ANKLE

Question 1

AROM

Answer 1

Dorsi: 20
Plantar: 50
Inv: 45-60
Ev: 15-30

Question 2

Morton’s Test

Answer 2

SUPINE
Neuroma
1. Use the thumb and index finger of one hand to squeeze the dorsal and plantar aspects of each intermetatarsal space.
Fracture
2. Grasp the foot around the metatarsal heads and squeeze the heads together

TESTING: Neuroma or Fracture
+ve: pain/clicking

Question 3

Thompson Test

Answer 3

PRONE
Ex. squeeze client calf

TESTING: Achilles rupture

+ve: no plantar flexion

Question 4

Anterior Drawer Test

Answer 4

SUPINE
Ex. stabilize the foot and talus and push the tibia and fibula posteriorly w dorsiflexion.

TESTING: Injury of the Anterior talofibular ligament (ATFL)

+ve: excessive laxity, visible dimple or pain

Question 5

Feiss Line

Answer 5

LONGSIT - draw three dots on the apex of the med malleoli, navicular tuberosity and plantar base 1st MT.
STAND - see if middle dot drops to the ground

TESTING: flatfooted

+ve: Navicular drops 1/3 = 1st degree flatfoot
Navicular drops 2/3 = 2nd degree flatfoot
Navicular drops 3/3 = 3rd degree (navicular on ground)

Question 6

Talar Tilt

Answer 6

SUPINE
dorsi inversion - PTTL
neutral inversion - CFL
plantar inversion - ATFL
dorsi eversion - PTTL
neutral eversion - Tibial Calcaneal
plantar eversion - Tibionavicular

TESTING - Rupture, tear, sprain of ligament

+ve: Increased laxity compared to the normal side or pain

Question 7

Dorsalis Pedis Pulse

Answer 7

SUPINE
examiner moves further over the cuneiforms or between the 1st and 2nd metatarsal bones, the dorsalis pedis pulse can be found

TESTING: Insufficiency in arteries

+ve: no pulse