Foot, Ankle, and Lower Leg Injuries, Evaluation, and Rehabilitation.
Leg and Ankle
description
Transcript of Leg and Ankle
Leg and Ankle
Fibula distal end (post.)• Lateral malleolus • Fibular/proneal
groove (tendons)• Malleolar fossa
(ligaments)
Tibia distal end (post.) • Medial malleolus• Fibular notch
(articulates with fibula)
• Malleolar groove (tendons)
Tibiofibular joints
Synovial joint
Fibrous joint
•Post. Inf. tibiofibular ligament
•Ant. Inf. Tibiofibular ligament
Articular surface: 3
Movements of the ankle
• Plantar Flexion• Dorsi Flexion• Inversion• Eversion
Plantar Flexion/Dorsi Flexion
Inversion/Eversion
Tarsal bones
•Talus•Calcaneus•Navicular•Cuboid•Cuneiforms
Talus
1
1
2
2
Talus
2
3
3
The ankle, or talocrural joint
• Needs ligaments!
Lateral ligament s of talocrural joint
Anterior drawer test to evaluate the anterior talofibular ligament.
Medial ligament s of talocrural joint
The ankle, or talocrural joint, is a hinge joint
• Plantar Flexion• Dorsi Flexion
Inversion/Eversion?
Intertarsal joint:
• Subtalar joint (ST J.)• Talocalcaneonavicular joint (TCN J.)• Calcaneocuboid (small rotation)• Naviculoconeiforms (almost no movement)
Calcaneous bone
Calcaneous bone
Subtalar joint
Lateral
Medial
sustentaculum tali (talar shelf) fracture
Subtalar joint
TCN joint
TCN joint&
calcaneonavicular ligament
Inteosseeous talocalcaneal ligament separates the ST J. from TCN J.
Other ligaments
• Calcaneofibular• Tibionavicular• Tibiocalcaneal• Talocalcaneal
Calcaneofibular
Talar tilt test to evaluate the calcaneofibular ligament.
Deltoid
Deltoid
eversion injuries :Pott's fracture
inversion injuries: ankle sprain