Ankle Pain Wk 1 Flashcards
Range of Motion
dorsiflexion- 20
plantarflexion- 50
inversion/eversion- 5
1st MTP flexion/extension
Bony Palpation
Calcaneous sustentaculum medial/lateral malleolus talus navicular cuboid 3 cuneiforms 5 metatarsals metatarsophalangeal joints
Soft Tissue Palpation
tibialis posterior tendon (down/in) spring ligament tibialis anterior tendon deltoid ligament fibular/peroneus brevis achilles tendon plantar aponeurosis plantar talofibular ligament posterior tibial artery dorsal pedal artery
List of Orthopedic tests for ankle/foot
Drawer sign ankle dorsiflexion rigid/flat feet homans sign thompson test morton test Tinel Foot sign Fem
Bruits of the abdomen and lower extremity
- aorta (1 in side and 1 up)
- renal (2 side and 2 sup)
- common iliac (2 side and 2 down)
- femoral artery
periphreal pulses of abdomen and lower extremity
abdominal aorta femoral popliteal dorsal pedal posterior tibial
Drawer sign
pt seated, stabilze anterior tibia. then grab back of calcaneous, push it towards you, then away
positive: translation of talus
- translation of talus anterior is instability of anterior talofibular ligament
- posterior translation is post talofibular ligament instability
Ankle Dorsiflexion test
attempt to dorsiflex with knee extended
attempt with knee flexed
-can’t dorsiflex either way= soleus
-dorsiflexes with knee flexion=gastroc
Rigid/Supple Flat Feet
observe feet while sitting, then standing
- absence of arch in both positions=rigid
- absence only in standing= supple
Homans Sign
*deep boring calf pain w. no mech of injury
pt supine, raise leg and dorsiflex foot
-deep pain in calf= deep vein thrombophelbitis
Thompson Test
pt prone with leg flexed 90. squeeze belly of calf
-absence of foot plantarflexion=achilles rupture
Morton Test
pt supine, squeeze metatarsal heads
-sharp pain in foot= metatarsalgia or neuroma
Tinel foot sign
using hammer, tap posterior to medial malleolus
-parathesia radiating into foot= tarsal tunnel syndrome
