Hallux Valgus

Question 1

Progression of HV

2

Answer 1

Once started loses mechanical advantage to adductor hallucis

Lateral aspects of first mpj contract

Question 2

Assessment

3

Answer 2

Rom will decrease
Radio graphic measures 5-20 20-40 >40
Kitaoka score

Question 3

Treatment of HV

5

Answer 3

Night splints if early stage too late if progressed

Soft soles

Met some

Footwear

Surgery

Question 4

Anatomy of tib post

Answer 4

Attaches tibia to plantar aspect of tarsals

Runs posterior to medial behind mal to plantar

Question 5

Function of tib post

Answer 5

Inverts the subtalar joint

Resists pronation

Question 6

Cause of tib post pathology

7

Answer 6

Overuse
Overwight
Walking eunning jumping
Rapid start of activites
Excessice pronation
Eversion ankle sprain 
Avulsion fracture

Question 7

Symptoms of Tib post

3 places

Answer 7

Medial ankle pain
Behind mal medial
Navicular tiberosty

Question 8

Assessment of tib post

3

Answer 8

Resisted inversion
Single heel raise: pain, reduced and pain, difficulty doing raise

Palpate deep medial to tibia very specific

Question 9

Treatment of tib post

7

Answer 9

Rice
Antiimflamt nsaids
Cocentric eccentric loading
Footweal medial heel wedge
Strapping
Dfuller
Orthoses

Question 10

Risk factors

6

Answer 10

Bmx genetics
Met length 
Hypermobility
Bmi increase
Footwear
Metatarsus adductus