Foot & Ankle Flashcards
1
Q
Red flags
A
Fever, chills, night sweats Recent unexplained weight loss/gain Malaise/fatigue Unexplained nausea/vomiting Prosthesis unilateral, bilateral, quad SOB Dizziness
2
Q
Achilles Tendon Disorders
A
highest demand on muscle tendon unit
- walking
- running
Injury rates: tendonitis, tendonosis, rupture
3
Q
Tendonitis vs. Tendinosis
A
- Inflammation of tendon/myotendinous junction
- Vascular activation, inflammatory repsone
Failure to heal
- Angiofibroblastic tendinosis: degeneration of collagen
- Collagen fiber disorientation, focal necrosis
4
Q
What is grade is hypermobile?
A
3
5
Q
Differential Dx:
A
Fx: Ottawa Subtalar: lig Peroneal tendon injury: tendon vs retinaculum Achilles rupture: Thompson Osteochondral lesion: shows up later 5th MT fx: Avulsion vs. Jones Midfoot sprain: Cuboid position Fx anterior calcaneal process
6
Q
Ottawa Rules
A
1) Post tip of Lat Malleolus
2) Post tip of Med Malleolus
3) Base of 5th MT
4) Navicular
7
Q
Foot Posture Index
A
1) Talar head
2) supra/infra lat mall curve
3) calcaneal inv/ev
4) TNJ bulge
5) MLA, height/congruence
6) abd/add forefoot/rearfoot
-12 Sup
+12 Pro
8
Q
Pronation
A
Talocrural: DF STJ: calcaneus everts TNJ drops CCJ: abducts Lower leg: IR/Valgus
9
Q
Supination
A
Talocrural: PF STJ: calcaneus inverts TNJ: raised CCJ: adducts Lower leg: ER/Varus
10
Q
FB/FL testing
A
position: PF/EV
11
Q
PT testing
A
position: PF/INv
12
Q
Functional test for ankle/foot
A
Heel rise
Single limb heel raise
