Ankle Ish

Question 1

Navicular Drop Test

Answer 1

6-8 mm normal

> 10-15 mm excessive

Question 2

Beighton Scale

Answer 2

Scale for hyperlaxity

Question 3

Uncompensated rearfoot

Answer 3

If calcaneus is in same position as STJN

Question 4

Compensated rearfoot

Answer 4

If calcaneus everts to vertical or beyond

Question 5

Partially compensated rearfoot

Answer 5

If calcaneus everts, but not to vertical

Question 6

Uncompensated rearfoot varus

Answer 6

Haglund’s deformity

Question 7

Lateral ankle sprain tests

Answer 7

Anterior drawer (ATFL)
Talar tilt (ATFL)

Question 8

High ankle sprain tests

Answer 8

External rotation test

Fibula translation test

Question 9

Thompson test

Answer 9

Calf squeeze

Achilles’ tendon

Question 10

Stress fx tx

Answer 10

Avoid activity 8-10 wks

WB restriction 3-4 wks

Question 11

Skeletal maturity

Answer 11

Growth plates closed

Question 12

Lisfranc injury

Answer 12

Tarsometatarsal joint

2 MT recessed

MOI - loading and rapid twisting midfoot

Screws 3-6 mos

Stress radiograph***

Question 13

Jones

Answer 13

Metaphyseal-diaphyseal fx

ORIF in athletes

Question 14

Talar neck fx

Answer 14

DF and axial loading

High incidence AVN

NEED CAT SCANS

Question 15

Ankle fx

Answer 15

ORIF except in isolated fx of medial or lateral mall rolls that are tx c cast

Question 16

Hallux valgus

Answer 16

Irreversible foot deformity

High heels

Question 17

Mallet

Answer 17

Flexed DIP

Question 18

Hammer

Answer 18

Flexed PIP

Question 19

Claw

Answer 19

Extended MTP

Question 20

Syndesmotic ankle sprain

Answer 20

Pain at mortise

Initially need to limit DF
Limit WB
Limit strong PF contractions

Question 21

Lat ankle sprain risk factors

Answer 21

Fatigue
Lower CV fitness
Static and dynamic balance
DF strength and ROM
Coordination

Question 22

Post malleolus mob

Answer 22

When ATFL is torn, can become displaced

Question 23

Anterior impingement tx

Answer 23

Heel lift
Surgical debridement
Manual therapy to improve DF

Question 24

Plantar fasciitis risk factors

Answer 24

Obesity
Decreased DF ROM
Time spent on feet

Question 25

Tightness or pp abnormalities in plantar fascia or FHL

Answer 25

Tissue mob and stretch

Question 26

Subtalar joint restriction

Answer 26

Lateral glide

Question 27

Talocrural restriction

Answer 27

Rearfoot manipulation

Question 28

Intertarsal joint restriction

Answer 28

Cuboid manipulation

Question 29

Abnormal tendon signal

Answer 29

Noninsertional/insertional Achilles
Achilles’ tendon rupture
Post tib tendinopathy

Question 30

Noninsertional intrinsic risk factors

Answer 30

Limited DF ROM
Abnormal STJ ROM
Decreased PF strength
Foot pronation
Obesity
HTN
DM
Hyperlipidemia

***pain usually not during activity, but 24 hours after

Question 31

Grade A

Answer 31

Eccentric exercise

Question 32

Grade B

Answer 32

Modalities

Question 33

Grade C

Answer 33

Orthotics

Manual therapy to increase DF

Question 34

Retrocalcaneal bursitis

Answer 34

Pain only reproduced with passive PF

Insertional Achilles tendinopathy

Question 35

Post tib tendinopathy

Answer 35

Ligamentous overload
Progressive acquired flat foot
Hypermobile talonavicular joint
Abnormal gait patterns
Key supinator during push-off

Question 36

Classification of Foot Posture

Answer 36

Normal 0 to +5

Pronated +6 to +9 (highly > 10)

Supinated -1 to-4 (highly > -5)