FOREFOOT VARUS TERMS

Question 1

inversion of plantar plane of met heads relative to the vertical bisection of the calcaneus with STJ neutral and OMTJ/LMTJ maximally pronated

plantar plane of mets face the midline of the body

Answer 1

forefoot varus

Question 2

etiology of the forefoot varus?

Answer 2

forms due to lack of valgus rotation of the head and neck of the talus relative to body of the talus

Question 3

what is varus vs supinatus?

Answer 3

varus is the osseous deformity that is non-reducible

supinatus is a soft tissue deformity that is reducible

Question 4

direct test for supinatus?

Answer 4

put plantarflexory force on navicular

Question 5

indirect test for supinatus?

Answer 5

dorsiflex the hallux

Question 6

name this degree of compensation?

sufficient STJ motion present to allow calcaneal eversion with pronation equal to or in excess of the degree of forefoot varus present
-can get the forefoot totally flat to the ground

Answer 6

fully compensated forefoot varus

Question 7

name this degree of compensation?

the amount of rearfoot motion with STJ pronation is not adequate to lower the forefoot flat to the ground

• can get 3-4 mets down to the ground
• also occurs with high degree of tibial varum

Answer 7

partially compensated forefoot varus

Question 8

name this degree of compensation?

ROM at rearfoot with STJ pronation is inadequate to allow the medial aspect of the forefoot to move toward the ground
-patient will bear weight on 5 met head exclusively

Answer 8

uncompensated forefoot varus

Question 9

name this type of compensation from gait analysis?

STJ will be pronated all during midstance and propulsion

GRFs push on lateral aspect of forefoot, forcing STJ pronation as compensation

Answer 9

fully compensated

Question 10

name this type of compensation from gait analysis?

STJ will be pronated all during midstance and propulsion

forefoot will remain off ground medially

Answer 10

partially compensated

Question 11

name this type of compensation from gait analysis?

forefoot will remain inverted since there is no compensation

in propulsion, may see abductory twist leading to sudden abduction of foot in an attempt to roll off medial side of forefoot

Answer 11

uncompensated

Question 12

NCSP equals?

Answer 12

STJ neutral + FPLD

Question 13

RCSP equals?

Answer 13

eversion at STJ + FPLD

Question 14

name this compensation based of the following pedal pathology?

abduction of forefoot on rearfoot

minimal callus formation at medial heel

hypermobile 1st ray with possible lesion sub 2nd ray

heloma dura (callus) at the dorsolateral 5th digit

possible contraction of the lesser digits

medial nad anterior plantar shoe wear

Answer 14

fully compensated

Question 15

name this compensation based of the following pedal pathology?

calcaneus vertical or in varus

straight lateral border of the foot

callus formation on lateral aspect of forefoot, 5th met head

callus on medial aspect of hallux

contracted lesser digits

shoe wear under the 5th med head area

Answer 15

uncompensated

Question 16

name this compensation based of the following pedal pathology?

show same pathology as seen in either compensated or uncompensated, depending on degree compensation

Answer 16

partially compensated

Question 17

general pathology associated with or secondary to forefoot varus?

Answer 17

HAV
callus formation 
dislocate4d digits
plantar fasciitis/heel spur
mid tarsal subluxation
postural fatigue