Foot and Ankle

Question 1

arteries of foot and ankle

Answer 1

dorsalis pedis and posterior tibial artery

Question 2

nerves of foot and ankle

Answer 2

common peroneal and tibial nerve

Question 3

Patient with ankle sprain. how to test for injury to tibiofibular syndesmosis?

Answer 3

squeeze test and external rotation test

Question 4

patient with ankle sprain. how to test for ligament laxity?

Answer 4

anterior drawer test (ankle) and talar tilt test

Question 5

types of ankle fractures

Answer 5

bimalleolar- fractures of lat and medial malleolus. trimalleolar- lat, med, and posterior malleolus fractures

Question 6

most ankle fractures are ___ and are stable or unstable?

Answer 6

most are malleolar and are stable usually

Question 7

ankle fracture can involve injury to…

Answer 7

lateral/medial, posterior malleolus, or collateral ligament

Question 8

tx for ankle fracture

Answer 8

splint ankle at 90 degrees. refer if open fracture, NV compromise, unstable fracture

Question 9

heel fracture aka

Answer 9

tarsal fracture

Question 10

most frequently fractured tarsal bone is

Answer 10

calcaneus

Question 11

tx of tarsal fracture

Answer 11

in non displaced, cast and non-weight bearing for 6-8 weeks. REFER.

Question 12

injury to tarso-metatarsal joint

Answer 12

lisfrant injury

Question 13

lisfrank injury often confused with…

Answer 13

ankle sprain but managed differently

Question 14

phalangeal fracture usually involves..

Answer 14

smaller toe and proximal phalynx

Question 15

tx of phalangeal fracture

Answer 15

buddy taping for non-displaced fractures for 4-6 weeks. reduce displaced fractures, then immobilization

Question 16

most commonly fractured sesamoid

Answer 16

medial

Question 17

cause of sesamoid fractures

Answer 17

most commonly stress fractures

Question 18

Patient with swelling and pain on top of foot with bruising on bottom of foot. positive piano key test and single limb heel raise causing pain. dx?

Answer 18

lisfranc

Question 19

tx of lisfranc

Answer 19

REFER! if no fractures or dislocations , non weight bearing cast for 6-8 weeks. fracture/subluxation- surgery

Question 20

most common locations of metatarsal fracture

Answer 20

2nd metatarsal shaft

Question 21

what metatarsal stress fracture has high rate of NONUNION and should be referred to ortho?

Answer 21

5th

Question 22

patient presents with poorly localized pain around 1st MTP joint. Pain with passive dorsiflexion of 1st MTP joint. dx and tx?

Answer 22

sesamoid fracture. activilty limitation for 6-8 weeks tehn return to activity gradually