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Flashcards in Feet Deck (17):
1

rheumatoid foot signs

synovitis
proteinases and collagenases
impaired integrity of joint capsules/ligaments
destruction of hyaline cartilage

2

hallux rigidus
how
treatment

OA of 1st MTP
primary of secondary to oesteochondral injury
fusion, stiff soled shoe, removal of osteophytes, joint replacement

3

what is hallux valgus

deformity of great toe due to medial deviation of 1st MTT and lateral deviation of toe itself

4

signs on hallux valgus

painful
bunion caused by rubbing - inflamed burn over 1st MTC head
great and 2nd toe rub = ulcerate, skin breakdown

5

treatment of hallux valgus

wider and deeper shoes
spacer
surgery

6

pain with walking felt on instep of food and localised tenderness of that part
worse after exercising

plantar fascitis

7

tinnels test for baxter nerve

plantar fasciitis

8

treatment for plantar fasciitis

self limiting over 18-24 months
rest, stretches for foot, gel filled heel pad, steroid injection, physio

9

what is mortons neuroma

irritated nerves - bifurcation of digital nerve
inflame and become a neuroma

10

symptoms and signs of mortons neuroma

burning pain and tingling into affected toes
loss of sensation in affected web space
mulder click test

11

treatment of mortons neuroma

insoles, injections, excise

12

tibialis posteriori tendon dysctunfion is a common cause of what
who does this occur in and what are the symptoms

flat foot
obese elderly women
pain/swelling posterior to medial malleolus. change in foot shape, diminished walking ability/balance, lateral wall impingement pain

13

treatment of tibialis posterior dysfunction

physio
insole to support longitudinal arch
no steroid injections
surgery

14

what is pes cavus

abnormally high arch of foot

15

tendonitis of achilles
how
syx
treatment

overtraining, drugs - cipro, RA, gout, CTDs
pain in main bit of tendon or at insertion into calcaneous
morning stiffness which eases with heat/walking
rest, physio, heel raise, analgesia, orthotics, surgery - self limiting

16

what do you not give in tendoachilles tendonitis

steroid injection as can cause rupture

17

rupture of achilles tendon
syx
ix
rx

sudden deceleration with resisted calf muscle contraction -> pain and difficulty weight bearing
weakness of plantar flexion and palpable gap
calf squeeze - simmonds test
controversial