Toes and Foot

1
Chapter 7

• Toes and Foot

2
Foot

• 3 Parts
• ____________ 14 bones
• Metatarsals 5 bones
• ____________ 7 bones

3
Digits of the Foot

• 1st Digit ____________
• 2 phalanges
• __________
• Proximal
• 2nd 5th digits
• 3 phalanges
• __________
• Middle
• _________

4
Joints of the Digits

• 1st digit
• Interphalangeal joint ____ between _____ and
  __________phalanges
• 2nd 5th digit
• Distal interphalangeal joint ______ between
  ________________phalanges
• Proximal interphalangeal joint ______ between
  _______________phalanges

5
Metatarsals

• Numbered 1 5
• Consisting of 3 parts per metatarsal
• _____________
• Body (shaft)
• _______________
• 5th metatarsal ______________
• Extends _____________(tendon attachment)

6
Joints of the Metatarsal

• Metatarsophalangeal joint ______
• Between ______ of metatarsal and ______ of
  proximal phalanx
• Tarsometatarsal joint ________
• Between _____ of metatarsal and ________

7
Sesamoid Bones

• Small detached bones commonly found on
  _______________of 1st metatarsal.
• Can be ________

8
Tarsals

• 7 bones making up the proximal foot
• Calcaneus (Os Calcis) Own positioning
• ____________
• ____________
• ______________________
• __________

9
Talus

• Part of _______________
• Between lower leg and calcaneus
• Articulates with
• __________
• Calcaneus
• __________

10
Cuboid

• __________- aspect
• Articulates with
• _____________metatarsal
• _____________
• Lateral (3rd) Cuneiform

11
Navicular

• ____________
• _________- aspect
• Articulates with
• ________
• 3 cuneiforms

12
Cuneiforms

• Medial
• ____________
• 1st and 2nd metatarsal
• Intermediate cuneiform
• Intermediate
• Navicular
• ______________
• Medial and lateral cuneiform
• Lateral
• Navicular
• Cuboid
• _________________
• intermediate cuneiform

13
Foot Arches

• Longitudinal
• __________
• Most Prominent
• Lateral
• _________

• Transverse
• Along the _____ of the _______
• Along ______ aspect

14
Foot Motions

• _______________
• Toes up
• ______________
• Toes down
• _____________
• Inward turning
• ___________
• Outward turning

15
Viewing the Foot

• As it is projected ____________
• Toes ________
• Tip
• If marker is ___________, hang with marked
  __________.

16
Imaging the Toes

• Routine
• AP Foot
• Oblique affected toe
• Lateral affected toe
• 50 60 kVp
• 40 SID

17
AP Foot

• Have pt supine with __________and ____________on
  cassette
• _______________angle to be perpendicular to
  metatarsals _________Depending on arch.
• Center to base of ____________
• Collimate to skin

18
Oblique Toe

• Oblique affected toe _____________
• CR to metatarsalphalangeal joint ______
• Collimate to affected toe

19
Lateral Toe

• Rotate leg ____________(4th and 5th) or
  _____________(1st, 2nd, 3rd).
• Use sponges and tourniquets to ________ toes from
  superimposition
• CR to
• _________for the 1st
• _________ for 2-5
• Collimate to toe

20
Imaging the Foot

• Routine
• AP
• Internal Oblique
• Lateral
• 60 64 kVp

21
Oblique

• Rotate foot ________ so __________is 45 from
  cassette
• A _________ can be helpful
• Center at base of _____________
• Collimate to skin

22
Lateral

• __________foot for __________projection
• Plantar surface should be ________ cassette.
• A sponge can be placed under knee for support
• Center at _______________
• Rotate tube so _____________long axis
• Collimate to skin