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musculo > foot differentials > Flashcards

foot differentials Flashcards

1
Q

ankle fractures MOI?

A

fall, twist
stress: sudden increase in activity

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2
Q

ankle fractures complaints?

A

pain- constant/night
instantaneous bruising and swelling in area of injury

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3
Q

ankle fractures differential diagnosis?

A

sprain

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4
Q

ankle fractures test and measures?

A

ottawa foot and ankle rules
tuning fork
metatarsal compression/morton’s compression

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5
Q

ankle fracture treatments?

A

mobilize/ joint mobs
ROM: ABS’s, write your name with your foot
submax isometrics: PF, DF, inv, ev
strengthen once in chronic/after surgery

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6
Q

lateral ankle sprains MOI?

A

only inversion- CFL
inv and DF- PTFL
inv and PF- ATFL

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7
Q

lateral ankle sprains complaints?

A

swelling, bruising, swelling within first hour compared to fractures that is immediate.
lateral pain

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8
Q

lateral ankle sprains differential diagnosis?

A

fracture

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9
Q

lateral ankle sprains tests and measures?

A

ROM: limited inversion, PF
muscle performance: muscles that do inversion could be impacted/weak
joint play: none
anterior draw test
posterior draw
talar tilt: PF- ATFL, DF- PTFL, neutral- CFL

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10
Q

lateral ankle sprains acute treatment?

A

open chain
AROM (ABC’s)
submax isometrics (inv, ev)
BAPS board (rock back and forth pain free)

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11
Q

lateral ankle sprains subacute treatment?

A

closed chain
stabilize into DF
stars (single leg squats)
single leg stand throwing balls or perturbation
bosu ball

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12
Q

lateral ankle sprains chronic treatment?

A

jumping, running, cutting
functional, sport

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13
Q

medial ankle sprain MOI?

A

stopping and cutting in sport
football

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14
Q

medial ankle sprains complaint?

A

medial pain

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15
Q

medial ankle sprains tests and measures?

A

ROM: eversion and DF most limited
muscle performance: inversion muscles weak/strain
special tests: eversion stress test, kleiger test

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16
Q

medial ankle sprain acute treatment?

A

open chain
AROM (ABC’s)
submax isometrics (inv/ev)
BAPS board (rock back and forth pain free)

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17
Q

medial ankle sprain subacute treatment?

A

closed chain
stabilize into DF
stars (single leg squats)
single leg stand throwing balls or perturbation
bosu ball

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18
Q

medial ankle sprains chronic treatment?

A

jumping, running, cutting
functional, sport

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19
Q

syndesmosis sprain MOI?

A

tibial torsion on a planted foot
-sports that wear boots
-turf sports with cleats

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20
Q

syndesmosis sprain complaints?

A

swelling and bruising over malleolus

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21
Q

syndesmosis sprain tests and measures?

A

ROM: DF most limited
muscle performance: good
special tests: kleiger test and crossed leg test

22
Q

syndesmosis sprain acute treatment?

A

open chain
AROM (ABS’s)
submax isometrics (inv/ev)
BAPS board (rock back and forth pain free)

23
Q

syndesmosis sprain subacute treatment?

A

closed chain
stabilize into DF
stars (single leg squats)
single leg stand throwing balls or perturbation
bosu ball

24
Q

syndesmosis sprain chronic treatment?

A

jumping, running, cutting
functional, sport

25
Q

plantar fasciitis MOI?

A

repetitive overuse
pes cavus
pes planus

26
Q

plantar fasciitis complaints?

A

pain 1st thing in the morning
pain with palpation over the medial calcaneal tubercle
pain with WBing
pain with overpressure in great toe extension (DF)

27
Q

plantar fasciitis differential diagnosis?

A

tarsal tunnel syndrome
calcaneal stress fracture

28
Q

plantar fasciitis tests and measures?

A

palpate over calcaneal tubercle
ROM: DF limited, great toe extension
AROM: full and pain free
PROM: pain with overpressure into great toe extension
joint play: DF
too many toes sign
windlass mechanism pain
look at shoes

29
Q

plantar fasciitis treatment?

A

orthotics
stretching: windlass mechanism, gastroc stretch, soleus stretch
transverse tissue massage
acute: ROM (ABC’s)

30
Q

achilles tendonitis MOI?

A

repetitive overuse

31
Q

achilles tendonitis complaints?

A

posterior ankle pain, aggravated by jumping, running
ages 20-40 (weekend warriors)
insertional: bone tendon junction pain
midsubstance: 2-6cm proximal to insertion

32
Q

achilles tendonitis differential diagnosis?

A

retrocalcaneal bursitits
calcaneal stress fracture
stress fractures of fibula or tibia

33
Q

achilles tendonitis test and measures?

A

AROM: painful and limited DF
manual muscle: pain with PF
palpation: tender over achilles tendon
test: thompson test

34
Q

achilles tendonitis insertional treatment?

A

heel raises on flat ground (slowly lower down) single leg
want some pain
stretch gastoc and soleus

35
Q

achilles tendonitis midsubstance treatment?

A

heel raises off of a step (slowly lower down) single leg
want some pain
stretch gastoc and soleus

36
Q

posterior tibialis tendon insufficiency MOI?

A

overuse with a flat pronated foot

37
Q

posterior tibialis tendon insufficiency complaints?

A

pain at medial ankle along the course of the tendon
aggravated by activities involving WB plantar flexion

38
Q

posterior tibialis tendon insufficiency tests and measures?

A

AROM: pain with eversion and PF
too many toes sign
talar bulge

39
Q

posterior tibialis tendon insufficiency acute treatment?

A

alphabet
submax isometrics

40
Q

posterior tibialis tendon insufficiency subacute treatment?

A

toe curls with towel
make arch and lower it
seated heel/toe raises
seated BAPs board
resistance band inv/ev df/pf

41
Q

posterior tibialis tendon insufficiency chronic treatment?

A

standing heel raises
standing BAPs board
SLS with perturbations
step ups

42
Q

hallux limitus MOI?

A

overuse

43
Q

hallux limitus complaints?

A

decreased DF of the first MTP
pain and swelling in the dorsal aspect of the joint
pain with walking, climbing stairs, etc
tenderness over the dorsal and lateral aspects of the joint

44
Q

hallux limitus differential diagnosis?

A

gout
hallux abductovalgus
turf toe

45
Q

hullux limitus tests and measures?

A

goni: 1st MTP DF
joint play: decreased 1st MTP

46
Q

hullux limitus treatment?

A

toe curls
stanfing arch raises
joint mobs-DF

47
Q

tarsal tunnel syndrome MOI?

A

overuse
post-traumatic
valgus foot deformity

48
Q

tarsal tunnel syndrome complaints?

A

diffuse burning over posterior leg, or plantar surface of foot/toes
night pain

49
Q

tarsal tunnel syndrome differential diagnosis?

A

plantar fasciitis

50
Q

tarsal tunnel syndrome tests and measures?

A

tinels over tarsal tunnel
SLR- TED
distal: unable to abduct 5th metatarsal

51
Q

tarsal tunnel syndrome treatment?

A

windlass mechanism

musculo (19 decks)

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