Ankle

Question 1

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

Answer 1

FIBULA

Question 2

Ankle sprains most often occur when foot is

Answer 2

Plantarflexed, inverted, and adducted.

Question 3

The most commonly sprained ligament in the ankle is the

Answer 3

Anterior talofibular ligament

Question 4

Other ligaments that could be sprained in order of likelihood are

Answer 4

anterolateral capsule

anterior tibiofibular ligament

Question 5

Anterior tibiofibular ligaments are more likely to be sprained when…

Answer 5

a food has had repeated ankle sprains

Question 6

posterolateral ankle pain may indicate

Answer 6

peroneal tendon problems as a result of lateral ankle instability

Question 7

commonly GB40 will be painful in a…

Answer 7

an ankle inversion sprain

Question 8

Walking is compatible with a …

Answer 8

second-degree sprain

Question 9

running is compatible with a …

Answer 9

first-degree sprain

Question 10

pain after an activity suggests…

Answer 10

overuse.

Question 11

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

Answer 11

flattened arch

Question 12

Lateral hip rotation would produce a …

Answer 12

elevated arch (not common)

Question 13

Warts hurt when…

Answer 13

you pinch them but not with direct pressure.

Question 14

Corns are ______ but calluses are not.

Answer 14

painful

Question 15

Planter warts are caused by..

Answer 15

a viral infection and are contagious and painful

Question 16

swelling posterior to the lateral malleolus could indicate a …

Answer 16

peroneal retinaculum injury

Question 17

A heel callus may be referred to as a

Answer 17

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

Question 18

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

Answer 18

fallen medial longitudinal arch

Question 19

Flat foot is..

Answer 19

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.

Question 20

Hollow food is..

Answer 20

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

Question 21

Hallux Valgus

Answer 21

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

Question 22

Fallen metatarsal arch..

Answer 22

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

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

Question 23

Tom, Dick, and Harry

Answer 23

Start centrally at the medial malleolus and move out.

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

Question 24

Neutral Talus position

Answer 24

Palpate the talus to determine pronation

Question 25

Anterior Drawer Test of the ankle

Answer 25

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

Question 26

External rotation test

Answer 26

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

Question 27

Morton's Test

Answer 27

Pain over the 3rd and 4th toe area: nerve entrapment. Take the foot and compress it. Positive if pain. Tests for: morton's neuroma

Question 28

HIPS: Shin Splints

Answer 28

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

Question 29

Special testing for shin splints

Answer 29

AROM, PROM tests

Question 30

DX of shin splints

Answer 30

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

Question 31

Is gua aha recommended for shin splints?

Answer 31

NO- may exacerbate.

Question 32

Points for shin splints:

Answer 32

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

Question 33

HIPS: Inversion Sprain

Answer 33

partially planter flexed foot with inversion: injury

Question 34

Special tests for inversion sprain

Answer 34

Anterior Drawer

Question 35

Dx of inversion sprain

Answer 35

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

Question 36

Points for inversion sprain:

Answer 36

refer for acute, treat for chronic LV4, Gb40, sT41, BL62, GB34

Question 37

HIPS: High ankle sprain

Answer 37

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

Question 38

Special test: high ankle sprain:

Answer 38

Dosriflexion (external rotation)

Question 39

DX: high ankle sprain

Answer 39

Q/B stang in ST meridian

Question 40

Points for high ankle sprain

Answer 40

ST36, 37, GB40, ST41, ESTIM

Question 41

Mortons neuroma: HIPS

Answer 41

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

Question 42

DX: morton's

Answer 42

phlegm nodule accumulation d.t q/b def.

Question 43

HIPS: plantar facitis

Answer 43

Worse upon rising from bed.

Question 44

DX for plantar fasciitis

Answer 44

LV blood def. KD Yin def.

Question 45

Points for Plantar fasciitis

Answer 45

Mu Guan, Gu guan, CONTRALATERAL tuina over plantar fascia

Question 46

HIPS: Tarsal Tunnel Syndrome

Answer 46

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

Question 47

DX of tarsal tunnel syndrome

Answer 47

LV Qi stag. meridian wind.