainly foot inversion and eversion |
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Midtarsal Joint
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-calcaneocuboid + talonavicular joints
|
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Talonavicular Joint
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-ball and socket
-allows DF, PF, ER and IR -stabilizers: dorsal talonavicular tibionavicular plantar calcaneonavicular |
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Calcaneocuboid Joint
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-plane jt
-allows inversion/eversion -stabilizers: dorsal calcaneocuboid bifurcate calcaneocuboid short plantar long plantar |
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TMT Joints
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-plane jts
-allow FL and EXT -stabilizers: dorsal TMT lig plantar TMT lig interosseous TMT lig |
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MTP Joints
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-condyloid jts
-allow FL and EXT, slight ABD,ADD,circumduction -stabilizers: LCL,MCL,plantar lig, deep transverse MT lig |
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IP Joints
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-hinge jts
-allow FL and EXT -LCL, MCL, plantar ligs |
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OKC Subtalar Pronation
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-calcaneal eversion
-calcaneal ER -calcaneal DF |
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OKC Subtalar Supination
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-calcaneal inversion
-calcaneal IR -calcaneal PF |
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CKC Subtalar Pronation
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->heel strike to midstance
-calcaneal eversion -talar med. rotation -talar PF -tib/fib med. rotation |
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CKC Subtalar Supination
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->midstance to toe off
-calcaneal inversion -talar lat. rotation -talar DF -tib/fib lat. rotation |
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Structures limiting Subtalar inversion
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-calcaneofibular lig
-lat. talocalcaneal lig -interosseous talocalcaneal lig -peroneal tendons -sustentaculum tali and medial talar tubercle |
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Structures limiting Subtalar eversion
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-tibiocalcaneal lig (deltoid)
-med talocalcaneal lig -interosseous talocalcaneal lig -post tib, FDL and FHL tendons -lat talar process |
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Midtarsal Joint
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-2 axes of motion
-long axis: mainly inv/ever -oblique: PF&DF, ER&IR |
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Midtarsal Joint Pronation
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eversion, ER, and DF
-medial arch drops -midfoot more MOBILE -coincides with subtalar movement -occurs at heel strike |
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Midtarsal Joint Supination
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inversion, IR, and PF
-midfoot RIGID for transfer of weight from hindfoot to forefoot -occurs at heel off and toe off -conincides with subtalar mvmt |
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Forefoot Supination Twist
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-ray 1 & 2: DF
-ray 4 & 5: PF forefoot inverts occurs from heel strike to initial loading |
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Forefoot Pronation Twist
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-ray 1 & 2: PF
-ray 4 & 5: DF forefoot everts occurs from heel off to toe off |
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Standing forces on foot
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60% across heel
28% forefoot 8% midfoot 4% toes |
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Walking forces on foot
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vertical force highest at foot flat, decrease slightly, then increase again at heel off
|
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Plantar Fascia Function
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-shock absorber
-distributes forces -stabilizes midfoot *inflammation may occur with overuse or bone spur presence |
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Foot Pronation Muscles
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peroneus longus
peroneus brevis extensor digitorum longus |
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Foot Supination Muscles
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tibialis posterior
gastroc soleus tib anterior ext. hallucis longus |