Corrective Foot Trimming Flashcards

1
Q

Label this

A

A) Coronary band

B) Periople

C) Lateral Claw

D) Medial Claw

E) Wall

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2
Q

Label this

A

A) Heel bulbs

B) White line

C) Sole

D) Wall

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3
Q

Label this

A

A) Proximal phalanx

B) Middle phalanx

C) Distal phalanx

D) Digital cushion

E) Flexor tendon

F) Navicular

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4
Q

What is the normal measurement of the anterior wall?

A

85mm (65-95mm)

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5
Q

What is the normal angle of the anterior wall to ground?

A

45 – 50 degrees

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6
Q

What is the heel height?

A

25 – 35mm (Young) to 30 – 45mm (Older)

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7
Q

What does this show?

A

Foot Overgrowth

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8
Q

What does this show?

A

First cut of corrective foot trimming

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9
Q

How big is the first cut of corrective foot trimming?

A

90mm

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10
Q

How is length measured for the first cut of corrective trimming?

A

From the start of the wall at the coronary band

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11
Q

What happen if the first cut is too short?

A

The likely hood of causing significant injury (trimming through to the corium), is significantly increased.

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12
Q

What does this show?

A

Second cut of corrective foot trimming

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13
Q

What should be checked in the second cut and why?

How is this done?

A

The thickness of the sole should be checked to prevent over thinning

This can be done by applying very firm thumb pressure (as hard as you can press) to the area being trimmed. As soon as any “give” can be perceived (with very firm thumb pressure), no more sole can be removed and trimming should cease in this area

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14
Q

What “step” is left at the toe in the second cut?

What is the point of this?

A

5-7mm

If the length of the wall has been cut correctly this should not be necessary, however, if the wall has been cut too short it prevents the sole being trimmed too thin at the toe. Leaving a step is a sensible “precaution” in the novice trimmer.

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15
Q

What does this show?

A

Third cut of corrective foot trimming

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16
Q

What is the purpose of the third cut of corrective foot trimming?

A

The third cut is designed to reduce weight bearing (and hence pressure) at the sole ulcer site. The axial white line is weight bearing and hence the “dishing” should avoid this structure