Foot/Ankle Lecture Notes PDF

Foot/Ankle: Overview (Ch. 11)  System—complex arrangement of 26 bones and 34 joints  Function—within 1 second, both as a mobile adaptor and as a rigid lever during stance phase of gait  Injury—ankle injuries among the most common orthopedic injuries sustained  Arches, muscles, and ligame...

Foot/Ankle: Overview (Ch. 11)  System—complex arrangement of 26 bones and 34 joints  Function—within 1 second, both as a mobile adaptor and as a rigid lever during stance phase of gait  Injury—ankle injuries among the most common orthopedic injuries sustained  Arches, muscles, and ligaments interact to facilitate key functions of the ankle and foot 1  How to Organize?  Clinical Scenario/Problem  Osteokinematic motion: Focus on Attachements  Muscle activity associated with osteokinematics  Key Bony Palpations/Anatomy/Moment Arms  Anatomy limiting/causing arthrokinematic motion  Physical examination/palpations (LAB)  Biomechanical considerations 2 3  How to Organize?  Clinical Scenario/Problem  Osteokinematic motion: Focus on Attachments  Muscle activity associated with osteokinematics  Key Bony Palpations/Anatomy/Moment Arms  Anatomy limiting/causing arthrokinematic motion  Physical examination/palpations (LAB)  Biomechanical considerations 4 Osteokinematics: Plantarflexion 5 Osteokinematics: Dorsiflexion 6 Osteokinematics: Eversion 7 Osteokinematics: Inversion 8 Osteokinematics: Ab/Ad- duction 9  Osteokinematics: Supination/Pronation=Combines motions 10  Actual axes oblique=>Pro-,Supination 11  How to Organize?  Clinical Scenario/Problem  Osteokinematic motion: Focus on Attachments  Muscle activity associated with osteokinematics  Joints/Axes of the Foot/Ankle  Anatomy limiting/causing arthrokinematic motion  Physical examination/palpations (LAB)  Biomechanical considerations  Clinical Scenario/Solution 12  Actual axes oblique=>Pro-,Supination 13 Joints:Talocrural,Subtalar,Transvers e Tarsal 14 Joints:Talocrural,Subtalar,Transvers e Tarsal 15 Bones forming joints 16  Joints: Talocrural-Plantar/Dorsiflexion 17  Joints: Subtalar (Inversion/Eversion) 18  How to Organize?  Clinical Scenario/Problem  Osteokinematic motion: Focus on Attachments  Muscle activity associated with osteokinematics  Joints/Axes of the Foot/Ankle  Anatomy limiting/causing arthrokinematic motion  Physical examination/palpations (LAB)  Biomechanical considerations  Clinical Scenario/Solution 19 Anatomy limiting/causing arthrokinematic motion 20 Anatomy limiting/causing arthrokinematic motion 21  How to Organize?  Clinical Scenario/Problem  Osteokinematic motion: Focus on Attachments  Muscle activity associated with osteokinematics  Joints/Axes of the Foot/Ankle  Anatomy limiting/causing arthrokinematic motion  Physical examination/palpations (LAB)  Biomechanical considerations  Clinical Scenario/Solution 22 Biomechanics: Arches, Pro-,Supination 23 Biomechanics: Arches, Pro-,Supination 24 Biomechanics: Dropped Arch, Knee/Hip Pain 25  Foot Deformities cause knee/hip issues  Pes Planus (dropped arch)  Pes Cavus (Club foot)  Hallux Valgus (related to pes planus) 26  How to Organize?  Clinical Scenario/Problem  Osteokinematic motion: Focus on Attachements  Key Bony Palpations/Anatomy/Moment Arms  Arthokinematic Motion: Convex-Concave Principle  Anatomy limiting/causing arthrokinematic motion  Muscle activity associated with osteokinematics 27 28