Ankle and Foot Anatomy Quiz

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Questions and Answers

The ankle joint's actions include inversion and eversion.

True (A)

The arches of the foot do not include any supporting ligaments or tendons.

False (B)

The long and short saphenous veins are part of the lower limb anatomy.

True (A)

Radiological imaging is not relevant for assessing ankle joints.

<p>False (B)</p> Signup and view all the answers

The surface anatomy of the peripheral pulses in the lower limb can be examined.

<p>True (A)</p> Signup and view all the answers

The saphenous vein is part of the vascular supply of the foot.

<p>True (A)</p> Signup and view all the answers

The plantar arch supplies blood to the dorsal aspect of the foot.

<p>False (B)</p> Signup and view all the answers

Radiological imaging is important for interpreting conditions of the ankle joint.

<p>True (A)</p> Signup and view all the answers

The lower limb does not have identifiable peripheral pulses.

<p>False (B)</p> Signup and view all the answers

Abrahams, Peter H. is a recommended author for studying human anatomy.

<p>True (A)</p> Signup and view all the answers

The foot is made up of 7 tarsal bones.

<p>True (A)</p> Signup and view all the answers

There are 5 metatarsal bones in the foot.

<p>True (A)</p> Signup and view all the answers

The ankle joint is a hinge joint involving the talus and the femur.

<p>False (B)</p> Signup and view all the answers

The foot has a total of 14 phalanges.

<p>True (A)</p> Signup and view all the answers

Dorsiflexion and plantarflexion are movements allowed by the ankle joint.

<p>True (A)</p> Signup and view all the answers

A pilon fracture is caused by high axial forces such as falling from a great height.

<p>True (A)</p> Signup and view all the answers

The subtalar joint is responsible for plantarfexion of the foot.

<p>False (B)</p> Signup and view all the answers

Inversion of the foot involves directing the sole laterally.

<p>False (B)</p> Signup and view all the answers

The tarsal tunnel is located on the lateral side of the ankle.

<p>False (B)</p> Signup and view all the answers

The bones of the foot lie in a horizontal plane.

<p>False (B)</p> Signup and view all the answers

The Medial Plantar Nerve supplies the nail beds and tips of the lateral three and one-half toes.

<p>False (B)</p> Signup and view all the answers

The Lateral Plantar Nerve is responsible for motor branches to muscles in the sole of the foot.

<p>True (A)</p> Signup and view all the answers

The posterior tibial artery divides into the Medial Plantar Artery and the Lateral Plantar Artery.

<p>True (A)</p> Signup and view all the answers

The Lateral Plantar Artery is smaller and supplies the medial side of the big toe.

<p>False (B)</p> Signup and view all the answers

Digital arteries to the toes are supplied by branches from the dorsalis pedis artery.

<p>True (A)</p> Signup and view all the answers

The veins accompanying the arteries are referred to as the Medial and Lateral Plantar veins.

<p>True (A)</p> Signup and view all the answers

The Sural nerve is not mentioned as a part of the structures associated with the posterior tibial artery.

<p>False (B)</p> Signup and view all the answers

The Midinguinal point is located midway between the anterior superior iliac spine and the pubic symphysis.

<p>True (A)</p> Signup and view all the answers

The small saphenous vein drains into the femoral vein.

<p>False (B)</p> Signup and view all the answers

The great saphenous vein passes anterior to the medial malleolus.

<p>True (A)</p> Signup and view all the answers

Deep veins of the leg drain into the femoral vein.

<p>False (B)</p> Signup and view all the answers

The femoral vein becomes the external iliac when it passes underneath the inguinal ligament.

<p>True (A)</p> Signup and view all the answers

The tibial nerve branches off from the common fibular nerve.

<p>False (B)</p> Signup and view all the answers

The sural nerve is formed from branches of the tibial nerve.

<p>True (A)</p> Signup and view all the answers

Perforating veins connect superficial veins with deep veins.

<p>True (A)</p> Signup and view all the answers

The popliteal vein becomes the femoral vein after passing into the adductor hiatus.

<p>True (A)</p> Signup and view all the answers

The common fibular nerve is part of the lumbar plexus.

<p>False (B)</p> Signup and view all the answers

The deep veins of the lower limb accompany arteries.

<p>True (A)</p> Signup and view all the answers

The ankle joint primarily functions as a ball-and-socket joint.

<p>False (B)</p> Signup and view all the answers

The lateral collateral ligament of the ankle provides support against inversion injuries.

<p>True (A)</p> Signup and view all the answers

The tarsal tunnel contains the tendons of the long flexor muscles along with the posterior tibial artery and nerve.

<p>True (A)</p> Signup and view all the answers

The arches of the foot do not play a role in shock absorption during walking.

<p>False (B)</p> Signup and view all the answers

The plantar arch primarily supplies blood to the ventral aspect of the foot.

<p>True (A)</p> Signup and view all the answers

Inversion of the foot involves moving the sole of the foot laterally away from the midline.

<p>False (B)</p> Signup and view all the answers

The great saphenous vein is the longest vein in the body and typically drains into the popliteal vein.

<p>False (B)</p> Signup and view all the answers

The deep veins of the leg always run alongside the superficial veins.

<p>False (B)</p> Signup and view all the answers

The lateral plantar artery supplies blood to the lateral side of the foot including the fourth and fifth toes.

<p>True (A)</p> Signup and view all the answers

The subtalar joint is primarily responsible for inversion and eversion of the foot.

<p>True (A)</p> Signup and view all the answers

A pilon fracture usually occurs due to low axial forces, such as minor falls.

<p>False (B)</p> Signup and view all the answers

The ankle joint is a synovial joint involving the talus, tibia, and fibula.

<p>True (A)</p> Signup and view all the answers

The foot consists of 12 tarsal bones.

<p>False (B)</p> Signup and view all the answers

Dorsiflexion involves moving the top of the foot away from the leg.

<p>False (B)</p> Signup and view all the answers

Dorsiflexion and plantarflexion are the only movements allowed by the ankle joint.

<p>True (A)</p> Signup and view all the answers

The bones of the foot form both longitudinal and transverse arches, not lying in a horizontal plane.

<p>True (A)</p> Signup and view all the answers

Phalanges in the foot are categorized into three types for each digit except for digit 1.

<p>True (A)</p> Signup and view all the answers

The cuboid bone is one of the tarsal bones located on the medial side of the foot.

<p>False (B)</p> Signup and view all the answers

The anterior talofibular ligament is injured first during an inversion sprain.

<p>True (A)</p> Signup and view all the answers

The medial ligament of the ankle is composed of three separate ligaments.

<p>False (B)</p> Signup and view all the answers

Ankle sprains can occur from stepping on uneven surfaces.

<p>True (A)</p> Signup and view all the answers

Pott’s fracture occurs when the foot is forcibly inverted.

<p>False (B)</p> Signup and view all the answers

The calcaneofibular ligament is part of the medial ligaments of the ankle.

<p>False (B)</p> Signup and view all the answers

Eversion sprains are more likely to occur than inversion sprains.

<p>False (B)</p> Signup and view all the answers

The ankle joint is more stable in dorsiflexion compared to plantarflexion.

<p>True (A)</p> Signup and view all the answers

The deltoid ligament of the ankle attaches to the lateral malleolus.

<p>False (B)</p> Signup and view all the answers

The Medial Plantar Nerve supplies the medial side of the big toe.

<p>True (A)</p> Signup and view all the answers

The digital arteries to the toes arise from the Medial Plantar Artery.

<p>False (B)</p> Signup and view all the answers

Veins accompany arteries, and the Medial and Lateral Plantar veins are examples of this.

<p>True (A)</p> Signup and view all the answers

The posterior tibial artery does not divide into the Medial and Lateral Plantar Arteries.

<p>False (B)</p> Signup and view all the answers

The Midinguinal point is located midway between the anterior superior iliac spine and the ischial tuberosity.

<p>False (B)</p> Signup and view all the answers

The Lateral Plantar Nerve is cutaneous to the lateral one and one-half toes.

<p>True (A)</p> Signup and view all the answers

The Surreal nerve does not accompany any arteries in the lower limb.

<p>False (B)</p> Signup and view all the answers

The lateral collateral ligament of the ankle restricts movement during eversion injuries.

<p>False (B)</p> Signup and view all the answers

The tarsal tunnel is located medially and contains the posterior tibial artery and nerve.

<p>True (A)</p> Signup and view all the answers

Digital arteries of the toes are exclusively supplied by the anterior tibial artery.

<p>False (B)</p> Signup and view all the answers

The foot's arches primarily serve to enhance rigidity for force transmission during movement.

<p>False (B)</p> Signup and view all the answers

The subtalar joint primarily facilitates dorsiflexion and plantarflexion of the foot.

<p>False (B)</p> Signup and view all the answers

The ankle joint allows for hinge-like movements of dorsi- and plantarflexion.

<p>True (A)</p> Signup and view all the answers

Plantarfexion is primarily controlled by the subtalar joint.

<p>False (B)</p> Signup and view all the answers

The tarsal bones include both the cuboid and calcaneus.

<p>True (A)</p> Signup and view all the answers

The ankle joint does not involve any of the leg's bones.

<p>False (B)</p> Signup and view all the answers

The vascular supply of the sole of the foot is largely provided by the plantar arch.

<p>True (A)</p> Signup and view all the answers

The medial plantar nerve innervates the majority of the intrinsic muscles of the foot.

<p>False (B)</p> Signup and view all the answers

The great saphenous vein traverses posterior to the medial malleolus.

<p>False (B)</p> Signup and view all the answers

The talocalcaneonavicular joint is involved in dorsiflexion of the foot.

<p>False (B)</p> Signup and view all the answers

Tarsal joints allow for both inversion and eversion movements.

<p>True (A)</p> Signup and view all the answers

The subtalar joint allows for dorsi- and plantar flexion of the foot.

<p>False (B)</p> Signup and view all the answers

A pilon fracture involves a single fracture of the fibula due to low axillary forces.

<p>False (B)</p> Signup and view all the answers

Radiological imaging is essential for accurately interpreting fractures in the ankle joint.

<p>True (A)</p> Signup and view all the answers

The Tarsal tunnel contains tendons of the long flexor muscles and is located on the medial side of the ankle.

<p>True (A)</p> Signup and view all the answers

Eversion of the foot involves the medial movement of the foot's sole away from the midline.

<p>False (B)</p> Signup and view all the answers

The transverse arch does not include the cuboid bone.

<p>False (B)</p> Signup and view all the answers

The plantar aponeurosis plays no role in maintaining the arches of the foot.

<p>False (B)</p> Signup and view all the answers

The medial part of the longitudinal arch only involves the calcaneus and the cuboid.

<p>False (B)</p> Signup and view all the answers

The plantar calcaneonavicular ligament is also known as the short plantar ligament.

<p>False (B)</p> Signup and view all the answers

The lateral plantar nerve supplies sensory innervation to the medial side of the foot.

<p>False (B)</p> Signup and view all the answers

The sole of the foot is organized into three layers of muscles.

<p>False (B)</p> Signup and view all the answers

The longitudinal arch's lateral part includes the calcaneus, cuboid, and proximal ends of the fourth and fifth metatarsals.

<p>True (A)</p> Signup and view all the answers

The deep fascia in the sole of the foot does not thicken to form structures supporting the foot's arches.

<p>False (B)</p> Signup and view all the answers

The Lateral Plantar Nerve provides cutaneous sensation to the medial three and one-half toes.

<p>False (B)</p> Signup and view all the answers

The Medial Plantar Artery is larger and supplies blood to the lateral side of the big toe.

<p>False (B)</p> Signup and view all the answers

The digital arteries to the toes are supplied by the Medial Plantar Artery.

<p>False (B)</p> Signup and view all the answers

The posterior tibial artery forms the deep plantar arch after passing deep to the muscles of the sole of the foot.

<p>True (A)</p> Signup and view all the answers

The medial and lateral plantar veins contain no valves.

<p>False (B)</p> Signup and view all the answers

The sural nerve is a continuation of the femoral nerve.

<p>False (B)</p> Signup and view all the answers

The Midinguinal point is located midway between the pubic symphysis and the medial malleolus.

<p>False (B)</p> Signup and view all the answers

The deep plantar arch primarily supplies blood to the dorsal aspect of the foot.

<p>False (B)</p> Signup and view all the answers

Flashcards

Ankle Joint Osteology

Study of bone structure in the ankle joint.

Foot Arches

Structures in the foot that support weight.

Inversion/Eversion Movements

Turning foot inward (inversion) or outward (eversion).

Peripheral Pulses Lower Limb

Pulse points in the lower limb, used to assess blood flow.

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Tarsal Tunnel

Passageway in the foot containing nerves and blood vessels.

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Vascular supply of the sole of the foot

The blood vessels that provide blood flow to the sole of the foot

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Plantar arch

The arch of the foot that supports the weight of the body

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Surface anatomy of the lower limb

Visual representation of the structures on the surface of the lower limb

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Peripheral pulses

The rhythmic beat of blood in the arteries of the lower limb

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Radiological imaging of the foot and ankle

Using medical images (X-rays, ultrasound, etc.) to view the foot and ankle.

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Talus Movement

Lateral movement of the talus bone, often associated with lateral malleolus or fibula fractures above the inferior tibiofibular joint.

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Pilon Fracture

Multiple fractures of the tibia, typically caused by high impact forces, potentially involving the talus or fibula. Requires internal or external fixation.

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Subtalar Joint

A joint between the talus and calcaneus bones allowing gliding and rotation, crucial for inversion of the foot.

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Midtarsal Joint

Combination of the talocalcaneonavicular and calcaneocuboid joints, responsible for inversion and eversion movements of the foot.

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Tarsal Bones

Seven bones in the foot that form the ankle and arch. They include the talus, calcaneus, navicular, cuboid, and three cuneiform bones.

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Metatarsals

Five long bones in the foot connecting the tarsals to the phalanges. They are numbered 1-5 starting from the big toe.

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Phalanges

14 small bones in each foot, forming the toes. Each toe (except the big toe) has three phalanges: proximal, middle, and distal.

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Ankle Joint

A synovial joint formed by the talus of the foot and the tibia and fibula of the leg. It allows up-and-down movement of the foot (dorsi- and plantarflexion).

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Tibia and Fibula

The two long bones in the lower leg. The tibia is thicker and weight-bearing; the fibula is thinner and provides stability.

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Tibial Nerve Branches

The tibial nerve splits into two main branches: the medial plantar nerve and the lateral plantar nerve. These nerves supply sensation and movement to the foot.

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Medial Plantar Nerve

The medial plantar nerve supplies sensation to the medial three and a half toes, including nail beds and tips. It also controls some muscles in the sole of the foot.

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Lateral Plantar Nerve

The lateral plantar nerve supplies sensation to the lateral one and a half toes, including nail beds and tips. It also controls some muscles in the sole of the foot.

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Posterior Tibial Artery Branches

The posterior tibial artery splits into two branches: the medial plantar artery and the lateral plantar artery. Both arteries supply blood to the foot.

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Medial Plantar Artery

The medial plantar artery, a smaller artery, supplies blood to the medial side of the big toe.

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Lateral Plantar Artery

The lateral plantar artery, a larger artery, passes deep into the foot's muscles and forms the deep plantar arch. It joins the dorsalis pedis artery and supplies blood to the toes.

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Deep Plantar Arch

The deep plantar arch is created by the lateral plantar artery and is responsible for blood supply to the toes.

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Midinguinal Point

The midinguinal point is a landmark located halfway between the anterior superior iliac spine and the pubic symphysis (hip bones).

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Palpable pulse location

The pulse can be felt in the space between the tendons of extensor hallucis longus (EHL) and extensor digitorum longus (EDL) on the top (dorsal) of the foot, near the first metatarsal space.

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Palpable pulse location 2

The pulse can also be felt between the medial malleolus (inner ankle bone) and the heel.

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Small saphenous vein

A vein located on the lateral (outer) side of the foot, ascending posterior to the lateral malleolus, towards the popliteal vein.

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Great saphenous vein

A vein located on the medial (inner) side of the foot, ascending anterior to the medial malleolus, towards the femoral vein.

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Femoral vein

A major vein in the thigh that receives blood from the great saphenous vein, deep thigh veins, and perforating veins.

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Popliteal vein

A vein in the back of the knee that receives blood from the deep veins of the leg and the small saphenous vein.

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Deep veins of the lower limb

Veins located deep within the leg, accompanying arteries and draining into the popliteal vein. They include perforating veins.

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Common fibular nerve

A nerve that branches off from the sciatic nerve and travels along the back of the thigh towards the leg. It divides into the superficial fibular and deep fibular nerves.

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Superficial fibular nerve

A nerve that branches from the common fibular nerve and innervates the muscles that control ankle and foot dorsiflexion.

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Deep fibular nerve

A nerve that branches from the common fibular nerve and innervates the muscles that control toe extension and foot inversion.

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Peripheral Pulses in the Lower Limb

Pulse points in the lower limb that can be felt to check for blood flow. These points are located at the feet, ankles, and knees.

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Foot's Vascular Supply

The network of blood vessels that deliver oxygen and nutrients to the foot and remove waste products.

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Identifying Lower Limb Pulses

The ability to locate and feel the rhythmic beat of blood in arteries of the lower limb by touch.

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Radiological Imaging of Foot and Ankle

Using medical imaging techniques like X-rays, ultrasound, or MRI to visualize the structures of the foot and ankle.

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Surface Anatomy of Lower Limb

The study of structures visible on the surface of the lower limb.

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What bones form the ankle joint?

The ankle joint is formed by the talus of the foot and the distal ends of the tibia and fibula of the leg.

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Lateral Malleolus Fracture

A fracture of the outer ankle bone (lateral malleolus) that occurs above the inferior tibiofibular joint, often associated with lateral talus movement.

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Fibula Articular Surface

The area on the fibula that connects with the talus, covered with hyaline cartilage. The joint is wider anteriorly than posteriorly, leading to greater stability when the foot is dorsiflexed.

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Ankle Ligaments

Strong bands of tissue that connect the bones of the ankle, providing stability and preventing excessive movement. The lateral side has three main ligaments (anterior, posterior talofibular, and calcaneofibular), while the medial side has the strong deltoid ligament, composed of four parts.

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Ankle Sprain: Inversion

Overstretching or tearing the ligaments on the lateral side of the ankle, usually caused by rolling the foot inwards. The anterior talofibular ligament is typically injured first, followed by the calcaneofibular, and in severe cases, the posterior talofibular ligaments.

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Pott's Fracture

A fracture involving both the medial and lateral malleoli (ankle bone projections) usually caused by forced foot eversion (turning outward). This results in avulsion fractures caused by ligament tension.

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Talus

The bone in the foot that articulates with the fibula and tibia. The talus is essential for ankle movement; it is wider anteriorly than posteriorly.

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Hyaline Cartilage

Smooth and glossy cartilage that covers the ends of bones in joints. It reduces friction and allows for smooth movement.

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Medial Malleolus

The bony projection on the inner side of the ankle, formed by the tibia. It helps stabilize the ankle joint.

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Lateral Malleolus

The bony projection on the outer side of the ankle, formed by the fibula. It helps stabilize the ankle joint.

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Posterior Tibial Artery

Divides into the medial and lateral plantar arteries, supplying blood to the foot.

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Where is the Midinguinal Point?

Located halfway between the anterior superior iliac spine and the pubic symphysis.

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Where is the Palpable Pulse Location?

The pulse can be felt in the space between the tendons of extensor hallucis longus (EHL) and extensor digitorum longus (EDL) on the top (dorsal) of the foot, near the first metatarsal space.

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Inversion

Turning the sole of the foot inward, towards the midline of the body. Involves movement at the subtalar and midtarsal joints in the foot.

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Eversion

Turning the sole of the foot outward, away from the midline of the body. Involves movement at the subtalar and midtarsal joints in the foot.

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Extensor Retinacula

Strong bands of tissue that hold the tendons of the extensor muscles in the anterior compartment of the leg in place, preventing them from slipping out of position. Located above the ankle.

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What are the bones of the lower leg?

The tibia and fibula are the two long bones in the lower leg. The tibia is thicker and weight-bearing, while the fibula is thinner and provides stability.

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Inversion Ankle Sprain

Overstretching or tearing of ligaments on the lateral side of the ankle, usually caused by rolling the foot inwards. The anterior talofibular ligament is typically injured first, followed by the calcaneofibular, and in severe cases, the posterior talofibular ligaments.

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Dorsiflexion of the Foot

Moving the foot's top surface towards the leg, a movement that involves the anterior compartment of the leg and deep fibular nerve.

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Plantarflexion of the Foot

Moving the plantar surface of the foot away from the leg, a movement that involves the posterior compartment of the leg and tibial nerve.

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Longitudinal Arch

Curvature along the length of the foot, spanning from heel to toes, supporting the arch. It's comprised of two parts: the medial and lateral parts.

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Transverse Arch

The arch that runs across the foot, supporting the middle part of the foot where the tarsals meet the metatarsals, essentially forming the foot's width.

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Plantar Aponeurosis

A thick band of connective tissue on the sole of the foot, responsible for transferring weight, protecting the foot's nerves and blood vessels, and helping maintain the arches.

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Calcaneus

The heel bone; the largest bone in the foot, serving as the foundation for the arches and bearing significant weight.

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Plantar Calcaneonavicular (Spring) Ligament

Strong ligament connecting the calcaneus to the navicular bone, supporting the medial longitudinal arch and acting as a shock absorber.

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Palpable Pulse Location (Foot)

A location on the top of your foot where you can feel the pulse of the dorsalis pedis artery.

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Palpable Pulse Location (Ankle)

A location on the inside of your ankle where you can feel the pulse of the posterior tibial artery.

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Study Notes

Ankle, Foot, Peripheral Pulses and Venous Drainage of the Lower Limb

  • The foot is composed of: 7 tarsal bones, 5 metatarsal bones, and 14 phalanges.
  • The ankle joint is a synovial joint involving the talus of the foot and the distal ends of the tibia and fibula.
  • The ankle allows hinge-like dorsiflexion and plantarflexion.
  • The articular surface is covered by hyaline cartilage; the talus is wider anteriorly than posteriorly, contributing to stability during dorsiflexion. Medial and lateral ligaments stabilize the joint.
  • The lateral ligament of the ankle consists of three separate ligaments: anterior talofibular, calcaneofibular, and posterior talofibular ligaments.
  • The medial (deltoid) ligament is strong, large, and triangular, composed of four separate ligaments.
  • Ankle sprains occur when ankle ligaments are stretched (but not ruptured), ranging from mild to severe. Inversion sprains are more common, stretching lateral ligaments (anterior talofibular, calcaneofibular, and posterior talofibular). Eversion sprains are less common.
  • Pott's fracture-bimalleolar ankle fracture involves the forcible eversion of the foot, pulling on the medial malleolus. The talus moves laterally, causing fractures of the lateral malleolus and possibly the fibula superior to the inferior tibiofibular joint.
  • Pilon fracture involves multiple fractures of the tibia, often from high axial forces. Fixation is usually required.
  • Tarsal joints include the subtalar (allows gliding and rotation, crucial for inversion), talocalcaneonavicular, and calcaneocuboid joints; midtarsal/inter/transverse tarsal joint (combined talocalcaneonavicular and calcaneocuboid). Movement includes inversion and eversion.
  • The tarsal tunnel is between the tarsal bones and the flexor retinaculum on the medial side of the ankle.
  • Movements at the ankle include dorsiflexion (moving the top of the foot toward the leg), plantarflexion (moving the sole of the foot away from the leg), inversion (directing the sole of the foot medially), and eversion (directing the sole of the foot laterally).
  • The arches of the foot (longitudinal and transverse) absorb and distribute weight, with the medial longitudinal arch involving the calcaneus, talus, navicular, three cuneiforms, and the first three metatarsals; the lateral part involves the calcaneus, cuboid, and the last two metatarsals. The transverse arch connects the tarsals and metatarsals. These arches are maintained by ligaments and muscles.
  • The plantar ligaments(calcaneocuboid, calcaneonavicular) are strong and crucial for maintaining the arches of the foot, particularly the medial longitudinal arch.
  • The sole of the foot has thick skin, plantar fascia, and plantar nerves. Plantar fascia divides into slips which encircle flexor muscles. This structure is important for supporting the foot's arches.
  • Peripheral pulses assessed at the midinguinal point, behind the medial malleolus, and using Doppler ultrasound.
  • Superficial veins include the small saphenous vein (lateral side of dorsal venous arch) and the great saphenous vein (medial side of dorsal venous arch). Both drain into the popliteal and femoral veins, respectively. Deep veins accompany arteries. Perforating veins connect deep and superficial veins in the leg.
  • Nerves include tibial, common fibular, superficial fibular, deep fibular, and saphenous branches; crucial for sensation, movement, and reflexes in the lower limb. Nerves originate primarily from the sacral plexus.

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