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MSK II > Lower leg, ankle, foot assessment > Flashcards

Lower leg, ankle, foot assessment Flashcards

1
Q

pain with first step in the morning? dx

A

plantar fasciitis or Achilles tendonitis

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2
Q

acute hyperextension of the 1st MTP? dx

A

turf toe

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3
Q

insidious onset of 1st MTP pain and swelling? dx

A

gout

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4
Q

numbness and tingling in the foot? dx

A

tarsal tunnel syndrome

Morton’s neuroma

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5
Q

ottawa ankle rules - tenderness/pain areas (4)

A

post. lateral malleolus
post. medial malleolus
base of 5th metatarsal
navicular

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6
Q

ecchymosis?

A

bruising

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7
Q

CPG grade I ankle sprain

A

negative ant drawer and talar tilt tests
lose less than 5 deg of motion
minimal swelling

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8
Q

CPG grade II ankle sprain

A

positive anterior drawer test
negative talar tilt test
lose 5-10 ROM
swelling 0.5-2cm

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9
Q

CPG grade III ankle sprain

A

positive ant drawer and talar tilt tests
decreased rom >10
swelling greater than 2cm

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10
Q

CPG ankle sprain recovery prognosis

A

grade I - 1 week
grade II - 2 weeks
grade III - 1-2 months

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11
Q

5 factors increasing risk of acute lateral ankle sprain

A 
previous sprain
don't use external support
do not properly warm up
lack DF ROM
do not participate in balance and proprioception training
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12
Q

2 main foot and ankle outcome measures

A

FAAM - foot and ankle ability measure

LEFS - lower extremity functional scale

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13
Q

strongest ligament between the talus and calcaneus (subtalar joint)

A

cervical ligament

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14
Q

major ligament of the medial ankle

A

deltoid ligament

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15
Q

major ligaments of the lateral ankle

A

PTFL
ATFL
Calcaneofibular ligament

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16
Q

most commonly sprained ligament of the lateral ankle

A

Anterior talofibular

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17
Q

resting position of the talocrural joint

A

10 deg PF

18
Q

close packed position of the talocrural and distal tibiofibular joints

A

max DF

19
Q

which extends more inferiorly, medial or lateral malleolus?

A

lateral

20
Q

close packed position of the midfoot and forefoot joints

A

supination

21
Q

close packed position of the MTP and IP joints

A

full extension

22
Q

very important exercises to perform following acute lateral ankle sprain

A

balance + proprioception

23
Q

1st digit complication resulting in calluses and painful bunions

A

hallux valgus

24
Q

___% of hallux valgus cases are caused by metatarsus primus varus, in which the intermetatarsal angle is increased to more than 15°

A

80%

25
Q

Formation of an interdigital neuroma as a result of injury to one of the digital nerves.

A

Morton’s metatarsalgia

26
Q

what is syndactyly

A

webbing of the digits

27
Q

DF ROM

A

20

28
Q

PF ROM

A

50

29
Q

inversion ROM

A

30

30
Q

eversion ROM

A

15

31
Q

rear foot inversion and eversion ROM

A

5

32
Q

very good special test for Achilles tendon tears

A

Thompson

33
Q

good test for identifying anterolateral ankle impingement

A

impingement sign

34
Q

good test for ruling out tarsal tunnel syndrome

A

triple compression test

35
Q

special test for plantar fasciitis

A

windlass test

36
Q

Clinical prediction rule for anterolateral ankle impingement - 5/6 must be present

A 
Anterolateral ankle joint tenderness
Anterolateral ankle joint swelling
Pain on forced dorsiflexion and eversion
Pain on affected side with single leg squat
Pain with activities
Absence of ankle instability
37
Q

measurement in the navicular drop test that is considered abnormal

A

> 10mm

38
Q

normal range for medial longitudinal arch height

A

120-150

39
Q

normal tibial torsion by viewing line between medial and lateral malleoli

A

12-18

40
Q

normal amount of toes to see during the too many toes sign

A

2 1/2

41
Q

3 test cluster for lateral ligament sprain

A

ant drawer
talar tilt
star excursion

42
Q

Best outcome measure for plantar fasciitis

A

FAAM - foot and ankle ability measure

MSK II (9 decks)

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