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BONES OF THE FOOT AND ANKLE 14 Phalanges Distal, middle and proximal phalanges toes(2-5) Great toe (1) Only has Proximal and Distal phalanges 5 4 3 2 1 Great toe • On the plantar (bottom) surface of the great toe there are sesamoid bones Phalanges • Each phalanx is the size it needs to be for weight bearing purposes. • Which is the smallest? • Largest? Metatarsals • There are 5 metatarsals in the foot • 1,2,3,4,5 3 1 2 4 5 Base and head • Each bone has a base and a head. The head is the superior aspect of the bone and the base in the inferior aspect of the bone. Head Base th 5 The Base of metatarsal is called Styloid process Athletic trainers are concerned about this when taping an ankle. There are 7 Tarsals Bones • 3 Cuneiforms 1,2,3 • Cuboid-connected to 2 metatarsal • Navicular-connected to 3 cuneiforms • Talus-must PF the ankle to be able to palpate it. • Calcaneus-responsible for heel strike 3 Cuneiforms 1,2,3 Cuboid Navicular Talus Calcaneus- thickest ankle bone Tibia Located on the medial side of the lower leg. **Femur rests on HEAD of the tibia Medial malleolusBASE of the tibia Medial malleolus Tibia continued • The top of tibia has medial and lateral epicondyles • Tibial tuberositybump on superior middle aspect of tibia. The patellar tendon attaches to it. Osgood schlatters • A condition where the patellar tendon pulls on tibial tuberosity causing a bump in the lower leg. Severe Osgood Schlatters Fibula • Located on the lateral side of the lower leg • Lateral malleolusBASE of the fibula Common peroneal nerve • Wraps around the head of the fibula. • *MUST USE CAUTION WHEN ICING FEMUR THICKEST BONE IN BODY Rests on the tibia. Parts of femur Head-attaches to hip Neck Greater Trochanter Lesser Trochanter Shaft Medial Epicondyle Lateral Epicondyle • Free floating bone located in the middle of the knee • Patellar tendon and quadriceps muscle attach to it. Patella Knee video • Medial and Lateral Meniscus • Anterior Cruciate ligament • Posterior Cruciate ligament