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EEO Final > 12. Foot and Ankle > Flashcards

12. Foot and Ankle Flashcards

1
Q

self report outcome measures for foot and ankle (3)

A

Functional foot index (FFI)
foot and ankle disability Index (FADI)
foot and ankle OA outcome scale (FAOS)

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2
Q

performance outcome measures

A

TUG
Timed LE Chair Rise Test
Wall Sit
Vertical Jump
LE Agility
Hop Test
Heel Raise Test
LQ YBT

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3
Q

90% of lower extremity weightbearing is through what bone?

A

tibia

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4
Q

what passive structures help dissipate forces and keep the tibia and fibula together?

A

anterior/posterior ligament of fibular head
interosseous membrane
anterior/posterior tibiofibular ligament

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5
Q

where is the mortiose joint in the lower leg? what does it do?

A

distal tibia, receives the talus to give stability

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6
Q

A

A

navicular

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7
Q

B

A

medial cuneiform

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8
Q

C

A

intermediate cuneiform

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9
Q

D

A

lateral cuneiform

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10
Q

E

A

cuboid

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11
Q

1

A

tibia

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12
Q

2

A

talus

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13
Q

3

A

fibula

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14
Q

4

A

calcaneus

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15
Q

what tendon attaches to the base of 5th MT

A

fibularis brevis

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16
Q

what calcaneal foot position is this?

A

valgus

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17
Q

what calcaneal foot position is this?

A

varus

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18
Q

windlass effect is involved with which ray?

A

1st ray!
tells you that the plantar fascia is there!

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19
Q

what muscle counteracts the dorsiflexion moment

A

soleus

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20
Q

line of gravity is ______ to lat mal, so at the _____________ joint

A

line of gravity is anterior to lat mal,
at the calcaneo-cuboid joint

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21
Q

foot posture index: what to look at

A

calcaneal position
forefoot position
gastroc atrophy, swelling, tibial rotation, amount of toes visible (more = over pronation)

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22
Q

tibial center is aligned with the __ ray

A

2nd

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23
Q

pronation of the foot is what 3 movements

A

eversion
abduction
dorsiflexion

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24
Q

supination of the foot is what 3 movements

A

inversion
adduction
plantarflexion

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25
Q

the talus articular surface is narrow ______ and wide ________

A

narrow posteriorly
wide anteriorly

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26
Q

dorsiflexion/plantarflexion happens at what joint

A

talocrural joint

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27
Q

main component of pronation is

A

dorsiflexion

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28
Q

main component of supination is

A

plantarflexion

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29
Q

hindfoot inversion and eversion happens at what joint

A

subtalar (5 and 5 degrees)

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30
Q

pronation and supination happens at waht joint

A

midtarsal and metatarsal joints

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31
Q

is normal position, calcaneus should be

A

vertical or slight valgus

32
Q

hindfoot varus leads to

A

foot supination

33
Q

hingfoot valgus leads to

A

foot pronation

34
Q

in lateral ankle sprains, overplantarflexion and inversion leads to sprain of the

35
Q

in lateral ankle sprains, overdorsiflexion and inversion leads to sprain of the

36
Q

in lateral ankle sprains, full dorsiflexion and inversion leads to sprain of the

37
Q

pt presentation of Lateral ankle sprain

A

brusing/swelling
pain
feeling of instability
may progress to chronic ankle instability

38
Q

subjective measures of lateral ankle sprain

A

MOI
previous episode
joint noises
Ottawa ankle rules!

39
Q

outcome measures of lateral ankle sprain

A

FFI
FADI
FAOS
LEFS- general

single leg heel raise
SLB
SLS
YBT

40
Q

objective measures for lateral ankle sprain

A

clear the spine!
ankle AROM/PROM- check the other motions before doing the motion of injury
palpation
ankle girth
MMT
hop tests- not in acute phase

41
Q

medial ankle sprain causes

A

forceful eversion of foot throughout a range of DF

42
Q

what ligament in injured in a medial ankle sprain

A

deltoid ligament
also maybe posterior tibiotalar

43
Q

patient presentation of medial ankle sprain

A

swelling, pain, bruising

44
Q

posterior tibialis tendinopathy causes

A

faulty foot biomechanics or overuse injury
age- lower arches, more stretch

45
Q

pt presentation fo posterior tibialis tendinopathy

A

tenderness on course of tendon
pain with contraction
pain with stretch- severe cases

46
Q

CPG of posterior tibialis tendinopathy: 4 clinical tests

A

pain with palpation
swelling around tendon
pain/weakness with contraction
inability/pain with SLR (most reliable!!)

47
Q

subjective questions for posterior tibial tendinopathy

A

recent change in training, footwear, or terrain?
age changes in arch height

48
Q

outcome measures for posterior tibial tendinopathy

A

FFI
FADI
LEFS

SLHR
SLB/SLS

49
Q

objective measures for posterior tibial tendinopathy

A

CTS
ankle AROM/PROM
feiss line
palpation
girth
MMT
YBT

50
Q

when performing MMT/AROM/PROM for a patient with an injury, what motion/measurement should be performed last?

A

the one that is most painful based off of Dx!
ex: post tib does plantarflexion and Inv, so for posterior tibial tendinopathy do PF + INV last

51
Q

achilles’ tendinopathy causes

A

faulty foot biomechanics
overuse injury- wringing to the “watershed” area low blood

52
Q

insertional achilles’ tendinopathy

A

pain/issue at the heel bone

53
Q

mid tendon achilles’ tendinopathy

A

issue at the watershed area, mid tendon

54
Q

achilles’ tendinopathy pt presentation

A

pain along tendon
pain with palpation- variable
pain with contraction
pain with muscle stretch- severe cases

55
Q

achilles’ tendinopathy subjective questions

A

change in training, footwear, or incile?
age- changes in arch height

56
Q

outcome measures for achilles’ tendinopathy

A

VISA-A
FAAM
LEFS

SLHR
SLB
hop tests
single leg reach

57
Q

objective measures for achilles tendinopathy

A

CTS
AROM/PROM- DF- knee straight/bent
Feiss line
static arch height
posture
palpation
MMT

58
Q

T or F: achilles tendon rupture frequently occurs in a normal healthy tendon

59
Q

causes of tarsal tunnel syndrome

A

over pronation
rolling ankle medially

60
Q

what runs through the tarsal tunnel medial to lateral?

A

tibialis posterior
flexor digitorum longus
tibial artery
tibial vein
tibial nerve
flexor hallucis longus

61
Q

what causes plantar fascitis

A

forceful plantarflexion of foot with great toe extension
repeated microtrauma- overpronation or heel spur

62
Q

pt presentation plantar fascitis

A

pain at medial arch, distal to calcaneus
pain with initial steps, worse after prolonged WB

63
Q

differential Diagnosis for plantar fascitis

A

can be irritation of medial or lateral plantar n
spondyloarthritis- bone spur in the back

64
Q

what spinal nerve level associated with the back of the heel

65
Q

subjective questions for heel pain

A

change in training or footwear, how old are your shoes?
how are your first steps in the AM?
age and changes in arch height

66
Q

outcome measures for heel pain

A

FFI
FAAM
LEFS

SLHR
SLB/SLS

67
Q

objective measures for heel pain

A

CTS (!!)
BMI
AROM/PROM - (DF/PF & great toe F/E)
Feiss line
palpation of medial calcaneal
windlass test
girth
MMT
anterior single leg reach

68
Q

2 types of heel pain

A

overweight OR
overtrainers

69
Q

great toe needs __ degrees of extension for normal walking. what happens if they dont have that?

A

70 degrees
will overpronate, creating adduction

70
Q

an angle between MT and proximal phalanxe greater than __ degrees is abnormal

A

15 degrees

71
Q

hallux rigidus is what?

A

great toe joint is rigid
joint inflammation and swelling of 1st MTP

72
Q

hallux rigidus may be a cause of result of

A

plantar fascitis

73
Q

what is a precursor to hallux rigidus

A

hallux limitus

74
Q

all end feel of foot/ankle ROM is

75
Q

the first ray includes the

A

talus
navicular
medial cuneiform
1st MT
1st phalanx- distal and proximal
sesamoids
arch!

EEO Final (14 decks)

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