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Movements of foot & ankle

MOVEMENTS OF FOOT & ANKLE

Q. 1

 

You are examining an infant and the findings are as follows:
Adductor angle  –  100
Popliteal angle  –  90
Dorsiflexion Angle of foot  –  70
Scarf sign  –  Elbow crosses the middle but doesn’t reach the anterior axillary line

What is the appropriate age of the infant?

 A

0 – 3 months

 B

4 – 6 months

 C

10 – 12 months

 D

7 – 9 months

Q. 1

 

You are examining an infant and the findings are as follows:
Adductor angle  –  100
Popliteal angle  –  90
Dorsiflexion Angle of foot  –  70
Scarf sign  –  Elbow crosses the middle but doesn’t reach the anterior axillary line

What is the appropriate age of the infant?

 A

0 – 3 months

 B

4 – 6 months

 C

10 – 12 months

 D

7 – 9 months

Ans. B

Explanation:

The normal ranges of angles during infancy are given below:

Age Adductor angle Popliteal angle Dorsiflexion angle of foot Scarf sign
0 – 3 400 – 800 800 – 1000 600 – 700 Elbow doesn’t cross the midline
4 – 6 700 – 1100 900 – 1200 600 – 700 Elbow crosses midline
7 – 9 1100 – 1400 1100– 1600 600 – 700 Elbow goes beyond anterior axillary line
10 – 12 1400 – 1600 1500 – 1700 600 – 700  

 

Ref: Meharban Singh, Edition 3, Page 74

 


Q. 2

At which joint does inversion of foot occur?

 A

Talocrural

 B

Talocalcaneal

 C

Calcaneocuboid

 D

Cuneonavicular

Q. 2

At which joint does inversion of foot occur?

 A

Talocrural

 B

Talocalcaneal

 C

Calcaneocuboid

 D

Cuneonavicular

Ans. B

Explanation:

The subtalar joint, also known as the talocalcaneal joint is the articulation between the talus and the calcaneus. The primary joint surface is the posterior facet, with much smaller middle and anterior facets. The motion of this joint is inversion of approximately 30 degrees and eversion of approximately 10 degrees. The tibialis posterior causes inversion and the peroneus brevis eversion at the subtalar joint.

Inversion occurs both actively and passively at the time of toe-off. Active control is achieved by the gastrocsoleus and posterior tibial muscles, and passive inversion occurs by the action of the plantar aponeurosis, the external rotation of the lower extremity, and the oblique metatarsal break.

Q. 3

Muscle(s) causing dorsiflexion of foot is/are:

 A

Extensor digitorum longus

 B

Extensor hallucis longus

 C

Tibialis anterior

 D

All

Q. 3

Muscle(s) causing dorsiflexion of foot is/are:

 A

Extensor digitorum longus

 B

Extensor hallucis longus

 C

Tibialis anterior

 D

All

Ans. D

Explanation:

A i.e. Extensor digitorum longus; B i.e. Extensor hallucis longus; C i.e. Tibialis anterior


Q. 4

Planter flaxion is brought about by which of these muscles:

 A

Plantaris

 B

FHL

 C

Soleus

 D

All

Q. 4

Planter flaxion is brought about by which of these muscles:

 A

Plantaris

 B

FHL

 C

Soleus

 D

All

Ans. D

Explanation:

A. i.e. Plantans; B. i.e. FHL; C. i.e. Soleus


Q. 5

Inversion and eversion occurs at:           

 A

Subtalor joints

 B

Ankle joint

 C

Inferior Tibiofibular joint

 D

All of the above

Q. 5

Inversion and eversion occurs at:           

 A

Subtalor joints

 B

Ankle joint

 C

Inferior Tibiofibular joint

 D

All of the above

Ans. A

Explanation:

The talocalcaneonavicular and the calcaneocuboid joints are together referred to as the midtarsal or transverse tarsal joints. The important movements of inversion and eversion of the foot take place at the subtalar and transverse tarsal joints. Inversion is the movement of the foot so that the sole faces medially.

Eversion is the opposite movement of the foot so that the sole faces in the lateral direction.

Inversion is performed by the tibialis anterior, the extensor hallucis longus, and the medial tendons of extensor digitorum longus; the tibialis posterior also assists.

Eversion is performed by the peroneus longus, peroneus brevis, and peroneus tertius; the lateral tendons of the extensor digitorum longus also assist.

Ankle joint’s active movements are dorsiflexion and plantar flexion

Inferior Tibiofibular joint permits slight movements so that the lateral malleolus can rotate laterally during dorsiflexion of the ankle


Q. 6

Action of tibialis anterior ‑

 A

Plantar flexion of foot

 B

Adduction of foot

 C

Inversion of foot

 D

None of the above

Q. 6

Action of tibialis anterior ‑

 A

Plantar flexion of foot

 B

Adduction of foot

 C

Inversion of foot

 D

None of the above

Ans. C

Explanation:

Ans. is ‘c’ i.e., Inversion of foot



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