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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
Q

ottawa foot rules

A

bone tenderness at base of fifth metatarsal
bone tenderness at navicular
inability to bear weight for four steps

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26
Q

cuneiforms

A

proximal to 1 - 3 MT

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27
Q

navicular

A

proximal to cuneiforms
tubercle is medial

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28
Q

phalanges

A

identify MTP and move distally

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29
Q

talus

A

dome between medial and lateral malleoli

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30
Q

anterior tibialis

A

large tendon anteromedially
attaches to base of 1st MT

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31
Q

extensor digitorum longus

A

follow all tendons from digits 2-5 proximally

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32
Q

extensor hallucis longus

A

follow tendon from great toe proximally

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33
Q

medial malleolus

A

on distal tibia

34
Q

deltoid ligament

A

distal to medial malleolus
evert the ankle

35
Q

tibialis posterior

A

muscle belly on distal 1/3 of tibia
tendon immediately posterior to medial mall

36
Q

flexor digitorum longus

A

immediately posterior to tib post
have pt flex to assist

37
Q

flexor hallucis longus

A

posterior to FDL
have pt flex great toe to assist

38
Q

gastrocnemius

A

proximal 1/2 of lower leg

39
Q

soleus

A

deep to gastroc
can be palpated on either side
plantarflex with knee flexed

40
Q

calcaneal tendon

A

wide band connecting posterior leg muscles to calcaneus

41
Q

calcaneus

A

distal to calcaneal tendon
identify medial and lateral borders

42
Q

lateral malleolus

A

distal fibula

43
Q

lateral ligaments of ankle

A

calcaneofibular: distal to lat mall
posterior talofibular: post/inf lat mall to talus
anterior talofibular: anterior lat mall to talus

44
Q

tuberosity of 5th metatarsal

A

palpate proximally until step off

45
Q

fibularis brevis

A

distal 2/3 of fibula
posterior to lat mall
attaches to tuberosity of 5th MT

46
Q

fibularis longus

A

proximal fibular head
palpate posterior to lateral mall

47
Q

cuboid

A

move proximal to 5th MT

48
Q

ankle dorsiflexion/plantarflexion ROM

A

stationary arm: L epicondyle
axis: lat mall
movement arm: parallel to 5th MT

normal DF: 20 deg
normal PF: 50 deg

49
Q

ankle inversion/eversion ROM

A

stationary arm: tibial tub
axis: center of talocrural joint
movement arm: 2nd MT

normal IN: 35 deg
normal EV: 20 deg

50
Q

subtalar inversion/eversion ROM

A

stationary arm: gastroc
axis: center of TC joint
movement arm: midline of calcaneus

normal IN: 5 deg
normal EV: 5 deg

51
Q

1st MTP flexion/extension ROM

A

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
Q

grading plantarflexion

A

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
Q

plantarflexion 3-5

A

heel raises with leg straight

54
Q

plantarflexion 3-5: soleus bias

A

heel raises with knee flexed 20 deg

55
Q

plantarflexion 0-2

A

pt prone
0 deg flex: gastroc
90 deg flex: soleus

56
Q

dorsiflexion: anterior tib 3-5

57
Q

dorsiflexion: anterior tib 0-2

58
Q

subtalar inversion: posterior tibialis 3-5

A

sidelying on test leg

59
Q

subtalar inversion: posterior tibialis 0-2

A

supine
foot over table

60
Q

subtalar eversion: fibularis 3-5

A

sidelying on test side

61
Q

subtalar eversion: fibularis 0-2

A

supine
foot over table

62
Q

MTP flexion 0-5

63
Q

IP flexion/extension 0-5

64
Q

proximal tibfib joint posterior glide

A

supine
glide fib posterior
stabilize tib

65
Q

distal tibfib joint posterior glide

A

supine
glide fib posterior and lateral
stabilize tib

66
Q

proximal tibfib joint anterior glide

A

prone
glide fib ant
stabilize tib

67
Q

distal tibfib joint anterior glide

A

prone
glide fib ant and med
stabilize tib

68
Q

talocrural joint distraction

A

supine
one hand on calc and other over talus
pull along joint

69
Q

talocrural joint posterior glide

A

supine
stabilize under tib
push down on talus

70
Q

talocrural joint anterior glide

A

prone
stabilize under tib
push down on calc

71
Q

subtalar joint distraction

A

prone
stabilize talus
glide calc distally

72
Q

subtalar joint lateral glide

A

sidelying with test leg down
PTs leg blocking foot into DF
stabilize under tib
glide calc down (lateral)

73
Q

subtalar joint medial glide

A

sidelying with test leg up
PTs leg blocking foot into DF
stabilize under tib
glide calc down (medial)

74
Q

MTP anterior (dorsal) glide

A

supine
stabilize MT
glide proximal phalanx anterior

75
Q

MTP posterior (plantar) glide

A

supine
stabilize MT
glide proximal phalanx posterior

76
Q

thompson test

A

prone
squeeze calf
pos: not plantarflexion

77
Q

anterior drawer

A

supine, heel of edge
ankle in slight PF
stabilize tib
glide calc anterior

78
Q

talar tilt varus stress test (lateral ligs)

A

supine, heel off edge
stabilize tib
push calc inward to test lat ligs

79
Q

talar tilt valgus stress test (medial ligs)

A

supine, heel off edge
stabilize tib
push calc outward to test med ligs

80
Q

figure 8 girth

A

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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