OSCE - Ankle & Foot

Question 1

What is the expected eversion and inversion of the calcaneous?

Answer 1

5 degrees

Question 2

What is the glide of the tibiotalar joint in: 1) Dorsiflexion 2) Plantarflexion

Answer 2

1) Posterior glide 2) Anterior glide

Question 3

What is the most common dysfunction of the cuboid and navicular bones? How does each move during this motion?

Answer 3

Plantarflexion

Navicular - inversion with plantarflexion

Cuboid - eversion with plantarflexion

Question 4

What parts of the navicular and cuboid glide?

Answer 4

Navicular - lateral aspect

Cuboid - medial aspect

Question 5

Distal Fibula Anterior - ART

Answer 5

Patient supine

Grasp around calcaneus

Engage dorsiflexion

Question 6

Distal Fibula Posterior - ART

Answer 6

Patient Prone

Grasp around talus with other hand

Engage platarflexion

Question 7

Dorsiflexed Talus (Tibiotalar Joint) SD - MET

Answer 7

Other hand on lateral malleoli

Question 8

Plantarflexed (tibiotalar) Talus SD - MET

Answer 8

Grasp around malleoli/back of ankle

Question 9

Subtalar Joint - Talus Eversion & Inversion SD

Answer 9

Figure 8 technique for both

Grasp around ankle (think Treffer “boot horn” reference)

APPLY TRACTION ON CALCANEUS TO GAP JOINT

Question 10

For:

1) Everted Cuboid with plantarflexion
2) Inverted Navicular w/ plantarflexion
3) Cuneiform plantar glide (w/ plantarflexion)

MET treatment

Answer 10

Can either have them plantarflex into hand and hold or do an isotonic release

Question 11

Metatarsal Plantar/Dorsal glide SD - ART

Answer 11

KEY: stabilize adjacent metatarsals during procedure

Question 12

Dorsal/Plantar Glide SD of PIP & DIP - ART

Answer 12

Must flex/extend, AB/ADduct, Circumduction to find SD

Isolate joint and perform ART, moving in and out of restrictive barrier until normal physiologic motion is restored