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The Ankle Ouch!!! http://www.youtube http://www.youtube .com/watch?v=FFy xSaYqwtY .com/watch?v=UIu 6v4c5Wpw&NR=1 Ankle Range of Motion 1. Dorsiflexion 2. Plantar Flexion 3. Inversion 4. Eversion Degrees of Motion Dorsiflexion = Plantar Flexion = Inversion = Eversion = The purpose of an ankle taping is to reduce ROM at the ankle. While taping, the athlete should maintain the ankle in a dorsiflexed position. Components of a Basic Ankle Taping 1. Anchors around base of calf and midfoot 2. Stirrups with horseshoes 3. Figure 8’s 4. Heel Locks http://www.youtube.com/watch?v=7v4PoBEIQ88 Skeletal Anatomy 26 bones Phalanges – 14 Metatarsals – 5 Tarsals – 7 Tibia Distal portion is called the medial malleolus Fibula Distal portion is called the lateral malleolus Why is it easier to invert ankle than evert the ankle? Joints of the Foot and Ankle 1. 2. 3. 4. 5. Talocrural (crural = leg) - formed between talus, fibula, and tibia - sight of plantar flexion and dorsiflexion Subtalar (below the talus) - sight of inversion and eversion Tarsometatarsal Metatarsalphalangeal (MP) Interphalangeal (IP) Ankle Ligaments Lateral Ligaments 1. Anterior Talofibular Lig (ATF) Connects fibula to talus 2. Calcaneofibular Lig (CF) Connects fibula to calcaneus 3. Posterior Talofibular Lig (PTF) Connects fibula to talus Medial Ankle 1. Deltoid Ligament composed of 4 parts Muscles of the Lower Leg 4 compartments •Anterior •Dorsiflex foot •Extend toes up •Lateral •Evert Foot •Plantar Flexion •Posterior •Plantar Flexion •Deep Posterior •Invert Foot •Flex toes (curl) http://www.youtube.com/watch?v=4lKKBWWErHM http://www.youtube.com/watch?v=yhIEXC3JrYs Muscles of the Leg and Ankle Anterior Compartment Contains the muscles that 1) dorsiflex the ankle 2) extend the toes Tibialis Anterior – ankle dorsiflexion and inversion Extensor Hallucis Longus – extends big toe and dorsiflexes ankle Extensor Digitorum Longus – extends toes 2 – 5 and dorsiflexes ankle Hallucis – refers to big toe Extensor Longus Muscles Lateral Compartment Contains muscles that perform eversion of foot Peroneus Longus – ankle eversion and plantar flexion aka Fibularis Longus Peroneus Brevis – ankle eversion and plantar flexion aka Fibularis Brevis These muscles are on the lateral side of the leg & are posterior to the lateral malleolus. This causes PLANTAR FLEXION. Peroneus Longus Peroneus Brevis Superficial Posterior Compartment Contains muscles that plantar flex ankle Gastrocnemius – powerful plantar flexor (Calf Muscle) Soleus – powerful plantar flexor Lower and underneath the Gastrocnemius Both muscles share the Achilles Tendon and insert into the Calcaneus - Achilles is the largest tendon in the body and can withstand 1000 pounds of force Deep Posterior Compartment muscles that perform inversion of the foot and flex the toes Flexor Hallucis Longus – flexes big toe, weak plantar flexor Flexor Digitorum Longus – flexes toes 2 – 5, and weak plantar flexor Tibialis Posterior – main inverter of foot, ankle plantar flexion Lateral Deep Posterior Superficial Posterior No Anterior Muscles from this view