8977 Lecture Notes - Lecture 4: Neuroma, Fibula, Tendinosis
3 Jul 2018
School
Department
Course
Professor
Ankle and Foot Injuries
Anatomy
Bones
- Tib, fib, talus, calcaneus, nav, cuboid, medial, middle + lat cuneiforms, metatarsals,
phalanges, sesamoids
Joints
- Inferior tib fib, talocrural, subtalar
- mid: talonavicular, calcaneocuboid, cubonav, cunnav, cuncuboid, intercuneiform
- forefoot: tarsalmetatarsal, prox intermetatarsal, MTP, PIP, DIP
Ligaments of ankle and midfoot
- ATFL
- CFL
- PTFL
- ATiFL
- Syndesmosis
- Deltoid – 3 bands
- Cervical
- Bifurcate
- Sping
- Plantar fascia
- Listranc
Muscles
- All peroneals
- Tom, Dick ANd Harry
- Tib Ant
- Toe extensors
- Toe flexors, abductors, interossei
Nerves
- Main branches of peroneal, sural and tibial nerves and their pathways
Vessels
- Main branches of ant tibial and post tibial arteries
find more resources at oneclass.com
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Common Injuries:
-Inversion injury
oLat ligament/s
oNever simple
oUsu not isolated
oCondral surfaces
oBone
oTendon injury
-Eversion injury
oMedial ligs
oBone
oChondral
-Rotation
oSpiral fracture
oLigs
oSyndesmosis
-Impact/forced DF or PF
oSyndesmosis
ofracture
oosteochondral
oimpingements
-Overload
oTendinopathies
oAchilles
oTib post
-Sudden acceleration/deceleration
oGastroc tear
oAchielles fracture
Observe Normal Movement
- Through gait cycle
- Toes, nails and callouses
- Foot posture index
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Tib, fib, talus, calcaneus, nav, cuboid, medial, middle + lat cuneiforms, metatarsals, phalanges, sesamoids. Mid: talonavicular, calcaneocuboid, cubonav, cunnav, cuncuboid, intercuneiform forefoot: tarsalmetatarsal, prox intermetatarsal, mtp, pip, dip. Main branches of peroneal, sural and tibial nerves and their pathways. Main branches of ant tibial and post tibial arteries. Inversion injury: lat ligament/s, never simple, usu not isolated, condral surfaces, bone, tendon injury. Impact/forced df or pf: syndesmosis, fracture, osteochondral, impingements. Black bone = boney oedema, bruising in bone. = represent fracture of trabeculae, probably will damage cartilage surface as well. Line determines healing capacity: peroneus longus pull off bone, forefoot adduction movement , stress fractures potential screw fixation* In high contact or sport, or caught in stirrup. Haglins zone includes bursa in front of achieles tendon. Sharp = fractured of via repeated or foced plantar flexion. = swelling or inflammation in back of joint can result in chronic impingement.
