The Distal Tibiofibular Ankle Syndesmosis: A Qualitative and ...
Ankle and Foot Tiffany, Brian, Marc. Tibiofibular Ligaments Anterior Tibiofibular Ligament Attaches...
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Transcript of Ankle and Foot Tiffany, Brian, Marc. Tibiofibular Ligaments Anterior Tibiofibular Ligament Attaches...
![Page 1: Ankle and Foot Tiffany, Brian, Marc. Tibiofibular Ligaments Anterior Tibiofibular Ligament Attaches the Anterior Distal Tibia to the anterior Distal Fibula.](https://reader035.fdocuments.net/reader035/viewer/2022062304/56649dd05503460f94ac6448/html5/thumbnails/1.jpg)
Ankle and FootTiffany, Brian, Marc
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Tibiofibular Ligaments
Anterior Tibiofibular Ligament
Attaches the Anterior Distal Tibia to the anterior Distal Fibula
Posterior Tibiofibular Ligament
Attaches posterior tibia
to the posterior fibula
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Extensor Retinacula
Goes across the ankle and attaches medially to the tibia and laterally to the fibula.
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Plantar Ligaments
Long Plantar Ligament Goes from calcaneus to 2-
4 metatarsels Short Plantar Goes off the side of the
long plantar ligament
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Plantar Aponeurosis
Goes over the long and short plantar ligaments
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Interrosseous ligament
Runs between the tibia and the fibula
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Plantaris
O-Posterior lateral condyle of femur
I-Posterior calcaneus A-Weak assist in knee flex;
ankle plantar flexion IN-Tibial nerve, popliteal
artery
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Tibialis Anterior
O-Lateral tibia and interosseous membraneI-1st Cuneiform and metatarsalA-Ankle inversion and dorsiflexionIN-Deep peroneal nerve; Anterior tibial artery
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Tibialis Posterior
O-Interosseous membrane; adjacent tibia and fibulaI-Navicular and most tarsels and metatarselsA-Ankle inversion; assists in plantarflexionIN-Tibial nerve ; Fibular artery
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Peroneus Longus
O-Lateral proximal fibula and interosseous membrane
I-Plantar surface of 1st cuneiform and metatarsal
A-Ankle eversion; assists in ankle plantarflexion
IN-Superficial peroneal nerve; fibular artery
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Bones: Tibia & Fibula
TIBIA FIBULA
medial malleolus headfibular notch lateral malleolus
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Bones: Tarsals
Calcaneus Navicular Cuneiforms Talus Cuboid
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Bones: Metatarsals & Phalangeals
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Plantar Fasciitis•The plantar fascia (or plantar aponeurosis) is the thick connective tissue which supports the arch of the foot.
•It runs from the tuberosity of the calcaneus forward to the heads of the metatarsal bones. It is the source of plantar fasciitis.
•The plantar fascia supports the arch of the foot by acting as a tie-rod, where it undergoes tension when the foot bears weight.
•When tension becomes too much, small tears are made in the fascia. Repeatitive tearing and stretching create an inflamed and painful area.
•Most people complain of symptoms in the morning, or after exercising like jogging of playing tennis.
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Causes of Plantar Fasciitis
•Physical activity •Improper shoes
•Diabetes
•Arthritis
•Heredity
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Prevention
Maintain healthy weight Stay away from those old beat-up
tennis shoes Begin any sport activity slowly Stretch in the morning and
throughout the day
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Treatments
Night splints – helps keep fascia from contracting during the night.
Orthotics – may help distribute weight more evenly on the feet.
Physical therapy – instruction for strength training exercises for LE.
Corticosteroids – provide temporary relief.
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Surface Anatomy
•Calcaneal tendon also known as the Achilles tendon.
•Lateral malleolus
•Medial malleolus
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Surface Anatomy
•Extensor digitorum longus tendon•Extensor Hallucis longus tendon•Tibialis anterior tendon•Extensor hallucis brevis tendon•Fibularis longus tendon(Peroneus longus)
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Surface Anatomy
Great Saphenous Vein originates from where the dorsal vein of the large toe merges with the dorsal venous arch of the foot.
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Surface Anatomy Site of Dorsalis Pedis
The dorsal pedis pulse can be palpated laterally to the extensor hallucis longus tendon on the top surface of the foot.
Doctors use this site to determine if a patient has peripheral vascular disease.
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Flexor Hallucis Longus O: Posterior fibula and
intersseous membrane I: Distal phalanx of big toe A: Flexes big toe; inversion & plantar flexion of ankle I: Tibial nerve V: Fibular artery
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Peroneus Brevis O: Lateral distal fibula I: Base of 5th metatarsal A: Ankle eversion; assists in plantar flexion I: Superficial peroneal V: fibular artery
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Flexor Digitorum Longus O: Posterior tibia I: Distal phalanx of the four lesser toes A: Flexes four lesser toes; assists in ankle inversion
plantar flexion of ankleI: Tibial nerveV: Posterior tibial artery
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Peroneus Tertius O: Distal medial fibula I: Base of 5th metatarsal A: Assists in ankle eversion
and dorsiflexion I: Deep peroneal nerve V: Anterior tibial artery
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Gastrocnemius O: Medial and lateral condyles of the femur I: Posterior calcaneus A: Knee flexion, ankle plantar flexion I: Tibial nerve V: Popliteal artery
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Extensor Digitorum Longus O: Fibula, interosseous membrance, tibia I: Distal phalanx of the four lesser toes A: Extends the four lesser toes, assists in ankle
dosiflexion I: Deep peroneal nerve V: Anterior tibial artery
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Soleus O: Posterior tibia and fibula I: Posterior calcaneus A: Ankle plantar flexion I: Tibial nerve V: Posterior tibial artery
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Extensor Hallucis Longus O: Fibula and interosseus membrane I: Distal phalanx of great toe A: Extends first toe; assists in ankle inversion
and dorsiflexion I: Deep peroneal nerve V: Anterior tibial artery