Foot & Ankle

Question 1

Drawer sign (foot)

Answer 1

P: Translation of the talus moving away from or toward the tibia

I (1): With the tibia pushed/foot pulled, a tear/instability of the anterior talofibular ligament

I (2): With the tibia pulled/foot pushed, a tear/instability of the posterior talofibular ligament

Question 2

Ankle dorsiflexion test

Answer 2

“Patient experiences difficulty dorsiflexing the foot”

P (1): the foot cannot dorsiflex with the knee extended, but is able to with the knee flexed
I (1): contracture of gastrocnemius muscle

P (2): the foot cannot dorsiflex in either knee position
I (2): contracture of the soleus muscle

Question 3

Rigid or supple flat foot

Answer 3

P (1): Absence of medial longitudinal arch in both positions
I (1): Rigid flat feet

P (2): Presence of medial longitudinal arch while seated with a loss of medial longitudinal arch while standing
I (2): suple flat feet

Question 4

Homans sign

Answer 4

P: Deep pain in the calf
I: Deep vein thrombophlebitis

Question 5

Thompson test

Answer 5

P: Absence of foot plantarflexion motion
I: Achilles tendon rupture

Question 6

Morton test

Answer 6

P: Sharp pain in the forefoot
I: Metatarsalgia or neuroma (usually at the 3rd and 4th metatarsal interspace)