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foot differentials Flashcards

(51 cards)

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1
Q

ankle fractures MOI?

A

fall, twist
stress: sudden increase in activity

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2
Q

ankle fractures complaints?

A

pain- constant/night
instantaneous bruising and swelling in area of injury

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3
Q

ankle fractures differential diagnosis?

A

sprain

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4
Q

ankle fractures test and measures?

A

ottawa foot and ankle rules
tuning fork
metatarsal compression/morton’s compression

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5
Q

ankle fracture treatments?

A

mobilize/ joint mobs
ROM: ABS’s, write your name with your foot
submax isometrics: PF, DF, inv, ev
strengthen once in chronic/after surgery

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6
Q

lateral ankle sprains MOI?

A

only inversion- CFL
inv and DF- PTFL
inv and PF- ATFL

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7
Q

lateral ankle sprains complaints?

A

swelling, bruising, swelling within first hour compared to fractures that is immediate.
lateral pain

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8
Q

lateral ankle sprains differential diagnosis?

A

fracture

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9
Q

lateral ankle sprains tests and measures?

A

ROM: limited inversion, PF
muscle performance: muscles that do inversion could be impacted/weak
joint play: none
anterior draw test
posterior draw
talar tilt: PF- ATFL, DF- PTFL, neutral- CFL

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10
Q

lateral ankle sprains acute treatment?

A

open chain
AROM (ABC’s)
submax isometrics (inv, ev)
BAPS board (rock back and forth pain free)

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11
Q

lateral ankle sprains subacute treatment?

A

closed chain
stabilize into DF
stars (single leg squats)
single leg stand throwing balls or perturbation
bosu ball

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12
Q

lateral ankle sprains chronic treatment?

A

jumping, running, cutting
functional, sport

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13
Q

medial ankle sprain MOI?

A

stopping and cutting in sport
football

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14
Q

medial ankle sprains complaint?

A

medial pain

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15
Q

medial ankle sprains tests and measures?

A

ROM: eversion and DF most limited
muscle performance: inversion muscles weak/strain
special tests: eversion stress test, kleiger test

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16
Q

medial ankle sprain acute treatment?

A

open chain
AROM (ABC’s)
submax isometrics (inv/ev)
BAPS board (rock back and forth pain free)

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17
Q

medial ankle sprain subacute treatment?

A

closed chain
stabilize into DF
stars (single leg squats)
single leg stand throwing balls or perturbation
bosu ball

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18
Q

medial ankle sprains chronic treatment?

A

jumping, running, cutting
functional, sport

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19
Q

syndesmosis sprain MOI?

A

tibial torsion on a planted foot
-sports that wear boots
-turf sports with cleats

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20
Q

syndesmosis sprain complaints?

A

swelling and bruising over malleolus

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21
Q

syndesmosis sprain tests and measures?

Study These Flashcards
A

ROM: DF most limited
muscle performance: good
special tests: kleiger test and crossed leg test

22
Q

syndesmosis sprain acute treatment?

Study These Flashcards
A

open chain
AROM (ABS’s)
submax isometrics (inv/ev)
BAPS board (rock back and forth pain free)

23
Q

syndesmosis sprain subacute treatment?

Study These Flashcards
A

closed chain
stabilize into DF
stars (single leg squats)
single leg stand throwing balls or perturbation
bosu ball

24
Q

syndesmosis sprain chronic treatment?

Study These Flashcards
A

jumping, running, cutting
functional, sport

25
plantar fasciitis MOI?
repetitive overuse pes cavus pes planus
26
plantar fasciitis complaints?
pain 1st thing in the morning pain with palpation over the medial calcaneal tubercle pain with WBing pain with overpressure in great toe extension (DF)
27
plantar fasciitis differential diagnosis?
tarsal tunnel syndrome calcaneal stress fracture
28
plantar fasciitis tests and measures?
palpate over calcaneal tubercle ROM: DF limited, great toe extension AROM: full and pain free PROM: pain with overpressure into great toe extension joint play: DF too many toes sign windlass mechanism pain look at shoes
29
plantar fasciitis treatment?
orthotics stretching: windlass mechanism, gastroc stretch, soleus stretch transverse tissue massage acute: ROM (ABC's)
30
achilles tendonitis MOI?
repetitive overuse
31
achilles tendonitis complaints?
posterior ankle pain, aggravated by jumping, running ages 20-40 (weekend warriors) insertional: bone tendon junction pain midsubstance: 2-6cm proximal to insertion
32
achilles tendonitis differential diagnosis?
retrocalcaneal bursitits calcaneal stress fracture stress fractures of fibula or tibia
33
achilles tendonitis test and measures?
AROM: painful and limited DF manual muscle: pain with PF palpation: tender over achilles tendon test: thompson test
34
achilles tendonitis insertional treatment?
heel raises on flat ground (slowly lower down) single leg want some pain stretch gastoc and soleus
35
achilles tendonitis midsubstance treatment?
heel raises off of a step (slowly lower down) single leg want some pain stretch gastoc and soleus
36
posterior tibialis tendon insufficiency MOI?
overuse with a flat pronated foot
37
posterior tibialis tendon insufficiency complaints?
pain at medial ankle along the course of the tendon aggravated by activities involving WB plantar flexion
38
posterior tibialis tendon insufficiency tests and measures?
AROM: pain with eversion and PF too many toes sign talar bulge
39
posterior tibialis tendon insufficiency acute treatment?
alphabet submax isometrics
40
posterior tibialis tendon insufficiency subacute treatment?
toe curls with towel make arch and lower it seated heel/toe raises seated BAPs board resistance band inv/ev df/pf
41
posterior tibialis tendon insufficiency chronic treatment?
standing heel raises standing BAPs board SLS with perturbations step ups
42
hallux limitus MOI?
overuse
43
hallux limitus complaints?
decreased DF of the first MTP pain and swelling in the dorsal aspect of the joint pain with walking, climbing stairs, etc tenderness over the dorsal and lateral aspects of the joint
44
hallux limitus differential diagnosis?
gout hallux abductovalgus turf toe
45
hullux limitus tests and measures?
goni: 1st MTP DF joint play: decreased 1st MTP
46
hullux limitus treatment?
toe curls stanfing arch raises joint mobs-DF
47
tarsal tunnel syndrome MOI?
overuse post-traumatic valgus foot deformity
48
tarsal tunnel syndrome complaints?
diffuse burning over posterior leg, or plantar surface of foot/toes night pain
49
tarsal tunnel syndrome differential diagnosis?
plantar fasciitis
50
tarsal tunnel syndrome tests and measures?
tinels over tarsal tunnel SLR- TED distal: unable to abduct 5th metatarsal
51
tarsal tunnel syndrome treatment?
windlass mechanism

musculo (19 decks)

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