Prism - Biomechanics Flashcards
What is the normal hallux interphalangeal angle?
0-10 degrees
What is the normal DASA/PASA angle?
<7.5
What is a structural deformity of a bunion regarding pasa and dasa?
If PASA + DASA = Hallux angle think structural.
AKA there is a problem with the actual cartilage heads.
If PASA + DASA is less than the hallux angle then it is considered positonal.
If PASA and DASA are outside of normal limits (>7.5) but still dont match the HA then it is a combo of positional and structural issues.
Describe how joint lines differ between a subluxed and deviated joint.
Deviated: Joint lines converge outside of the joint
Subluxed: The joint lines converge inside of the joint.
What is the normal hallux abductus angle?
<15 degrees
This is how much the hallux drifts laterally.
What is considered a normal Intermetarsal angle?
8-12 degrees
What IM angle should be corrected with a metatarsal head correction?
10-13 degrees
What IM angle should be corrected with a metatarsal shaft procedure?
14-17 degrees
What IM angle should be corrected with a base procedure?
18-21 degrees
When should a lapidus procedure be considered for a bunion?
With hypermobility.
What is the normal metatarsus adductus angle?
<20 degrees
How does one determine the true intermetatarsal angle if there is met adductus?
True angle = (Met adductus angle -15) + IM angle.
What is the normal first metatarsal protrusion angle?
Normal +/- 2mm compared to the second metatarsal.
What is the normal tibial sesamoid position?
Normal 1-3
What is the normal ROM at the hallux MPJ?
Normal 65-75 degrees of dorsiflexion and 40 degrees of plantarflexion
What is the normal first metatarsal-medial cuneiform angle?
22 degrees
What is the normal ROM for the first ray?
Normal is 5mm dorsiflexion with 5mm plantarflexion
This equates to 1 cm total rom.
What is the Fallat and Buckholz 4th IM angle?
Angle between the bisection of the 4th met and the proximal-medial cortical border of the 5th metatarsal.
normal is 6 degrees
Pathological is >8.7 degrees.
What is the Fallat and Buckholz Lateral deviation angle?
Also known as the lateral bowing angle
Angle of line bisecting head and neck of 5th met and line adjacent to proximal-medial cortex.
Normal is 2.64 degrees
Pathologic is >8 degrees
List the met length order from longest to shortest
Longest 2>3>5>4>1 Shortest
List the metatarsal protrusion length from longest to shortest
Longest 2 > 3> 1> 4 > 5 Shortest
What is the ROM of the lesser MPJ?
30-40 degrees of dorsiflexion
50-60 degrees of plantarflexion