Foot & Ankle

Question 1

Bony Palpation

Answer 1

1) Calcaneus
2) Sustentaculum
3) Medial Malleolus
4) Lateral Malleolus
5) Talus
6) Navicular
7) Cuboid
8) 3 Cuneiforms
9) 5 Metatarsals
10) MTP jts

Question 2

Soft Tissue Palpation

Answer 2

1) Tibialis posterior tendon
2) Spring Lig
3) Tibialis ant tendon
4) Deltoid lig
5) Peroneus brevis
6) Achilles tendon
7) Plantar Aponeurosis
8) Ant talofibular lig
9) Post tibial artery
10) Dorsal pedal artert

Question 3

Range of Motion

Answer 3

Ankle Dorsiflexion 20
Ankle Plantarflexion 50
Subtalar Inversion 5
Subtalar Eversion 5
1st MTP jt Flexion
1st MTP jt Extension

Question 4

Drawer Sign (Ant Drawer Sign of the ankle)

Answer 4

Postive: Translation w/ the talus moving away from or toward the tibia
Indicates: 1) W/ tibia pushed/foot pulled; a tear/instability of the ant talofibular lig
2) W/ tibia pulled/foot pushed; a tear/instability of post talofibular lig

Question 5

Ankle Dorsiflexion Test

Answer 5

Postive: 1) The foot cannot dorsiflex w/ knee extended, but is able to with the knee flexed
2) the foot cannot dorsiflex in either knee position
Indicates: 1) contracture of the gastrocnemius muscle
2) contracture of the soleus muscle

Question 6

Rigid or Supple Flat Feet Test

Answer 6

Postive: 1) Absence of medial longitudinal arch in both positions
2) Presence of medial longitudinal arch while seated w/ a loss of medial longitudinal arch while standing
Indicates: 1) Rigid flat feet
2) Supple flat feet

Question 7

Homans Sign

Answer 7

Postive: Deep pain in the calf
Indicates: Deep vein thrombophlebitis

Question 8

Thompson Test

Answer 8

Postive: Absence of foot plantar flexion motion
Indicates: Achilles tendon rupture

Question 9

Morton Test

Answer 9

Postive: Sharp pain in the forefoot
Indicates: Metatarsalgia or neuroma (usually at the 3rd and 4th metatarsal interspace)