Ankle/foot Exam

Question 1

Introduction

Answer 1

1 - Introduce Yourself
2 - Confirm for patients' details
3 - Explain the procedure
4 - Gain Consent
5 - Ask if they have any pain before starting

Question 2

Pre-procedure

Answer 2

Wash you hands

Question 3

First Step

Answer 3

LOOK

1 - Watch patient walking (gait) - Normal, tip-toes and heels
2 - General inspection - Swelling, atrophy, Scars

Question 4

Second Step

Answer 4

FEEL

1 - Assess temperature
2 - Palpate dorsalis and tibial pulses
3 - Palpate the Achilles tendon
4 - Palpate ALL the bony structures

Question 5

Third Step

Answer 5

MOVE (active, then passive)

1 - Plantar Flexion
2 - Dorsiflexion
3 - Eversion
4 - Inversion
5 - Toe Flexion
6 - Toe extension

Question 6

Fourth Step

Answer 6

Special tests

1 - Thompson’ Test (knee on the chair and squeeze Calves)
2 - Anterior Drawer test

Question 7

Conclusion

Answer 7

Wash hands again
Thank the patient
Summarise findings