OSCE: Ankle and Foot

Question 1

What is the normal ROM for ankle dorsiflexion?

Answer 1

15-20^o

Question 2

What is the normal ROM for ankle plantarlexion?

Answer 2

55-65^o

Question 3

What is the normal ROM for ankle eversion?

Answer 3

10-20^o

Question 4

What is the normal ROM for ankle inversion?

Answer 4

20^o

Question 5

What is the normal ROM for the first metatarsophlangeal flexion?

Answer 5

45^o

Question 7

Distal Fibula Anterior Articulatory Treatment

How do you peform this test?

Question 8

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

Answer 8

45^{o (flextion)}

^{70-90 (extension)}

Question 9

achillies tendon nerve root

Answer 9

S1

Question 10

L1-L3 dermatone

Answer 10

anteromedial thigh

Question 11

L4 dermatone

Answer 11

patella and big toe

Question 12

L5 dermatone

Answer 12

anterior leg, ankle, and big toe

Question 13

s1 dermatone

Answer 13

lateral leg and small toe

Question 14

s1-s4

Answer 14

posterior thigh

Question 15

anterior drawer test

Answer 15

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

Question 16

Talar tilt test

Answer 16

• 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)

Question 17

eversion test

Answer 17

• 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)

Question 18

squeeze test

Answer 18

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

Question 19

Thompson test:

Answer 19

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

Question 20

Homan sign

Answer 20

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

+ test: pain with dorsflextion, indication DVT or thrombophlebitis

Question 21

inversion ankle sprain

Answer 21

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

caued by ankle inversion with plantar flexion

Question 22

mortons neuroma

Answer 22

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

Question 23

Turf toe

Answer 23

infalmation and pain at the pase of the first metotarsalphlangeal joint

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

Question 24

achilles dtendonitist

Answer 24

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

Question 25

diabetic neuropathy

Answer 25

–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

Question 26

gout

Answer 26

pericpation of MSU crsyals in joint space

-casues inflamator response