ankle/foot specific conditions Flashcards

1
Q

Cuboid subluxations often mimic s/s of ___.

A

plantar fasciitis

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2
Q

Displacement of the cuboid results in pain where?

A

4th and 5th met heads
over the cuboid
referral to the heel

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3
Q

Cuboid displacement results in pain due to the stress placed on the ______ when the foot is in PRON.

A

peroneal muscles

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4
Q

In PRON, the cuboid moves ___ and ___.

A

inferior and medial

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5
Q

What is the MOI of cuboid subluxation?

A

PRON and trauma

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6
Q

definition: Head of the 1st met, toe assumes a valgus position

A

hallux valgus deformity (bunions)

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7
Q

Bunions are commonly associated with forefoot ____ or a flexible _____.

A

varus, 1st ray, OR a flattened Transverse arch

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8
Q

What is the most common nerve problem of the LE?

A

Morton Neuroma

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9
Q

definition: a mass occurring about the nerve sheath of the common plantar nerve while it divides into 2 digital branches

A

neuroma

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10
Q

Morton neuromas are often located where?

A

Located between 3rd and 4th met heads where nerve is thickest

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11
Q

What are the s/s of morton’s neuroma?

A
  • severe intermittent pain radiating into the tips of the toes from the distal met heads
  • Relief with NWB
  • Irritation with collapse of the transverse arch which puts the transverse metatarsal ligaments under stretch thus compressing the common digital nerve and vessels
  • Excessive foot pronation = predisposing factor
  • Patient c/o burning parasthesia in the forefoot, localized in 3rd web space, radiating into toes
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12
Q

Turf toe is a ___ injury common in the athletic population.

A

hyperEXT

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13
Q

What does turf toe result in?

A

sprain of the 1st MTP joint

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14
Q

Turf toe is linked to artificial turf due to flexible foot wear allowing greater _____ of the Great toe.

A

DF

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15
Q

___-___ weeks rest in severe cases of turf toe may be required to reduce pain to point where patient can push off

A

3-4 weeks

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16
Q

What are the MOIs of tarsal tunnel syndrome?

A
  • Overuse
  • over pronation
  • trauma
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17
Q

What are s/s of tarsal tunnel syndrome?

A
  • pain
  • numbness
  • parasthesia
  • TTP over tibial nerve behind the medial malleolus
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18
Q

What are the aggs of morton neuroma?

A

Symptoms worsened by squatting, stair climbing, running, wearing shoes with narrow toe box, & high heels

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19
Q

Where are stress fractures in the foot commonly found?

A

navicular
second MT
diaphysis of the 5th MT

19
Q

Where are stress fractures in the foot commonly found?

A

navicular
second MT
diaphysis of the 5th MT

20
Q

What is the MOI for navicular and/or 2nd MET Fx?

A

excessive PRON

21
Q

What is the MOI for 5th MET Fx?

A

rigid pes cavus foot

22
Q

Those with navicular and 5th MET Fx should be NWB in a short leg cast for __-__ weeks if it is a nondisplaced Fx

A

6-8 weeks

23
Q

Those with 2nd Met Fx should have modified rest and NWB exercise/pool running/UBE/Bike/Nu-step for ___-__ weeks

A

2-4 weeks

24
Q

What is immediately indicated for active patients if they have a navicular and/or 5th met FX?

A

immediate internal fixation

25
Q

What is the common presentation of plantar fasciitis/fasciosis?

A
  • Pain in the proximal arch and heel
  • Patient c/o pain in the anteromedial aspect of the heel
  • Most painful in the morning
  • Pain with toes and forefoot DF during terminal stance
26
Q

Those with plantar fasciitis/fasciosis are in a Short leg walking cast for ___-___ weeks

A

4-6 weeks

27
Q

Symptoms of plantar fasciitis/fasciosis can persist up to ____ weeks which requires patient compliance with POC

A

12 weeks

28
Q

What is the most common ankle sprain?

A

Inversion sprains

29
Q

What is the weakest ligament of the three lateral ligaments?

A

ATFL

30
Q

(true/false) Deltoid ligament may also be involved with an inversion sprain due to impingement between the fibular malleolus and the calcaneus.

A

true

31
Q

Why are eversion sprains less common than inversion sprains?

A
  • bony and ligamentous anatomy
  • strength/thickness of deltoid ligaments
  • fibular malleoli extends further inferiorly
32
Q

(true/false) Eversion sprains may take longer to heal than inversion due to severity of injury

A

true

33
Q

What is the initial priority for rehabilitation of ankle sprains?

A

DF and PF

34
Q

What is minimized early in rehabilitation when treating an ankle sprain?

A

Inversion and eversion

35
Q

Dislocation of the peroneal tendons occur in response to what?

A

due to rupture or laxity of the retinaculum

36
Q

What can possibly occur with subluxation/dislocation of the peroneal tendons?

A

Avulsion fx of the distal fibula may co-occur with sublux or dislocation

37
Q

What are the MOIs for subluxation/dislocation of the peroneal tendons?

A
  • Sudden forceful contraction of the peroneal muscles with DF and Eversion
  • Pt feels or hears a “pop” and complain of ”giving way”
38
Q

A person with peroneal tendon dislocation/subluxation is in a short leg cast in slight ____ and NWB for 5-6 weeks

A

PF

39
Q

When treating subluxation/dislocation of the peroneal tendons, after the short cast is removed, (gentle/aggressive) ankle rehab is started.

A

aggressive

40
Q

Where is tendinopathy most commonly found in the ankle?

A

Posterior tibialis tendon behind the medial malleolus

41
Q

What is the typical presentation of tendinopathy in the ankle?

A
  • Pain both with active movement and passive stretch
  • Swelling around tendon area
  • Crepitus with movement
  • Stiffness and pain following periods of inactivity, particularly in the morning
42
Q

How long does it take for tendinopathy to resolve if the correct course of treatment is taken immediately?

A

10-14 days

43
Q

What is a dome Fx?

A

Non-displaced compression Fx of the talus

44
Q

With an ankle Fx, a patient should be full WB with a walking brace by ___ weeks.

A

6 weeks