NEUROLOGIC EXAM

Question 1

what to look for during this exam?

Answer 1

look for muscle weakness

look for hyper/hyporeflexia

positive babinski reflex

Question 2

what is the neurological exam for the foot?

Answer 2

laterally, increased calcaneal inclination angle, decreased talar declination angle

mets plantar flexed on rearfoot

Question 3

what is the neurological exam for the spine?

Answer 3

examine for scoliosis or ankylosis which indicates nerve root irritation or impingement leading to the cavus foot deformity

spinal dysraphism

Question 4

these levels will be elevated in the blood with muscle trauma, muscular dystrophy, polymyositis

Answer 4

creatine phosphokinase (CPK)

Question 5

if NCV is decreased it indicates a problem with the nerve

Answer 5

nerve conduction velocity (NCV)

Question 6

measures the electrical potential of a muscle

shows if a muscle contraction is weak, again helping to rule out a potential cause of cavus foot

Answer 6

electromyogram (EMG)

Question 7

conservative treatment approach?

Answer 7

orthotics or padding

Question 8

how effective is surgery?

Answer 8

addresses the apex of the cavus foot deformity

options: calcaneal osteotomy, tendon transfers, mid tarsal osteotomy, digital procedures, combo