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How many bones are in the foot?
26
How many muscles are in the foot?
19
How many ligaments are in the foot?
over 100
Tarsal bones
talus, calcaneus, navicular, 3 cuneiform bones, cuboid
Where are the 2 sesamoid bones in the foot located?
flexor hallucis longus tendons beneath the metatarsophalangeal joint
Tibiofibular joint classification
syndesmotic amphiarthrodial
What provides support between the tibia and fibula shafts?
ligament and strong, dense interosseus membrane
High ankle sprain commonly involves what ligament?
anterior inferior tibiofibular ligament
High ankle sprain is classified as what type of joint sprain?
syndesmosis joint sprain
What happens to the ankle in a high ankle sprain?
dorsi flexed ankle that is forced into external rotation
What is the most common injury in physically active people?
ankle sprain
What is the most common cause of an ankle sprain?
excessive inversion during plantar flexion
What ligament is most commonly damaged in a common ankle sprain?
anterior talofibular ligament
Sinus Tarsi
canal located on the lateral side of the food between the talus and calcaneus
What does the sinus tarsi play a role in?
balance and proprioception
sinus tarsi syndrome
usually develops as a result of an ankle sprain or repetitive sprains, causes inflammation and swelling in the canal
Proper name for ankle joint
talocrural
talocrural joint classification
ginglymus (hinge)
talocrural joint movements
dorsiflexion and planar flexion
talocrural joint bones
talus, distal tibia and fibula
Subtalar/talocalcaneal joint
meeting point of the talus and calcaneus
subtalar joint classification
arthrodial (gliding)
subtalar joint movements
inversion and eversion
Transverse tarsal joint
calcaneus with cuboid with talus with navicular
transverse tarsal joint classfication
arthrodial (gliding)
transverse tarsal joint movements
inversion and eversion
Intertarsal and tarsometatarsal joint classification
arthrodial (gliding)
metatarsophalangeal joint classification
condyloid
metatarsophalangeal joint movement
flexion, extension, abduction, adduction
varies from person to person
interphalangeal joint classification
ginglymus (hinge)
interphalangeal joint movements
flexion and extension
What are ligaments in the foot and ankle used for?
maintain arches
longitudinal arches
medial and lateral
medial longitudinal arch helps with?
shock absorption
lateral longitudinal arch helps with?
balance
transverse arch
extends across foot from 1st to 5th metatarsal
plantar fasciitis
common painful condition involving plantar fascial inflammation
plantar fascia
broad structure extending from medial calcaneal tuberosity to proximal phalanges of toes, assists in stabilizing medial longitudinal arch and propelling body foreward
pronation of foot
combo of dorsiflexion, eversion, and forefoot abduction
supination of foot
combo of plantar flexion, inversion, and forefoot adduction
dense fascia
tightly surrounds each muscle compartment, facilitates venous return and prevents excessive swelling during exercise
anterior muscle compartment
dorsi flexors- tibialis anterior, peroneus tertius, extensor digitorum longus, extensor hallucis longus
lateral muscle compartment
evertors- peroneus longus, peroneus brevis
superficial posterior muscle compartment
plantar flexors- gastrocnemius, soleus, plantaris
deep posterior muscle compartment
plantar flexors and invertors- flexor digitorum longus, flexor hallucis longus, popliteus, tibialis posterior
compartment syndrome
most common in anterior portion, swelling, pain, and weakness in muscles
treatment: surgery to release fascia
shin splints
painful leg condition often associated with running activities, different musculotendinous injuries
treatment: stretch plantar flexors and strengthen dorsiflexors
how many vertebrae do we have?
24 articulating, 9 fused
How many spinal nerves do we have?
31 pairs
Spine sections
7 cervical, 12 thoracic, 5 lumbar, 5 fused sacrum, 4 fused coccyx
Curves of the back
4 total that enable the spine to absorb shock
3 moveable- cervical (posterior), thoracic (anterior), lumbar (posterior)
how many pairs of ribs do we have?
12- 7 true, 5 false (3 fused, 2 floating)
atlantooccipital joint
first joint of spine, formed by occipital condyles of skull sitting on atlas
atlantooccipital joint classfifcation
condyloid
atlantooccipital joint movements
flexion/extension, lateral movements of head
atlantoaxial joint
2nd joint of spine, atlas articulating with axis
atlantoaxial joint classification
trochoid
atlantoaxial joint movements
cervical rotation (shaking the head no)
vertebral articulations classification
arthrodial (gliding)
annulus fibrosus
outer rim of dense fibrocartilage in intervertebral disk
Nucleus pulposus
central gelatinous, pulpy substance
herniated (slipped) disk
nucleus protrudes through annulus which puts pressure on spinal nerve root
lordosis
increased posterior concavity of lumbar and cervical curves
kyphosis
increased anterior concavity of thoracic curve
scoliosis
lateral curvatures of sideward deviations of spine
movements of the spine
most occurs in cervical and lumbar areas
cervical movements
movements of head and neck
flexion/extension, lateral flexion, rotation
lumbar motion
combined motion in thoracic and lumbar regions
flexion/extension, lateral flexion, reduction, rotation
erector spinae
largest muscle, extends from pelvic region to cranium
iliocostalis, spinalis, longissimus
muscles of spine assist in?
moving the spine and aid in respiration
abdominal wall muscle attachments?
attach to a fascia, do not go bone to bone
muscles that move the head
originate on cervical vertebrae and insert on occipital bone
sternocleidomastoid
origin: manubrium of sternum, anterior surface of clavicle
insertion: mastoid process
movements: extension of head, flexion of cervical spine, rotation, lateral flexion
rectus abdonminis
origin: crest of pubis
insertion: cartilage of 5,6,7th ribs and xiphoid process
movements: lumbar flexion, weak lateral flexion
external oblique
muscle fibers point downwards towards hips
lumbar flexion, lumbar lateral flexion and rotation
internal oblique
muscle fibers post upward towards ribs
lumbar flexion, lumbar lateral flexion and rotation
transverse abdominis
muscle fibers lay horizontally
forced expiration by pulling abdominal wall