04 Foot/Ankle Palpations: Dorsal Flashcards Preview

7232 Ortho > 04 Foot/Ankle Palpations: Dorsal > Flashcards

Flashcards in 04 Foot/Ankle Palpations: Dorsal Deck (40):
1

What pathology is associated with the first MTP joint?

- sprain
- hallux valgus
- turf toe
- OA

2

What pathology is associated with first metatarsal

stress fracture (not as common as other metatarsals)

3

What pathology is associated with medial cuneiform joint?

OA changes

4

Follow the first metatarsal up

- MTP
- metatarsal
- medial cuneiform
- navicular
- head of talus
- anterior joint line
- anterior tibia

5

Follow the second metatarsal up

- MTP
- metatarsal
- middle cuneiform
- navicular
- anterior joint line
- anterior tibia

6

Follow the third metatarsal up

- MTP
- metatarsal
- lateral cuneiform
- navicular
- anterior joint line/lateral aspect of talus head
- anterior distal tibia

7

Follow the fourth metatarsal up

- MTP
- metatarsal
- cuboid
- lateral dome of talus
- anterior joint line
- anterior tibia
- distal tib-fib joint

8

Follow the fifth metatarsal up

- MTP
- metatarsal
- cuboid
- calcaneus

9

What pathology is associated with third and fourth metatarsals?

most commonly involved in stress fx

10

What pathology is associated with the dome of the talus?

most common site of OCD lesions in the ankle and foot

11

What pathology is associated with the tarsometatarsal joints?

- Lis Franc injury
- strains
- fractures

**midfoot injury

12

What pathology is found between the tarsals?

Choparts injury

13

Where is the anterior joint line of the ankle?

straight across from medial to lateral malleolus

14

What pathology is associated with the anterior joint line?

- sprain
- effusion
- osteophytes

15

What pathology is associated with anterior tibialis?

- tendonitis/osis
- myositis
- strains

16

Where is the dorsalis pedis artery?

lateral to EHL tendon above the navicular

17

dorsalis pedis: clinical significance

- secondary blood supply to foot
- absent in 15% of people

18

Where is the extensor digitorum brevis muscle belly?

over the cuboid

19

clinical significance of EDB

many people think this muscle is swelling after an ankle sprain

20

What runs along the anterior joint line?

extensor retinaculum

21

function of extensor retinaculum

keeps extensor tendons intact, rarely gets subluxed)

22

What pathology is associated with the joint capsule?

- inflammation
- effusion
- synovitis

23

What pathology is associated with the lateral gutter?

impingement syndrome

24

lateral gutter

spot just anterior to lateral malleolus

25

With repetitive ankle sprains, where is scar tissue laid down?

anterior gutter area

26

What pathology is associated with the MTP joint between 3 and 4

most common site for Morton's neuroma

27

function of sesamoid bones on plantar surface of great toe

act as a fulcrum in propulsive forces for gait

28

What pathology is associated with sesamoid bones?

- sesamoiditis
- fracture

29

In addition to pathology, why are the tarsometatarsal and midtarsal joints significant?

amputation sites

30

What pathology is associated with achilles tendon

- bursitis
- strains, myositis, tendonitis/osis
- tears
- Sever's syndrome
- avulsion fracture

31

What pathology is associated with the medial tubercle of the calcaneus?

- plantar fasciitis
- osteophytes

32

What pathology is associated with the dome of the calcaneus?

Sever's fracture

33

What pathology is associated with the talus below the achilles tendon?

os trigonum (hooked to posterior talus by a fibrous attachment)

34

What pathology is associated with the plantar fascia?

- avulsion
- plantar fasciitis

*there's a medial plantar bursa here too

35

What structure is on the dome of the calcaneus?

calcaneal bursa

36

How do you palpate the retrocalcaneal bursa?

squeeze fingers over the achilles tendon

37

What would happen if a pt has sesamoiditis or a fracture in the first MTP joint?

- unable to use final propulsive phase
- walk with a stiff foot

38

function of plantar fascia

provides static stability to the plantar surface of the foot

39

What is a neuroma?

benign nerve tumor

40

What technique can help with post-immobilization stiffness?

splaying