(03)_Osteology of the Foot

Created by George

p.18

What feature is present on the medial surface of the medial cuneiform bone?

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Facet for tibialis anterior tendon/sesamoid

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Cuneiform Bones Overview

What feature is present on the medial surface of the medial cuneiform bone?

Facet for tibialis anterior tendon/sesamoid

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Cuneiform Bones Overview

What type of facet is found on the distal lateral surface of the medial cuneiform bone?

Articular facet for Mt 2

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Dorsal Surface Features

What are the main features of the anterior third of the calcaneus?

Anterior and middle facets articulate with the talus, often confluent, with the middle facet sitting on the sustentaculum tali; includes calcaneal sulcus and tarsal sinus.

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Dorsal Surface Features

What is the significance of the calcaneal sulcus?

The calcaneal sulcus combined with the talar sulcus forms the tarsal canal.

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Dorsal Surface Features

What is the shape of the posterior facet in the middle third of the calcaneus?

It has an oval outline and is convex in the anterior-posterior direction.

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Dorsal Surface Features

What characterizes the posterior third of the calcaneus?

It is non-articular.

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Dorsal Surface Features

What does the sustentaculum tali support?

The middle facet of the calcaneus.

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Dorsal Surface Features

How are the anterior and middle facets of the calcaneus related?

They often conflate and articulate with the talus.

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Medial and Plantar Surfaces

What is the sustentaculum tali?

A bony structure on the medial surface of the calcaneus that supports the talus.

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Medial and Plantar Surfaces

What is located on the dorsal aspect of the medial surface of the calcaneus?

The middle talar facet.

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Medial and Plantar Surfaces

What groove is found on the medial surface of the calcaneus?

The groove for the flexor hallucis longus.

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Medial and Plantar Surfaces

What is the calcaneal tuberosity?

A prominent bony projection on the plantar surface of the calcaneus.

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Medial and Plantar Surfaces

What are the two tubercles associated with the calcaneal tuberosity?

The posterolateral tubercle and the posteromedial tubercle.

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Medial and Plantar Surfaces

Which tubercle of the calcaneal tuberosity is larger?

The posteromedial tubercle.

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Medial and Plantar Surfaces

What is the anterior tubercle?

A bony projection on the plantar surface of the calcaneus located anteriorly to the calcaneal tuberosity.

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Lateral Surface Characteristics

What is the most constant feature of the lateral surface of the calcaneus?

Retrotrochlear eminence.

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Lateral Surface Characteristics

Where is the retrotrochlear eminence located in relation to the fibular trochlea?

Posterior to the fibular trochlea.

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Metatarsal Structure and Features

Which tendon inserts onto the dorsal surface of the base of the fifth metatarsal?

The tendon of fibularis tertius.

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Metatarsal Structure and Features

What separates the tuberosity from the plantar surface of the base of the fifth metatarsal?

A groove for the tendon of abductor digiti minimi.

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Phalanges

How many phalanges does the great toe have?

Two phalanges, one proximal and one distal.

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Phalanges

What is the shape of the proximal end of the proximal phalanx of the great toe?

Wider transversely than dorsoplantarly deep.

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Phalanges

What is the articular surface of the proximal phalanx of the great toe called?

The glenoid cavity.

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Phalanges

What marks the insertion of the extensor hallucis brevis on the proximal phalanx of the great toe?

A short, transverse tubercle on the dorsal surface of the base.

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Phalanges

Which muscles insert onto the medial plantar tubercle of the proximal phalanx of the great toe?

The medial head of flexor hallucis brevis and abductor hallucis muscles.

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Phalanges

What is the function of the lateral plantar tubercle on the proximal phalanx of the great toe?

It serves as the insertion for the lateral head of flexor hallucis brevis and adductor hallucis muscles.

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Anatomy of the Talus

What is the shape of the shaft of the proximal phalanx in cross section?

It has a concave plantar surface and a convex dorsal surface.

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Anatomy of the Talus

What features are present on the shaft of the proximal phalanx for tendon attachment?

It has a proximal and distal groove for the tendon of flexor hallucis longus.

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Anatomy of the Talus

Describe the head of the proximal phalanx.

It is wide transversely, flattened dorsoventrally, and has a spool-shaped articular surface that extends farther plantarly than dorsally.

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Anatomy of the Talus

What is the angle of the distal phalanx of the great toe compared to the proximal phalanx?

It angles approximately 15° laterally compared to the proximal phalanx.

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Anatomy of the Talus

Where does the extensor hallucis longus insert on the distal phalanx of the great toe?

It inserts to a tuberosity near the base of the dorsal surface of this phalanx.

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Anatomy of the Talus

What is the structure of the proximal phalanges of the lesser toes?

They are longer than the middle and distal phalanges combined and have an oval facet for the corresponding metatarsal head.

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Anatomy of the Talus

What is the function of the plantar tubercles on the proximal phalanges of the lesser toes?

They are for the attachment of the dorsal and plantar interossei.

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Anatomy of the Talus

What is the characteristic of the heads of the lesser proximal phalanges?

They have spool-shaped articular surfaces that articulate with the bases of the middle phalanges.

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Anatomy of the Talus

What is the shape and function of the middle phalanges of the lesser toes?

They are relatively short, broad, and flat, with an oval articular facet for articulation with the head of the corresponding proximal phalanx.

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Anatomy of the Talus

What is the insertion point for the flexor digitorum brevis on the middle phalanges?

It inserts onto the plantar surface of the base of the middle phalanges.

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Anatomy of the Talus

How do the distal phalanges of the lesser toes compare to that of the first toe?

They resemble that of the first toe but are smaller.

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Anatomy of the Talus

What is the structure of the base of the distal phalanges of the lesser toes?

It consists of an oval facet for articulation with the head of the middle phalanges, divided into two surfaces by a vertical ridge.

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Anatomy of the Talus

What is the role of the large tubercle on the plantar surface of the base of the distal phalanges?

It is for the insertion of the flexor digitorum longus muscle.

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Anatomy of the Talus

What percentage of cases show fusion of the middle and distal phalanges of the fifth digit?

About 40% of cases.

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Anatomy of the Talus

What are sesamoid bones?

Bones that develop within tendons, with more sesamoid bones in the foot than anywhere else in the body.

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Anatomy of the Talus

Where are the two most constant sesamoid bones located in the foot?

At the first metatarsophalangeal joint within the tendons of the medial and lateral heads of the flexor hallucis brevis.

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Anatomy of the Talus

Which sesamoid bone is usually larger, medial or lateral?

The medial sesamoid bone is usually larger than the lateral one.

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Ossification and Accessory Bones of the Foot

What are the three commonly present sesamoid bones in the foot?

One within the tendon of tibialis anterior, one within the tendon of tibialis posterior, and one within the tendon of fibularis longus (os peroneum).

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Ossification and Accessory Bones of the Foot

Where is the sesamoid bone located within the tendon of tibialis anterior?

As it crosses the smooth facet on the medial cuneiform.

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Lateral Surface Characteristics

What is the fibular trochlea also known as?

Fibular trochlea (tubercle).

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Lateral Surface Characteristics

Is the fibular trochlea always present on the calcaneus?

No, it is not always present.

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Lateral Surface Characteristics

What anatomical feature runs anterior/superior to the fibular trochlea?

Fibularis brevis.

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Lateral Surface Characteristics

What anatomical feature runs posterior/inferior to the fibular trochlea?

Fibularis longus.

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Lateral Surface Characteristics

What is the presence rate of the tubercle for the calcaneofibular ligament on calcanei?

Present in less than 50% of calcanei.

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Anterior and Posterior Surfaces

What is the shape of the anterior surface of the calcaneus?

Concave.

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Anterior and Posterior Surfaces

What are the characteristics of the anterior surface of the calcaneus?

Cuboid facet, saddle-shaped, convex transversely, concave vertically.

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Anterior and Posterior Surfaces

What is the shape of the posterior surface of the calcaneus?

Convex.

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Anterior and Posterior Surfaces

What are the three areas of the calcaneal tuberosity?

Superior, middle, and inferior areas.

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Anterior and Posterior Surfaces

What is located in the superior area of the calcaneal tuberosity?

Covered by bursa of calcaneal tendon.

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Anterior and Posterior Surfaces

What is located in the middle area of the calcaneal tuberosity?

Insertion of calcaneal tendon and plantaris tendon.

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Anterior and Posterior Surfaces

What is located in the inferior area of the calcaneal tuberosity?

Largest area, contains the calcaneal fat pad.

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Siding the Calcaneus

What is the orientation of the sustentaculum on the calcaneus?

Medial

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Siding the Calcaneus

Where is the posterior talar facet located on the calcaneus?

Dorsal

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Siding the Calcaneus

What is the position of the tuberosity on the calcaneus?

Posterior

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Siding the Calcaneus

Which side of the calcaneus is indicated as medial when oriented correctly?

The sustentaculum is medial.

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Siding the Calcaneus

What does the dorsal side of the calcaneus point towards when oriented correctly?

It points from the side towards the upper right.

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Siding the Calcaneus

In the context of the calcaneus, what does the term 'LEFT' indicate?

It indicates that the bone is a left calcaneus.

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Siding the Calcaneus

What does the anterior surface of the calcaneus face when the dorsal surface is facing up?

It faces forward.

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Siding the Calcaneus

What does the sustentaculum point to when looking at the anterior surface of the calcaneus?

It points to the side the bone is from.

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Anatomy of the Talus

What attaches to the talus?

No muscles or tendons attach to the talus.

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Anatomy of the Talus

What is the trochlea of the talus?

The part of the body that articulates with the tibial plafond.

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Anatomy of the Talus

What is located on the neck of the talus?

A tubercle for the dorsal talonavicular ligament.

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Anatomy of the Talus

What are the features of the plantar surface of the talus?

It includes the posterior facet, oval outline, and concave shape.

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Anatomy of the Talus

What is the talar sulcus?

A feature located on the neck of the talus.

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Anatomy of the Talus

What facets are present on the head of the talus?

Anterior and middle facets, along with a facet for the spring (plantar calcaneonavicular) ligament.

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Anatomy of the Talus

What are the key features of the lateral surface of the talus?

The lateral surface features include the fibular facet, the lateral process, and tubercles for the anterior talofibular ligament.

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Anatomy of the Talus

What shape is the facet for the fibula on the lateral surface of the talus?

Triangular.

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Anatomy of the Talus

What is the attachment point for the anterior talofibular ligament on the lateral surface of the talus?

Tubercles for the anterior talofibular ligament.

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Anatomy of the Talus

What feature is found on the medial surface of the talus?

Facet for the medial malleolus.

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Anatomy of the Talus

What shape is the facet for the medial malleolus on the medial surface of the talus?

Comma-shaped.

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Anatomy of the Talus

What are the distinct features found on the posterior surface of the talus?

Posterior process, posteromedial tubercle, posterolateral tubercle, and groove for flexor hallucis longus.

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Anatomy of the Talus

What is the function of the facet for os trigonum on the talus?

It is a distinct feature located on the posterolateral tubercle.

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Anatomy of the Talus

What is the highlighted feature on the anterior surface of the talus?

Facet for navicular.

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Anatomy of the Talus

What shape is the head of the talus described as?

Oval and convex.

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Anatomy of the Talus

What is the orientation label for the dorsal side of the talus?

D.

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Anatomy of the Talus

What is the orientation label for the medial side of the talus?

M.

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Anatomy of the Talus

What is the orientation label for the lateral side of the talus?

L.

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Anatomy of the Talus

What is the orientation label for the plantar side of the talus?

PI.

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Siding the Talus

What is the orientation of the head of the talus?

The head is anterior.

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Siding the Talus

Which part of the talus is described as dorsal?

The trochlea is dorsal.

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Siding the Talus

Where is the lateral process located on the talus?

The lateral process is lateral.

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Siding the Talus

How can you determine the side of the talus bone?

The lateral process points to the side the bone is from when looking at the dorsal surface with the head facing up.

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Dorsal Surface Features

What is the dorsal surface of the cuboid bone characterized as?

Non-articular

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Plantar Surface Characteristics

What is the coronoid process of the cuboid bone?

A beak-like structure on the plantar surface.

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Plantar Surface Characteristics

What is the fibular (peroneal) ridge on the cuboid bone?

A prominent ridge on the plantar surface.

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Plantar Surface Characteristics

What is the fibular (peroneal) sulcus?

A groove for the fibularis longus muscle on the plantar surface of the cuboid bone.

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Plantar Surface Characteristics

What is the tuberosity of the cuboid bone?

A structure that has a facet for os peroneum on the plantar surface.

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Plantar Surface Characteristics

What is the os peroneum in relation to the cuboid bone?

A small bone associated with the tuberosity of the cuboid.

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Lateral Surface Characteristics

What is the characteristic shape of the lateral surface of the cuboid bone?

Somewhat flat and located on the side of the bone.

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Lateral Surface Characteristics

What notable feature is found on the lateral surface of the cuboid bone?

Fibular notch.

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Lateral Surface Characteristics

What is the orientation indicated on the lateral surface of the cuboid bone?

Dorsal, anterior, posterior, and plantar directions are indicated.

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Medial and Plantar Surfaces

What is the characteristic shape of the medial surface of the cuboid bone?

Slightly curved and located on the side of the bone.

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Medial and Plantar Surfaces

What facet is present on the medial surface of the cuboid bone?

Facet for lateral cuneiform.

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Medial and Plantar Surfaces

What is another facet that may be present on the medial surface of the cuboid bone?

Facet for navicular.

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Medial and Plantar Surfaces

What is the shape of the medial surface of the cuboid bone?

Quadrilateral.

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Medial and Plantar Surfaces

What is the triangular feature on the medial surface of the cuboid bone?

Facet for navicular, sometimes present.

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Posterior Surface

What shape is the posterior surface of the cuboid bone for the calcaneus attachment?

Saddle-shaped.

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Posterior Surface

What is the curvature of the posterior surface of the cuboid bone in the dorsal-plantar direction?

Concave.

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Posterior Surface

What is the curvature of the posterior surface of the cuboid bone in the medial-lateral direction?

Convex.

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Anterior Surface

What are the two facets on the anterior surface of the cuboid bone?

Facet for metatarsal 4 and facet for metatarsal 5.

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Anterior Surface

What is the shape of the facet for metatarsal 4 on the anterior surface of the cuboid bone?

Quadrilateral.

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Anterior Surface

What is the shape of the facet for metatarsal 5 on the anterior surface of the cuboid bone?

Triangular.

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Siding the Cuboid

What is the orientation of the coronoid process on the cuboid bone?

The coronoid process is posterior.

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Siding the Cuboid

Where is the tuberosity located on the cuboid bone?

The tuberosity is lateral.

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Siding the Cuboid

What is the position of the fibular ridge on the cuboid bone?

The fibular ridge is plantar.

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Anatomy of the Talus

What is a characteristic of the lateral surface of the navicular bone?

It is narrow and may have a facet for the cuboid that is sometimes present.

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Anatomy of the Talus

What feature is found on the plantar surface of the navicular bone?

A groove for the tibialis posterior and a tubercle for the plantar calcaneonavicular (spring) ligament.

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Anatomy of the Talus

What anatomical feature is highlighted on the medial surface of the navicular bone?

The tuberosity.

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Anatomy of the Navicular

What is the shape of the facet for the talar head on the posterior surface of the navicular bone?

Oval and concave.

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Anatomy of the Navicular

Which facet on the anterior surface of the navicular bone is the largest?

The medial cuneiform facet.

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Anatomy of the Navicular

What are the possible shapes of the medial cuneiform facet on the anterior surface?

Piriform, triangular, or quadrilateral.

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Anatomy of the Navicular

What shape is the intermediate cuneiform facet on the anterior surface of the navicular bone?

Triangular.

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Anatomy of the Navicular

What shape is the lateral cuneiform facet on the anterior surface of the navicular bone?

Triangular.

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Siding the Navicular

What is the orientation of the navicular bone's tuberosity?

The tuberosity is medial.

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Siding the Navicular

Where is the talar facet located on the navicular bone?

The talar facet is posterior.

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Siding the Navicular

What is the characteristic of the dorsal surface of the navicular bone?

The dorsal surface is convex and lacks facets.

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Siding the Navicular

How can you identify the side of the navicular bone?

The tuberosity points to the side the bone is from.

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Cuneiform Bones Overview

What does the term 'cuneiform' mean in Latin?

It means 'wedge', derived from 'cuneus'.

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Cuneiform Bones Overview

Which cuneiform bone is the largest?

The medial cuneiform.

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Cuneiform Bones Overview

What is the orientation of the apex and base of the medial cuneiform?

Apex is dorsal and base is plantar.

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Cuneiform Bones Overview

Which cuneiform bone is the smallest?

The intermediate cuneiform.

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Cuneiform Bones Overview

What is the orientation of the apex and base of the intermediate cuneiform?

Apex is plantar and base is dorsal.

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Cuneiform Bones Overview

What is the orientation of the apex and base of the lateral cuneiform?

Apex is plantar and base is dorsal.

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Cuneiform Bones Overview

What is the shape of the medial surface of the medial cuneiform bone?

Quadrilateral

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Cuneiform Bones Overview

What shape is the proximal articular facet for the intermediate cuneiform on the lateral surface?

Inverted 'L'

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Cuneiform Bones Overview

What feature is found on the posterior surface of the medial cuneiform bone?

Facet for navicular

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Cuneiform Bones Overview

What are the possible shapes of the facet for navicular on the posterior surface?

Variable in shape: triangular, piriform, quadrilateral

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Cuneiform Bones Overview

What type of facet is found on the anterior surface of the medial cuneiform bone?

Facet for Mt 1

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Cuneiform Bones Overview

What is the shape of the facet for Mt 1 on the anterior surface?

Reniform (kidney-shaped)

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Cuneiform Bones Overview

What is the shape of the dorsal surface of the intermediate cuneiform bone?

Square

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Cuneiform Bones Overview

What anatomical direction is indicated on the dorsal surface of the intermediate cuneiform bone?

Anterior, Medial, Lateral, and Posterior

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Cuneiform Bones Overview

What feature is found on the medial surface of the intermediate cuneiform bone?

Facet for medial cuneiform and an inverted 'L' shape

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Cuneiform Bones Overview

What is the shape of the facet for the lateral cuneiform on the lateral surface?

Elongated oval

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Cuneiform Bones Overview

What feature is found on the posterior surface of the intermediate cuneiform bone?

Facet for navicular, which is triangular

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Cuneiform Bones Overview

What is the shape of the facet for Mt 2 on the anterior surface of the intermediate cuneiform bone?

Triangular

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Lateral Surface Characteristics

What is the shape of the dorsal surface of the lateral cuneiform bone?

Rectangular

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Medial and Plantar Surfaces

What type of facet is found on the proximal medial surface of the lateral cuneiform?

Elongated oval facet for the intermediate cuneiform

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Medial and Plantar Surfaces

What are the shapes of the distal facets on the medial surface of the lateral cuneiform?

Two ovals, dorsal and plantar facets for Mt 2

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Lateral Surface Characteristics

What type of facet is found on the proximal lateral surface of the lateral cuneiform?

Triangular facet for the cuboid

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Lateral Surface Characteristics

What is the shape of the distal facet on the lateral surface of the lateral cuneiform?

Oval facet for Mt 4

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Posterior and Anterior Surfaces

What type of facet is found on the posterior surface of the lateral cuneiform?

Triangular facet for the navicular

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Posterior and Anterior Surfaces

What type of facet is found on the anterior surface of the lateral cuneiform?

Triangular facet for Mt 3

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Cuneiform Bones Overview

What is the shape of the dorsal surface of the medial cuneiform?

Narrow ridge

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Cuneiform Bones Overview

Where is the inverted 'L' shaped facet located on the medial cuneiform?

Lateral surface

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Cuneiform Bones Overview

What shape is the posterior surface of the medial cuneiform that articulates with the navicular?

Tear drop

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Cuneiform Bones Overview

What is the shape of the dorsal surface of the intermediate cuneiform?

Square

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Cuneiform Bones Overview

Where is the inverted 'L' shaped facet located on the intermediate cuneiform?

Medial surface

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Cuneiform Bones Overview

What part of the inverted 'L' on the intermediate cuneiform is posterior?

Vertical part

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Cuneiform Bones Overview

What is the shape of the dorsal surface of the lateral cuneiform?

Rectangular

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Cuneiform Bones Overview

Where is the cuboid facet located on the lateral cuneiform?

Lateral surface

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Cuneiform Bones Overview

What does the cuboid facet point to when looking at the dorsal surface of the lateral cuneiform?

The side the bone is from

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Metatarsal Structure and Features

What is the shape of the shafts of the metatarsals?

Curved and concave plantarly.

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Metatarsal Structure and Features

Which metatarsals do not articulate with each other?

Metatarsals 1 and 2.

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Metatarsal Structure and Features

How do the bases of metatarsals 2-5 slant?

Laterally.

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Metatarsal Structure and Features

What is unique about the first metatarsal?

It is the shortest and most robust metatarsal.

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Metatarsal Structure and Features

Which metatarsal is the longest?

Metatarsal 2.

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Metatarsal Structure and Features

What are the surfaces of the base of the first metatarsal bone?

Plantar, lateral, and medial surfaces.

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Metatarsal Structure and Features

What shape is the base of the first metatarsal bone?

Triangular.

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Metatarsal Structure and Features

What is the shape of the facet for the medial cuneiform on the base of the first metatarsal?

Reniform, kidney-shaped.

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Metatarsal Structure and Features

What surfaces are present on the shaft of the first metatarsal bone?

Plantar, lateral, and dorsomedial surfaces.

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Metatarsal Structure and Features

How does the head of the first metatarsal bone compare in width and depth?

Wider mediolaterally than deep.

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Metatarsal Structure and Features

What features are present on the head of the first metatarsal bone?

Facets for medial and lateral sesamoid bones in flexor hallucis brevis, and median crista.

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Metatarsal Structure and Features

What does the median crista on the head of the first metatarsal bone do?

Separates medial and lateral facets.

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Metatarsal Structure and Features

What is the shape of the base of the 2nd metatarsal?

Triangular

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Metatarsal Structure and Features

What type of facet does the posterior side of the 2nd metatarsal have?

Triangular facet for intermediate cuneiform

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Metatarsal Structure and Features

What type of facet is found on the medial side of the 2nd metatarsal?

Oval facet for medial cuneiform

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Metatarsal Structure and Features

What facets are present on the lateral side of the 2nd metatarsal?

Dorsal and plantar facets for Mt3 and lateral cuneiform

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Metatarsal Structure and Features

What is the shape of the base of the 3rd metatarsal?

Triangular

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Metatarsal Structure and Features

What type of facet does the posterior side of the 3rd metatarsal have?

Facet for lateral cuneiform

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Metatarsal Structure and Features

What facets are found on the medial side of the 3rd metatarsal?

Dorsal and plantar facets for Mt 2

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Metatarsal Structure and Features

What features are present on the lateral side of the 3rd metatarsal?

Oval facet for Mt 4 and groove for interosseous intermetatarsal ligament

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Metatarsal Structure and Features

What is the shape of the base of the 4th metatarsal?

Quadrilateral

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Metatarsal Structure and Features

What type of facet does the posterior side of the 4th metatarsal have?

Facet for cuboid

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Metatarsal Structure and Features

Which metatarsal does the medial facet of the 4th metatarsal articulate with?

Mt 3

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Metatarsal Structure and Features

What is the shape of the base of the 5th metatarsal?

Triangular

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Metatarsal Structure and Features

What type of facet does the posterior side of the 5th metatarsal have?

Facet for cuboid

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Metatarsal Structure and Features

Which metatarsal does the medial facet of the 5th metatarsal articulate with?

Mt 4

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Metatarsal Structure and Features

What is located on the lateral side of the 5th metatarsal?

Tuberosity

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Metatarsal Structure and Features

What is the groove on the plantar side of the 5th metatarsal for?

Tendon of abductor digiti minimi

p.25
Metatarsal Structure and Features

What is the shape of the medial facet of the 5th metatarsal?

Oval to triangular

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Metatarsal Structure and Features

What is the shape of the lateral facet of the 4th metatarsal?

Oval to triangular

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Metatarsal Structure and Features

What is the orientation of the head of the 1st metatarsal?

The head is anterior.

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Metatarsal Structure and Features

What is the orientation of the median crista of the 1st metatarsal?

The median crista is plantar.

p.26
Metatarsal Structure and Features

Which surface of the base of the 1st metatarsal is curved and medial?

The curved surface of the base is medial.

p.26
Metatarsal Structure and Features

What is the orientation of the head of the 5th metatarsal?

The head is anterior.

p.26
Metatarsal Structure and Features

Where is the groove for the abductor digiti minimi located on the 5th metatarsal?

The groove is plantar.

p.26
Metatarsal Structure and Features

Where is the tuberosity located on the 5th metatarsal?

The tuberosity is lateral.

p.27
Metatarsal Structure and Features

How do the bases of metatarsals 2, 3, and 4 slant when viewed from the dorsal surface?

They slant toward the side the bone is from.

p.27
Metatarsal Structure and Features

What is the shape of the posterior surface of the 2nd metatarsal?

Triangular.

p.27
Metatarsal Structure and Features

How many facets does the lateral surface of the 2nd metatarsal have?

2 facets.

p.27
Metatarsal Structure and Features

What is the shape of the posterior surface of the 3rd metatarsal?

Triangular.

p.27
Metatarsal Structure and Features

What features are present on the lateral surface of the 3rd metatarsal?

1 dorsal facet and a groove.

p.27
Metatarsal Structure and Features

What is the shape of the posterior surface of the 4th metatarsal?

Quadrangular.

p.27
Metatarsal Structure and Features

How many facets does the lateral surface of the 4th metatarsal have?

1 large triangular facet.

p.28
Anatomy of the Calcaneus

How many categories are the bones of the foot grouped into?

Five categories: tarsals, metatarsals, phalanges, sesamoids, and accessory bones.

p.28
Anatomy of the Calcaneus

What are the two rows of tarsal bones?

Proximal row (calcaneus and talus) and distal row (cuboid and three cuneiforms).

p.28
Anatomy of the Calcaneus

What is the shape of the calcaneus?

Somewhat rectangular, elongated in the anterior-posterior direction.

p.28
Anatomy of the Calcaneus

What are the surfaces of each tarsal bone?

Dorsal, plantar, medial, lateral, anterior, and posterior.

p.28
Anatomy of the Calcaneus

What is the largest facet on the dorsal surface of the calcaneus?

The posterior articular facet.

p.28
Anatomy of the Calcaneus

What forms the tarsal canal?

The calcaneal sulcus and the talar sulcus.

p.28
Anatomy of the Calcaneus

What structures attach to the tarsal sinus?

Inferior extensor retinaculum, inferior fibular retinaculum, cervical ligament, bifurcate ligament, dorsal calcaneocuboid ligament, and lateral calcaneocuboid ligament.

p.28
Anatomy of the Calcaneus

What is the orientation of the tarsal canal?

Obliquely oriented, running from posteromedially to anterolaterally.

p.28
Anatomy of the Calcaneus

What is the significance of the middle facet on the dorsal surface?

It sits on the dorsal surface of the sustentaculum tali and is one of the facets that articulate with the talus.

p.29
Anatomy of the Calcaneus

What is the shape of the posterior third of the calcaneus?

Concave anteroposteriorly and convex mediolaterally.

p.29
Anatomy of the Calcaneus

Which ligaments attach to the posterior surface of the calcaneus?

The posterior talocalcaneal ligament and calcaneofibular ligament.

p.29
Plantar Surface Characteristics

How is the plantar surface of the calcaneus described in terms of shape?

Wider posteriorly than anteriorly, making it somewhat triangular and convex in cross-section.

p.29
Plantar Surface Characteristics

What is the calcaneal tuberosity?

A structure on the posterior surface of the calcaneus consisting of two processes, lateral and medial, separated by a depression.

p.29
Plantar Surface Characteristics

What structures attach to the lateral process of the calcaneal tuberosity?

Abductor digiti minimi, lateral head of quadratus plantae, long plantar ligament, and plantar aponeurosis.

p.29
Plantar Surface Characteristics

What is the difference between the lateral and medial processes of the calcaneal tuberosity?

The lateral process is small but prominent, while the medial process is broader and larger.

p.29
Plantar Surface Characteristics

What does the anterior tubercle of the calcaneus serve as an attachment for?

The plantar calcaneocuboid (short plantar) ligament.

p.29
Lateral Surface Characteristics

What is the retrotrochlear eminence?

A constant feature of the lateral surface of the calcaneus, located in the middle of this surface, formed by internal trabecular architecture.

p.29
Lateral Surface Characteristics

What is the function of the fibular trochlea?

It separates a groove for the tendon of fibularis longus from a groove for the tendon of fibularis brevis.

p.29
Medial Surface Characteristics

What is the sustentaculum tali?

A shelf-like projection on the medial surface of the calcaneus whose superior surface articulates with the talus.

p.29
Medial Surface Characteristics

What structures attach to the sustentaculum tali?

Tibiocalcaneal ligament, medial talocalcaneal ligament, recurrent band of tibialis posterior, and plantar calcaneonavicular (spring) ligament.

p.29
Medial Surface Characteristics

What is the shape of the medial surface of the calcaneus?

Deeply concave to accommodate the plantar nerves and vessels.

p.30
Anterior and Posterior Surfaces

What is the smallest surface of the calcaneus?

The anterior surface, which consists entirely of the cuboid facet.

p.30
Anterior and Posterior Surfaces

What shape is the cuboid facet on the anterior surface of the calcaneus?

Saddle-shaped, being convex transversely and concave vertically.

p.30
Anterior and Posterior Surfaces

What ligament attaches to the medial margin of the anterior surface of the calcaneus?

The plantar calcaneonavicular (spring) ligament.

p.30
Anterior and Posterior Surfaces

What forms the prominence of the heel on the calcaneus?

The posterior surface, specifically the calcaneal tuberosity.

p.30
Anterior and Posterior Surfaces

How is the posterior surface of the calcaneus divided?

Into three areas: superior, middle, and inferior, separated by two horizontal lines.

p.30
Anterior and Posterior Surfaces

What is the characteristic of the superior area of the posterior surface of the calcaneus?

It is smooth and covered by a bursa that lies deep to the calcaneal tendon.

p.30
Anterior and Posterior Surfaces

What is the rough area of the posterior surface of the calcaneus used for?

For the attachment of the calcaneal and plantaris tendons.

p.30
Anterior and Posterior Surfaces

What is the largest area of the posterior calcaneus?

The inferior area, which is rough and covered by fatty, fibrous tissue that forms the heel pad.

p.30
Anatomy of the Talus

What is the most proximal bone of the ankle?

The talus.

p.30
Anatomy of the Talus

What are the three parts of the talus?

The body, neck, and head.

p.30
Anatomy of the Talus

What is the shape of the body of the talus?

Somewhat cubical in shape.

p.30
Anatomy of the Talus

What is the dorsal surface of the talus also known as?

The trochlea, which articulates with the tibial plafond.

p.30
Anatomy of the Talus

What does the plantar surface of the talus consist of?

The posterior articular facet and the talar sulcus.

p.30
Anatomy of the Talus

What is the lateral surface of the talus characterized by?

A triangular shape with a large triangular facet for the lateral malleolus and a lateral process.

p.30
Anatomy of the Talus

What does the medial surface of the body of the talus articulate with?

The medial malleolus of the tibia.

p.30
Anatomy of the Talus

What is the posterior process of the talus divided by?

A groove for the tendon of flexor hallucis longus.

p.30
Anatomy of the Talus

What does the posteromedial tubercle of the posterior process serve as an attachment for?

The medial talocalcaneal ligament and posterior tibiotalar ligament.

p.31
Anatomy of the Talus

What is the function of the posterolateral tubercle of the talus?

It serves as an attachment for the posterior talofibular, posterior talocalcaneal, and fibulotalocalcaneal ligaments.

p.31
Anatomy of the Talus

What is the os trigonum?

An accessory bone that may form when the secondary ossification center of the posterolateral tubercle fails to fuse with the body of the talus.

p.31
Anatomy of the Talus

What is the neck of the talus?

A constricted area between the body and head of the talus.

p.31
Anatomy of the Talus

What ligament attaches to the anterior aspect of the neck of the talus?

The dorsal talonavicular ligament.

p.31
Anatomy of the Talus

What is the orientation of the head of the talus?

Directed anteriorly, medially, and slightly inferiorly.

p.31
Anatomy of the Talus

What are the major surfaces of the head of the talus?

Anterior and inferior surfaces.

p.31
Anatomy of the Talus

Which facet of the head of the talus articulates with the navicular?

The large ovoid, convex facet on the anterior surface.

p.31
Cuneiform Bones Overview

What is the cuboid bone's position in the tarsal bones?

It is the most lateral bone in the distal row of tarsals.

p.31
Cuneiform Bones Overview

What is the orientation of the dorsal surface of the cuboid?

Faces dorsolaterally due to the reorientation of the bone.

p.31
Cuneiform Bones Overview

What is the coronoid process of the cuboid?

A sharp point where the medial and posterior borders of the plantar surface meet.

p.31
Cuneiform Bones Overview

What does the fibular ridge on the cuboid serve as?

An attachment for the tendon of fibularis longus and deep fibers of the long plantar ligament.

p.32
Plantar Surface Characteristics

What muscles attach to the plantar surface of the cuboid?

Tibialis posterior and flexor hallucis brevis muscles.

p.32
Lateral Surface Characteristics

What is located at the plantar edge of the lateral surface of the cuboid?

The fibular notch, which forms the beginning of the fibular sulcus.

p.32
Medial Surface Characteristics

What features does the medial surface of the cuboid exhibit?

A single triangular facet for the lateral cuneiform and sometimes a small facet for the navicular.

p.32
Distal Surface Characteristics

How is the distal surface of the cuboid divided?

Into two articular facets by a vertical ridge.

p.32
Proximal Surface Characteristics

What type of surface does the proximal surface of the cuboid have?

A saddle-shaped articular facet for the anterior surface of the calcaneus.

p.32
Anatomy of the Navicular

What is the shape of the navicular bone?

Boat-shaped, being concave proximally and convex distally.

p.32
Anatomy of the Navicular

With which bones does the navicular typically articulate?

The talus proximally and the three cuneiforms distally.

p.32
Dorsal Surface Features

What ligaments attach to the dorsal surface of the navicular?

Dorsal cuboideonavicular, dorsal talonavicular, calcaneonavicular portion of the bifurcate, tibionavicular portion of the deltoid, and three dorsal cuneonavicular ligaments.

p.32
Plantar Surface Characteristics

What is found on the plantar surface of the navicular?

A groove for the tendon of the tibialis posterior muscle and a tubercle for the attachment of the plantar calcaneonavicular (spring) ligament.

p.33
Lateral Surface Characteristics

What forms the lateral surface of the navicular?

A narrow border for attachment of the calcaneonavicular portion of the bifurcate ligament and the interosseous cuboideonavicular ligament.

p.33
Medial Surface Characteristics

What is the navicular tuberosity?

A structure on the medial surface that serves as an attachment for the tibialis posterior muscle and the medial cuneonavicular ligament.

p.33
Medial Surface Characteristics

What happens if the navicular tuberosity fails to unite with the navicular?

It results in an accessory bone called the os tibiale (externum).

p.33
Distal Surface Characteristics

What is the shape of the medial facet of the distal surface of the navicular?

It may be pear-shaped (piriform), triangular, or quadrilateral.

p.33
Distal Surface Characteristics

What are the three articular facets on the distal surface of the navicular?

Medial facet, middle (intermediate) facet, and lateral facet.

p.33
Proximal Surface Characteristics

What does the proximal surface of the navicular consist of?

A single concave, oval facet for the head of the talus.

p.33
Cuneiform Bones Overview

How many cuneiform bones are there?

Three: medial, intermediate, and lateral.

p.33
Cuneiform Bones Overview

What does the term 'cuneiform' mean?

Wedge-shaped, referring to the shape of the bones.

p.33
Medial Cuneiform

What is notable about the dorsal surface of the medial cuneiform?

It is narrow and crest-like, forming the apex of the wedge and is palpable subcutaneously.

p.33
Medial Cuneiform

What muscles have partial insertion on the plantar surface of the medial cuneiform?

Tibialis anterior, tibialis posterior, and fibularis longus.

p.33
Medial Cuneiform

What ligaments attach to the plantar surface of the medial cuneiform?

Plantar cuneonavicular, plantar intercuneiform, and two plantar cuneometatarsal ligaments to the first and second metatarsals.

p.33
Medial Cuneiform

What is the shape of the lateral surface of the medial cuneiform?

Concave with two articular facets: a small oval facet for the base of the 2nd metatarsal and a facet for the intermediate cuneiform in the shape of an inverted 'L'.

p.33
Medial Cuneiform

What ligaments attach to the lateral surface of the medial cuneiform?

Interosseous intercuneiform ligament and interosseous tarsometatarsal ligament (Lisfranc's ligament).

p.34
Cuneiform Bones Overview

What is the shape of the medial surface of the medial cuneiform?

Quadrilateral and can be subcutaneously palpated.

p.34
Cuneiform Bones Overview

What type of facet is usually found on the medial surface of the medial cuneiform?

A small facet for a sesamoid bone within the tendon of tibialis anterior.

p.34
Cuneiform Bones Overview

What ligaments attach to the medial surface of the medial cuneiform?

Medial cuneonavicular, dorsal cuneonavicular, dorsal intercuneiform, and two dorsal cuneometatarsal ligaments.

p.34
Cuneiform Bones Overview

What shape does the distal surface of the medial cuneiform form for the first metatarsal?

Kidney-shaped (reniform) articular facet.

p.34
Cuneiform Bones Overview

What type of facet does the proximal surface of the medial cuneiform have?

A concave articular facet for the navicular, which can be triangular, piriform, or quadrilateral.

p.34
Cuneiform Bones Overview

What is the shape of the dorsal surface of the intermediate cuneiform?

Roughly square, with proximodistal length approximately equal to mediolateral width.

p.34
Cuneiform Bones Overview

What ligaments attach to the dorsal surface of the intermediate cuneiform?

Dorsal cuneonavicular, two dorsal intercuneiform, and dorsal cuneometatarsal ligament to the second metatarsal.

p.34
Cuneiform Bones Overview

What does the plantar surface of the intermediate cuneiform form?

A crest, forming the apex of the wedge.

p.34
Cuneiform Bones Overview

What is the main feature of the lateral surface of the intermediate cuneiform?

The articular facet for the lateral cuneiform, which is dorsoventrally elongated.

p.34
Cuneiform Bones Overview

What shape does the medial surface of the lateral cuneiform exhibit?

An articular facet for the medial cuneiform resembling an inverted 'L'.

p.34
Cuneiform Bones Overview

What type of facet does the distal surface of the lateral cuneiform form?

A triangular facet for articulation with the second metatarsal.

p.34
Cuneiform Bones Overview

What does the proximal surface of the lateral cuneiform form?

A triangular facet for articulation with the navicular.

p.34
Cuneiform Bones Overview

What is the shape of the dorsal surface of the lateral cuneiform?

Rectangular, longer proximodistally than mediolaterally.

p.34
Cuneiform Bones Overview

What muscles attach to the plantar surface of the lateral cuneiform?

Flexor hallucis brevis and tibialis posterior muscles.

p.34
Cuneiform Bones Overview

What type of facets are present on the lateral surface of the lateral cuneiform?

A large triangular facet for the cuboid and a smaller oval facet for the fourth metatarsal.

p.35
Metatarsal Structure and Features

What is the shape of the medial surface of the metatarsal bones?

Quadrilateral with a vertically oriented elongated oval facet for articulation with the intermediate cuneiform.

p.35
Metatarsal Structure and Features

What does the distal surface of the metatarsal bones articulate with?

The base of the third metatarsal.

p.35
Metatarsal Structure and Features

What are the three parts of each metatarsal bone?

Proximal end (base), shaft (body), and distal end (head).

p.35
Metatarsal Structure and Features

How do the bases of the second through fifth metatarsals articulate?

They articulate with the distal row of tarsal bones and with each other.

p.35
Metatarsal Structure and Features

What is the shape of the shafts of the second through fifth metatarsals?

Elongated and relatively narrow with a longitudinal curve that is convex dorsally and concave plantarly.

p.35
Metatarsal Structure and Features

What is unique about the shaft of the first metatarsal compared to the others?

It is thicker and shorter than that of the others.

p.35
Metatarsal Structure and Features

What type of surfaces do the heads of the metatarsals have?

Convex articular surfaces for the proximal phalanges.

p.35
Metatarsal Structure and Features

What is the first metatarsal known for?

It is the shortest, heaviest, and strongest of the metatarsals.

p.35
Metatarsal Structure and Features

What type of articular surface does the base of the first metatarsal exhibit?

A reniform articular surface for the medial cuneiform.

p.35
Metatarsal Structure and Features

What ligaments attach to the base of the first metatarsal?

Dorsal and plantar cuncometatarsal ligaments.

p.35
Metatarsal Structure and Features

What is the orientation of the transverse diameter of the head of the first metatarsal compared to the other metatarsals?

The transverse diameter is greater than the vertical diameter.

p.36
Metatarsal Structure and Features

What separates the two facets of the sesamoid bones?

The median crista (intersesamoidal crest/ridge).

p.36
Metatarsal Structure and Features

Which metatarsal is the longest?

The second metatarsal.

p.36
Metatarsal Structure and Features

What does the base of the second metatarsal articulate with?

All three cuneiforms and the third metatarsal.

p.36
Metatarsal Structure and Features

What type of facet does the proximal surface of the base of the second metatarsal form?

A triangular articular facet for the intermediate cuneiform.

p.36
Metatarsal Structure and Features

What is found on the medial surface of the second metatarsal?

A small, oval facet for the medial cuneiform and a second small oval facet when it articulates with the first metatarsal.

p.36
Metatarsal Structure and Features

What ligaments attach to the medial surface of the second metatarsal?

Lisfranc's ligament.

p.36
Metatarsal Structure and Features

What are the two types of facets on the lateral surface of the second metatarsal?

One dorsal and one plantar, each divided into two smaller facets (demifacets).

p.36
Metatarsal Structure and Features

Which metatarsal do the anterior demifacets of the second metatarsal articulate with?

The third metatarsal.

p.36
Metatarsal Structure and Features

What ligaments attach to the dorsal surface of the second metatarsal?

The dorsal intermetatarsal ligament to the third metatarsal and three dorsal cuneometatarsal ligaments.

p.36
Metatarsal Structure and Features

What serves as an attachment for several ligaments and muscles on the plantar surface of the second metatarsal?

The long plantar, plantar cuneometatarsal, and plantar intermetatarsal ligaments, the tendon of the tibialis posterior muscle, and the oblique head of the adductor hallucis muscles.

p.36
Metatarsal Structure and Features

What do the lateral head of the first dorsal interosseous and the medial head of the second dorsal interosseous attach to?

The medial and lateral surfaces of the shaft of the second metatarsal, respectively.

p.36
Metatarsal Structure and Features

What does the base of the third metatarsal articulate with?

The lateral cuneiform and the second and fourth metatarsals.

p.36
Metatarsal Structure and Features

What type of facet does the proximal surface of the base of the third metatarsal form?

A triangular facet for the lateral cuneiform.

p.37
Medial and Plantar Surfaces

What features are found on the medial surface of the base of the third metatarsal?

Two small facets, one dorsal and one plantar, for articulation with the second metatarsal, and the interosseous intermetatarsal ligament attaches here.

p.37
Lateral Surface Characteristics

What is a diagnostic feature of the lateral surface of the third metatarsal?

A groove for the interosseous intermetatarsal ligament to the fourth metatarsal.

p.37
Dorsal Surface Features

What ligaments attach to the dorsal surface of the third metatarsal?

Two dorsal intermetatarsal ligaments and one dorsal cuneometatarsal ligament.

p.37
Plantar Surface Characteristics

What structures attach to the plantar surface of the base of the third metatarsal?

The long plantar, plantar cuneometatarsal, two plantar intermetatarsal ligaments, the tendon of the tibialis posterior, and the oblique head of the adductor hallucis.

p.37
Siding the Calcaneus

Which muscles originate from the shaft of the third metatarsal?

The first plantar interosseous, lateral head of the second dorsal interosseous, and medial head of the third dorsal interosseous muscles.

p.37
Metatarsal Structure and Features

What does the base of the fourth metatarsal articulate with?

The cuboid, lateral cuneiform, and the third and fifth metatarsals.

p.37
Anterior and Posterior Surfaces

What is the shape of the proximal surface of the fourth metatarsal?

It forms a quadrilateral articular surface for articulation with the cuboid.

p.37
Medial and Plantar Surfaces

What features are found on the medial surface of the base of the fourth metatarsal?

An oval articular facet divided into proximal and distal demifacets for articulation with the third metatarsal and the lateral cuneiform.

p.37
Lateral Surface Characteristics

What is the feature of the lateral surface of the fourth metatarsal?

A large oval to triangular facet for the fifth metatarsal, with an interosseous intermetatarsal ligament attaching to this surface.

p.37
Dorsal Surface Features

What ligaments attach to the dorsal surface of the base of the fourth metatarsal?

The dorsal cuneometatarsal and two dorsal intermetatarsal ligaments.

p.37
Plantar Surface Characteristics

What structures attach to the plantar surface of the fourth metatarsal?

The oblique head of the adductor hallucis muscle, the tibialis posterior tendon, and for the long plantar, plantar cuboideometatarsal, and two plantar intermetatarsal ligaments.

p.37
Siding the Calcaneus

Which muscles originate from the shaft of the fourth metatarsal?

The second plantar interosseous, lateral head of the third dorsal interosseous, and medial head of the fourth dorsal interosseous muscles.

p.38
Metatarsal Structure and Features

What shape is the base of the fifth metatarsal?

Triangular or pyramidal with its apex pointing plantarly and laterally.

p.38
Metatarsal Structure and Features

What forms the apex of the base of the fifth metatarsal?

A prominent tuberosity (styloid process).

p.38
Metatarsal Structure and Features

With which bones does the base of the fifth metatarsal articulate?

The cuboid and fourth metatarsal.

p.38
Metatarsal Structure and Features

What feature is found on the proximal surface of the fifth metatarsal?

A triangular facet for the cuboid.

p.38
Metatarsal Structure and Features

What is the function of the medial surface of the fifth metatarsal?

It has a triangular or oval facet for the 4th metatarsal and serves as an attachment for the interosseous intermetatarsal ligament.

p.38
Metatarsal Structure and Features

What is the primary feature of the lateral surface of the fifth metatarsal?

The tuberosity of the fifth metatarsal.

p.40
Ossification and Accessory Bones of the Foot

Where is the sesamoid bone located within the tendon of tibialis posterior?

As it crosses the navicular.

p.40
Ossification and Accessory Bones of the Foot

What is the name of the sesamoid bone within the tendon of fibularis longus?

Os peroneum.

p.40
Ossification and Accessory Bones of the Foot

Which tendon has sesamoid bones at the metatarsophalangeal joint (MPJ) of the 2nd toe?

Tendon of flexor digitorum brevis (FDB).

p.40
Ossification and Accessory Bones of the Foot

Which tendon has sesamoid bones at the interphalangeal joint (IPJ)?

Tendon of flexor hallucis longus (FHL).

p.40
Ossification and Accessory Bones of the Foot

What is the most common accessory bone associated with the lateral tubercle of the posterior process of the talus?

Os trigonum.

p.40
Ossification and Accessory Bones of the Foot

What happens when the secondary ossification center in the navicular tuberosity fails to fuse?

Os tibiale (externum) occurs.

p.40
Ossification and Accessory Bones of the Foot

Where is os intermetatarseum I located?

Between the medial cuneiform and the bases of the first and second metatarsals.

p.40
Ossification and Accessory Bones of the Foot

What is os uncinatum associated with?

Lateral cuneiform.

p.40
Ossification and Accessory Bones of the Foot

What is os vesalianum associated with?

Tuberosity of the 5th metatarsal.

p.40
Ossification and Accessory Bones of the Foot

What is the significance of accessory bones in the foot?

They are important in distinguishing them from possible fractures.

p.41
Ossification and Accessory Bones of the Foot

What is the secondary ossification center in the calcaneus called?

Os calcaneus secondarium

p.41
Ossification and Accessory Bones of the Foot

What is the name of the bone that sometimes has a secondary ossification center in the navicular?

Os supranaviculare

p.41
Ossification and Accessory Bones of the Foot

What is the name of the structure that supports the talus?

Os sustentaculum tali

p.41
Ossification and Accessory Bones of the Foot

Which tarsal bone has a secondary ossification center in the calcaneal tuberosity?

Calcaneus

p.41
Ossification and Accessory Bones of the Foot

At what age does ossification begin for the calcaneus?

4-7 months in utero

p.41
Ossification and Accessory Bones of the Foot

When does ossification begin for the talus?

6 months in utero

p.41
Ossification and Accessory Bones of the Foot

At what age do the metatarsals and phalanges begin ossification?

9-12 weeks in utero

p.41
Anatomy of the Foot

What bones are included in the medial longitudinal arch?

First through third metatarsals, all three cuneiforms, navicular, talus, and calcaneus

p.41
Anatomy of the Foot

What forms the keystone of the medial longitudinal arch?

The talar head

p.41
Anatomy of the Foot

Which bones are part of the lateral longitudinal arch?

Fourth and fifth metatarsals, cuboid, and calcaneus

p.41
Anatomy of the Foot

What is the keystone of the lateral longitudinal arch?

The cuboid

p.41
Anatomy of the Foot

What bones are included in the transverse arch?

Distal row of tarsal bones and all five metatarsals

p.41
Anatomy of the Foot

Which bone forms the keystone of the transverse arch?

The intermediate cuneiform

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