04 Foot 2 Flashcards Preview

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Flashcards in 04 Foot 2 Deck (29):
1

stress fx: MOI

excessive increased activity

2

stress fx: s/s

- pain on palpation of a long bone
- pain increases with WB activity

3

When do you get callus formation? What does this mean with respect to stress fractures?

- 3 weeks
- won't show up on radiograph until then

4

cuboid syndrome

cuboid subluxates and pinches the synovium

5

cuboid syndrome: MOI

- inversion sprain (ankle sprain gets better but they still have point tenderness)
- usually dancers get cuboid syndrome

6

cuboid syndrome treatment

cuboid whip then taping to stabilize

7

What type of injury occurs in the midfoot area?

Chopart injury

8

What type of injury occurs in the midfoot to forefoot area?

Lis Franc injury

9

What is done for a Lis Franc injury?

usu ORIF

10

What is tarsal tunnel syndrome?

entrapment of posterior tibial nerve under the flexor retinaculum against the calcaneus

11

tarsal tunnel syndrome: What does excessive pronation increase tension in?

- flexor retinaculum
- spring ligament

12

What type of macrotrauma might cause tarsal tunnel syndrome and what happens?

eversion sprain
- swelling
- compression of tibial nerve

13

tarsal tunnel syndrome: s/s

- burning pain and paresthesia along plantar surface of foot
- ttp to tarsal tunne
- positive tinel's sign

14

tarsal tunnel syndrome: treatments

- rest, NSAIDS, modalities
- orthotics, shoe recommendations
- strengthening
- tarsal tunnel release

15

What is retrocalcaneal bursitis?

inflammation of the retrocalcaneal bursa (anterior/deep to achilles)

16

What are some common causes for retrocalcaneal bursitis?

- equinus, supinated, or pronated foot
- running uphill
- rigid heel counter (compresses bursa)

17

retrocalcaneal bursitis s/s

- point ttp
- may have muscle tendon unit sequence
- differentiate from Sever's syndrome

18

What is Sever's syndrome?

calcaneal apophysitis

19

treatment for retrocalcaneal bursitis

- rest, modalities, NSAIDS
- improve flexibility
- strengthening
- shoe evaluation
- modify training program
- orthotics

20

retrocalcaneal bursitis: what shoe issues might be causing a problem?

- too rigid forefoot
- heel counter

21

How might you modify a running program for someone with retrocalcaneal bursitis?

flat running

22

What is Haglund's syndrome?

- stress reaction
- starts as hyperplasia of the skin
- creates an osseous response

23

What is a common cause of plantar fascia?

ECPP

24

Why might plantar fasciitis occur in a supinated foot?

decreased shock absorption

25

plantar fasciitis s/s

- pain along medial tubercle of calcaneus (may have an osteophyte)
- worse with first step in the morning

26

plantar fasciitis treatment

- rest, modalities, NSAIDs
- limit excessive pronation
- increase flexibility
- nighttime splints/heel cups
- plantar fasciotomy

27

Where is pain most common in plantar fasciitis?

more medial than lateral because that's where the PF attaches

28

normal foot position in sleeping

plantarflexion and inversion

29

Is a plantar fasciotomy endoscopic or arthroscopic?

endoscopic - occurs outside of a joint