Ankle And Foot Flashcards
Tendonosis
Angiofibroblastic tendonosis Degeneration of collegen Collagen fiber disorientation Focal necrosis Immature collagen Neovascularization
Tendinitis
Inflammation of tendon
Myotendinous junction
Vascular activation
Inflammatory response
Severity of injury
Grade 1: minor tear
Grade 2: fibers torn
Grade 3: ligament torn
Differential diagnosis
Fracture Subtalar sprain Peroneal tendon injury ACL rupture Osteo handrail lesion Fifth MT fracture Mid foot sprain Fracture anterior calcaneal process
Foot posture index
Tatar head postition Supra and infra lateral malleolar curve Calcaneal frontal plane position Bulge in region of TNJ Height and congruency of MLA And add of forefoot on rearfoot
Abnormal foot pronation
Excessive In weight acceptance in gait
Excessive in loading of the foot through pronation of hind foot
Movement in wrong phase of gait (single limb support task of gait, foot to rigid lever for stability have body weight beyond base of support)
Subtalar, talonavicular, calcaneocuboid
Interaction in pronation
STJ: calcaneus EVERTS on talus moving in PF and horn ADD
TNJ: navicular drops on moving talus
CCJ: cuboid abducts on moving calcaneus
STJ, TNJ, CCJ
Supination interaction
STJ: calcaneus INVERTS on talus moving in DF and horn ABD
TNJ: Talus drops on moving navicular
CCJ: cuboid ADDUCTS on moving calcaneus
Lower leg interaction with foot
Foot pronation=lower leg IR
Foot supinated=lower leg ER
Midfoot into the forefoot
Muscles of tendon unit Medial longitudinal arch Lateral longitudinal arch Transverse arch Aponeurosis
Strength testing indications
Confirm diagnosis
Document baseline
Monitor changes
Inversion muscles
TA
EHL
Evert muscles
EDL
PT
PF Invert
TP
FDL
FHL
ACT
PF Evert
PL, PB