Age-Related Joint Changes

Question 1

_____ _______ MOST common foot jt.

Answer 1

1st MTP

Question 2

1st MTP WBing
____x load of lesser toes

____-_____ BW

1-2x BW with _____

Answer 2

2
40; 60
sports

Question 3

1st MTP
more rigid ______ with greatest forces from just before ______ off to ______ off

Answer 3

propulsion
heel
toe

Question 4

Etiology/Pathomechanics
Longer _____ ray
Excessive _______
T_______
G________

Answer 4

1st
pronation
trauma
genetics

Question 4

Symptoms
______ onset

AM stiffness < ___ min after static positions

_____ joint pain

Possible _____ or _______ gait
particuraly with _______

Answer 4

gradual

30

dorsal

asymmetrical; antalgic

inclines

Question 5

Signs
Observation
_______ ______ with excessive _________ leading to greater loading onto ____ ray

______ toe = MTP HyperEXT + IP Flex

_______ toe = MTP HyperEXT vs neutral + PIP flex + DIP hyperEXT vs neutral

_______ toe = neutral MTP and PIP with flexed DIP

Answer 5

Hallux Valgus

pronation

1st

Claw

Hammer

Mallet

Question 6

Observation

_____ spur at 1st MTP
Gait
________ and ________

Possible hip ______ and or vertical ______ or vaulting loss of motion at _____/_____ off

Excessive _____ and or impaired _____ control

Answer 6

Dorsal

asymmetrical; antalgic

ER
limp
heel; toe
pronation
LQ

Question 7

Signs
ROM
Capsular pattern for restriction of greater toe ____> abd aka Hallux ______/_________

P! particurarly into _____ of EXT

Need ____° hyperext of normal gait

Answer 7

EXT

Limitus/Rigidus

CPP

65

Question 8

Combined Motion: ______ block

Answer 8

consistent

Question 9

Stress Tests: _______/________ possibly + if symptomatic

Answer 9

C
D

Question 10

Accessory Motion- hypomobility of ____ _______ with ______ and or ______ bones

Answer 10

1st MTP

DF

sesamoid

Question 11

PT Rx

POLICED

Proper ________ including orthotics to unload involved ______

Prevent and treat ______ valgus

______ support

Stiffer shoe with ______ toe boxes

Rocker ______ _____

________ _______

Answer 11

footwear

cartilage

hallux

Arch

larger

bottom shoe

Assistive device

Question 12

PT Rx
Manual Therapy

MOST effective _____ in disease progression with younger individuals

applied to _______, _______, ______

Answer 12

early

MTP
sesamoids
ankle

Question 13

MET

focus: Tissue ______ and ______
address any impaired _____ control contributing to excessive _______

Answer 13

integrity
mobility
LQ
pronation

Question 14

MD Rx
Injections- ______ quality

Sx- ______ procedure: bone ______ and possibly aka fusion

NEWER- ______ to assess excessive pronation (BETTER OUTCOMES)

Answer 14

poor

Past
excision
Lapiplasty