Foot Flashcards Preview

MSK > Foot > Flashcards

Flashcards in Foot Deck (21):
1

Name the major bones of the ankle

navicular- medial
3 cuneiforms
cuboid- lateral
metatarsals
phalanges
tallus
calcaneous

2

_____ is a mild degenerative process due to micro-tearing

plantar fasciitis

3

Describe the history of plantar fasciitis

Plantar-medial heel pain
Pain often worst 1st steps after rest
Aching quality with prolonged standing

4

What groups are most likely to get plantar fasciitis

runners
middle aged and obese

5

What is the initial treatment for plantar fasciitis?

stretching that targets the gastroc muscle and fascia, soleus muscle and achilles, and plantar fascia

night splint to keep foot dorsiflexed

activity modification

weight loss

heel cushions- off the shelf

6

What are secondary treatment options for refractory plantar fasciitis?

PT- sof tissue mobilization, taping
casting
NSAIDs
injections??
custom orthotics

7

Plantar fasciitis tends to resolve _____

slowly- takes months

8

When is surgery indicated for plantar fasciitis?

refractory symptoms in a patient with a high arch

9

Differentiate acute vs fatigue fractures in the foot

Acute Fractures: When a sudden force is greater than the strength of the bone or bones.

Stress Fracture (Fatigue): When the accumulation of forces over time is greater than the repair process of the bone.

10

The ______ is the most commonly fractured bone in the foot

5th metatarsal

11

Describe the vascularity of the 5th metatarsal

poor in proximal watershed zone, good in other areas

often can heal with cast/boot/ stiff soled shoe

12

List two types of pathology that could underly stress fractures in the foot

weak bone and normal activity
normal bone and excessive activity

13

What is a Jones fracture

fracture to 5th metatarsal that occurs proximal to the junction of the proximal metaphysis and diaphysis

14

What are the complications of a Jones fracture?

High risk of delayed union, non-union or repeat fracture
common in athletes

15

How are Jones fractures treated?

May need surgical intramedullary fixation if athlete that wants to return to activities

16

What is a bunion?

enlargement at the medial aspect of the 1st metatarsal head

17

What is the hallux valgus angle?

angle between hallux and first metatarsal
normal up to 15 degrees

18

As the big toe drifts into ______, it pushes the 1st metatarsal head medially and creates the bunion

valgus

19

As the big toe drifts into ______, it pushes the 1st metatarsal head medially and creates the bunion

valgus

20

List things that can contribute to bunion formation

heredity
shoes
inflammatory arthritis
connective tissue disorder
ligament tears, trauma

21

How are bunions treated?

Surgical re-alignment