意大利整骨Scaphoid-Cuboid-Cuneiform-Metatarsal-bones课件

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Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,It is located on the inner side of the foot,forward of the talus,in respect to the cuboid,behind the cuneiform.,It has 2 faces,2 edges,ends 2.,The back is concave,has an elliptical shape,and articulates with the head of the talus which is convex.,The front face is convex and has two ridges that separate the front face of the scaphoid in 3 articular surfaces for the back faces of the 3 cuneiform.,The articular facet that corresponds to the 1st cuneiform is the largest and most internal,Scaphoid or navicular,The edges(upper and lower)are wrinkled and baggy for ligamentous,It is observed an inner end,the scaphoid tubercle on which fits the posterior tibial and an outer end which has a small articular facet for the cuboid,with slightly concave form,and the insertion of the internal beam ligament Y Chopart(calcaneal-navicular ligament external).,It is located on the outer edge of the foot,in front of the heel bone,behind the 4th and 5th metatarsal,with respect to the outside scaphoid.,It has the shape of a triangular prism-based interior.,It has 5 faces and 1 margin.,Cuboid,Dorsal surface is tilted down and out,it is rough(for a variety of ligamentous).Important is the external beam ligament Y Chopart(on the inner wall).Will be covered by the extensor digitorum brevis muscle.,Plantar:presence of a ridge oblique forward and inward(also called ridge or tuberosity of the cuboid).,Rear face:articulates with the calcaneus is characterized by a good stability and a limited mobility to reverse the conformation of the articular facets of the calcaneus and the cuboid,for the interweaving of the ligament fibers within this articulation,for the presence of the peroneus muscle and external beam ligament Y Chopart and upper leg.cuboideo plantar calcaneal bottom.,Front face:it has a vertical ridge that divides it into two areas respectively articulated with the 4th and 5th metatarsal.,Inner face:is the base of this prism;presents a small facet for the 3rd cuneiform and more posteriorly another small facet for the scaphoid.,Apparent roughness for the ligamentous attachments.,The movements permits will be limited to external rotation and internal rotation,During the eversion of the foot short lateral peroneal,through its insertion at the level of the styloid process of the 5th metatarsal,the cuboid will attract outside and backwards while the long peroneal side will raise its outer edge.,The cuboid will make a limited external rotation from the rostrum of the heel.,Similarly,the cuboid bone,the navicular drag,but even here,due to the surge of the posterior tibial and the articular facet joint,there will be a gear system which will result in an ascent of the internal tubercle of the scaphoid and a descent of its outer edge.,You then experience an external rotation of the cuboid and internal rotation of the scaphoid.,Dysfunctions of cuboid-navicular,Scaphoid in internal rotation:,Mechanism Manufacturer:flat foot(if arc is lowered),distortion in inversion and eversion,Symptoms:pain to the scaphoid and elective likely pain in the subtalar joint to the physiological link between the navicular and cuboid.,Palpation:more pronounced internal tubercle and higher,Mobility:Increased internal rotation,Cuboid in external rotation:,Mechanism Manufacturer:flat feet,sprains,Symptoms:Pain on elective cuboid,Palpation:outer edge raised up,Mobility:increased external rotation,Osteopathic test for cuboid and navicular,The hand cephalic impalma the heel so as to determine a fixed point,The distal hand through the hypothenar is resting on the head of the 1st metatarsal and the foot does make a dorsiflexion,The thumb of the hand distal settles on the bottom of the tubercle of the scaphoid,because the index is on the dorsal,The osteopath does make scaphoid movement of internal rotation with the thumb rest and movements of external rotation with index support.,The test is comparative,The hand cephalic impalma the heel,The hand distal to the hypothenar on the head of the 5th metatarsal is to perform a foot dorsiflexion,The thumb and index finger distal are arranged respectively on the dorsal and plantar surface of the cuboid,Osteopaths move the cuboid in the superior-inferior direction to evaluate the dysfunction.,The test is comparative,Patient supine knee flexion,The inner hand osteopath impalma the heel and stabilizes;the thenar of the hand is resting on the outer side edge of the cuboid(fingers impalmano the lower face)and leads towards the internal rotation,ie towards the midline.,It calls for a dorsiflexion of the foot by continuing to lead towards the correction.,Once in the barrier with the same technique you can do a thrust in the direction of internal rotation of the cuboid.,Technique whip,Patient in prone,The o
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