Food and ankle practical setups

Question 1

talus traction

Answer 1

grab talus with hand between legs
grab calcaneus with other hand
pull back with body weight and dorsiflex by extending arms

Question 2

talus A

Answer 2

tissue pull with hand between legs
web of thumb on top of first hand
third party stabilization
dorsiflex and thrust straight A-P

Question 3

calcaneus L

Answer 3

grab calcaneus with hand on side of lateral malleolus
grab foot with other hand
dorsiflex, evert the ankle and thrust M-L

Question 4

calcaneus M

Answer 4

grab calcaneus with hand on side of lateral malleolus
grab foot with other hand
dorsiflex, evert the ankle and thrust L-M

Question 5

navicular AM

Answer 5

set up just like a talus A, except on navicular (medial side of foot)
make sure you third party stabilize

Question 6

cuboid

Answer 6

squat down and tissue pull over cuboid with the hand facing their feet, while the other hand (closest to patient’s head) goes over the CP, thumbs on bottom of foot
dorsiflex, evert, thrust
third party stabilization

Question 7

cuneiform P

Answer 7

thumb over thumb on affected cuneiform (bottom of foot contact)
dorsiflex foot, plantar flex toes, thrust in line with tibia

Question 8

bunion

Answer 8

part 1: traction joint until the patient can tolerate it

part 2: rotate metatarsal away, dorsiflex and throw away the toe

Question 9

MTP traction

Answer 9

traction the MTP joint

Question 10

MTP P

Answer 10

looks just like a cuneiform P, just further down the foot

Question 11

strunsky’s

Answer 11

doctor quickly flexes patient’s toes

pain is the positive, indicates inflammatory lesion of the metatarsal arch

Question 12

TMT A

Answer 12

middle finger over middle finger on the proximal head of affected metatarsal and thumb over thumb on the distal aspect of the affected metatarsal
dorsiflex and do a “scooping” motion with your fingers

Question 13

morton’s test

Answer 13

squeeze metatarsals together

pain is the postive, indicates Morton’s neuroma, MC between 3rd and 4th metatarsal heads

Question 14

draw sign

Answer 14

grab calcaneus with 1 hand and tibia with other hand and push upward with calcaneus hand
increased motion is the positive, indicates instability of anterior talofibular ligament

Question 15

lateral stability test

Answer 15

push calcaneus medial

increased motion is the positive, indicates intability of anterior talofibular ligament

Question 16

medial stability test

Answer 16

push calcaneus lateral

increased motion is the positive, indicates instability of deltoid ligament