ANKLE/FOOT Flashcards
How many metatarsals are on the foot?
5
How many phalanges on the foot?
14
How many tarsals on the foot?
7
Talus
Superior to calcaneus
Calcaneus is
The heel
Navicular bone is
Medial
Cuboid is
Lateral to proximal base of 5th
3 Cuneiforms are
Proximal to 1st, 2nd, 3rd metatarsal
2 sesamoid bones are
Plantar surface head of 1st metatarsal
Def. of Hammer Toe
MTP, DIP are hyperextended & PIP is flexed
MOI of Hammer Toe
Chronic condition
S/S of Hammer Toe
Pain
Swelling
Deformity
Tx of Hammer Toe
Refer if limiting activity
Def. of Hallux Valgus Bunions
Laymen’s term is ?
MTP is laterally deviated
Bunions
MOI of Hallux Valgus
Valgus stress to MTP of the great toe
S/S of Halux Valgus
Pain
PPT
Swelling
Deformity
Painful Ambulation
Tx of Hallux Valgus
- Correct shoe wear
- Tape with a wedge to reposition
- Donut Pad
- Strengthen flexors/extensors of toes
- Surgery
Def. of Ingrown Toe Nail
The nail grows into the surrounding soft tissue
MOI of Ingrown Toe Nail
- Cutting nails too short
- Shoe size
- Broken Nail or trauma
S/S of Ingrown Toe Nail
- Pain
- Swelling
- Bloody or purulent discharge
Tx for Ingrown Toe Nail
- Warm betadine soap
- Topical Antibiotics
- Remove the part of the toenail
Def of Turf Toe
Sprain to 1st MTP joint
MOI of Turf Toe
Hyperextension or hyperflexion of the great toe
S/S of Turf Toe
- Pain at 1st MTP
- Swelling/Discoloration
- Inability to weight bear
- Increased pain
Tx for Turf Toe
- PRICE
- Hard insoles
- Turf toe tape, for RTP
Def. of Jones Fracture
Fx at the base of 5th metatarsal
MOI for Jones Fracture
Forced inversion
S/S of Jones Fracture
- Pain at the base of the 5th metatarsal
- Swelling
- Deformity
Tx for Jones Fracture
- POLICE
- Immobilize boots/crutches
- Refer to physician
Def. of Plantar Fascitis
Thick, white band of fibrous tissue
MOI of Plantar Fascitis
Chronic stress & repetitive running
The weight bearing bone, that forms the medial malleolus
Tibia
The non-weight bearing bone, forms the lateral malleolus
Fibula
ATF is
Anterior Talofibular Ligament
CF
Calcaneofibular Ligament
PTF
Posterior Talofibular Ligament
Anterior Talofibular
Calcaneofibular
Posterior Talofibular
These ligaments are?
Lateral Ligaments
What are the syndesmotic ligaments?
Anterior Tibiofibular & Posterior Tibiofibular
What are the Medial Ligaments?
Deltoid & Spring
Function of ATF - Anterior talofibular ligament
Resists Plantarflexion & inversion
Function of CF - Calcaneofibular Ligament
Resists inversion
Function of PTF - Posterior Talofibular Ligament
Resists dorsiflexion & inversion
Function of Anterior Tibiofibular & Posterior Tibiofibular Ligaments is
Resists separation of tibia & fibula
Function of deltoid ligament
Resists eversion
Function of spring ligament
Holds your arch up
Muscles in the anterior compartment
Tibialis Anterior
Extensor Digitorum
Extensor Hallucis
Peroneal Tertius
Tibialis Anterior Action
DF & inv of Ankle
Extensor Digitorum Action
Ext of toes 2-5 & DF of ankle
Extensor Hallucis Action
Ext of great toe & DF of ankle
Peroneal Tertius Action
Eversion & DF
Muscles in superficial posterior compartment
Soleus & Gastrocnemius
Soleus Action
PF of ankle
Gastrocnemius Action
PF of Ankle & Flex Knee
Muscles in deep posterior compartment
Posterior Tibialis
Flexor Hallucis
Flexor Digitorum
Posterior Tibialis Action
Inversion & PF
Flexor Hallucis Action
Flexion of great toe & PF of ankle
Flexor Digitorum Action
Flexion of toes 2-5 & PF Ankle
Muscles of lateral compartment
Peroneals Brevis
Peroneal Longus
Peroneals Brevis Action
Eversion & PF
Peroneal Longus Action
Eversion & PF Ankle
Def. Of Achilles Tendinitis
Inflammation of the tendon of heel
S/s of Plantar Fascitis
PPT
Pain with 1st step out of bed
Pain with passive ext. of great toe
Tx for Plantar Fascitis
Modify Activities
Ice massage
Heel cup
Stretch plantar fascia
What complication can happen with plantar Fascitis?
Heel spur development
Anatomy of Lateral Ankle Sprain
Anterior talofibular (ATF)
MOI of Lateral Ankle Sprain
Inversion & PF
S/s of Lateral Ankle Sprain
Pop
Pain
Swelling/Ecchymosis
Decreased ROM
Tx for Lateral Ankle Sprain
Special Test?
POLICE
Early ROM
Ankle strengthening/proprioception
RTP taping or brace
Anterior Drawer & Inverison Talar Tilt
Anatomy for Medial Ankle Sprain
Deltoid ligament
MOI for Medial Ankle Sprain
Excessive eversion
S/s for Medial Ankle Sprain
Pain
Swelling/Ecchymosis
Decreased ROM
Tx for Medial Ankle Sprain
Special Test?
POLICE
Boot/Crutches
Refer to rule out fibula fx
Eversion Talar Tilt
Anatomy for Syndesmosis Sprain
Anterior Tibiofibular &/or Posterior Tibiofibular Ligament
MOI for Syndesmosis Sprain
External Rotation & DF
s/s for Syndesmosis Sprain
Pain,
Unable to WB,
Edema,
Decreased ROM
Special Test for Syndesmosis Sprain?
Kleigers
Tx for Syndesmosis Srain
POLICE
Boot/Crutches
Refer to rule out for Fx
Layman’s Term for Syndesmosis Sprain
High Ankle Sprain
Anatomy for Subtalar Dislocation
Subtalar Joint
MOI for Subtalar Dislocation
Inversion & PF
s/s for Subtalar Dislocation
Pain, Swelling, Deformity
Tx for Subtalar Dislocation
POLICE
Splint
Check for neurovascular compromise
Refer/Transport Via EMS
MOI for Achilles Tendonitis
Repeated Stress
s/s for Achilles Tendonitis
Swelling,
PPT over achilles,
Crepitus,
Pain w/ active & DF
Pain w/ resisted PF
Tx for Achilles Tendonitis
POLICE
Achilles Tape &/ or Heel lift
Eccentric exercises & Stretching
MOI for Achilles Tendon Rupture
Sudden forceful contraction of grastrocnemius
Forced DF
s/s for Achilles Tendon Rupture
Extreme pn
“Kicked in the heel”
Weakness/Unable to WB
Swelling
Depression in Achilles
Special Test for Achilles Tendon Rupture
Thompson Test
Tx for Achilles Tendon Rupture
POLICE
Splint PF
Refer for surgery
Def for MTSS
Shin splints
Anatomy for MTSS
Distal 1/3 medial tibia
MOI for MTSS
Repetitive Stress
S/S for MTSS
Pain
Swelling
Tx for MTSS
Modify Activity
Ice cups
Stretch/Strengthen
Taping
New Shoes
MOI for Stress Fracture
Repetitive Stress
s/s for Stress Fracture
Increase Pn
Pinpoint Pn w/ activity
Swelling
Tx for Stress Fracture
Remove from activity
Immoblize
Refer to physician
Rest 4-6 weeks on crutches
Def for Epiphyseal Fx
Salter Harris Fx
Anatomy for Epiphyseal Fx
Growth Plate
s/s for Epiphyseal Fx
Pain
Swelling
difficulty walking
Tx for Epiphyseal Fx
Immobilize
Refer to physician
Complication for epiphyseal Fx
If growth plate grows close early & growth stops in one bone
MOI for Tib-Fib Fx
Direct blow
Forced eversion
Forced rotation
s/s for Tib-Fib Fx
Pain
Possible deformity
Swelling
Unable to WB
Tx for Tib-Fib Fx
POLICE
Boot/Crutches
Refer X-Rays
Possible Surgery
Def for Anterior Comaprtment Syndrome
Swelling in Ant. Comaprtment
MOI for Ant. Compartment Syndrome
Repetitive Stress of DF
Acute Trauma
s/s for Ant. Compartment Syndrome
Skin feels hot
Reddish waxy skin
Swelling
Extreme Pn
Tx for Ant. Compartment Syndrome
Immediate referral
NEVER COMPRESS