Ankle + Foot Diagnosis, MET, and ART Flashcards
The plantar aponeurosis (abductor digiti minimi, flexor digitorum brevis IV and V), long plantar ligament, and short plantar ligament + phalanges are associated with which arch of the foot?
Longitudinal arch
The planatar aponeurosis, tibialis posterior tendon, peroneus longus tendon, and adductor hallucis oblique head are associated with which arch of the foot?
Transverse
Body weight is transmitted to the lateral longitudinal arch through the _______, although this bone is not part of the arch itself
Talus
What joint is associated with the lateral malleolus?
Distal tibiofibular joint
Diagnosing the distal tibiofibular joint
Use pincer grasp to lateral malleolus and assess anterior vs. posterior glide
An anterior lateral malleolus favors anterior motion and vice versa
Articular tx position for distal fibula anterior
Engage posterior RB and articulate
Major and minor motions at tibiotalar joint
Major: dorsiflexion, plantar flexion
Minor: posterior glide (with dorsiflexion), anterior glide (with plantar flexion)
Major and minor motions at subtalar joint
Major: eversion and inversion
Minor: anteromedial glide (with eversion), posterolateral glide (with inversion)
Dx: Right talus eversion with anteromedial glide
Articulatory with Traction tx
Apply traction and articulate inversion and eversion with figure-8 motion
[same tx for right talus inversion with posterolateral glide]
When diagnosing the tarsal bones, what is the most likely motion preference at the cuboid?
Eversion glide w/ plantar glide
When diagnosing the tarsal bones, what is the most likely motion preference at the navicular?
Inversion glide w/ plantar glide
When diagnosing the tarsal bones, what is the most likely motion preference at the cuneiforms?
Plantar glide only
Commonly, the SD present at cuneiforms 1-3 is plantar glide SD. What would a dorsal glide SD suggest?
Hypertonic plantar fascia
Bones of medial longitudinal arch
Calcaneus Talus Navicular Cuneiforms 1-3 Metatarsals 1-3
Lateral longitudinal arch bones
Calcaneus
Talus
Cuboid
4-5 metatarsals
Bones of transverse tarsal arch
Navicular
Cuboid
Cuneiforms 1-3
Proximal metatarsals
Bones of metatarsal arch
Distal metatarsal heads
What structures are implicated in high ankle sprains and are evaluated with the squeeze test?
IO membrane
ATF ligament
Positive eversion talar tilt indicates injury to what ligament?
Deltoid
Positive inversion talar tilt indicates injury at what ligament?
Calcaneofibular
What ankle/foot structure is evaluated with the Thompson test
Achilles tendon
Anterior tibia on talus
What is another name for this SD?
What is the freedom of motion vs. restriction?
Plantarflexed talus
Ankle prefers plantar flexion and anterior glide
Tibia is restricted in gliding posteriorly on the talus [due to changes in distal tibia mechanics]
Posterior tibia on talus
What is another name for this SD?
What is freedom of motion vs. restriction?
Dorsiflexed talus
Ankle prefers dorsiflexion and posterior glide
Tibia is restricted in gliding anteriorly on the talus [due to changs in distal tibia mechanics]
Anterior lateral malleolus
What is freedom of motion vs. restriction to motion for this SD?
Lateral malleolus has free anterior glide relative to distal tibia [distal medial border of talus is more prominent]
Restriction: lateral malleolus restricted in posterior glide
