Foot and Ankle Flashcards
arteries of foot and ankle
dorsalis pedis and posterior tibial artery
nerves of foot and ankle
common peroneal and tibial nerve
Patient with ankle sprain. how to test for injury to tibiofibular syndesmosis?
squeeze test and external rotation test
patient with ankle sprain. how to test for ligament laxity?
anterior drawer test (ankle) and talar tilt test
types of ankle fractures
bimalleolar- fractures of lat and medial malleolus. trimalleolar- lat, med, and posterior malleolus fractures
most ankle fractures are ___ and are stable or unstable?
most are malleolar and are stable usually
ankle fracture can involve injury to…
lateral/medial, posterior malleolus, or collateral ligament
tx for ankle fracture
splint ankle at 90 degrees. refer if open fracture, NV compromise, unstable fracture
heel fracture aka
tarsal fracture
most frequently fractured tarsal bone is
calcaneus
tx of tarsal fracture
in non displaced, cast and non-weight bearing for 6-8 weeks. REFER.
injury to tarso-metatarsal joint
lisfrant injury
lisfrank injury often confused with…
ankle sprain but managed differently
phalangeal fracture usually involves..
smaller toe and proximal phalynx
tx of phalangeal fracture
buddy taping for non-displaced fractures for 4-6 weeks. reduce displaced fractures, then immobilization
most commonly fractured sesamoid
medial
cause of sesamoid fractures
most commonly stress fractures
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?
lisfranc
tx of lisfranc
REFER! if no fractures or dislocations , non weight bearing cast for 6-8 weeks. fracture/subluxation- surgery
most common locations of metatarsal fracture
2nd metatarsal shaft
what metatarsal stress fracture has high rate of NONUNION and should be referred to ortho?
5th
patient presents with poorly localized pain around 1st MTP joint. Pain with passive dorsiflexion of 1st MTP joint. dx and tx?
sesamoid fracture. activilty limitation for 6-8 weeks tehn return to activity gradually
