ANKLE/ FOOT

Question 1

Lateral ligs (3)

Answer 1

1. Anterior talofibular- taught w PF
2. Calcaneofibular- taught w inversion
3. Post. talofibular- taught w post. displacement

Question 2

medial ligs (4)

Answer 2

1. Ant. tibiotalar
2. Tibicalcaneal
3. Post. Tibiotalr
4. tibionavicular- limits translation

Question 3

Lateral ankle sprain MOI, SS

Answer 3

MOI- PF and inverted

SS- Poping, rapid swelling

Question 4

3 grades of lateral ankle sprains

Answer 4

1- pain/swelling, tenderness, no laxity w stress test
2-tearing/pop sensation, painful palp., positive anterior drawer and taller tilt tests
3-tearing/poping sensation, positive tests

Question 5

syndesmotic sprain (high ankle) MOI

Answer 5

excessive external rot.

Question 6

Deltoid lig sprain MOI SS

Answer 6

MOI- eversion w PF

SS- swelling

Question 7

Ankle x ray if

Answer 7

• Bone tenderness at lateral/medial malleolus

- Inability to bear weight

Question 8

Foot X-ray if

Answer 8

• bone tenderness at base of 5th MT

- Inability to bear weight

Question 9

Achilies tendon rupture/tendinosis SS

Answer 9

MOI rupture- forceful eccentric cont.
MOI tendinosis- degenerationation, micro tears

SS- decreased planter flexion strength

Question 10

Peroneal Tendon MOI

Answer 10

• sudden dorsiflexion + eversion/ PF and inversion

Question 11

Medial Tibial Stress Syndrome MOI, SS

Answer 11

MOI- due to repetitive overuse

SS- inflammation at the posterior medial border of tibia

Question 12

Pes Cavus, Pes planes

Answer 12

cavus- big arch, associated w plater fasciits, stress fro of tarsals, perineal tendonitis

planus- no arch, associated w tibias posterior tendonitis, medial tibial stress syndrome

Question 13

Plantar fasciitis MOI SS

Answer 13

MOI- acute/ repeated stress

SS- Pain in morning when taking first steps

Question 14

MT/Phalengeal fractures

Answer 14

MOI- Direct trauma, overuse
- typically with longitudinal force(kick immovable object)

SS- Pain during toe off of walk

Question 15

Lisfranc Joint Injury

Answer 15

MOI- PF on ground and rotation

SS- typically has pain w talking +slight swelling

Question 16

Intermetatarsal Neuroma MOI, SS

Answer 16

MOI entrapment of nerve bw 2 MT heads
- Prolonged pressure on nerve

SS- increased when wearing shoes, burning, tingling, diffuse pain

Question 17

1st MPK Sprains MOI SS

Answer 17

MOI- hyperextension of 1st toes
- foot planted + ankle DF

SS- Pain w/ push off/ quick stops, point tenderness/ swelling

Question 18

Hammer toes, claw toes, mallet toe

Answer 18

hammer- extension MTP, Flexion PIP, Extension DIP

Claw- Extension MTP, Flexion DIP +PIP

Mallet- Neutral MTP and PIP, Flex DIP