MOVEMENTS OF FOOT & ANKLE
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 |
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 |
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
At which joint does inversion of foot occur?
A |
Talocrural |
|
B |
Talocalcaneal |
|
C |
Calcaneocuboid |
|
D |
Cuneonavicular |
At which joint does inversion of foot occur?
A |
Talocrural |
|
B |
Talocalcaneal |
|
C |
Calcaneocuboid |
|
D |
Cuneonavicular |
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.
Muscle(s) causing dorsiflexion of foot is/are:
A |
Extensor digitorum longus |
|
B |
Extensor hallucis longus |
|
C |
Tibialis anterior |
|
D |
All |
Muscle(s) causing dorsiflexion of foot is/are:
A |
Extensor digitorum longus |
|
B |
Extensor hallucis longus |
|
C |
Tibialis anterior |
|
D |
All |
A i.e. Extensor digitorum longus; B i.e. Extensor hallucis longus; C i.e. Tibialis anterior
Planter flaxion is brought about by which of these muscles:
A |
Plantaris |
|
B |
FHL |
|
C |
Soleus |
|
D |
All |
Planter flaxion is brought about by which of these muscles:
A |
Plantaris |
|
B |
FHL |
|
C |
Soleus |
|
D |
All |
A. i.e. Plantans; B. i.e. FHL; C. i.e. Soleus
Inversion and eversion occurs at:
A |
Subtalor joints |
|
B |
Ankle joint |
|
C |
Inferior Tibiofibular joint |
|
D |
All of the above |
Inversion and eversion occurs at:
A |
Subtalor joints |
|
B |
Ankle joint |
|
C |
Inferior Tibiofibular joint |
|
D |
All of the above |
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
Action of tibialis anterior ‑
A |
Plantar flexion of foot |
|
B |
Adduction of foot |
|
C |
Inversion of foot |
|
D |
None of the above |
Action of tibialis anterior ‑
A |
Plantar flexion of foot |
|
B |
Adduction of foot |
|
C |
Inversion of foot |
|
D |
None of the above |
Ans. is ‘c’ i.e., Inversion of foot