BPK 241 Lecture Notes - Lecture 2: Anterior Talofibular Ligament, Peroneus Longus, Tibialis Anterior Muscle
23 Nov 2017
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Joint: talocrural joint, synovial, hinge (flexion & extension, also eversion and inversion result of subtalar joint movement between talus and calcaneus as well as intertarsal joints. Interosseus membrane (tissue between tibia and fibula: anterior and posterior inferior tibiofibular ligaments, talus (tenon, wider anteriorly joint more stable in dorsiflexion. Ligaments: anterior talofibular (lateral)- atfl, calcaneofibular (lateral)- cfl, posterior talofibular (lateral)- ptfl, deltoid (medial, muscles & tendons, especially peroneus muscles. Muscles: anteriorly, tibialis anterior, ehl & edl (extensor hallucis longus, big toe) (extensor digitorum longus, other toes, dorsiflexion, posteriorly, gastrocnemius & soleus, plantarflexion, medially, fhl & fdl, plantarflexion, inversion, tibialis anterior (dorsiflexion, tibialis posterior (plantarflexion, inversion) Laterally: peroneus longus, brevis & tertius (eversion) Inspection: pt. history, history of current injury, what did they feel when it got injured (pop, pulling, compare with uninjured extremity, range of motion (rom) Ligament test: functional test, palpation, be systematic, primum non nocere. Then x-ray: tx, r. i. c. e, padding, rehabilitation, usually not to serious.
