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what to do to faciitate PF in a stif pt
sidelying, lat side up, do inversion by doing caudal thrust on fib
resting position of the talocrural joint
10 degrees PF and miway btwn sup and pro (slight sup) (5 degrees inversion)
resting pos of sup tib fib joint
25 degrees knee flex, 10 degrees PF
when to do post glide of sup fib?
to improve PF
DoF of inf tib/fib jnt
2 - caudal/cephal ant/post
motions of distal fib in DF
motions of distal fib in PF
- IR (or ER depending on source)
fib has only __% WB of forces coming thru femur to lower chain
hyaline cartilage of prox tib/fib joint is dependent on ___ to maintain joint cartilage nourishment
mobility -- so prox tib/fib joint must be mobile too, to let distal joint be mobile
fib motion in pronation and sup
- pro: prox and ant
- sup: distal and post
mobilize distal fib ant to stim...?
move distal fib cephalad for __ n __
DF n inverson
mov distal fib caudal for __ and _
PF and inversion
incidence of foot/ankle injury in general pop >__%
problems canbe corrected by
- proper assessmnt
- care of feet
lesions of foot and ankle can lead to...?
- altered gait mechanics
- stress other LE jnts
- further pathology
- an go up to sciatic ad lumbar spine, esp L5-S1
how many bones and joints in a foot/ankle complex?
PF/DF occur in __ plane around __ axis
proprtional cotribution of eachcomponent in sup/pronation depends on...
... the unique angle of the pro/sup axis
transverse tarsal joint line seperates which bones?
calc and talus .... cuboid (lat) and navicular (med)
tarsometatarsal joint line runs between...?
the row with the cuboid (lat) and the med, intermed, and lat cuneiforms ..... the 5 metatarsals
stand w feet forward, turn to look over L shoulder, this affects the feet how?
- L foot: calc is inverted, talus is abd, DF, forefoot is sup
- R foot: calc is everted, talus is add, DF, forefoot is pronated
valgus in hindfoot
- calc: everts/rotates medially
- talus: adducts
- hindfoot: goes into pronation
- forefoot: goes into sup to keep you balanced
joints of the hindfoot
joints of the midfoot
- Talocalcaneonavicular joint
- Talonavicular joint
- Calcaneocuboid joint
- Cuneonavicular joint
- Cuboideonavicular joint
- Intercuneiform joints
- Cuneocuboid joint
- Tarsometatarsal joints
where is the trochlea of the talus wider?
med or lat, which trochlear facet is bggr?
three articular surfaces of the body of the talus
- medial (tibial) smaller
- lateral (fibular) larger
- superior (trochlear)
what kind of joint is the talonavicular?
ball and socket
inv / eversion happens at which joint?
the undersurface of the talus has 3 articular surfaces with the calc. What are they? Lets talk capsules
- ant, middle, post
- ant and middle share a capsule w the talonavicular joint
- post has it's own capsule with the calcaneus
capsular pattern of hindfoot's talocrural joint
PF more limited than DF