Condition of ankle & foot

Question 1

Ankle fracture- Eti

Answer 1

Most commonly eversion or lateral rotation. Talus & mortise

Question 2

Ankle fracture- Sx

Answer 2

Pain, tenderness, hemorrhage, point tenderness

Question 3

Ankle fracture- Dx

Answer 3

X-ray

Question 4

Ankle fracture- Tx

Answer 4

Reduction & surg. or stabilizing boot/ casting

Question 5

Plantar Fasciitis- Eti

Answer 5

Young runners, most common cause of heel pain. Peak incidence at 40-60

Question 6

Plantar Fasciitis- Sx

Answer 6

Insidious pain on plantar heel with first steps or prolonged standing. Diminishes with rest. Tenderness along anteromedial aspect of calcaneus

Question 7

Plantar Fasciitis-Tx

Answer 7

6-18 months to correct. Activity modification, NSAIDs, heel support, stretching

Question 8

Phalangeal Fracture- Eti

Answer 8

Crush or direct blow injury or stress fracture

Question 9

Phalangeal Fracture- Sx

Answer 9

Tenderness over bony structures

Question 10

Phalangeal Fracture- Tx

Answer 10

Buddy tape, reduction if needed.

Question 11

Calcaneal Fracture -Eti

Answer 11

Fall or high velocity trauma- commonly assoc with spine fracture, bilateral

Question 12

Calcaneal Fracture Sx

Answer 12

Severe heel pain, inability to bear weight. Possible ecchymosis & deformity.

Question 13

Calcaneal Fracture Tx

Answer 13

Casting or surgery

Question 14

Morton neuroma- Eti

Answer 14

Idiopathic inflammation of nerve ganglion in foot.

Question 15

Morton neuroma- Sx

Answer 15

Pain in forefoot, pebble in shoe, sensation changes

Question 16

Hammer toe- Eti

Answer 16

Most common digital deformity. Second digit most common. Due to genes, biomechanics, shoes

Question 17

Hammer toe- Sx

Answer 17

Pain and deformity of 1+ lesser toe. Dorsiflexion and callus formation

Question 18

Bunion- Eti

Answer 18

Genetics, shoes, mechannics

Question 19

Bunion- Sx

Answer 19

Laterally deviated big toe, erythema and edema. Tenderness at MTP joint