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OS1 Final > Ankle/Foot > Flashcards

Ankle/Foot Flashcards

1
Q

Ankle/Foot Landmarks

A

Talus Calcaneus Navicular Cuboid Cuneiforms (1-3) Tarsometatarsal joints Metatarsophalangeal joints Base of the 5th metatarsal Phalanges Medial Malleolus (tibia) Lateral Malleolus (Fibula) Fibular head Tibial tuberosity Anterior tibialis tendon Posterior tibialis tendon Extensor Hallucis Longus Tendon Fibularis Longus and Brevis tendons Plantar fascia Medial Longitudinal Arch Lateral Longitudinal Arch Transverse Tarsal Arch Metatarsal Arch Interosseous membrane and ATL Posterior talofibular ligament Anterior Talofibular ligament Calcaneofibular ligament Deltoid Ligament Achilles Tendon

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2
Q

Foot: Contents of Medial Longitudinal Arch

A

Calcaneus Talus Navicular Cuneiforms 1-3 Metatarsals 1-3

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3
Q

Foot: Contents of Lateral Longitudinal Arch

A

Calcaneus Talus Cuboid 4th and 5th metatarsal bones

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4
Q

Contents of Transverse Tarsal Arch

A

Navicular Cuboid Cuneiforms 1-3 Proximal metatarsals

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5
Q

Contents of Metatarsal Arch

A

Distal metatarsal heads

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6
Q

High Ankle sprain involves the ____ and the _____, evaluate with what test?

A

Interosseous membrane Anterior Tibiofibular Ligament Squeeze test

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7
Q

The Ankle Drawer Sign evaluates what?

A

Anterior Talofibular Ligament

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8
Q

The Talar Tilt test evaluates what?

A

Inversion: Calcaneofibular Ligament Eversion: Deltoid LIgament

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9
Q

The Thomson Test for the ankle/foot evaluates what?

A

Achilles Tendon

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10
Q

Dorsiflexion ROM

A

15-20 deg

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11
Q

Plantarflexion ROM

A

55-60 deg

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12
Q

Ankle inversion ROM

A

20 deg

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13
Q

Ankle Eversion ROM

A

10-20 deg

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14
Q

Subtalar inversion (lock out talus) ROM

A

5 deg

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15
Q

Subtalar Eversion (lock out talus) ROM

A

5 deg

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16
Q

Forefoot Adduction ROM

A

20 deg

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17
Q

Forefoot Abduction ROM

A

10 deg

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18
Q

1st Metatarsophalangeal Flexion ROM

A

45 deg

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19
Q

1st Metatarsophalangeal Extension ROM

A

70-90 deg

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20
Q

Evaluation of Inversion Calcaneus dysfxn

A

Physician grasps calcaneus in one hand and locks out motion of talus with other hand Eversion restriction

21
Q

Evaluation of Eversion Calcaneus dysfxn

A

Physician grasps calcaneus in one hand and locks out motion of talus with other hand Inversion restriction

22
Q

Anterior and posterior glide of the tibiotalar joint dysfxn

A

Restricted posterior glide with dorsiflexion Restricted anterior glide with plantarflexion

23
Q

Anterior tibia on talus dysfxn

A

Ankle prefers plantarflexion and anterior glide Tibia is restricted in gliding posteriorly on talus

24
Q

Posterior tibia on talus dysfxn

A

Ankle prefers dorsiflexion and posterior glide Tibia is restricted in gliding posteriorly on talus

25
Q

Anterior Lateral Malleolus dysfxn

A

Lateral malleolus has free anterior glide relative to distal tibia Distal medial border of the talus is more prominent Lateral malleolus restricted in posterior glide

26
Q

Posterior Lateral Malleolus dysfxn

A

Lateral malleolus has free posterior glide relative to the distal tibia Anterior portion of the talus is displaced in a lateral direction Lateral malleolus is restricted in anterior glide

27
Q

Evaluation of tarsal bone dysfxn

A

Induce plantar glide by pressing inferiorly on tarsal bone Induce dorsal glide by pressing superiorly on tarsal bone

28
Q

Most common dysfxn of navicular bone

A

Plantar navicular dysfxn, lateral navicular drops plantar

29
Q

Evaluation of plantar navicular dysfxn

A

Physician locks out motion at the talus with one hand while grasping navicular bone bw thumb and 1st finger of other hand. Glide dorsally and ventrally, noting any restriction to motion and compare bilaterally Restricted in dorsal glide

30
Q

Most common dysfxn of cuboid bone

A

Plantar cuboid dysfxn, medial cuboid drops plantar

31
Q

Evaluation of Plantar Cuboid Dysfxn

A

Physician locks out motion of the calcaneus with one hand while grasping the cuboid bone b/w thumb and 1st finger of other hand. Glide dorsally and ventrally, noting any restriction to motion and compare bilaterally Restricted in dorsal glide

32
Q

Plantar Cuboid Dysfxn commonly associated with ___

A

Posterior fibular head dysfxn

33
Q

Most common dysfxn of Cuneiform bones

A

Plantar Cuneiform dysfxn

34
Q

Evaluation of Plantar Cuneiform Dysfxn

A

Physician locks out motion at the navicular bone with one hand while grasping each cuneiform individually b/w thumb and 1st finger of other hand. Glide each cuneiform dorsally and ventrally, noting restriction to motion and compare bilaterally Restricted in dorsal glide

35
Q

Evaluation of Metatarsal Dysfxn

A

Physician grasps metatarsal head with one hand and adjacent head with other hand. Glide plantar and dorsal relative to each other, nothing ease and restriction to motion and compare bilaterally

36
Q

Evaluation of MTP, PIP, and DIP dysfxn

A

Evaluate flexion/extension, abduction/Adduction, IR/ER

37
Q

Distal Fibula Anterior ART

38
Q

Distal Fibula Posterior ART

39
Q

Dorsiflexed Talus MET

40
Q

Plantarflexed Talus MET

41
Q

ART Talar Inversion/Eversion

42
Q

MET: Everted Cuboid, Cuneiform, and Inverted Navicular with plantar glide

43
Q

Cuneiform-Metatarsal Joint: Dorsal or Plantar Glide ART

44
Q

MTP and PIP: Dorsal or Plantar Glide ART

45
Q

Most common SD movement associated with Cuboid and navicular bones are with ___

A

Plantarflexion

46
Q

During plantarflexion, the ___ aspect of the navicular bone and the ___ aspect of the cuboid bone drops plantar

A

Lateral

Medial

47
Q

Indications for MET/ART

A

Balance muscle tone

Strengthen weak muscles

Reduce asymmetrical motion

Enhance circulation of bodily fluids

Lengthen shortened muscle

Well tolerated in all age groups

Apply ART when MET not indicated

48
Q

Contraindications for MET/ART

A

Fx or acute sprains

Dislocations

Spinal segmental/joint instability

If technique promotes tendon avulsion

Situations worsened by muscle activity (e.g. post-surgery, post-MI, metastasis)

Neurovascular compromise

Unable/Unwilling to follow verbal commands

OS1 Final (11 decks)

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