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LL Ox > Q1&2: Common Foot Disorders & Pedorthics Recommendations > Flashcards

Q1&2: Common Foot Disorders & Pedorthics Recommendations Flashcards

1
Q

Pedorthic Principal Modalities

A

Therapeutic Footwear and Foot Orthoses

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2
Q

OTS Footwear

A

most common; wide variety in materials and styles

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3
Q

Custom Footwear

A

Foot cannot be fit with a premade shoe; unlimited customization based on clinical preference

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4
Q

Shoe design features (heights)

A

Low-top, High-top, Chucka (supramalleolar)

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5
Q

Shoe design features (openings)

A

surgical, blucher, balmoral

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6
Q

Shoe Modifications (durometer)

A

Measure of hardness
Shore A - most soft
Shore D - most rigid

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7
Q

Durometer goal for orthosis material

A

“An orthosis should be designed similar to the
anatomy of the foot”

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8
Q

Hallux Valgus

A

Lateral deviation of 1st MTP joint
CC: pain; difficulty fitting into shoes
Causes: footwear choices (W>M); pes planus; metatarsus primus varus

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9
Q

Management of Hallux Valgus

A
  • Full Length FO to control pronation and offload peak pressure
  • Toe spacers to improve alignment
  • Proper foorwear (increased depth with low heel)
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10
Q

Hallux Rigidus

A

OA of 1st MTP
CC: Stiffness/Pain and Visual Changes
Causes: Anatomical abnormality (long first MT, forefoot pronation, trauma)

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11
Q

Management of Hallux Rigidus

A
  • Full Length FO (control pronation)
  • Carbon Footplate (limit extension of 1st MTP)
  • Proper Footwear (stiff sole)
  • Shoe mods (steel shank and/or rocker sole)
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12
Q

Sesamoiditis

A

Irritation of first or second sesamoid bones
CC: Pain at plantar aspect of 1st MTP
Causes: Fx, arthritis, avascular necrosis

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13
Q

Management of Sesamoiditis

A
  • Full Length FO (with dancer pad to offload 1st MP)
  • Carbon foot plate (limit motion)
  • Proper footwear (stiff sole)
  • Shoe mods (rocker sole, steel shank, decrease durometer of material beneath first met)
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14
Q

Turf Toe

A

Sprain of the first MTP joint; common in athletes
CC: pain in late stance gait
Cause: MTP hyperextension

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15
Q

Management of Turf Toe

A
  • Full length FOs (Morton’s Ext.)
  • Stiff Soled shoe
  • External Toe cap (protection)
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16
Q

Metatarsalgia

A

general term for discomfort at MTPs; always check 1st ray mobility

17
Q

Morton’s Neuroma

A

Thickening/Inflammation of digital nerve; commonly between 3/4 or 2/3 digits

18
Q

Management of Metatarsalgia

A
  • Full Length/Sulcus Length FO (w/ met pad)
  • Proper footwear
19
Q

Plantar Fasciitis

A

Common diagnosis for heel pain
CC: pain at medial calcaneal tuberosity
Cause: repetitive stress on plantar aponeurosis

20
Q

Management of Plantar Fasciitis

A
  • Therapy (stretching/massaging)
  • Activity modifications (switch to biking or swimming)
  • NSAIDs
  • Heel cups
  • FOs
  • Temporary heel lift
21
Q

Tarsal Tunnel Syndrome

A

compression of the tibial nerve posterior to the med. malleolus
CC: radiating pain or possible parastheia
Causes: trauma, lesion, inflammation, pronation

22
Q

Management of Tarsal Tunnel Syndrome

A
  • Full Lenth FO (w/ medial post)
23
Q

Tibialis Posterior Dysfunction

A

Commonly misdiagnosed; progressive breakdown of the tibialis posterior tendon

24
Q

PTTD Classification

A

Stage I - Normal
Stage II - Tendon inflammation and mild weakness
Stage III - Significant dysfunction from partial tear
Stage IV - no function; end stage

25
Q

Management of PTTD

A

Articulated/Gauntlet style AFO (stage 2-3); Solid ankle custom AFO (stage 4)

26
Q

Calcaneus Fx

A

Jumpers/Lovers; high force magnitude
CC: Pain weight bearing

27
Q

Management of Calcaneus Fx

A

walker boot immobilization; goals are to maintain alignment, contain soft tissue and offload painful structures
Follow up care is usually a UCBL or FO

28
Q

Talipes Equinovarus

A

A congenital deformity typically idiopathic in nature resulting in a
deformity of the foot/ankle complex

29
Q

Talipes Equinovarus - “C.A.V.E”

A
  • C: Cavus
  • A: Adducted Forefoot
  • V: Varus Hindfoot
  • E: Equinus

LL Ox (24 decks)

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