Foot And Ankle Flashcards
(18 cards)
General Inspection
Walking aids Specialist shoes Signs of pain Body habitus Systemically well
Look
General comment on walking, willingness to weight bear Gait Alignment/deformity Skin changes Wasting Swelling Nail changes
Gait
Antalgic
Foot drop
Stiff ankle gait
Stand on tiptoes
Alignment/deformity
Varus/valgus Claw toe Hammer toe Flat foot Subluxation of joints
Skin changes
Scars Thickening Callus formation Bunions Ulcers
Wasting
Calf muscles
Swelling
Effusion
Inflammation
Cysts
Nail changes
Thickening
Feel
Temperature
Landmarks
Temperature
Ankle
Forefoot
Midfoot
Focus on area of tenderness or swelling
Landmarks
Anterior joint line Mid-tarsal joint squeeze MTPJ squeeze Bimanual palpation toes Plantar aspect of foot Subtalar joint Achilles’ tendon Medial and lateral malleoli
Move
Ankle
Mid foot
Toes
Ankle (move)
All active
Plantar flexion
Dorsiflexion
Inversion
Eversion
Mid foot (move)
Passive - fix heel, rotate forefoot
Internal rotation
External rotation
Toes (move)
Active
Flexion
Extension
Special Test
Simmons Test - calf squeeze
No movement = ?Achilles’ tendon rupture
Joint above
Knee
active flexion and extension
Neurovascular
Dorsalis pedis, posterior tibial
Common peroneal - toes towards you, top of foot
Tibial - plantar flexion, bottom of foot