ankle/foot specific conditions Flashcards
Cuboid subluxations often mimic s/s of ___.
plantar fasciitis
Displacement of the cuboid results in pain where?
4th and 5th met heads
over the cuboid
referral to the heel
Cuboid displacement results in pain due to the stress placed on the ______ when the foot is in PRON.
peroneal muscles
In PRON, the cuboid moves ___ and ___.
inferior and medial
What is the MOI of cuboid subluxation?
PRON and trauma
definition: Head of the 1st met, toe assumes a valgus position
hallux valgus deformity (bunions)
Bunions are commonly associated with forefoot ____ or a flexible _____.
varus, 1st ray, OR a flattened Transverse arch
What is the most common nerve problem of the LE?
Morton Neuroma
definition: a mass occurring about the nerve sheath of the common plantar nerve while it divides into 2 digital branches
neuroma
Morton neuromas are often located where?
Located between 3rd and 4th met heads where nerve is thickest
What are the s/s of morton’s neuroma?
- 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
Turf toe is a ___ injury common in the athletic population.
hyperEXT
What does turf toe result in?
sprain of the 1st MTP joint
Turf toe is linked to artificial turf due to flexible foot wear allowing greater _____ of the Great toe.
DF
___-___ weeks rest in severe cases of turf toe may be required to reduce pain to point where patient can push off
3-4 weeks
What are the MOIs of tarsal tunnel syndrome?
- Overuse
- over pronation
- trauma
What are s/s of tarsal tunnel syndrome?
- pain
- numbness
- parasthesia
- TTP over tibial nerve behind the medial malleolus
What are the aggs of morton neuroma?
Symptoms worsened by squatting, stair climbing, running, wearing shoes with narrow toe box, & high heels