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Ortho > Ankle > Flashcards

Ankle Flashcards

1
Q

People can still walk when they fracture their tibia or fibula?

A

FIBULA

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2
Q

Ankle sprains most often occur when foot is

A

Plantarflexed, inverted, and adducted.

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3
Q

The most commonly sprained ligament in the ankle is the

A

Anterior talofibular ligament

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4
Q

Other ligaments that could be sprained in order of likelihood are

A

anterolateral capsule

anterior tibiofibular ligament

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5
Q

Anterior tibiofibular ligaments are more likely to be sprained when…

A

a food has had repeated ankle sprains

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6
Q

posterolateral ankle pain may indicate

A

peroneal tendon problems as a result of lateral ankle instability

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7
Q

commonly GB40 will be painful in a…

A

an ankle inversion sprain

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8
Q

Walking is compatible with a …

A

second-degree sprain

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9
Q

running is compatible with a …

A

first-degree sprain

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10
Q

pain after an activity suggests…

A

overuse.

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11
Q

Medial rotation of the hip d/t weak gluteals would produce a…

A

flattened arch

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12
Q

Lateral hip rotation would produce a …

A

elevated arch (not common)

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13
Q

Warts hurt when…

A

you pinch them but not with direct pressure.

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14
Q

Corns are ______ but calluses are not.

A

painful

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15
Q

Planter warts are caused by..

A

a viral infection and are contagious and painful

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16
Q

swelling posterior to the lateral malleolus could indicate a …

A

peroneal retinaculum injury

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17
Q

A heel callus may be referred to as a

A

“pump bump” or Haglund deformity as a result of pressure on the heel.

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18
Q

IF the Achilles tendon appears to curve out it may indicate a…

A

fallen medial longitudinal arch

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19
Q

Flat foot is..

A

Ples Planus: can be congenital or caused by trauma. Structurally flat feet can be identified when weight bearing or not. Functionally develop later in life or with pregnancy and produce a flat foot when weight bearing and not when not.

20
Q

Hollow food is..

A

Pes Cavus: High longitudinal, both medial and lateral arches can be seen. Claw toes are associated with this condition

21
Q

Hallux Valgus

A

Medial deviation of the head of the 1st metatarsal bone. Common in women who wear pointy shoes. A bunion (type of callus) can form.

22
Q

Fallen metatarsal arch..

A

seen in non-weight bearing between the 2nd and 3rd metatarsal heads

metatarsal arch: found on the ventral foot across the metatarsal heads.

23
Q

Tom, Dick, and Harry

A

Start centrally at the medial malleolus and move out.

Tibialis posterior, flexor digitorum, Artery, Nerve, Flexor Hallucis

24
Q

Neutral Talus position

A

Palpate the talus to determine pronation

25
Q

Anterior Drawer Test of the ankle

A

Take one hand and stabilize the tall-fibular, then take the other and cup the ankle. Patient is seated on the table and the practitioner is in a chair next to. Foot goes in to slight dorsiflexion. Then try to draw the foot forward in that position. Test the ligament not he lateral portion of the ankle. Looking for pain at GB40 and end feel

Tests for: Anterior Talofibular ligament Sprain

26
Q

External rotation test

A

Start the same way, with the patient seated. Put foot in neutral position. Stabilize the outer leg and move the foot to the outside. Doing so separates the fibula and the tibia would would produce pain at the tibiofibular ligament.

Tests for: tibiofibular ligaments sprain

27
Q

Morton’s Test

A

Pain over the 3rd and 4th toe area: nerve entrapment. Take the foot and compress it. Positive if pain.

Tests for: morton’s neuroma

28
Q

HIPS: Shin Splints

A

Can be produce by small stress fractures of the tibia or connective tissue damage where the tbilais muscles meet the tibia

29
Q

Special testing for shin splints

A

AROM, PROM tests

30
Q

DX of shin splints

A

LV Blood deficiency, Qi/Blood stagnation of ST or SP channel

31
Q

Is gua aha recommended for shin splints?

A

NO- may exacerbate.

32
Q

Points for shin splints:

A

LV 3, 8, Sp 6, tibialis anterior IZ, tibilais posterior IZ

33
Q

HIPS: Inversion Sprain

A

partially planter flexed foot with inversion: injury

34
Q

Special tests for inversion sprain

A

Anterior Drawer

35
Q

Dx of inversion sprain

A

Q/B stag. Gb meridican, KD, Sp, ST def.

36
Q

Points for inversion sprain:

A

refer for acute, treat for chronic

LV4, Gb40, sT41, BL62, GB34

37
Q

HIPS: High ankle sprain

A

Pain over the tibiofibular ligament, occurs in a forcefully dorsiflexed food or unstable ankle, must refer to rule out interosseous tear

38
Q

Special test: high ankle sprain:

A

Dosriflexion (external rotation)

39
Q

DX: high ankle sprain

A

Q/B stang in ST meridian

40
Q

Points for high ankle sprain

A

ST36, 37, GB40, ST41, ESTIM

41
Q

Mortons neuroma: HIPS

A

3rd and 4th toes. adhesion surrounding the nerve that passes here.Often foun din patients with a fallen metatarsal arch.

42
Q

DX: morton’s

A

phlegm nodule accumulation d.t q/b def.

43
Q

HIPS: plantar facitis

A

Worse upon rising from bed.

44
Q

DX for plantar fasciitis

A

LV blood def. KD Yin def.

45
Q

Points for Plantar fasciitis

A

Mu Guan, Gu guan, CONTRALATERAL tuina over plantar fascia

46
Q

HIPS: Tarsal Tunnel Syndrome

A

Pain, numbness, tingling, burning located along the medial longitudinal arch from heel to big toe. Worse with activity.

47
Q

DX of tarsal tunnel syndrome

A

LV Qi stag. meridian wind.

Ortho (4 decks)

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