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msk 3rd shift > leomil foot fetish > Flashcards

leomil foot fetish Flashcards

1
Q

how many bones are in the ankle and foot complex

A

28 bones where 2 of those are sesamoid

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2
Q

how many articulations are in the ankle and foot complex

A

55 articulations where 30 of those are synovial joints

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3
Q

what is the significance of sesamoid bones in the foot

A

found medial and lateral of MTP1 - for force generation during toe-off

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4
Q

what are the subdivisions of the foot

A

hindfoot
midfoot
forefoot

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5
Q

composition of hindfoot

A

talus and calcaneus

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6
Q

composition of midfoot

A

navicular, cuboid and the 3 cuneiforms

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7
Q

composition of forefoot

A

14 bones of the toes, the 5 metatarsals, and the medial and lateral sesamoids

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8
Q

what is the ankle mortice

A

articulation of fibula and tibia c dome of talus - hinge joint - pflex/dflex

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9
Q

components of lateral ligament complex

A

ant. talofibular
calcaneofibular
post. talofibular

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10
Q

what are the syndesmosis in the foot

A

ant. inf. tibiofibular ligament

post. inf. tibiofibular ligament

transverse tibiofibular ligament

interosseous membrane

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11
Q

ligaments on medial side of ankle

A

deltoid ligaments

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12
Q

between the medial and lateral ligaments which is more commonly injured

A

lateral via inversion since deltoid is stronger than lateral ligament complex and d/t medial mallelous being higher than lateral making it predispose to inversion

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13
Q

characteristics of acute injury

A

look for 5 signs of inflammation

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14
Q

characteristics of chronic injury

A

compensation and atrophy

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15
Q

relate shoes to assessment

A

sa shoes pa lang makikita na natin kung san nag weight bear and such

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16
Q

discuss compensations seen in fore foot varus

A

forefoot supination = MTP1 pflex, hallux valgus, subtalar pronation, leg + hip IR contralateral spinal roation

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17
Q

discuss compensations seen in fore foot valgus

A

forefoot pronated = subtalar supination, leg + hip ER and ipsilateral spinal roation

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18
Q

discuss compensations seen in rear foot varus

A

IR of lower ex, hallux valgus, MTP1 pflex, forefoot valgus, midtarsal pronation

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19
Q

discuss compensations seen in rear foot valgus

A

ER of lower ex, forefoot varus

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20
Q

what is talipes eqinus

A

plantarflexed foot - can cause plantar fascitis and metatarsalgia

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21
Q

what is talipes calcaneus

A

dflexed foot and medj claw

22
Q

discuss claw toes

A

MTP hyperextension and IP flexion - LOM in pflexion and dflexion

usually seen in pts c pes cavus, fallen MTT arch or spina bifida - defective lumbricals and interossei

23
Q

discuss hammer toes

A

MTP hyperextension, PIP flexion and DIP hyperextension

24
Q

discuss hallux rigidus and limitus

A

rigidus - LOM extension

limitus - LOM flexion

may be d/t OA

25
Q

what is splay foot

A

spread of MTT

26
Q

what is rocker bottom feet

A

no arch and forefoot in dflexion

27
Q

which arch of the foot should be higher

A

medial should be higher than lateral

28
Q

composition of zone 1

A

head of MTP 1

29
Q

usual pathology in zone 1

A

gout or hallux valgus

30
Q

effects of hallux valgus

A

supinated foot and inc back pain

31
Q

composition of zone 2

A

navicular tubercle and talar head

32
Q

composition of zone 3

A

medial malleolus - deltoid ligament, posterior tibial artery, tibial nerve and tom, dick, harry

33
Q

composition of zone 4

A

dorsum of foot bet malleoli - tom, dick and harry; dorsal pedal artery and peroneus tertius

34
Q

composition of zone 5

A

lateral malleoli p ATFL, CFL, PTFL

35
Q

composition of zone 6

A

sinus tarsi

36
Q

composition of zone 7

A

head of MTP5

37
Q

composition of zone 8

38
Q

composition of zone 9

A

plantar surface

39
Q

composition of zone 10

40
Q

usual pathology in zone 2

A

inversion tilt of talus - usually seen in pts c ankle sprain

41
Q

usual pathology in zone 6

A

sinus tarsi usually gets pulled by ATFL during inversion sprain = ipit proprioception

frequent inversion = damage to ankle proprioception = less stability

42
Q

usual pathology in zone 7

A

tailors bunion

43
Q

usual pathology in zone 9

A

plantar fascitis - usually d/t shoes, weight of pt, tight gastrocs

44
Q

treatment for plantar fascitis

A

loose weight or strengthen tib ants

45
Q

requirements for anterolateral ankle impingement

A

anterolateral tenderness
anterolateral swelling
pain on forced dflexion
pain on single leg squat
pain c activities
absence of instab

46
Q

usual pathology in zone 8

A

retrocalcaneal or calcaneal bursitis

47
Q

grade 1 ankle inversion sprain

A

ATFL

slight and local edema and ecchymosis

FWB or PWB

stretched lang

no instab

48
Q

grade 2 ankle inversion sprain

A

ATFL + CFL

moderate and local edema and ecchymosis

difficult WB s crutches

partial tear

no or slight instab

49
Q

grade 3 ankle inversion sprain

A

ATFL + CFL + PTFL

significant and diffused edema and ecchymosis

impossible WB s pain

complete tear

definite instab

50
Q

what are the ottawa ankle rules

A

tenderness over lateral malleolus to 6cm proximally

tenderness over medial malleolus to 6cm proximally

tenderness over navicular

tenderness over base of fifth metatarsal

msk 3rd shift (7 decks)

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