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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
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resting position of the talocrural joint
10 degrees PF and miway btwn sup and pro (slight sup) (5 degrees inversion)
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resting pos of sup tib fib joint
25 degrees knee flex, 10 degrees PF
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when to do post glide of sup fib?
to improve PF
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DoF of inf tib/fib jnt
2 - caudal/cephal ant/post
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motions of distal fib in DF
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motions of distal fib in PF
- add
- ant
- IR (or ER depending on source)
- inf
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fib has only __% WB of forces coming thru femur to lower chain
10
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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
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fib motion in pronation and sup
- pro: prox and ant
- sup: distal and post
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mobilize distal fib ant to stim...?
PF
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move distal fib cephalad for __ n __
DF n inverson
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mov distal fib caudal for __ and _
PF and inversion
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incidence of foot/ankle injury in general pop >__%
problems canbe corrected by
- 80%
- proper assessmnt
- treatment
- care of feet
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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
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how many bones and joints in a foot/ankle complex?
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PF/DF occur in __ plane around __ axis
-
-
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proprtional cotribution of eachcomponent in sup/pronation depends on...
... the unique angle of the pro/sup axis
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transverse tarsal joint line seperates which bones?
calc and talus .... cuboid (lat) and navicular (med)
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tarsometatarsal joint line runs between...?
the row with the cuboid (lat) and the med, intermed, and lat cuneiforms ..... the 5 metatarsals
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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
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valgus in hindfoot
- calc: everts/rotates medially
- talus: adducts
- hindfoot: goes into pronation
- forefoot: goes into sup to keep you balanced
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joints of the hindfoot
- talocrural
- talocalcaneal/subtalar
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joints of the midfoot
- Talocalcaneonavicular joint
- Talonavicular joint
- Calcaneocuboid joint
- Cuneonavicular joint
- Cuboideonavicular joint
- Intercuneiform joints
- Cuneocuboid joint
- Tarsometatarsal joints
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where is the trochlea of the talus wider?
anteriorly
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med or lat, which trochlear facet is bggr?
lat
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three articular surfaces of the body of the talus
- medial (tibial) smaller
- lateral (fibular) larger
- superior (trochlear)
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what kind of joint is the talonavicular?
ball and socket
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inv / eversion happens at which joint?
subtalar
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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
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capsular pattern of hindfoot's talocrural joint
PF more limited than DF
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