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The Ankle and Foot Joints. Anatomy and Kinesiology 420:024. The Ankle and Foot Joints. Must support entire body weight Over 100 ligaments Propulsion of entire body weight (F=ma) Very complex 26 bones ~25 joints 31 muscles 12 extrinsic muscles 19 intrinsic muscles. Objectives.
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The Ankle and Foot Joints Anatomy and Kinesiology 420:024
The Ankle and Foot Joints • Must support entire body weight • Over 100 ligaments • Propulsion of entire body weight (F=ma) • Very complex • 26 bones • ~25 joints • 31 muscles • 12 extrinsic muscles • 19 intrinsic muscles
Objectives • Bones, bony landmarks and joints • Muscles • Movements
Bones • 29 bones, including tibia and fibula • Calcaneus and talus • Tarsals (5) • Metatarsals (5) • Numbered 1-5 • Phalanges (14) • Three for each toe • Two for the big toe • Big toes have sesamoid bones in metatarsophalangeal joint tendons
Talocrural joint (ankle) Uniaxial hinge Subtalar joint Gliding/nonaxial Transverse tarsal joints Gliding/nonaxial Intertarsal joints Gliding/nonaxial Tarsometatarsal joints Gliding/nonaxial Metatarsophalangeal joints Biaxial ball and socket Proximal interphalangeal joints Little toes – Uniaxial hinge Distal interphalangeal joints Little toes – Uniaxial hinge Interphalangeal joint Big toe – Uniaxial hinge Ankle and Foot Joints
Talocrural joint Plantar/dorsiflexion Sagittal, ML axis Subtalar joint Eversion/inversion Frontal plane AP axis
Objectives • Bones, bony landmarks and joints • Muscles • Movements
Ankle and Foot Muscles • Extrinsic muscles (12) • Multiarticular (6) • Knee/ankle (2) • Ankle/toe (4) • Uniarticular (6) • Ankle (6) • Intrinsic muscles (19)
Extrinsic Ankle and Foot (12) • Knee and Ankle (2) • Knee flexion, plantarflexion • Ankle and Toe (4) • Plantarflexion, toe flexion, inversion (2) • Little toes • Big toe • Dorsiflexion, toe extension (2) • Little toes, eversion • Big toe, inversion • Ankle (6) • Plantarflexion (4) • 2 invertors • 3 evertors • Dorsiflexion (2) • 1 invertor • 1 evertor
Objectives • Bones, bony landmarks and joints • Muscles • Movements
Plantarflexion (posterior compartment) Dorsiflexion (anterior compartment) Eversion (lateral compartment) Inversion (posterior and anterior compartment) Toe flexion (posterior compartment) Toe extension (anterior compartment) Abduction (intrinsic) Adduction (intrinsic) Movements
Ankle Plantar Flexion • Agonists • Gastrocnemius • Soleus • Flexor digitorum longus • Flexor hallucis longus • Peroneus (fibularis) longus • Peroneus (fibularis) brevis • Plantaris • Tibialis posterior
Ankle Dorsiflexion • Agonists • Tibialis anterior • Extensor digitorum longus • Peroneus (fibularis) tertius • Extensor hallucis longus
Transverse Tarsal & Subtalar Inversion • Agonists • Tibialis anterior • Tibialis posterior • Flexor digitorum longus • Flexor hallucis longus
Transverse Tarsal & Subtalar Eversion • Agonists • Peroneus (fibularis) longus • Peroneus (fibularis) brevis • Peroneus (fibularis) tertius • Extensor digitorum longus
Toe Flexion • Agonists • Flexor hallucis longus • Flexor digitorum longus
Toe Extension • Agonists • Extensor hallucis longus • Extensor digitorum longus