Foot and Ankle Flashcards
1
Q
Ottawa Ankle Rules
A
- Pain in malleolar zone AND
- bone pain in post edge of med or lat malleolus AND/OR
- can’t bear weight immediately and in clinic
2
Q
Ottawa Foot Rules
A
-Pain in midfoot zone AND
-Bone pain in base of 5th MT or navicular
AND/OR
-can’t bear wt immediately/in clinic
3
Q
Ankle standard views (4)
A
- AP
- AP Oblique (Mortise)
- Lateral
- Oblique
4
Q
Foot Standard views (3)
A
- AP
- Oblique
- Lateral
5
Q
AP Ankle View
A
- Good for: distal tib/fib, malleoli
- Notice: lateral tib superimposed over fib, parallel talar dome and distal tib
6
Q
AP Mortise View
A
- shank internally rotated ~15-20
- Mortise width 3-4mm
- can see angulations or translations of talus in mortise (lig injury)
- minimal superimposition of lateral tib and fib
7
Q
Lateral View Ankle
A
- done in neutral
- Good far: anterior/posterior tibia, position of midfoot and hindfoot
8
Q
Oblique Ankle View
A
- Shank IR ~45
- Good for: distal fib, lateral malleolus, distal tib/fib jt, talofibular jt
9
Q
AP Foot
A
- Can be WB or NWB
- Good for: phalages, MTs, midfoot, 1st MT angle, Hallux valgus angle, Chopart (calcaneocuboid and talonavicular) joint, Lisfranc (tarsometatarsal)
10
Q
Hallux Valgus
A
- use WB AP view
- Mild: IMA 15, HVA >40
11
Q
Oblique Foot
A
- NWB
- Lateral foot lifted ~45
- Less superimposation of tarsals/metatarsals
- First and second cuneiform are superimposed
- look for plantar curving of MT heads
12
Q
Lateral Foot
A
- WB for long. arch measures
- NWB for trauma
- usu in neutral
13
Q
Boehler angle (calcaneal fx)
A
- line joining midbump to front bump
- line joining midbump to back bump
- Normal 25-40
- lesser angle = fx
14
Q
Calcaneal Inclination
A
- line along plantar foot
- line tangential to inferior surface of calcaneus
- normal 20-30
- higher values = pes cavus
15
Q
Tarsometatarsal angle
A
- line bisecting talus
- line bisecting 1st MT
- normal 0-10
- increased angle = flat foot (talus plantarflexes)
