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MSK 2 > Lower Leg Exam > Flashcards

Lower Leg Exam Flashcards

1
Q

describe the outcome measure: FAAM

A

Foot and Ankle Ability Measure

  • 29-item questionnaire designed to reflect change across a range of functional ability
    • 21 item ADL subscale
    • 8 item sport scale
  • MDC = 5.7
  • MCID = 8 for ADL subscale
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2
Q

Special tests: Elimination tests for Lower Leg

A
  1. Anterior Ankle Impingement
    • forced dorsiflexion test
    • CPR of impingement
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3
Q

Impingement CPR

A

5/6 of the following:

  1. anteriolateral ankle joint tenderness
  2. anteriolateral ankle joint swelling
  3. pain with forced dorsiflexion
  4. pain with single-leg squat
  5. pain with activities
  6. absence of ankle instability
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4
Q

research properties and clinical implications of Ankle Impingement CPR

A
  1. Research properties
    • +LR 3.8
    • -LR 0.08
  2. Clinical Implications
    • requires valdiation
    • QUADAS score = 7
    • Use with caution
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5
Q

Structural Stress Tests at the Lower Leg

A
  1. Talocrural
    • Plantarflexion
    • Dorsiflexion
  2. Subtalar/midtarsal
    • Supination
    • Pronation
  3. MTP, IP
    • Plantarflexion
    • Dorsiflexion
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6
Q

Resistive Testing for the Lower Leg

A
  1. Ankle plantarflexion
  2. Foot dorsiflexion and inversion
  3. Foot inversion
  4. Foot eversion with plantarflexion
  5. Hallux and toe MP flexion
  6. Hallux and toe DIP and PIP flexion
  7. Hallux and toe MP and IP extension
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7
Q

Bone and Joint structures for palpation in the Lower Leg

A
  1. Fibular head
  2. Medial malleolus
  3. Lateral malleolus
  4. Cuboid
  5. Calcaneus
  6. Navicular
  7. Cuneiforms
  8. Talus
  9. Sustentaculum Tali
  10. Phalanges
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8
Q

Palpation of Soft tissue structures

A
  1. Achilles Tendon
  2. Posterior Tibialis Tendon
  3. ATFL
  4. Deltoid Ligament
  5. Fibularis Longus and Brevis
  6. Dorsalis Pedis Pulse
  7. Posterior Tibial Pulse
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9
Q

Proximal Tibiofibular Assessment

A
  1. Pt position
    • hook lying
  2. Stabilization
    • proximal tibia
  3. Palpation finger
    • tib-fib joint line
  4. Mobilizing Force
    • with pinch grip on; fibular head;
    • A → anteriolateral
    • P → posteriomedial
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10
Q

Distal Tibiofibular Assessment

A
  1. Pt Position
    • side-lying
  2. Stabilization
    • distal tiba (thenar grip)
  3. Palpation Finger
    • tib-fib joint line
  4. Mobilizing force
    • distal fibula (thenar grip)
    • A → anterior force
    • P → posterior force
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11
Q

Talocrural Joint Assessment

A
  1. Pt Position
    • A → prone
    • P → supine
  2. Stabilization
    • foot overhangs table (+/- distal lower leg)
  3. Palpation finger
    • b/w sustentaculum tali and medial malleolus
  4. Mobilizing force
    • A → anterior force with hand wrapped around post calcaneus
    • P → hand gripping dorsum of foot
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12
Q

Subtalar Joint Assessent

A
  1. Pt Position
    • SL (tested direction contacting table)
  2. Palpation finger
    • M → lateral joint line
    • L → medial joint line
  3. Stabilization
    • lower leg on table
  4. Mobilizing force
    • medial or lateral around axis of rotation for STJ
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13
Q

Talonavicular Joint Assessment

A
  1. Pt position
    • supine foot off edge of table
  2. Palpation finger
    • joint line
  3. Stabilization
    • table vs wedge vs talus (pinch)
  4. Mobilizing force
    • navicular (dorsal vs plantar)
    • grasping with 1st and 2nd digit
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14
Q

Calcaneocuboid Assessment

A
  1. Pt position
    • SL
  2. Palpation finger
    • joint line
  3. Stabilization
    • table vs wedge vs calcaneus (pinch)
  4. Mobilizing force
    • cuboid (dorsal vs plantar)
    • grasping with 1st and 2nd digit
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15
Q

Tarsometatarsal Joint Assessment

A
  1. Pt position
    • SL
  2. Stabilization
    • tarsal between 1st and 2nd digit
  3. Mobilizing force
    • plantar or dorsal, MT base between 1st and 2nd digit
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16
Q

MTP/IP joint assessment

A
  1. Pt position
    • SL/hooklying/wedge
  2. Stabilization
    • proximal segment’s head between 1st and 2n digit
  3. Mobilizing force
    • distal segment’s base between 1st and 2nd digit
17
Q

confirmation tests for syndesmotic ankle sprain

A
  1. fibular translation test
  2. external rotation test
  3. syndesmosis squeze test
18
Q

confirmation tests for ATFL integrity

A
  1. anterior drawer test
  2. reverse anteriolateral drawer test
19
Q

lateral talar tilt stress test if a confirmation test for what condition?

A
  1. medial ankle ligament integrity
20
Q

medial talar tilt stress test is a confirmation test for what condition?

A
  1. lateral ankle ligament integrity
21
Q

confirmation test for achilles tendon integrity

A
  1. Thompson Test
22
Q

Confirmation tests for interdigital neuroma

A
  1. foot squeeze test

MSK 2 (20 decks)

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