RUMBLE 2006
Answers to Week 3 Questions
Lower Extremity Anatomy

1. The primary center of ossification of the talus usually appears at what age?

a. 1st month intrauterine

b. 6th month intrauterine*

c. 1st month after birth

d. 8th month after birth

Answer B. The talus is the second bone of the tarsus to begin ossification, second only to the calcaneus. The talus only occasionally possesses a secondary center of ossification in the lateral tubercle of the posterior process. The talus is the second largest bone of the tarsus and is the only bone of the tarsus to articulate with the tibia and fibula at the ankle joint. Draves, Anatomy of the Lower Extremity, page 112.

 

2. True or False:  The trochlea of the body of the talus is wider posteriorly than anteriorly.

Answer False. The trochlea of the body of the talus is approximately 25% wider anteriorly than posteriorly. In dorsiflexion, the wider trochlear area of the talus fits relatively well into the wider anterior area of the tibial plafond between the medial and lateral malleoli. Draves, Anatomy of the Lower Extremity, page 147.

 

 
3. The bifurcate ligament is also known as:

a. Chopart’s ligament *

b. Plantar Calcaneonavicular ligament

c. Dorsal Talonavicular ligament

d. Plantar Calcaneocuboid ligament

Answer A. The bifurcate ligament consists of two arms, the calcaneonavicular part and the calcaneocuboid part. The stem of the ligament is its posterior calcaneal attachment. The medial arm helps to stabilize the talonavicular joint, while the lateral arm helps to stabilize the calcaneocuboid joint. Draves, Anatomy of the Lower Extremity, page 147.

 

4. Which of the following is the longest cutaneous branch of the femoral nerve?

a. Plantaris

b. Peroneus brevis *

c. Flexor Digitorum longus

d. Peronues longus

Answer B. The Peroneus brevis muscle originates anterior and deep to the peroneus longus muscle. Distally, the tendon of the peroneus brevis lies anterior to the tendon of the peroneus longus at the lateral malleolus. It then inserts onto the lateral surface of the tubercle of the base of the fifth metatarsal. Draves, Anatomy of the Lower Extremity, page 258

 

5. Which of the following is the longest cutaneous branch of the femoral nerve?

a. Medial calcaneal nerve

b. Sural nerve

c. Medial plantar nerve

d. Saphenous nerve *

 

Answer D.  The saphenous nerve is the longest cutaneous branch of the femoral nerve and travels with the saphenous vein as it passes onto the medial side of the dorsum of the foot. It generally divides into two sensory branches proximal to the medial malleolus with the distal branch traveling to the level of the 1st MTPJ. Draves, Anatomy of the Lower Extremity, page 303.

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