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EEO FINAL > 12: ANKLE/FOOT > Flashcards

12: ANKLE/FOOT Flashcards

1
Q

What are performance measures for foot/ankle?

A

TUG
timed LE chair rise test
wall sit test
vertical jump test
LE agility test
hop tests
heel raise tests
LQ Y-Balance test

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2
Q

Self report outcome measures for foot/ankle

A

LEAP
LEFS
LEAS
WOMAC
AIMS
FFI
FADI
FAOS

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3
Q

ideal line placement at ankle

A

anterior to lateral malleolus (calcaneo-cuboid joint)

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4
Q

Foot Posture Index (FPI)

A

supinated (-2): lateral curves, above malleolus is more accute due to adduction and inversion of calcaneus, indented TNJ

neutral (0): lateral curves equal, TNJ is flat

pronated (2+): lateral curves below malleolus more acute, bulging TNJ

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5
Q

tibia should be centered along

A

2nd ray

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6
Q

pronation is what three motions?

A

eversion
abduction
dorsiflexion

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7
Q

supination is what three motions?

A

inversion
adduction
plantar flexion

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8
Q

what motion happens at the talocrural joint?

A

DF/PF

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9
Q

hindfoot inversion and eversion occur along oblique axis of what joint?

A

subtalar joint

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10
Q

dynamic support of the medial longitudinal arch

A

tibialis posterior
tibialis anterior
Flexor Hallucis longus
Fibularis longus
intrinsic plantar muscles

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11
Q

passive support of medial longitudinal arch

A

plantar aponeurosis
short plantar ligament
long plantar ligament
plantar calcaneonavicular ligament (spring)*

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12
Q

hindfoot varus leads to

A

supination (calcaneus drives position of midfoot and forefoot)

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13
Q

hindfoot valgus leads to

A

pronation

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14
Q

lateral ankle sprains are caused by

A

ATFL: PF, inversion
CFL: DF, inversion
PTFL: full DF, inversion

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15
Q

CPG: Clinicians should assess/document what for LAS?

A

ankle swelling
ROM
talar translation
talar inversion
single leg balance
*measure DF with lunge test, single limb balance w eyes closed, YBT

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16
Q

medial ankle sprains are due to what?

A

forceful eversion of foot through DF

17
Q

high ankle sprains are due to what?

A

forceful talar external rotation with ankle planted in DF
fibula separates from tibia since talocrural joint is stable in DF.

18
Q

posterior tibialis tendinopathy

A

due to bad foot mechanics: poor midfoot stability, excessive pronation
**chronic inflammation
overuse injury, usually older people

19
Q

What is the most reliable test for tibialis posterior tendinopathy?

A

single heel-rise test

20
Q

CPG physical performance tests for achilles tendinopathy

A

hop
heel raise endurance tests (PF)

21
Q

CPG eval for achilles tendinopathy should include measuring:

A

DF ROM
subtalar ROM
PF strength/endurance
static arch height (feiss line?)
forefoot alignment
pain with palpation

22
Q

achilles tendon rupture is due to

A

sudden/direct trauma
predisposed if: tendinopathy, calcaneal tendon interventions like injections/quinolone antibiotics

23
Q

Tarsal tunnel syndrome is due to

A

overpronation
rolling ankle medially

24
Q

What goes through the tarsal tunnel?

A

Tib post
FDL
Tib artery
TIb vein
TIB NERVE
FHL

25
Q

what causes plantar fasciitis?

A

forceful plantarflexion with toe extension
foot overpronation (microtraumas)
heel spurs

26
Q

If patient presents with pain at medial arch just distal to calcaneus, pain with initial steps, pain after prolonged standing….

A

plantar fasciitis

27
Q

differential diagnoses of plantar fasciitis

A

irritation of medial or lateral plantar nerve
spondyloarthritis

28
Q

Heel pain CPG

A

assess ankle DF
BMI
running/WB activities
*FAAM, FHSQ, FFI
*assess measurement of pain with initial steps/pain with palpation
*medial longitudinal arch angle
*windlass test

29
Q

Hallux valgus

A

bunions
not enough GT extension –>overpronation –> adduction of GT
(angle greater than 15 degrees)

30
Q

Hallux rigidus

A

GT rigid (inflammation/swelling of 1st MTP)
maybe due to plantar fasciitis
semi-ankylosing

EEO FINAL (6 decks)

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