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Flashcards in Foot & Ankle Deck (9)
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1

Foot and Ankle
Bony Palpation

1) Calcaneus “heel”
2) Sustentaculum tali “Under medial malleolus”
3) Medial malleolus “Above web of opposite hand”
4) Lateral malleolus
5) Talus “Pointer finger”
6) Navicular “Middle finger proximal”
7) Cuboid “Middle finger tip”
8) 3 Cuneiforms “Ring finger 1,2,3”
9) 5 Metatarsals “Pinky 1,2,3,4,5”
10) Metatarsophalangeal joints

2

Foot and Ankle
Soft Tissue Palpation

1) Tibialis posterior tendon
2) Spring ligament
3) Tibialis anterior tendon
4) Deltoid ligament
5) Peroneus brevis “Tendon”
6) Achilles tendon
7) Plantar aponeurosis
8) Anterior talofibular ligament
9) Posterior tibial artery
10) Dorsal pedal artery

3

Foot and Ankle
Ranges of Motion

Active and Passive
1) Ankle Dorsiflexion 20°
2) Ankle plantarflexion 50°
3) Subtalar Inversion 5°
4) Subtalar Eversion 5°
5) 1st MTP Joint Flexion “Big Toe”
6) 1st MTP Joint Extension “Big Toe”

4

Drawer Sign
(Anterior Drawer Sign of the Ankle)

Positive:
Translation with the talus moving away from or toward the tibia

Indicates:
1) With tibia pushed/foot pulled; a tear/instability of the anterior talofibular ligament.
2) With tibia pulled/foot pushed; a tear/instability of the posterior talofibular ligament.

5

Ankle Dorsiflexion Test

Positive:
1) The foot cannot dorsiflex with knee extended, but is able to with knee flexed.
2) The foot cannot dorsiflex in either knee position.

Indicates:
1) Contracture of the gastrocnemius muscle
2) Contracture of the soleus muscle

6

Rigid or Supple Flat Feet Test

“Patient performs sitting then sanding”

Positive:
1) Absence of medial longitudinal arch in both positions.
2) Presence of medial longitudinal arch while seated with a loss of medial longitudinal arch while standing.

Indicates:
1) Rigid flat feet “No, No”
2) Supple flat feet “Yes, No”

7

Homans Sign
12"

Positive:
Deep pain in the calf.

Indicates:
Deep vien thrombophlebitis

8

Thompson Test

“Patient is Prone”

Positive:
Absence of foot plantarflexion motion

Indicates:
Achilles tendon rupture

9

Morton Test

Positive:
Sharp pain in the forefoot

Indicates:
Metatarsalgia or neuroma (usually at the 3rd and 4th metatarsal interspace)