Foot Flashcards
Examinations of the Foot
•AP/AP AXIAL PROJECTION
•AP OBLIQUE PROJECTION
Medial Rotation
•Lateral Rotation
•LATERAL PROJECTION
Mediolateral
•Lateromedial
•WEIGHT-BEARING METHOD
LATERAL PROJECTION
•WEIGHT-BEARING METHOD
AP AXIAL PROJECTION
•WEIGHT-BEARING COMPOSITE METHOD
AP AXIAL PROJECTION
PP
AP/AP AXIAL PROJECTION
PP: Supine; knee flexed; plantar surface against IR
RP
AP/AP AXIAL PROJECTION
RP: 3rd MTP base
CR
AP/AP AXIAL PROJECTION
CR: ┴ or 10o posteriorly
SS: MT & Tarsal (┴); TMT joint (10o)
ER:
For localizing foreign bodies
Location of fragments in fx of metatarsals & anterior tarsals
General surveys of the foot
AP/AP AXIAL PROJECTION
reduces foreshortening of metatarsals
AP AXIAL Projection
PP
AP OBLIQUE PROJECTION
Medial Rotation
PP: Supine; knee flexed; leg rotated medially; plantar surface of foot 30o to IR
RP
AP OBLIQUE PROJECTION
Medial Rotation
RP: 3rd MTP base
CR
AP OBLIQUE PROJECTION
Medial Rotation
CR: ┴
SS:
Cuboid
Interspaces on lateral side of foot
Sinus tarsi
Lateral cuneiform
3rd
-5th MT bases
5th MT tuberosity
AP OBLIQUE PROJECTION
Medial Rotation
PP
AP OBLIQUE Lateral Rotation
PP: Supine; knee flexed; leg rotated laterally; plantar surface of foot 30o to IR
RP
AP OBLIQUE Lateral Rotation
RP: 3rd MTP base
CR
AP OBLIQUE Lateral Rotation
CR: ┴
SS:
Navicular
Interspaces on medial side of foot
Medial & intermediate cuneiform
1st
-2nd MT bases
AP OBLIQUE Lateral Rotation
PP
LATERAL PROJECTION
Mediolateral
PP: Dorsiflex foot (┴ to lower leg); leg & foot in lateral position; lateral side of foot against IR (more
comfortable)
RP
LATERAL PROJECTION
Mediolateral
RP: 3rd MT base
CR
LATERAL PROJECTION
Mediolateral
CR: Perpendicular
SS: Entire foot in profile
ER:
For localizing foreign body
Degree of anterior & posterior displacement
of fx
LATERAL PROJECTION
Mediolateral
PP
LATERAL PROJECTION
Lateromedial
PP: LPO/RPO; medial surface against IR; plantar surface of foot ┴ to IR
RP
LATERAL PROJECTION
Lateromedial
RP: 3rd MTP base
CR
LATERAL PROJECTION
Lateromedial
CR: Perpendicular
SS: True lateral projection of foot
LATERAL PROJECTION
Lateromedial
PP
WEIGHT-BEARING METHOD
LATERAL PROJECTION
PP: Upright; feet elevated (use blocks); IR b/n feet; weight equally distributed on each foot
RP
WEIGHT-BEARING METHOD
LATERAL PROJECTION
RP: Point above 3rd MTP base
CR
WEIGHT-BEARING METHOD
LATERAL PROJECTION
CR: Horizontal
SS: Status of longitudinal arch (pes planus); Bohler’s critical angle (20-40o)
WEIGHT-BEARING METHOD
LATERAL PROJECTION
angle b/n superior apex of
mid-calcaneus to anterior process of calcaneus
Bohler’s Critical Angle
PP
WEIGHT-BEARING METHOD
AP AXIAL PROJECTION
PP: Upright; both feet against IR; weight equally distributed on each foot
RP
WEIGHT-BEARING METHOD
AP AXIAL PROJECTION
RP: b/n feet at 3rd MTP base level
CR
WEIGHT-BEARING METHOD
AP AXIAL PROJECTION
CR: 10o or 15o posteriorly
SS: Accurate evaluation & comparison of MT & tarsals
Hallux valgus & lishfranc injury
WEIGHT-BEARING METHOD
AP AXIAL PROJECTION
PP
WEIGHT-BEARING COMPOSITE METHOD AP AXIAL PROJECTION
PP: Upright; 2 exposures
First Exposure: opposite foot step
backward (for forefoot); tube in front
Second Exposure: opposite foot step
backward (for hindfoot); tube behind
RP
WEIGHT-BEARING COMPOSITE METHOD AP AXIAL PROJECTION
RP: 3rd MTP base (1st exposure); level of lateral malleolus (2nd exposure)
CR
WEIGHT-BEARING COMPOSITE METHOD AP AXIAL PROJECTION
CR: 15o posteriorly (1st exposure); 25o anteriorly (2nd exposure)
SS: Full outline of the foot
WEIGHT-BEARING COMPOSITE METHOD AP AXIAL PROJECTION