Flashcards in 04 Ankle 3 Deck (31):
bursae that affect the achilles tendon
more involved in overuse
more involved in footwear
What is an equinas foot?
lacking at least 10˚ dorsiflexion
comorbidities of achilles tendonitis/osis
- heel spur syndrome
- plantar fasciitis
- Haglund's deformity
tendon strain grades
common causes for achilles tendon rupture
- chronic tendonitis
steroids and achilles tendon rupture
- steroid injections weaken tendons
- associated with increased instance of tendon rupture
When can steroid injections be done for a tendon?
- should never inject into a tendon
- can do peritendon injections under fluoroscopy
positive achilles tendon rupture test: gastrocs
If you squeeze the gastrocs and the foot doesn't PF, it's a positive test
positive achilles tendon rupture test: palpation
If there's a drop when you run your finger down the tendon area, it's a positive test
What else is a possibility with an achilles rupture?
- closed reduction
- open reduction
closed reduction for achilles rupture
cast in PF
open reduction for achilles rupture
literature on closed vs open reduction for achilles rupture
- lit says they're the same outcome
- Davies says closed reduction has higher instance of reinjury
rehab for achilles tendon rupture: overall
foot is cast in PF post surgery, progressed to CAM walker
controlled ankle motion
rehab for achilles tendon rupture: By 3 months
- progress from NWB to WB
- move from splint to CAM walker to shoe
rehab for achilles tendon rupture: 2 weeks
ROM program after 2 weeks
rehab for achilles tendon rupture: 4 weeks
gentle strengthening, then increase
nerves top to bottom implicated in tarsal tunnel syndrome
- medial plantar n.
- lateral plantar n.
- medial peroneal n.
surgery for tarsal tunnel
tarsal tunnel release - cut the flexor retinaculum
posterior tibial tendon dysfunction
Who often gets PTTD?
What does the posterior tibialis tendon do for the arch?
provides dynamic support
What happens in PTTD?
posterior tib is not providing dynamic support to the arch
valgus calcaneus and excessive pronation
PTTD: hypertrophy of this muscle