Foot and Ankle

Question 1

3 anatomical divisions of the foot?

Answer 1

Fore, mid and hindfoot

Question 2

What is the Silver-Skiels Test?

Answer 2

Gastroc tightness - if tight will lead to forefoot callosity

Question 3

Differentiate between a bunion and arthritic big toe?

Answer 3

Angle at presentation.
Bunion goes laterally, with the lump you see on the medial side. - Hallux Valgus
Arthritis - Hallux Rigid - lump on top.

Question 4

What is Morton’s neuroma and the test for it?

Answer 4

Compressive neuropathy of the interdigital nerve around the transverse intermetatarsal ligament.

Test - Mulder’s Click - push on the plantar aspect of the foot and squeeze the bones together - balloting the nerve

Question 5

Non-congenital cause for a flat foot? and treatment?

Answer 5

Tibialis posterior weakness

Rx:

If flexible - bring FDL up through the foot.

Inflexible - fusion into a better position.

Question 6

Anatomical contents behind the medial malleolus?

Answer 6

Tom, Dick and very nervous Harry:

Tibialis posterior
flexor Digitorum longus
posterior tibial Artery
posterior tibial Vein
tibial Nerve 
flexor Hallucis longus

Question 7

Lateral ligaments of the ankle?

Answer 7

ATFL
CFL
PTFL