Ankle and Foot

Question 1

Sever’s Disease

Answer 1

calcaneal apophysitis

kids 7-14

Question 2

Iselin’s disease

Answer 2

apophysitis of tuberosity of 5th met - peroneus brevis tendon insertion site.
boys <14, girls <11

Question 3

Freiberg’s disease

Answer 3

osteonecrosis of metatarsal head - commonly 2nd and 3rd

athletic adolescent females

Question 4

Kohler’s disease

Answer 4

osteochondroses of tarsal navicular.

5-9yo, male

Question 5

Anterior drawer test (ankle)

Answer 5

anterior fibular ligament

Question 6

Inversion stress test (ankle)

Answer 6

calcaneofibular ligament

Question 7

Maisonneuve Fracture

Answer 7

fracture of proximal fibula - associated with syndesmosis injury

Question 8

Squeeze Test (ankle)

Answer 8

test for syndesmosis sprain: compress fib and tib at mid calf

Question 9

External rotation test (ankle)

Answer 9

syndesmosis sprain: stabilize leg prox to ankle jt, ER foot

Question 10

Syndesmosis vs regular sprain

Answer 10

Syndesmosis:
Lack of swelling with eversion or hyperDF mechanism
Tenderness at distal tib/fib jt

Question 11

Exam finding for avulsion of peroneal brevis tendon

Answer 11

TTP base of 5th met

Question 12

exam finding for osteochondral talar dome lesion

Answer 12

pain and effusion along talocrural jt line

Question 13

Nylon filament loss of protective sensation

Answer 13

can’t feel 10 gram = loss of protective sensation

Question 14

Hammer toe

Answer 14

Flexion deformity PIP

no deformity of DIP or MTP

Question 15

Mallet Toe

Answer 15

Flexion deformity DIP

no deformity MTP or PIP

Question 16

Lateral compartment

Answer 16

support foot, abduct forefoot

Fibularis longus and brevis

Question 17

Deep posterior compartment

Answer 17

supinate subtalar joint

FHL, FDL, tib post

Question 18

Anterior compartment

Answer 18

DF

tib ant, fib tertius, EDL, EHL

Question 19

Foot Posture Index components

Answer 19

1. Talar head poistion
2. supralateral and infralateral malleolar curvature
3. Calcaneal frontal plane position
4. Prominence of talonavicular joint
5. Congruence of medial longitudinal arch
6. Abd and add of forefoot on rearfoot

Question 20

FPI cutoffs

Answer 20

0 = neutral
+2 = pronated
-2 = supinated
cutoff +/- 10

Question 21

Deltoid ligament

Answer 21

superficial:
-tibionavicular lig
-tibiospring
-tibiocalc
-superficial post tibiotalar 
Deep:
-ant tibiotalar (ATTL)
-deep post tibiotalar (DPTTL)

Question 22

Lateral ankle ligaments

Answer 22

Anterior talofibular lig (ATFL) PF
calcaneofibular lig (CFL) DF
Posterior talofib (PTFL)

Question 23

Critical Foot Fractures

Answer 23

• ant tib
• navicular
• med mal
• 5th met
• sesamoids