OSCE: Ankle and Foot Flashcards

1
Q

What is the normal ROM for ankle dorsiflexion?

A

15-20o

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2
Q

What is the normal ROM for ankle plantarlexion?

A

55-65o

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3
Q

What is the normal ROM for ankle eversion?

A

10-20o

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4
Q

What is the normal ROM for ankle inversion?

A

20o

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5
Q

What is the normal ROM for the first metatarsophlangeal flexion?

A

45o

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6
Q
A
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7
Q

Distal Fibula Anterior Articulatory Treatment

How do you peform this test?

A
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8
Q

What is the normal ROM for the first metatarsophlangeal flexion and extension?

A

45o (flextion)

70-90 (extension)

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9
Q

achillies tendon nerve root

A

S1

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10
Q

L1-L3 dermatone

A

anteromedial thigh

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11
Q

L4 dermatone

A

patella and big toe

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12
Q

L5 dermatone

A

anterior leg, ankle, and big toe

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13
Q

s1 dermatone

A

lateral leg and small toe

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14
Q

s1-s4

A

posterior thigh

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15
Q

anterior drawer test

A

grasp posterior calcaneous with one hand and dstla fibula and tibula with other hand (monitoring the anterior talus)

  • provide anterior force on calcaneus whiel stablizing the distal tiba and fibula
  • normal sprining of calcaneus back to neutral should occur

+ test: pain, no sprining, exsiving motion and laxitiy

Dx: ATF ligament pathology or tear

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16
Q

Talar tilt test

A
  • grab distal tiba or fibula with one hand and inferor calcaneus with the other
  • invert the talus in for ROM

+ test: increased rom, pain or laxity

indication: calcanofibular lagment pathology, also test some ATF (lateral ankle sprain)

17
Q

eversion test

A
  • grasp ditsl tibia and fibula with one hand and the plantar surface of the mid foot with the other hand
  • evert foot to evaluate ROM

+test: increaed ROM

-indication: deltoid ligament pathology (medial ankle sprain)

18
Q

squeeze test

A

wrap hand around leg, proximal to then ankle contacting the distal tiba anf fibula

-squeeze for 2-3 seconds and then reslese

+ test: pain at syndesmosos

-indcation: sydnesmosis pathology

19
Q

Thompson test:

A

patient prone with foot off the table, squeeze the patients falf and obverve for plantar flextion

+ test: absense of plantar flextion

indication: achilles tendon rupture

20
Q

Homan sign

A
  • patient lying or seated with knee extended
  • dorsiflex the patiens foot

+ test: pain with dorsflextion, indication DVT or thrombophlebitis

21
Q

inversion ankle sprain

A
  • latearl ankle sprain
  • ligaments invloved: anterior talofibular
  • calanofibular
  • postero talofibular

caued by ankle inversion with plantar flexion

22
Q

mortons neuroma

A

inflamation and tickneing of tissue that surroudns the nerve between toes (3-4th)

  • feels like they are walking on marbles
  • test: mulder sign: clicking senstsion upon palpating with one hand of the third web sapce and the other hand compresing the transverse arch
23
Q

Turf toe

A

infalmation and pain at the pase of the first metotarsalphlangeal joint

-caused by hperexetnsion og great toe causing damage to joint capsule

24
Q

achilles dtendonitist

A

inflamation of achilles tendon, presents as a sharp heel pain and sfitness at mid achilles tendon

  • pain worse with strenous excerzie and better with walking
  • associated with thight calf muscles, suddent change in activity, poorly fitting shoes, incorrent runing techinque
25
Q

diabetic neuropathy

A

–complcaiton of dm pts causing gradual loss of nerve fibers presenting a loss of vibtaroy sensation along with impared pain, light touch, and tempreature senstaions

-test pressenue senation using a monofilametnt test, vibration sensation using a tuning force and superficial pain using a pinprick

26
Q

gout

A

pericpation of MSU crsyals in joint space

-casues inflamator response

27
Q
A