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fall B 2024 > assessment of the foot and ankle > Flashcards

assessment of the foot and ankle Flashcards

1
Q

talocrural ROM: dorsiflexion

A

20 deg

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2
Q

talocrural ROM: plantarflexion

A

0-50 deg

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3
Q

talocrural ROM: inversion

A

0-35 deg

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4
Q

talocrural ROM: eversion

A

0-20 deg

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5
Q

talocrural end feel

A

firm for all motion

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6
Q

talocrural loose packed position

A

10 deg plantarflexion, midway between maximum inversion and eversion

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7
Q

talocrural closed packed position

A

maximum dorsiflexion

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8
Q

talocrural capsular pattern

A

plantar > dorsi

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9
Q

subtalar ROM: inversion

A

5 deg

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10
Q

subtalar ROM: eversion

A

5 deg

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11
Q

subtalar end feel

A

inversion: firm
eversion: firm/hard

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12
Q

subtalar loose packed position

A

midway between extremes

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13
Q

subtalar close packed position

A

supination

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14
Q

subtalar capsular pattern

A

limitation of varus ROM

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15
Q

midtarsal ROM: inverison/eversion

A

minimal

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16
Q

midtarsal end feel

A

inversion: firm
eversion: firm/hard

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17
Q

midtarsal loose packed position

A

midway between extremes

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18
Q

midtarsal closed packed position

A

supination

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19
Q

1st metatarsophalangeal ROM: flexion

A

45 deg

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20
Q

1st metatarsophalangeal ROM: extension

A

70 deg

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21
Q

1st metatarsophalangeal loose packed position

A

10 deg extension

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22
Q

1st metatarsophalangeal closed packed position

A

full extension

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23
Q

1st metatarsophalangeal capsular pattern

A

extension > flexion

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24
Q

ottawa ankle rules

A

bone tenderness at lateral malleolus
bone tenderness at medial malleolus
inability to bear weight for four steps

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25
ottawa foot rules
bone tenderness at base of fifth metatarsal bone tenderness at navicular inability to bear weight for four steps
26
cuneiforms
proximal to 1 - 3 MT
27
navicular
proximal to cuneiforms tubercle is medial
28
phalanges
identify MTP and move distally
29
talus
dome between medial and lateral malleoli
30
anterior tibialis
large tendon anteromedially attaches to base of 1st MT
31
extensor digitorum longus
follow all tendons from digits 2-5 proximally
32
extensor hallucis longus
follow tendon from great toe proximally
33
medial malleolus
on distal tibia
34
deltoid ligament
distal to medial malleolus evert the ankle
35
tibialis posterior
muscle belly on distal 1/3 of tibia tendon immediately posterior to medial mall
36
flexor digitorum longus
immediately posterior to tib post have pt flex to assist
37
flexor hallucis longus
posterior to FDL have pt flex great toe to assist
38
gastrocnemius
proximal 1/2 of lower leg
39
soleus
deep to gastroc can be palpated on either side plantarflex with knee flexed
40
calcaneal tendon
wide band connecting posterior leg muscles to calcaneus
41
calcaneus
distal to calcaneal tendon identify medial and lateral borders
42
lateral malleolus
distal fibula
43
lateral ligaments of ankle
calcaneofibular: distal to lat mall posterior talofibular: post/inf lat mall to talus anterior talofibular: anterior lat mall to talus
44
tuberosity of 5th metatarsal
palpate proximally until step off
45
fibularis brevis
distal 2/3 of fibula posterior to lat mall attaches to tuberosity of 5th MT
46
fibularis longus
proximal fibular head palpate posterior to lateral mall
47
cuboid
move proximal to 5th MT
48
ankle dorsiflexion/plantarflexion ROM
stationary arm: L epicondyle axis: lat mall movement arm: parallel to 5th MT normal DF: 20 deg normal PF: 50 deg
49
ankle inversion/eversion ROM
stationary arm: tibial tub axis: center of talocrural joint movement arm: 2nd MT normal IN: 35 deg normal EV: 20 deg
50
subtalar inversion/eversion ROM
stationary arm: gastroc axis: center of TC joint movement arm: midline of calcaneus normal IN: 5 deg normal EV: 5 deg
51
1st MTP flexion/extension ROM
stationary arm: midline of 1st MT axis: medial 1st MTP joint movement arm: midline of 1st prox phal normal F: 45 deg normal E: 70 deg
52
grading plantarflexion
0: no palpable contraction 1: palpable muscle contraction 2: able to move through full ROM in gravity reduced 3: 1-9 heel raises 4: 10-24 heel raises 5: > 25 heel raises
53
plantarflexion 3-5
heel raises with leg straight
54
plantarflexion 3-5: soleus bias
heel raises with knee flexed 20 deg
55
plantarflexion 0-2
pt prone 0 deg flex: gastroc 90 deg flex: soleus
56
dorsiflexion: anterior tib 3-5
seated
57
dorsiflexion: anterior tib 0-2
supine
58
subtalar inversion: posterior tibialis 3-5
sidelying on test leg
59
subtalar inversion: posterior tibialis 0-2
supine foot over table
60
subtalar eversion: fibularis 3-5
sidelying on test side
61
subtalar eversion: fibularis 0-2
supine foot over table
62
MTP flexion 0-5
supine
63
IP flexion/extension 0-5
supine
64
proximal tibfib joint posterior glide
supine glide fib posterior stabilize tib
65
distal tibfib joint posterior glide
supine glide fib posterior and lateral stabilize tib
66
proximal tibfib joint anterior glide
prone glide fib ant stabilize tib
67
distal tibfib joint anterior glide
prone glide fib ant and med stabilize tib
68
talocrural joint distraction
supine one hand on calc and other over talus pull along joint
69
talocrural joint posterior glide
supine stabilize under tib push down on talus
70
talocrural joint anterior glide
prone stabilize under tib push down on calc
71
subtalar joint distraction
prone stabilize talus glide calc distally
72
subtalar joint lateral glide
sidelying with test leg down PTs leg blocking foot into DF stabilize under tib glide calc down (lateral)
73
subtalar joint medial glide
sidelying with test leg up PTs leg blocking foot into DF stabilize under tib glide calc down (medial)
74
MTP anterior (dorsal) glide
supine stabilize MT glide proximal phalanx anterior
75
MTP posterior (plantar) glide
supine stabilize MT glide proximal phalanx posterior
76
thompson test
prone squeeze calf pos: not plantarflexion
77
anterior drawer
supine, heel of edge ankle in slight PF stabilize tib glide calc anterior
78
talar tilt varus stress test (lateral ligs)
supine, heel off edge stabilize tib push calc inward to test lat ligs
79
talar tilt valgus stress test (medial ligs)
supine, heel off edge stabilize tib push calc outward to test med ligs
80
figure 8 girth
supine like an ankle tape go medial first under foot to base of fifth MT across calc back to center

fall B 2024 (19 decks)

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