FootAnkle Flashcards
doctor places one hand on anterior tibia and the other on posterior calcaneous and pulls the foot anterior
anterior drawer sign
test that looks for anterior talofibular ligament instability
anterior drawer test (ankle)
what could be causing increased size of one calf compared to the other during calf circumference test
acute compartment syndrome
what cold be causing decreased size of one calf compared to the other during calf circumference test
muscle atrophy
the patient walks for one minute briskly while the doctor observes
claudication test
modifications to the claudication test
- walk in place at 120 steps per minute for 60 seconds
- toe raisers at same pace
positive claudication test
- muscle weakness
- cramping or pain
- discomfort or color changes
positive claudication test could indicate what
- peripheral vascular weakness
- intermittent vascular claudication
- atherosclerosis
- popliteal artery entrapment syndrome
the patient lies supine and the doctor raises the leg up 45 degrees, squeezes the calf and quickly dorsiflexes the foot
homan’s sign
positive homan’s sign
persistent achy calf pain or deep calf pain of a short duration
postive homan’s sign indicates
- thrombophlebitis
- gastroc/soleus strain
patient lies prone and the doctor flexes the knee to 90 degrees and squeezes the calf. this is done quickly in order for the blood not to drain
moses’ test
positive moses’ test
persistent achy calf pain or deep calf pain of a short duration
positive moses’ test could indicate what
- lower extremity vascular insufficiency
- thrombophlebitis
- arteriosclerosis obliterans
- gastroc/soleus strain
patient lies prone and doctor flexes knee to 90 degrees and squeezes the calf while observing for plantar flexion
thompson’s test
positive thompson’s test
- no plantar flexion
- localized pain or short, deep pain
what could a positive thompson’s test indicate
- ruptured achilles tendon
- gastroc/soleus strain
- thrombophlebitis
doctor applies upward force to the head of the first metatarsal and the patient attempts to plantar flex
duchenne’s sign
positive duchenne’s sign
supination (inversion) of the foot with attempted plantar flexion against resistance
positive duchenne’s sign could indicate what
superficial peroneal nerve lesion or a L4-S1 lesion
patient stands and doctor looks at the achilles tendons
helbing’s sing
positive helbing’s sign
medial curve of the achilles tendon
positive helbing’s sign could indicate what
overpronation syndrome
overpronation syndrome is common in what disorder
cerebral palsy
doctor squeezes foot around the metatarsal heads
morton’s test
positive morton’s test
pain
positive morton’s test could indicate waht
- morton’s neuroma if between 3rd and 4th metatarsal
- arthritis
- stress fracture of metatarsal heads
- metatarsalgia
doctor rapidly flexes the patients toes
strunsky’s sign
positive strunsky’s sign
pain in forefoot
positive strunsky’s sign could indicate what
metatarsalgia or OA
