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Bontrager Lower Limb
| Question | Answer |
|---|---|
| How many bones are in a foot? | 26 |
| What are the divisions of bones in the foot? | Phalanges, metatarsals, tarsals |
| How many bones make up the phalanges? | 14 |
| How many bones make up the metatarsals? | 5 |
| How many bones make up the tarsals? | 7 |
| How many phalanx are in the first digit? | 2, proximal and distal |
| How many phalanx are in the 2nd through 5th digits? | 3, proximal, middle, and distal |
| What are the two noticeable differences from the phalanges of the foot and hand? | The phalanges of the foot are smaller, and their movements are more limited than the phalanges of the hand |
| What are the 3 parts divisions of the metatarsals? | Head, body, and base |
| Where is the base of the metatarsal located? | At the proximal end |
| What is a common trauma site for the foot? | Tuberosity at the proximal portion of the 5th metatarsal |
| What joint is between the proximal and distal phalanges of the first digit? | IP joint; interphalangeal joint |
| What joint is between the proximal and middle phalanges of the foot? | Proximal interphalangeal joint; PIP |
| What joint is between the middle and the distal phalanges? | Distal interphalangeal joint; DIP |
| What is the joint at the head of the metatarsal? | Metatarsophalangeal joint; MTP |
| What is the joint at the base of the metatarsal? | Tarsometatarsal joint; TMT |
| Where does the CR enter on an AP and oblique foot? | Base of the 3rd metatarsal |
| What is the largest sesamoid bone in the body? | Patella |
| Where are the sesamoid bones in the foot usually always located? | Posterior or plantar surface at the head of the first metatarsal |
| What is the sesamoid bone on the medial side of the lower limb called? | Tibial sesamoid |
| What is the sesamoid bone on the lateral side of the lower limb called? | Fibular sesamoid bone. |
| What are the tarsal bones? | Calcaneus/ talus/ cuboid/ navicular/ 1st, 2nd, 3rd, cuneiforms |
| Which ankle bone is directly involved in the ankle joint? | Talus |
| What is the largest and strongest bone of the foot? | The calcaneus |
| What is the posterior portion of the calcaneus often called? | The heel |
| What is the process on the most posterior-inferior part of the calcaneus? | Tuberosity |
| What are the rough and striated processes in which large tendons attache? | Lateral and medial processes |
| Which of the processes is bigger? | Lateral process |
| Which of the processes is smaller and less pronounced? | Medial process |
| What is another ridge of bone that varies in size and shape and is seen laterally on an axial projection? | Peroneal trochlea |
| What is the peroneal trochlea also called? | Troclear process |
| What is on the medial proximal aspect, and is a larger more prominent bony process? | Sustentaculum tali |
| What bones does the calcaneus articulate with? | Cuboid anteriorly; talus superiorly |
| The superior articulation with the talus forms what joint? | Subtalar joint |
| What are the 3 specific articular facets that appear at the subtalar joint? | Posterior articular facet, anterior articular facets, middle articular facets. |
| Which is the largest of the three articular facets? | The posterior articular facet |
| Which is the smaller of the articular facets? | Anterior articular facet |
| What is the deep depression between the posterior and middle articular facets called? | Calcaneal sulcus |
| What is the opening in the middle of the subtalar joint? | Sinus tarsi |
| Where is the navicular located? | Medial side of the foot between the talus and the 3 cuneiforms |
| What bones does the navicular articulate with? | Posteriorly with the talus, anteriorly with the 3 cuneiforms |
| Where are the cuneiforms located? | Medial and mid aspects of the foot between the 1st three metatarsals distally and the navicular proximally. |
| How are the 3 cuneiforms named? | Medial or 1st, intermediate or 2nd, and lateral or 3rd |
| What bones does the medial cuneiform articulate with? | 4bones/ Navicular proximally, 1st and 2nd metatarsals distally and the intermediate cuneiform laterally. |
| What bones does the intermediate cuneiform articulate with? | 4bones/ Navicular proximally, 2nd metatarsal distally, and the medial and lateral cuneiforms on each side. |
| What bones does the lateral cuneiform articulate with? | 6bones/ Navicular proximally, 2nd 3rd and 4th metatarsals distally, the intermediate cuneiform medially, and the cuboid laterally. |
| Where is the cuboid located? | Lateral aspect of the foot, distal to the calcaneus and proximal to the 4th and 5th metatarsals. |
| What bones does the cuboid articulate with? | 4bones/ calcaneus proximally, the lateral cuneiform medially, and the 4th and 5th metatarsals distally. |
| Describe the longitudinal arch. | Comprises a medial and lateral component with most of the arch located on the medial and mid aspects of the foot. |
| Describe the transverse arch. | Located primarily along the plantar surface of the distal tarsals and the tarsometatarsal joints. Primarily made up of the wedge-shaped cuneiforms |
| How many bones form the ankle joint? | 3, tibia, fibular, and talus |
| What is the distal end of the fibula called? | Lateral malleolus |
| What is the medial elongated process of the tibia that extends down alongside the medial talus? | Medial malleolus |
| What is the inferior portions of the tibia, and fibula that form a deep socket called? | Mortise |
| Will an AP ankle show the mortise? | No |
| What projection will show the mortise? | 15 degree internally rotated AP oblique projection |
| What is an expanded process at the distal anterior and lateral tibia that has been shown to articulate with the superiolateral talus? | Anterior tubercle |
| What forms the roof of the ankle mortise joint? | Distal tibial joint surface |
| What is the distal tibial joint surface that forms the roof of the ankle mortise joint called? | tibial plafond |
| What is demonstrated when the ankle joint is seen in a true lateral position? | Distal fibula located about 1cm posterior in relation to the distal tibia. |
| What is demonstrated when the ankle joint is in an axial view? | The concave inferior surface of the tibia, lateral and medial malleoli of the fibula and tibia, the smaller fibular is shown to be more posterior |
| What type of joint is the ankle joint? | Synovial joint of the sellar type |
| What are the 2 bones of the lower leg? | Tibia, fibula |
| What is the weight bearing bone of the lower leg? | Tibia |
| What 3 parts make up the tibia? | Central body and 2 extremities |
| What are the 2 large processes that make up the medial and lateral aspects of the proximal tibia? | Medial and lateral condyles |
| What are the intercondylar eminence divisions? | Medial and lateral intercondylar tubercles |
| Where are the medial and lateral intercondylar tubercles located? | on the superior surface of the tibial head between the 2 condyles |
| Describe the articular facets | Upper articular surface of the condyles, two smooth concave areas |
| What are the articular facets commonly called? | tibial plateau |
| What do the articular facets articulate with? | femur |
| Where are the articular facets seen on a lateral view? | slope posteriorly from 10- 20 degress in relation to the long axis of the tibia |
| Where is the tibial tuberosity located? | The proximal extremity of the tibia, it is a rough-textured prominence located on the midanterior surface of the tibia just distal to the condyles |
| What attaches to the tibial tuberosity? | Patellar tendon |
| Osgood-Schlatter disease? | when the tibial tuberosity seperates from the body of the tibia |
| Where is the anterior crest located? | along the anterior surface of the body |
| What is the anterior crest commonly known as? | shin, or shin bone |
| Which is the smaller of the two extremities of the tibia? | the distal extremity |
| What is the short pyramid-shaped process that is at the end of the distal extremity? | medial malleolus |
| The lateral aspect of the distal extremity of the tibia forms what? | fibilar notch |
| Where is the fibula located? | laterally and posteriorly to the larger tibia |
| What is the proximal extremity of the fibula called? | head |
| What is the extreme proximal aspect of the of the fibula? | apex |
| What is the tapered area just below the head of the fibula? | neck |
| What is the enlarged distal end of the fibula called? | lateral malleolus |
| What is the smooth, shallow triangular depression at the distal portion of the anterior femur? | patellar surface |
| What is the patellar surface sometimes referred to as? | intercondylar sulcus, trochlear groove |
| When the leg is fully extended, how does the patella lay? | superior to the patellar surface |
| When the leg is flexed where does the patella lay? | moves distally or downward over the patellar surface |
| What view best demonstrated the two large, rounded condyles | posterior view |
| When the femoral shaft is vertical, where dow the condyles lie? | the medial condyle extends lower than the lateral condyle |
| What is the slightly raised area that receives the tendon of an adductor muscle on the posteriolateral aspect of the medial condyle? | adductor tubercle |
| What is the posterior surface of the distal femur just proximal to the intercondylar fossa? | Popliteal surface |
| Describe the patella | flat triangular bone about 2 inches in diameter |
| Where is the apex of the patella located? | along the inferior border |
| Where is the base of the patella located? | along the superior or upper border |
| Does the patella articulate with the tibia? | no |
| What primarily makes up the knee joint? | femorotibial joint between the 2 condyles of the femur and the corresponding condyles of the tibia, also the patellofemoral joint. |
| Is the proximal fibula apart of the knee joint? | no |
| What ligament extends from femur to the lateral proximal fibula? | LCL- lateral collateral ligament |
| What are some important ligaments of the knee? | tibial medial collateral ligament MCL/ posterior and anterior cruciate ligaments PCL and ACL |
| Wat typle of joint are all of the lower limb (except one)? | synovial joints, also diarthroaidal (or freely moveable) |
| What is the one exception to the joints of the lower extremity? | distal tibiofiblar joint |
| What is the distal tibiofibular joint type? | dibrous joint, syndesmosis type and is only slightly movable (or amphiarthroaidal) |