medsibridge review

Question 1

what percentage of the superior aticilar surface of the talus is covered by cartilage

Answer 1

60%

Question 2

what is Sever’s disease

Answer 2

• calcaneal apophysitis is an inflammation of the growth plate in the heel of growing children - caused by repetitive stress to the heel and is thus particularly common in active children - occurs during the growth spurt of adolescence ages of 8 and 13 for girls and 10 and 15 for boys.

Question 3

what is a Jone’s fracture

Answer 3

5th met fracture in the shaft

Question 4

how many bone are in the phalanges

Answer 4

1st - 2, but the rest have 3

Question 5

what type of hinge best discribes the rearfoot

Answer 5

Question 6

How does the rearfoot position change in WB and NWB with a pronated foot postures

Answer 6

NWB eversion, abduction and DF

WB eversion, abductio and PF

Question 7

Descirbe the shape of the chopart joint

Answer 7

“S” shapred with talonavcular convest on cave

Question 8

What is the reference point for tarsal motion

Answer 8

the second ray

• adduction is motion towards the 2nd tarsal
• abduction is motion away from 2nd tarsal

Question 9

how with the forefoot compensate for insufficent midfoot motion with rearfoot supination

Answer 9

Pronation twist

• splaying of the forefoot with PF, AbD of the first ray and DF, AbD of 3-5 rays

Question 11

What are the axis of motion of the transvere tasal joint and what motions occur there

Answer 11

longitudinal - inversion eversion

oblique - PF/DF and AbD/AdD

Question 12

What do the FPI scores indicate about the foot posture

Answer 12

neagtive score supinated

0 neutral

postive in pronated

Question 13

what are the 6 observations you make with the FPI

Answer 13

1. talar head position
2. medial malleolar curves
3. calcaneal frontal plane
4. talonavicular prominance
5. medial arch
6. forefoot horizontal plane

Question 14

what is the scoring criteria for FPI

Answer 14

• 0-5 normal
• 6-9 pronated
• greater than 10 highly pronated
• supinated -1 to -4
• highly supinated greater than -5

Question 15

Statistical data of FPI

Answer 15

64% ability to predict variation

.81-.91 intratestor reliability (same person)

.83 intertestor (different people)

Question 16

Describe the treatment direction model of pathology for orthotic presciption

Answer 16

Identify the direction or mechanism of symptoms and develop the orthotic around the symptoms

• influence motion impairment
• influence force management
• protect soft tissues
• alter muscle activity
• knee pain
• manage foot deformities

Question 17

Research suggest what test for determing orthoic presciption with plantar fasciitisF

Answer 17

Foot taping trial

Question 18

What variable could separate fat pad atrohpy from PF

Answer 18

fat pad atrophy is more likely to present (B)

Question 19

Runner’s with PF are more likely to have what type of foot posture

Answer 19

Negative FPI or supinated

Question 20

How will weight bearing change between the various grades of ankle sprains

Answer 20

grade 1 able to bear wieght without assistive device

grade 2 able to bear wieght with an assistive device

grade 3 unable to bear weight at all