Ankle and Foot

Question 1

foot bones (lateral longitudinal arch)

Answer 1

calcaneu

cuboid

4/5

Question 2

Lateral Longitudinal Arch

Answer 2

Calcaneus, Talus, Cuboid, 4th & 5th Metatarsals bones

Question 3

Medial Longitudinal Arch

Answer 3

Calcaneus,

Talus,

Navicular,

Cuneiforms 1-3,

& Metatarsals 1-3 (higher arch)

Question 4

Transverse Tarsal Arch

Answer 4

Navicular, Cuboid, Cuneiforms 1-3, & Proximal Metatarsals

Question 6

metatarsal arch

Answer 6

Made up of distal metatarsal heads

Question 7

“High ankle sprain”; evaluate with Squeeze Test

Answer 7

Interosseous membrane

and

Anterior Tibiofibular Ligament (anterior inferior ligament)

Question 8

Evaluate with Talar Tilt Test (inversion)

Answer 8

calcaneofibular L

Question 9

Evaluate with Talar Tilt Test (eversion)

Answer 9

deltoid ligament

Question 10

Evaluate with thompsons test

Answer 10

achilles tendon

Question 11

Longitudinal arches is made up of what

Answer 11

1. plantar aponeurosis

2. Long plantar ligament

3. short plantar ligament

Question 12

which arch is taller: medial or lateral

Answer 12

medial. it is extremely resilient bc of the number of bones

Question 13

lateral malleolus includes what joint

Answer 13

distal tibiofibular joint

Question 14

Fibular head glides anteriorly with foot ________

Answer 14

PRONATION

Question 15

Fibular head glides posteriorly with foot_________

Answer 15

supination

Question 16

Distal Tibiofibular Joint Diagnosis

Answer 16

1. Pt lays supine and flexes knee, planting their heel down
2. Stabilize forefoot with medial hand
3. assess the lateral malleolus: anterior glide (apply an anterior motion) posterior glide (apply a posterior motion)

Question 17

Anterior Lateral Malleolus favors _____ motion

◦ Posterior Lateral Malleolus favors _____ motion

Answer 17

Anterior Lateral Malleolus favors anterior motion

◦ Posterior Lateral Malleolus favors posterior motion

Question 18

Distal Fibula Anterior ART

Answer 18

1. Pt is supine and doc is at head of table
2. stabilize pts foot and wrap fingers around calcaneous
3. dorsiflection
4. thumb of lateral hand contacts the anterior aspect of the distal fibula with other hand on top

Question 19

Distal Fibula Posterior Articulatory Treatment

Answer 19

Patient prone. Physician stands at the foot of the table.

2. Stabilize patient’s foot, wrapping fingers around calcaneus and engage plantarflexion PB.
3. Thumb of lateral hand contacts the posterior aspect of the distal fibula with other thumb on top.
4. Engage the RB and use articulatory technique until motion improves.
5. Reassess TART.

Question 20

Posterior glide (______) makes the ankle more stable

Answer 20

DORSIFLEXION

Question 21

Anterior glide (plantar flexion) makes the ankle ____ stable

Answer 21

LESS

Question 22

subtalar joint angles (LOCK OUT TALUS)

Answer 22

inversion- 5

eversion- 5

Question 23

Anteromedial glide of the talus is the minor motion with ________

Answer 23

eversion

Question 24

Posterolateral glide of the talus is the minor motion with ______

Answer 24

inversion

Question 25

talocalcaneal joint dx

eversion–>

inversion–>

Answer 25

eversion–> anteromedial glide

inversion–> posterolateral glide

Question 26

articulatory w traction

Answer 26

add traction on calcaneus and articulate

inversion and eversion with a figure 8 until new RBs

Question 27

Tarsal Bones:

Answer 27

Cuboid, Navicular, Cuneiforms

Question 28

◦ Cuboid = prefers what

Answer 28

eversion glide w/plantar glide

Question 29

Navicular prefers what?

Answer 29

inversion glide with plantar glide

Question 30

Cuneiforms = prefers what

Answer 30

plantar

Question 31

plantar glide SD works on what?

Answer 31

cuboid

navicular

cuneiform

Question 32

Cuneiform Diagnosis

Answer 32

Moving from medial –> lateral diagnose and compare [anterior and posterior glide] in the 1st, 2nd & 3rd Cuneiform.

Commonly, the SD present favors plantar glide.

Dorsal glide somatic dysfunction is often associated with hypertonic plantar fascia.

Question 33

MTP, PIPS and DIPS ROM

Answer 33

F/E

Add/AB

IR/ER

Question 34

Metatarsophalangeal & Interphalangeal Joints

Joint motion

Answer 34

pl atar

Question 35

Most common dysfunction of the navicular bone

Answer 35

Plantar navicular dysfunction- lateral navicular drops plantar

Question 36

Most common dysfunction of the cuboid bone

Answer 36

Plantar cuboid dysfunction

Medial cuboid drops plantar

Question 37

• Most common dysfunction of

cuneiform bones

Answer 37

Plantar cuneiform dysfunctions

Question 38

Distal Fibula Posterior Articulatory Treatment position

Answer 38

lay down prone

Question 39

During plantarflexion, what happens to the navicular bone and cuboid bone?

Answer 39

lateral aspect of navicular bone drops plantar as well as the medial aspect of the cuboid bone dropping plantar.