DSA 20 Stockard LE Flashcards

1
Q

Tibiotalar Joint

  1. Axis of motion
  2. Major and minor motions
A
  1. Primarily horizontal through talus

2. Dorsiflexion (major) and Plantar flexion (minor)

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2
Q

Talocalcaneal joint

  1. Axis of motion
  2. Major and minor motions
A
  1. primarily 42 degrees inferoposterior through calcaneus

2. inversion and eversion

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3
Q

What ligament prevents forward displace of the ankle?

A

ATFL - anterior talofibular ligament

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4
Q

What ligament prevents backward displacement of the ankle?

A

PTFL- posterior talofibular ligament

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5
Q

What ligament prevents inversion of the ankle?

A

Calcaneofibular ligament

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6
Q

What 3 motions occur with supination of the ankle?

A
  1. inversion
  2. adduction
  3. plantar flexion
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7
Q

What 3 motions occur with pronation of the ankle?

A
  1. eversion
  2. abudction
  3. dorsiflexion
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8
Q

With dorsiflexion the talus glides anterior or posterior?

A

posterior

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9
Q

with plantar flexion, the talus glides anterior or posterior?

A

anterior

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10
Q

What are the normal degrees of motion for the following motions?

  1. Plantar flexion
  2. Dorsiflexion
  3. Adduction
  4. Abduction
  5. Inversion
  6. Eversion
A

Please Don’t Add Abs In Exercise

  1. 55-65
  2. 15-20
  3. 20
  4. 10
  5. 5
  6. 5
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11
Q

Classify a Grade I strain/sprain

A

generally intact tensile strength, NO gapping, TTP

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12
Q

Classify a Grade III strain/sprain

A

complete disruption with no tensile strength, sloppy end feel with gapping/indentation

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13
Q

What is the treatment for a Grade I ankle sprain

A

conservative care, weight bearing with brace immediately

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14
Q

What is the treatment for a grade II ankle sprain

A

bracing, protected weight bearing, early rehab

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15
Q

What is the treatment for a Grade III ankle sprain

A

immobilize for 3-4 wk, rehab (rarely surgery)

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16
Q

If pt has point tenderness over base of 5th metatarsal what imaging do you order?

A

foot xray

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17
Q

if you suspect a high ankle sprain in pt what imaging do you order?

A

weight bearing AP xray

18
Q

if you suspect a Fibular head fx and pt has tenderness over fibular head what imaging do you order?

A

Knee xray

19
Q

List Ottawa Rule for foot/ankle xray (4)

A
  1. tenderness ove rinferior or posterior ppole of either malleolus
  2. Inability to bear weight (4 steps taken independently, even if limping)
  3. Tenderness along base of 5th metatarsal or navicular bone
  4. Pediatric population
20
Q

What is the difference between an Avulsion fx of the 5th metatarsal and a Jone’s fx?

A

An avulsion fx is more proximal to the cuboid joint whereas a Jone fx is about 1.5cm distal to the tuberosity of the 5th metatarsal

21
Q

What causes an avulsion fx?

A

contraction of the peroneus brevis tendon

22
Q

The squeeze test and side to side test are positive in what type of ankle sprains?

A

syndesmosis sprains (distal tibiofibular joint)

23
Q

What is a Grade I Classification for Overuse?

A

pain after activity only

24
Q

What is a Grade II Classification for Overuse?

A

Pain with activity but does not significantly restrict performance

25
Q

What is a Grade III Classification for Overuse?

A

Pain with activity with significant performance restriction

26
Q

What is a Grade IV Classification for Overuse

A

Pain with activity and rest

27
Q

Stress fx are most frequent in which bones in the foot?

A

metatarsals and calcaneus

28
Q

What is the difference between an achilles’ tear/rupture from tendonitis/retrocalcaneal bursitis?

A

Tear/rupture: hx of acute pain with explosive movement

Tendonitis: gradual onset, usually with repetitive jumping

29
Q

List 4 treatment options for achilles tendonitis and 1 that you do not do.

A
  1. Heel lift 1/4 inch
  2. decrease running/jumping
  3. arch support
  4. NSAIDs and ice
    NO STEROID INJECTIONS
30
Q

Lateral ankle pain from overuse results in…

A

peroneal tendonitis

31
Q

Medial ankle pain from overuse results from irritation of what tendon?

A

posterior tibialis tendon, and you will have swelling posterior to medial malleolus

32
Q

Inferior calcaneal heel pain from overuse results in….

A

plantar fasciitis

33
Q

A pt with the following hx makes you think of what? “Pain with first steps out of bed that gets better as the day goes on”

A

plantar fasciitis

34
Q

Morton’s Neuroma

A

palpation of the interspace produces sharp pain that often radiates into toes (most commonly 3rd then 2nd)

35
Q

What is the most common deformity of the MTP joint?

A

Bunions, Hallux valgus

36
Q

What is the normal hallux angle?

A

less than 15 degrees

37
Q

This is a keratotic lesion over a bony prominence on less toes due to increases pressure on skin

A

corn

38
Q

Where is a Hard Corn usually found?

A

5th toe laterally or dorsally

39
Q

Where is a soft corn usually found?

A

in web spaces

40
Q

What bones make up the Transverse Arch? (4)

A
  1. cuboid
  2. cuneiforms
  3. navicular
  4. proximal ends of metatarsals