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leg & foot
Leg and foot trail guide
Question | Answer |
---|---|
The anatomical name for the knee is the ___ joint | tibiofemoral |
2. Medial and lateral rotation of the knee can occur when the knee is in a __ position | flexed |
3. The bone running superficially down the anterior surface of the leg is the ___ and the bone buried deep to the surrounding muscle tissue on the leg is the ___ | tibia, fibula |
4. The patella seems to disappear when the knee is flexed. It sinks between which two landmarks? | proximal tibia, femoral condyles |
5. The bony landmark located distal to the patella is the ___ | tibial tuberosity |
6. The connective tissue structure connecting the patella to the tibial tuberosity is the ___ | patellar ligament |
7. The head of the fibula is the attachment site for which two muscles and ligament | biceps femoris, soleus, fibular collateral ligament |
8. Which portion of the tibial plateaus can be accessed? | the edges |
9. Which three tendons form the pes answerinus tendon | sartorius, gracilis, semitendinosus |
10. With the knee fully extended and the patella shifted medially or laterally, what structures can be found deep to the patella? | edges of femoral condyles |
11. To locate the lateral epicondyle of the femur, you would need to palpate deep to what structure? | ilioribial tract |
12. Which landmark is located proximal to the medial epicondyle of the femur, and the tendon of what muscle attaches to it? | adductor tubercle, adductor magnus |
1. The bone at the heel of the foot is the __ and the bone that articulates with the tibia and fibula is the ___ | calcaneus, talus |
2. The tarsals are most accessible along which surface of the foot? | dorsal |
3. As you palpate both malleoli of the ankle, which extends further distally? | lateral malleolus |
4. How would you passively position the foot to shorten the surrounding tissue of the medial malleolar groove? | invert the foot |
5. In which direction from the medial malleolus would you move your thumb to locate the sustentaculum tali? and approximately how far would you move? | distal, one inch |
6. The head of the talus can be located between which two bony landmarks? | medial malleolus, navicular tubercle |
7. How would you passively position the foot to best locate the trochlea of the talus? | invert and plantar flex |
8. The proximal end of the first metatarsal articulates in which bone? | medial cuneiform |
9. Which two superficial surfaces of the first metatarsal are easily accessible? | dorsal, medial |
10. Spelled out, what do the acronyms "pip" and "dip" stand for? | proximal interphalangeal, distal interphalangeal |
11. The tuberosity of the fifth metatarsal is the attachment site for which muscle? | fibularis brevis |
12. Which tendon could you follow along the dorsal surface of the ankle to locate the medial cuneiform? | tibialis anterior |
13. Locate the navicular and tuberosity of the fifth metatarsal. which is situated further distally on the foot? | tuberosity of fifth metatarsal |
14. Between which two bony landmarks can you draw a line to locate the cuboid? | tuberosity of fifth metatarsal, lateral malleolus |
The __ (knee joint) is the largest synovial joint in the body, it is a modified hinge joint. It is capable of flexion and extension. | tibiofemoral |
The __ is the kneecap | patella |
The __ is the "shinbone" | tibia |
The ___ can only bear 10% of the body's weight because it is the thinnest bone in the body in proportion to its length | fibula |
The ___ is a superficial knob located distal to the patella and is roughly half an inch in diameter and serves as an attachment sire for the patellar ligament. | tibial tuberosity |
The lateral and medial __ are the large conspicuous knobs on either side of the ankle. | malleoli |
The __ is the big toe. it is composed of 2 phalanges. The joint between them is called the ____, it is a hinge joint. | hallux |
unlike the hallux the second through fifth toes contain __ phalanges each. In each toe there is a __ and __ | 3, pip, dip |
the PIP joint of the smaller toes is known as | proximal interphalangeal |
The DIP joint in the smaller toes is known as | Distal interphalangeal |
The bean-shaped ___ is sandwiched between the medial and middle cuneiforms and the talus. | navicular |
The __ is cube-shaped and is surrounded on 3 of the 4 sides by the fourth and fifth metatarsals | cuboid |
1. What are the two muscles that form the "triceps surae" | gastrocnemius, soleus |
2. The gastrocnemius extends halfway down the leg before blending into which brand of connective tissue? | calcaneal tendon |
3. What common action could you ask your partner to do to contract his gastrocnemius and soleus? | stand on his toes |
4. Palpate both bellies of the gastrocnemius. Which head extends further distally? | medial |
5. Although the gastrocnemius and soleus are located on the posterior leg, you can palpate them on the leg's anterior surface by sliding __ off the ___ | medially, shaft on the tibia |
6. The muscle belly accessed between the gastrocnemius heads, in the popliteal space, is the ___ | plantaris |
7. The belly of the plantaris can be distinguished by its ___- wide belly that runs at an __ angle. | inch, oblique |
8. Which muscle is the deepest of the popliteal space? | popliteus |
9. When the knee is extended, the popliteus plays what important role? | unlocking the joint- "the key which unlocks the knee" |
10. To access the popliteus's tendinous attachment, you need to push the overlying edges of which muscles to the side? | soleus, gastrocnemius |
11. The fibularis muscles are located on the __ side of the leg and lie between which two muscles? | lateral, extensor digitorum longus, soleus |
12. What are two bony landmarks that can help you isolate the fibularis bellies? | head of the fibula, lateral malleolus |
13. What action could you ask your partner to perform to feel the fibularis tighten? | evert the foot |
The origin of the gastrocnemius is? | condyles of the femur, posterior surfaces |
the insertion of the gastrocnemius is? | calcaneus via calcaneal tendon (3) |
The origin of the fibularis brevis is? | distal two-thirds of lateral fibula |
the insertion of the fibularis brevis is? | tuberosity of fifth metatarsal |
the origin of the fibularis longus is? | head of fibula and proximal two-thirds of lateral fibula |
the insertion of the fibularis longus is? | base of the first metatarsal and medial cuneiform |
the origin of the plantaris is? | lateral supracondylar line of femur |
the insertion of the plantaris is? | calcaneus via calcaneal tendon (3) |
the origin of the popliteus is? | lateral condyle of the femur |
the insertion of the popliteus is? | proximal, posterior aspect of tibia |
The origin of the soleus is? | soleal line; proximal, posterior surface of tibia; and posterior aspect of head of fibula |
the insertion of the soleus is? | calcaneus via calcaneal tendon (3) |
11. Passive dorsiflexion of the ankle would __ the soleus | lengthen |
12. Passive lateral rotation of the knee would __ the popliteus | lengthen |
13. Passive inversion of the foot would __ the fibularis longus | lengthen |
14. Passive flexion of the knee would __ the gastrocnemius | shorten |
1. The tibialis anterior belly can be easily located lateral to which bony landmark? | tibial shaft |
2. To feel the tibialis anterior belly contract, you could ask your partner to perform which action? | dorsiflex or invert the foot |
3. Along the ankle's dorsal surface, the extensor hallucis longus and extensor digitorum longus both pass underneath which band of connective tissue? | extensor retinacula |
4. The flexors of the ankle and toes are virtually inaccessible, except on the medial side of the leg between which two structures? | tibial shaft, edge of the soleus/ calcaneal tendon |
5. Please complete the following for the mnemonic device Tom, Dick, AN, Harry. T___, ___, ___ D___, ___, ____, A____, ____, N____, _____, H____, ____ | tibialis posterior, Flexor digitorum longus, tibial artery, tibial nerve, flexor hallucis longus |
6. What action at the toes could you ask your partner to perform to feel contraction of the all the flexor bellies? | wiggle all his toes |
7. The dorsal surface of the foot is home to which muscle that extends down to the second, third, and fourth toes? | extensor digitorum brevis |
8. The first layer of muscles on the foot's plantar surface us deep to which connective tissue structure? | plantar aponeurosis |
9. Which tendons do you need to palpate beneath to locate the belly of the extensor digitorum brevis? | extensor digitorum longus |
10. What two structure are helpful in isolating the flexor digitorum brevis? | plantar surface of the heel, second through fifth toes |
11. Not everyone has the coordination to abduct their first tow. What is another action your partner could do to contract the abductor hallucis? | flex the first toe |
12. Which three points of contact form a triangle with the three arches of the foot? | calcaneus, head of the first metatarsal, head of the fifth metatarsal |
The origin of the Extensor digitorum longus is? | lateral condyle of tibia; proximal, anterior shaft of fibula; and interosseous membrane |
the insertion of the extensor digitorum longus is? | middle and distal phalanges of second through fifth toes |
The origin of the extensor hallucis longus is? | middle anterior surface of fibula and interosseous membrane |
The insertion of the extensor hallucis longus is? | distal phalanx of first toe (2) |
The origin of the flexor digitorum longis is? | middle, posterior surface of tibia |
the insertion of the flexor digitorum longus is? | distal phalanges of second through fifth toes |
The origin of the flexor hallucis longus is? | middle half of posterior fibula |
the insertion of the flexor hallucis longus is? | distal phalanges of first toe (2) |
The origin of the tibialis anterior is? | lateral condyle of tibia; proximal, lateral surface of tibia; and interosseous membrane |
The insertion of the tibialis anterior is? | medial cuneiform and base of the first metatarsal |
the origin of the tibialis posterior is? | proximal, posterior shafts of tibia and fibula; and interosseous membrane |
the insertion of the tibialis posterior is? | all five tarsal bones and bases of second through fourth metatarsals |
12. Passive flexion of the fifth toe would ___ the abductor digiti minimi? | shorten |
13. Passive eversion of the foot would __ the tibialis posterior | lengthen |
14. Passive dorsiflexion of the ankle would __ the extensor digitorum longus | shorten |
15. Passive eversion of the foot would __ the tibialis anterior | lengthen |
1. The fibular collateral ligament spans between which two bony landmarks? | lateral epicondyle of femur, head of fibula |
2. Both collateral ligaments resist which rotation of the tibia? | medial |
3. Aside from helping the femoral condyles sit upon the tibial plateaus, the menisci of the knee are also important for __ and ___ | weight distribution, friction reduction |
4. To access the edge of the medial menisci, you would slowly rotate the knee in which direction? | medially |
5. The small, fluid-filled sac located directly superficial to the patella is the ___ | prepatellar bursa |
6. The common fibular nerve lies __ to the biceps femoris tendon and __ to the gastrocnemius belly. It becomes accessible along the ___ surface of the head of the fibula | medial, lateral, posterior |
7. To feel the tension change in the plantar aponeurosis, what action could you passively perform at the foot? | flex and extend the toes |
8. The deltoid ligament originates at the medial malleolus and fans distally out to which three bones/ bony landmarks? | talus, sustentaculum tali, navicular |
9. The plantar calcaneonavicular (spring) ligament stretches from the __ to the __ and may be deep to the ___ | sustentaculum tali, navicular tubercle, tibialis posterior tendon |
10. The fibers of the extensor retinacula have two palpable distinctions from the extensor tendons. What are they? | fibers are superficial and perpendicular |
11. The flexor retinaculum can be located between which two bony landmarks? | medial malleolus, medial calcaneus |
12. The posterior tibial artery can be located just __ and __ to the medial malleolus | inferior, posterior |
13. Between the first and second metatarsals of the foot you can feel the pulse of which artery? | dorsalis pedis |
14. The calcaneal bursa is located between the attachment of the __ and the ___. | calcaneal tendon, overlying skin |
The ___ is located between the first and second metatarsal bones. | dorsalis pedis artery |