Lecture 7 - Flexible Flatfoot- Frush

Question 1

Causes of Pes Planus

Biomechanical

Answer 1

Forefoot varus
Calcaneal valgus
Equinus

Question 2

Dermatological Exam for Flexible Flatfoot

Tendons may become _______ or degenerative

Answer 2

edematous

Question 3

ROM for Flatfoot

Ankle –> look for ______
Subtalar Joint –> _______ deformity will not limit the oint

Answer 3

Equinus

Flexible

Question 4

Most typically the forefoot will be in a ____ position with flatfoot

Answer 4

Varus

Question 5

Forefoot Varus

Answer 5

Calcaneus ideally everts to the same degree of forefoot varus

Question 6

Uncompensated forefoot varus

Answer 6

Forefoot varus greater than calcaneal eversion available

Calcaneus is unable to evert past neutral

Question 7

Partially compensated forefoot varus

Answer 7

Forefoot varus greater than calcaneal eversion available
Calcaneus able to evert past neutral but not to same degree of FF varus
Additional compensation gained through oblique axis MTJ, and 1st ray

Question 8

Compensated forefoot varus

Answer 8

Forefoot varus equal or less than available calcaneal eversion

Question 9

RCSP

Normal

Answer 9

2˚ varus to 2˚ valgus

Question 10

Planal dominance in Flatfoot

Transverse plane

Answer 10

Increased kites

Increased Calcanealcuboid

Question 11

Planal dominance in Flatfoot

Frontal plane

Answer 11

Won’t see much on xray
Calcaneal valgus
Forefoot varus

Question 12

Planal dominance in Flatfoot

Sagittal plane

Answer 12

Increased talar declination
Decreased calcaneal inclination
Increased Meary’s

Question 13

Passively dorsiflexing the hallux

Answer 13

Hubscher maneuver

Question 14

Hubscher maneuver

Flexible – arch ______

Answer 14

rises

Question 15

Hubscher maneuver

Rigid – arch ________

Answer 15

remains the same