Ankle and foot exam

Question 1

What are the dorsiflexors of the foot?

Answer 1

Tibialis anterior
extensor hallucis longus
extensor digitorum longus
-deep peroneal n. L4-5

Question 2

What are the pantar flexors?

Answer 2

Gastroc/soleus
fibularis longus/brevis
flexor digitorum longus
tibialis posterior

Question 3

What nerve root the achilles reflex testing?

Answer 3

S1

Question 4

What is a good test for the ATF ligament?

Answer 4

anterior drawer test

Question 5

What is a good test for the calcaneofibular ligament?

Answer 5

Talar tilt test

Question 6

what does the eversion test evaluate?

Answer 6

the deltoid ligament (on medial malleolus)

Question 7

What does the squeeze test evaluate?

Answer 7

syndesmosis

Question 8

Cross leg test

Answer 8

patient while seated crossed leg over opposite knee then applies pressure to proximal fibula of affected leg
-if pain, syndesmotic injury

Question 9

Thompson test

Answer 9

Pt. prone w/ foot off table, doc squeezes calf

• • if absence of plantar flexion
• indicates achilles tendon rupture

Question 10

Homan’s sign

Answer 10

• Indicates thrombophlebitis or acute venous thrombosis
• pt. has knee extended, doc dorsiflexes the foot
• • if plain with dorsiflexion
• indicate venous thrombosis in presence of edema, erythema, and increased warmth of the skin of the lower leg.
• need a venous doppler to rule out clot

Question 11

Moses sign

Answer 11

• indicates dvt of posterior tibial veins
• pt. seated or supine, doc induces anterior compression on the gastroc inot the posterior aspect of the tibia
• • if pain with anterior compression… NOT lateral compression