Summary Foot Type Questions Flashcards
A 35-year-old male presents to the clinic with complaints of lateral ankle pain during running.
Upon examination, the calcaneus remains inverted during weight-bearing, and the foot fails to adapt to uneven surfaces. What is the most likely foot type?
- Gait with Uncompensated Rearfoot varus:
- High rigid arch
- Pressure on lateral border of foot
- May have heel whip to compensate for out toe
- The heel drives in and pulls out at an angle and there may be a pump bump
A 50-year-old female complains of difficulty walking on uneven ground. During examination, you observe the forefoot is excessively everted and the rearfoot is in valgus when weight-bearing. What is the diagnosis?
A 28-year-old runner reports pain along the medial longitudinal arch after prolonged activity. The calcaneus begins inverted in subtalar neutral but compensates to vertical during gait. What foot type is this?
A 40-year-old female complains of big toe pain during push-off while walking. Upon examination, the medial border of the forefoot is elevated and does not contact the ground. What foot type is most likely?
During an evaluation, a 22-year-old soccer player demonstrates a rear foot stuck in valgus and a flexible medial forefoot during weight-bearing that drops into valgus. What is this foot type?
A 45-year-old male presents with excessive pressure along the medial and lateral aspects of the forefoot. The forefoot is rigidly everted in both weight-bearing and non-weight-bearing positions. What is the diagnosis?
A 37-year-old nurse presents with complaints of foot fatigue and heel pain after long shifts. Examination shows a rigid medial arch and lateral weight distribution. What is the most likely foot type?
Uncompensated Rearfoot Varum
A patient demonstrates a forefoot valgus that results in a high arch and excessive lateral weight-bearing during gait. What is this foot type?
Compensated Forefoot Valgus:
- Forefootvalgusoccurs in the frontal plane deformity, locking the forefoot in eversion relative to therearfoot.
- Forefootvalguscan be a rigid or flexible deformity.
- In rigid forefootvalgus, the compensatory weight-bearing mechanism occurs at the STJ as excessive supination or calcaneal inversion. It is a result of excessive premature GRFs at the first metatarsal head, causing rapid STJ inversion and increasing loading forces beneath the fifth metatarsal head.
- Thick callosities are often present beneath the first and fifth metatarsal heads
A 25-year-old dancer complains of instability during balance activities. Examination shows a flexible forefoot that moves into valgus during stance but neutralizes when non-weight-bearing. What is the foot type?
A patient presents with complaints of medial shin pain. Examination reveals a rigid, elevated forefoot that maintains varus in both weight-bearing and non-weight-bearing. What is the diagnosis?
Uncompensated Forefoot Varus (rigid): (link)
Gait:
- Pronated longer…any supination that occurs is later in the stance phase or does not occur at all
- Commonly have a callus plantar to the second metatarsal head; fifth toe is often hammered; hallux abducto valgus is common.
- Unstable foot and excessive pronation increases the risk for the development of a wide range of pathologies
A 42-year-old female reports pain on the lateral border of her foot after prolonged walking. During the exam, you observe a high medial longitudinal arch and inability of the rearfoot to pronate during stance. What is the diagnosis?
A 50-year-old male presents with lateral foot pain after running. Examination reveals a rigidly everted forefoot that remains in valgus even in non-weight-bearing. What is the foot type?
A 35-year-old basketball player complains of instability while cutting laterally. Examination shows a compensatory valgus forefoot position during weight-bearing but neutral in non-weight-bearing. What is this foot type?
A 28-year-old runner reports persistent shin pain. The calcaneus is inverted in subtalar neutral and does not compensate during stance phase. What is the diagnosis?
A 45-year-old hiker complains of knee pain and instability during uneven terrain walking. Examination reveals a valgus rearfoot position with compensatory subtalar pronation. What is the diagnosis?
A 38-year-old female presents with complaints of heel and midfoot pain. Examination shows excessive forefoot valgus in weight-bearing with no compensation during gait. What is the foot type?
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Rearfoot Varus
