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Lower Limb exam 2 - joints and ligaments
joints and ligaments for the 2nd lower limb anatomy exam
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01/25/2013

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Term
features of synovial joints
Definition
hyaline cartilage covers articular surfaces
articular capsule encloses joint
synovial membrane lines the capsule and covers all structures within the capsule except for the articular cartilage
synovial membrane secretes synovial fluid
Term
talocrural joint
Definition
the ankle joint
hinge or ginglymus type of synovial joint
Term
interosseous tibiofibular ligament
Definition
lowermost portion of the interosseous membrane between the tibia and fibula
not part of the ankle joint
Term
anterior inferior tibiofibular ligament
Definition
triangular in shape
from the anterior border of the fibular notch of the tibia to the anterior border of the shaft of the fibula and the lateral malleolus
forms the anterior portion of the socket
Term
posterior inferior tibiofibular ligament
Definition
quadrilateral in shape
from the posterior border of the fibular notch of the tibia to the upper part of the lateral malleolar facet
has a superficial and a deep portion
Term
inferior transverse ligament
Definition
deep portion of the posterior inferior tibiofibular ligament
helps form the tibial plafond
Term
deltoid ligament
Definition
medial collateral ligament of the ankle joint
very strong, triangular shaped band
fibers attach to the anterior surface, apex and posterior surface of the medial malleolus on the tibia superiorly and fan out inferiorly to attach to the talus, calcaneus and navicular
Term
4 ligaments making up the deltoid ligament
Definition
anterior tibiotalar (lies deep)
posterior tibiotalar
tibiocalcaneal
tibionavicular
Term
anterior tibiotalar ligament
Definition
attaches to the medial surface of the talus
Term
posterior tibiotalar ligament
Definition
attaches to the medial tubercle on the posterior surface of the talus
Term
tibiocalcaneal ligament
Definition
attaches to the sustentaculum tali inferiorly
the strongest part of the deltoid ligament
Term
tibionavicular ligament
Definition
attaches to the tuberosity of the navicular
blends with the spring ligaent
the weakest part of the deltoid ligament
lies superficial to the anterior tibiotalar ligament
Term
muscles that lie superficial to the deltoid ligament
Definition
tibialis posterior
flexor digitorum longus
Term
calcaneofibular ligament
Definition
long cord like ligament
attaches at the apex of the lateral malleolus extending to an unnamed tubercle on the lateral surface of the calcaneus
weakest of the three LCL's
covered by the tendons of peroneus longus and peroneus brevis
Term
muscle tendons covering up the calcaneofibular ligament
Definition
tendons of peroneus longus and peroneus brevis
Term
anterior talofibular ligament
Definition
shortest of the LCLs
attaches to the anterior margin of the lateral malleolus and to the neck of the talus
overhangs the tarsal sinus
one of the most commonly injured with inversion-type ankle sprains
Term
posterior talofibular ligament
Definition
deepest and strongest of the LCLs
fibers course horizontally between the lateral malleolar fossa and the lateral tubercle of the posterior surface of the talus
Term
fibulotalocalcaneal ligament
Definition
located at the posterolateral aspect of the ankle joint
attaches along the posterior border of the lateral malleolus superiorly, where it blends with the posterior tibiofibular ligament
Term
talocalcaneal (subtalar) joint
Definition
gliding or plane type of synovial joint
Term
ligaments strengthening the articular capsule of the talocalaneal (subtalar) joint
Definition
medial talocalcaneal ligament
posterior talocalcaneal ligament
lateral talocalcaneal ligament
interosseous talocalcaneal ligament
anterior talocalcaneal ligament
Term
medial talocalcaneal ligament
Definition
attaches to the medial tubercle of the talus and to the posterior aspect of the sustentaculum tali and the medial surface of the calcaneus posterior to the sustentaculum tali
blends with the deltoid ligament (superficial) and interosseous talocalcaneal ligament (deep)
Term
posterior talocalcaneal ligament
Definition
extends between the lateral tubercle on the posterior surface of the talus and the dorsal surface of the calcaneus
Term
lateral talocalcaneal ligament
Definition
extends between the lateral surface of the talus beneath its fibular facet to the lateral surface of the calcaneus, anterior and superior to the attachment of the calcaneofibular ligament
Term
interosseous talocalcaneal ligament
Definition
lies within the tarsal canal
courses obliquely from the sulcus tali to the sulcus calcanei
lies in between and connects the subtalar and talocalcaneonavicualr joints
Term
anterior talocalcaneal ligament
Definition
cervical ligament
attaches to the neck of the talus
strong ligament that helps to check over-inversion
Term
dorsal talonavicular ligament
Definition
between the neck of the talus and the dorsal surface of the navicular
Term
two parts of the bifurcated ligament
Definition
calcaneonavicular
calcaneocuboid
Term
bifurcated ligament
Definition
V or Y shaped ligament
stem of the ligament blends with the cervical ligament at the tarsal sinus
Term
calcaneonavicular part of the bifurcated ligament
Definition
associated with and reinforces the talocalcaneonavicualar joint
Term
plantar calcaneonavicular (spring) ligament
Definition
forms an articular surface of the talocalcaneonavicular joint
posteriorly, it is attached to the anterior border of the sustentaculum tali
anteriorly, it is attached to the plantar surface of the navicular and to the tuberosity of the navicular
Term
tibionavicular and tibiocalcaneal portions of the deltoid ligament and tendon of the tibialis posterior
Definition
help to support and strengthen the spring ligament
Term
function of the spring ligament
Definition
support the head of the talus, thereby maintaining the medial longitudinal arch of the foot
Term
calcaneocuboid joint
Definition
saddle type of synovial joint
Term
ligaments which are part of the capsule of the calcaneocuboid joint
Definition
dorsal calcaneocuboid ligament
lateral calcaneocuboid ligament
Term
ligaments associated with the calcaneocuboid joint
Definition
calcaneocuboid part of the bifurcated ligament
long plantar ligament
plantar calcaneocuboid (short plantar) ligament
Term
long plantar ligament
Definition
longest and one of the strongest ligaments of the foot
calcaneal attachment - medial and lateral processes and the depression between these processes
deep fibers attach to the peroneal ridge of the cuboid
superficial fibers cross the peroneal sheath over the tendon of peroneus longus and attach to the bases of mets 2, 3, 4 and sometimes 5
supports the lateral longitudinal arch of the foot
Term
plantar calcaneocuboid (short plantar) ligament
Definition
lies deep to the long plantar ligament
attached to the anterior tubercle of the calcaneus proximally and the cuboid distally
supports the lateral longitudinal arch of the foot
Term
great tarsal joint
Definition
not a single joint
contains numerous articular surfaces which all share the same synovial membrane and synovial fluid
Term
functional intertarsal joints
Definition
functional subtalar joint
transverse tarsal joint
Term
functional subtalar joint
Definition
functional intertarsal joint
made up of the subtalar joint the talocalcaneal part of the talocalcaneonavicular joint
Term
transverse tarsal joint
Definition
functional intertarsal joint
made up of the calcaneocuboid joint and the talonavicular part of the talocalcaneonavicular joint
Term
medial tarsometatarsal joint
Definition
for articulation of the kidney shaped facets of the base of the 1st met and the anterior surface of the medial cuneiform
Term
lateral tarsometatarsal joint
Definition
the 4th met articulates with the lateral cuneiform and cuboid. the 5th met articulates with the cuboid
Term
Lisfranc's ligament
Definition
interosseous tarsometatarsal ligament
attaches the 2nd met and the medial cuneiform
the most constant ligament
lies between the medial tarsometatarsal joint and the great tarsal joint
Term
functional tarsometatarsal joint
Definition
Lisfranc's joint
Term
ligaments supporting the articulation between two metatarsals
Definition
plantar intermetatarsal ligament
dorsal intermetatarsal ligament
interosseous intermetatarsal ligament
Term
deep transverse metatarsal ligament
Definition
unites the heads of all 5 metatarsals
sometimes called the intercapitular ligament
blends with the glenoid ligaments of the MPJs
separates the lumbricals from the interossei
Term
Metatarsophalangeal (MP) joints
Definition
ellipsoid types of synovial joints
primary action is flexion and extension
some ABduction/ADduction occurs
Term
glenoid ligaments
Definition
plantar metatarsophalangeal ligaments
attached loosely to the met heads but firmly to the proximal phalanges
Term
plantar plates
Definition
fibrocartilaginous pads on the glenoid ligaments
adhere tightly to the bases of the proximal phalanges and move with the phalanges during flexion and extension
Term
four ligaments contained on all five of the MP joints
Definition
articular capsule
medial collateral ligament
lateral collateral ligament
glenoid cavity
Term
Interphalangeal (IP) joints
Definition
all are hinge joints
Term
ligaments of an IP joint
Definition
articular calsule
medial collateral ligament
lateral collateral ligament
plantar interphalangeal ligament
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