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MSK I > The Foot & Ankle > Flashcards

The Foot & Ankle Flashcards

1
Q

S&S of Ottawa Ankle Rules

A

Ages 2-55

  • Tenderness over posterior distal 6cm or tup of the medial or lateral malleolus
  • Tender over the base of the 5th metatarsal
  • Tender over navicular
  • Inability to take 4 weight bearing steps (total)
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2
Q

S&S of Stress Fracture

A

Pain more intense after exercise than before

Point tenderness

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3
Q

S&S of LisFranc Fracture

A

Accessory motions of these joints painful, hypermobile, or crepitus

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4
Q

S&S of Calcaneal Apophysitis (sever’s disease)

A

Antalgic gait

Localized pain/tenderness

Tight Achilles tendon

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5
Q

S&S of Morton’s Neuroma

A

Often have numbness/tingling distally

  • Patient’s may not realize they have lost sensation
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6
Q

S&S of Tarsal Tunnel Syndrome

A

May present with heel pain distal to compression

Dimished sensation (patient may not know…)

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7
Q

S&S of Compartment Syndrome

A

Swelling/taught/shinny skin

AROM painful with compartment compressed

PROM painful when compartment stressed

May have sensory imvolvement

May have foot drop

Pain with resitance

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8
Q

S&S of Shin Splints

A

Tightness/tenderness along tibia/fibula

Hypermobile feet/pronated feet

Supinated feet

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9
Q

S&S of Tibialis Posterior Strain

A

Pain at insertion on navicular or in sulcus behind medial malleolus

Pain with walking/running

Slight swelling

AROM painful with plantar-flexion and inversion

PROM painful with dorsiflexion and eversion

Point tender on post. tib. tendon

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10
Q

S&S of Peroneal Tendinitis

A

Resisted AROM eversion is painful

PROM inversion is painful

Tender over peroneal tendons

May have ankle instability

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11
Q

S&S of Achilles Tendinitis

A

Decreasedlexability of gastroc/soleus

Hyperpronation

Tenderness over tendon

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12
Q

S&S of Retrocalcaneal Bursitis

A

Localized swelling and warmth

Tenderness to palpation

Pain with AROM and PROM

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13
Q

S&S of Achilles Tendon Rupture

A

Palpable/visible defect in tendon

Swelling and ecchymosis

Weak plantar-flexion

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14
Q

S&S of Plantar Fascitis

A

Pain in heel which is worse in the morning

Pain with terminal stance and WB in gait

Pain anteromedial side of calcaneus

Pain with great toe extension

Resistive testing negative

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15
Q

S&S of Inversion Ankle Spains

A

Significant swelling

Antalgic gait

Tenderness to palpation

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16
Q

S&S of High Ankle Sprains

A

Pain with dorsiflexion and ER as talus spreads distal tib-fib joint

Ankle pain is more proximal than traditional sprains

17
Q

S&S of Great Toe Injuries

A

Hallux valgus

  • Tight calves –> over pronation compensation
18
Q

S&S of Metatarsalgia

A

Poor calf flexibility

Over-supination/Over-pronation

Pain when WB on ball of foot

Plattened transverse arch

19
Q

Special Test for Morton’s Neuroma

A

Compression Test

20
Q

Special Tests for Tarsal Tunnel Syndrome

A

Sensation tests

Weakened strength

Positive tinel’s sign

May reproduce pain with SLR

21
Q

Special Test for Compartment Syndrome

A

Neuro exam

  • Sensation
  • Motor
22
Q

Special Tests for Tibialis Posterior Strain

A

Differential Diagnose:

  • Plantar fascitis
  • Tarsal tunnel syndrome
23
Q

Special Test for Peroneal Tendinitis

A

Accessory motions

24
Q

Special Tests for Achilles Tendinitis

A

Differential Diagnosis:

  • Superficial Achillis bursitis
  • Deep Achillis bursitis
25
Q

Special Test for Achilles Tendon Rupture

A

Thompson test

26
Q

Special Tests for Plantar Fascitis

A

Plantar fascitis stretch

Windlass test

Differential Diagnose:

  • Tarsal Tunnel Syndrome
27
Q

Special Tests for Inversion Ankle Sprains

A

Anterior Drawer (ATFL assessment)

Talar Tilt Test (CFL assessment)

Rule Out:

  • Neurological damage
  • Fractures
28
Q

Special Test for Eversion Ankle Sprains

A

Eversion Talar Tilt Test

29
Q

Special Tests for High Ankle Sprains

A

Talar Tilt Test

Tib/Fib Squeeze

Klieger’s Test

Rule Out:

  • Fibular Fracture
30
Q

Special Test for Metatarsalgia

A

Differential Diagnose:

  • Motron’s Neuroma

MSK I (13 decks)

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