Ankle
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Ankle
The ankle, or the talocrural region, or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joint. The movements produced at this joint are dorsiflexion and plantarflexion of the foot. In common usage, the term ankle refers exclusively to the ankle region. In medical terminology, "ankle" (without qualifiers) can refer broadly to the region or specifically to the talocrural joint. The main bones of the ankle region are the talus (in the foot), and the tibia and fibula (in the leg). The talocrural joint is a synovial hinge joint that connects the distal ends of the tibia and fibula in the lower limb with the proximal end of the talus. The articulation between the tibia and the talus bears more weight than that between the smaller fibula and the talus. Structure Region The ankle region is found at the junction of the leg and the f ...
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Tibia
The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute ''tibia''. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body. Structure In human anatomy, the tibia is the second largest bone next to the femur. As in other vertebrates the tibia is one of two bones in the lower leg, the other being the fibula, and is a component of the knee and ankle joints. The ossification or formation of the bone ...
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Medial Malleolus
A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula. The word ''malleolus'' (), plural ''malleoli'' (), comes from Latin and means "small hammer". (It is cognate with ''mallet''.) Medial malleolus The medial malleolus is found at the foot end of the tibia. The medial surface of the lower extremity of tibia is prolonged downward to form a strong pyramidal process, flattened from without inward - the medial malleolus. * The ''medial surface'' of this process is convex and subcutaneous. * The ''lateral'' or ''articular surface'' is smooth and slightly concave, and articulates with the talus. * The ''anterior bo ...
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Lateral Malleolus
A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula. The word ''malleolus'' (), plural ''malleoli'' (), comes from Latin and means "small hammer". (It is cognate with '' mallet''.) Medial malleolus The medial malleolus is found at the foot end of the tibia. The medial surface of the lower extremity of tibia is prolonged downward to form a strong pyramidal process, flattened from without inward - the medial malleolus. * The ''medial surface'' of this process is convex and subcutaneous. * The ''lateral'' or ''articular surface'' is smooth and slightly concave, and articulates with the talus. * The ''anterior ...
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Deltoid Ligament
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament is composed of 4 fibers: 1. Anterior tibiotalar ligament 2. Tibiocalcaneal ligament 3. Posterior tibiotalar ligament 4. Tibionavicular ligament. It consists of two sets of fibers, superficial and deep. Superficial fibres Of the superficial fibres, * ''tibionavicular'' pass forward to be inserted into the tuberosity of the navicular bone, and immediately behind this they blend with the medial margin of the plantar calcaneonavicular ligament; * ''tibiocalcaneal'' descend almost perpendicularly to be inserted into the whole length of the sustentaculum tali of the calcaneus; * ''posterior tibiotalar'' from the posterior colliculus of the medial malleolus to the posteromedial surface of the talus Deep fibres The deep fibres (''anterior tibiotalar'') are attached from the anterio ...
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Osteoarthritis
Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the world. The most common symptoms are joint pain and stiffness. Usually the symptoms progress slowly over years. Initially they may occur only after exercise but can become constant over time. Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs. The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs; the knee and hip joints; and the joints of the neck and lower back. Joints on one side of the body are often more affected than those on the other. The symptoms can interfere with work and normal daily activities. Unlike some other types of arthritis, only the joints, not internal organs, are af ...
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Calcaneofibular Ligament
The calcaneofibular ligament is a narrow, rounded cord, running from the tip of the lateral malleolus of the fibula downward and slightly backward to a tubercle on the lateral surface of the calcaneus. It is part of the lateral collateral ligament, which opposes the hyperinversion of the subtalar joint, as in a common type of ankle sprain. It is covered by the tendons of the fibularis longus and brevis muscles. Clinical significance The calcaneofibular ligament is commonly sprained ligament in ankle injuries. It may be injured individually, or in combination with other ligaments such as the anterior talofibular ligament and the posterior talofibular ligament The posterior talofibular ligament is a ligament that connects the fibula to the talus bone. It runs almost horizontally from the malleolar fossa of the lateral malleolus of the fibula The fibula or calf bone is a leg bone on the lateral side .... References Further reading * External links * * —Calcaneofibu ...
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Fibula
The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint. Structure The bone has the following components: * Lateral malleolus * Interosseous membrane connecting the fibula to the tibia, forming a syndesmosis joint * The superior tibiofibular articulation is an arthrodial joint between the lateral condyle of the tibia and the head of the fibula. * The inferior tibiofibular articulation (tibiofibular syndesmosis) is formed by the rough, convex surface of the medial side of the lower end of the f ...
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High Ankle Sprain
A high ankle sprain, also known as a syndesmotic ankle sprain (SAS), is a sprain of the syndesmotic ligaments that connect the tibia and fibula in the lower leg, thereby creating a mortise and tenon joint for the ankle. High ankle sprains are described as high because they are located above the ankle. They comprise approximately 15% of all ankle sprains. Unlike the common lateral ankle sprains, when ligaments around the ankle are injured through an inward twisting, high ankle sprains are caused when the lower leg and foot externally rotates (twists out). Mechanism The ankle joint consists of the talus resting within the mortise created by the tibia and fibula as previously described. Since the talus is wider anteriorly (in the front) than posteriorly (at the back), as the front of the foot is raised (dorsiflexed) reducing the angle between the foot and lower leg to less than 90°, then the mortise is confronted with an increasingly wider talus. The force is heightened when the fo ...
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Talus Bone
The talus (; Latin for ankle or ankle bone), talus bone, astragalus (), or ankle bone is one of the group of foot bones known as the tarsus. The tarsus forms the lower part of the ankle joint. It transmits the entire weight of the body from the lower legs to the foot.Platzer (2004), p 216 The talus has joints with the two bones of the lower leg, the tibia and thinner fibula. These leg bones have two prominences (the lateral and medial malleoli) that articulate with the talus. At the foot end, within the tarsus, the talus articulates with the calcaneus (heel bone) below, and with the curved navicular bone in front; together, these foot articulations form the ball-and-socket-shaped talocalcaneonavicular joint. The talus is the second largest of the tarsal bones; it is also one of the bones in the human body with the highest percentage of its surface area covered by articular cartilage. It is also unusual in that it has a retrograde blood supply, i.e. arterial blood enters the ...
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Navicular Tuberosity
The navicular bone is a small bone found in the feet of most mammals. Human anatomy The navicular bone in humans is one of the tarsal bones, found in the foot. Its name derives from the human bone's resemblance to a small boat, caused by the strongly concave proximal articular surface. The term ''navicular bone'' or ''hand navicular bone'' was formerly used for the scaphoid bone, one of the carpal bones of the wrist. The navicular bone in humans is located on the medial side of the foot, and articulates proximally with the talus, distally with the three cuneiform bones, and laterally with the cuboid. It is the last of the foot bones to start ossification and does not tend to do so until the end of the third year in girls and the beginning of the fourth year in boys, although a large range of variation has been reported. The tibialis posterior is the only muscle that attaches to the navicular bone. The main portion of the muscle inserts into the tuberosity of the navi ...
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Joint
A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw-Hill Connect. Webp.274/ref> They are constructed to allow for different degrees and types of movement. Some joints, such as the knee, elbow, and shoulder, are self-lubricating, almost frictionless, and are able to withstand compression and maintain heavy loads while still executing smooth and precise movements. Other joints such as sutures between the bones of the skull permit very little movement (only during birth) in order to protect the brain and the sense organs. The connection between a tooth and the jawbone is also called a joint, and is described as a fibrous joint known as a gomphosis. Joints are classified both structurally and functionally. Classification The number of joints depends on if sesamoids are included, age of the ...
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Posterior Talofibular Ligament
The posterior talofibular ligament is a ligament that connects the fibula to the talus bone. It runs almost horizontally from the malleolar fossa of the lateral malleolus of the fibula to the lateral tubercle on the posterior surface of the talus. This insertion lies immediately lateral to the groove for the tendon of the flexor hallucis longus The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus an .... References External links * () Ligaments of the lower limb {{ligament-stub ...
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