Foot Joints and Plantar Arches Overview

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1.

1st TMT articulation 1st TMT movement 2nd TMT articulation

base 1st MT greatest range of motion flexion/extension and some rotation

7.

load heel pronation

2.

3.

rotation of the forefoot laterally relative to the hindfoot

8.

load heel supination metatarsus

rotation of the forefoot medially relative to the hindfoot

9.

base of 2nd MT, intermediate cuneiform, and sides of the medial and lateral cuneiforms.
4.

3rd TMT articulation 4th and 5th TMT articulation

base of 3rd MT and lateral cuneiform

5.

midfoot
10.

metatarsus primary action metatarsus primary joints

inversion/eversion, pronation/supination

11.

bases of 4th and 5th metatarsals and cuboid

6.

calcaneocuboid joint (CCJ)

subtalar joint/transverse tarsal joint

12.

MTP function

enable foot to act as hinge at toes; during heel rise, foot maintains a small dynamic base of support between heads of metatarsals and bases of proximal phalanges condyloid synovial joints plantarflexion/dorsiflexion and abduction/adduction

anterior calcaneus and posterior cuboid

13.

MTP joint MTP joint type MTP movement

14. 15.

16.

sinus tarsi syndrome subtalar anterior cavity

interosseous talocalcaneal ligament injury (severe inversion sprain)

25.

subtalar joint type subtalar ligamentous support subtalar primary ligamentous stability

synovial joint, enclosed by a synovial membrane and fibrous capsule medial/lateral collateral ligaments

26.

17.

27.

anterior and middle facets

18.

subtalar fibrous capsule support

interosseous talocalcaneal ligament

28.

symptoms sinus tarsi syndrome

medial/lateral/posterior talocalcaneal
19.

subtalar joint alias subtalar joint components

talocalcaneal joint

20.

1. subtalar instability 2. pain/tender lateral side within the sinus

29.

calcaneal facets, talar facets

21.

talocalcaneonavicular joint (TCNJ) components

subtalar joint division subtalar joint innervation subtalar joint movement subtalar joint posterior cavity

anterior/posterior cavity branches of deep fibular nerve eversion/abduction and inversion/adduction

22.

23.

24.

head talus/posterior navicular anterior/middle subtalar joint sustentaculum tali

30.

tarsometatarsal joints (TMT)

plane, synovial joints formed by distal tarsals and bases of metatarsals

posterior facet

31.

TMT adaptation

joints enable the foot to conform to irregular surfaces

32.

TMT ligamentous support

dorsal, plantar, and interosseous ligaments

33.

TMT movement

allow for limited gliding/sliding and pronation/supination

34. 35. 36. 37.

TMT position to do transverse tarsal joint components transverse tarsal joint types

between midfoot and forefoot pg 8-11 talocalcaneonavicular and calcaneocuboid joint synovial TCNJ - ball and socket CCJ - plane