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Transverse tarsal joint/TMT joint
Transverse tarsal joint/TMT joint
Intervention
Examination
Muscles
100
What two joints make up the Transverse tarsal joint?
Talonavicular and calcaneocuboid joint
100
- Describe the articulations of the first TMT joint
the first TMT joint is the articulation between the base of the first metatarsal and the medial cuneiform
100
What are some early phase exercises for plantar fasciitis?
Plantar stretch Ankle pumps and ankle circles Alphabet exercises STM of plantar fasciitis
100
The anterior drawer test for the ankle is testing which ligament?
ATFL
100
This muscle is one of the main stabilizers of the medial longitudinal arch of the foot
Tibialis Posterior
200
Describe the arthrokinamatics of the talonavicular joint? (concave and convex)
the anterior portion of the talus is convex and the posterior aspect navicular bone concave
200
Describe the articulation of the 4th and 5th TMT joints
the bases of the fourth and the firth metatarsals articulate with the distal surface of the cuboid bone to form the 4th and 5th TMT joints
200
What types of joint mobility will help to improve dorsiflexion of the ankle?
Talar posterior glide Distal tibfib posterior glide Talocrural joint distraction manipulation
200
What is the special test for plantar Fasciitis and describe how you would perform it on a patient?
Windlass test
200
What are the attachments of the extensor digitorum longus
- Lateral condyle of the tibia, upper three fourths of the anterior surface of fibula, interosseous membrane - Inserts into distal phalanx of lateral 4 toes
300
describe the attachments and function of the spring ligament?
- arises on sustentaculum tali and inserts on inferior navicular bone - the spring ligament supports the head of the talus and talonavicular joint - it is also one of the main static stabilizers of the medial longitudinal arch - forms the “floor and medial wall” of the talonavicular joint
300
how many degrees of freedom are there at the talonavicular joint
three degrees of freedom
300
What are some late phase exercises for plantar fasciitis?
- Walking incline on a treadmill - Box lift or box carry - Deadlift - Heel raises
300
Name and describe a special test for the meniscus
- Thessaly - McMurray - Apley
300
Describe the procedure of a MMT of the Fibularis Longus
Patient is sideling, have them invert and plantar flex their foot. Then push them into eversion. Push on lateral aspect of foot
400
describe the attachments and function of the plantar calcaneocuboid ligament (long plantar ligament)?
- Arises from the plantar surface of the calcaneus and inserts on the plantar surface of the bases of the lateral 3 or 4 metatarsal bones - provides support for the lateral longitudinal arch and calcaneocuboid joint
400
Which ligaments give support to the talonavicular joint
- Plantar calcaneonavicular ligament - Dorsal talonavicular ligament - Tibionavicular portion of deltoid ligament
400
What is the purpose of anterior and posterior Knee gapping?
To increase ROM at the end range of flexion and extension
400
What are the components of the Ottawa ankle rule?
X-ray is indicated if there is bony pain in the malleolar zone and any one of the following: Tenderness at distal 6 cm of posterior edge of tibia or tip of medial malleolus Tenderness at distal 6 cm of posterior edge of fibula or tip of lateral malleolus Inability to bear weight both immediately after injury and in the ED for 4 steps
400
What are the actions of the Tibialis anterior
Dorsiflexion and inversion
500
A lateral rotation of the leg in weight bearing will create will create which type of motion at the transverse tarsal joint relative to the subtalar joint ?
Lateral rotation of the leg will create supination at subtalar joint which will create relative PRONATION at the transverse tarsal joint
500
What are the two independent axis of the transverse tarsal joint and what are the main components of supination and pronation in each axis?
- Oblique axis o Pronation is abduction and dorsiflexion o Supination is adduction and plantar flexion - Longitudinal axis o Pronation is eversion o Supination is inversion
500
What are the sets and reps for joint mobs and joint mobs with movement?
Joint mob 3-4 sets 30-90 seconds MWM 1-3 sets 10-15 reps
500
What special tests is going to test the Calcaneofibular ligament? (explain procedure)
Medial talar tilt test patient is sitting or prone with knee flexed, stabilize distal tibfib, tilt calcaneus into inversion and palpate ligament
500
Name two intrinsic muscles of the foot and their actions ?
JSF chart p.476