1
Q
Inversion Ankle Sprain
Location of Symptoms
A
-pain, swelling over lateral ankle
2
Q
Eversion Ankle Sprain
Location of Symptoms
A
-pain, swelling on medial ankle
3
Q
Cuboid Syndrome
Location of Symptoms
A
- lateral plantar pain
- feels like rock in shoe
- pain is constant and lasts longer than normal healing processes of lat ankle sprain
4
Q
Cuboid Syndrome
Mechanism of Injury
A
- plantarflexion + inversion injury
- minor subluxation of calcaneocuboid alignment that irritates the ligaments, cuboid and peroneus longus
5
Q
Tendon Injury–Achilles Rupture
Location of Symptoms
A
- sudden pain over post ankle/leg
- balled up muscle
6
Q
Tendon Injury–Posterior Tibial Tendonitis
Location of Symptoms
A
- pain at medial malleoli along tendon
- pain medial ankle but can progress to lateral ankle if not treated
7
Q
Tibial Stress Syndrome/Fracture
Location of Symptoms
A
- Pain along post medial tibia or ant lat
- proximal 2/3 of tibia
-“shin splints”
8
Q
Posterior Tibial Nerve Entrapment
Location of Symptoms
A
- local edema
- burning pain and paresthesia to sole of foot
9
Q
Plantar Fasciitis
Location of Symptoms
A
- pain on heel of foot
- pain plantar surface of foot
- pain in morning but eases with movement
10
Q
OA/DJD
Location of Symptoms
A
- Pain and stiffness in foot/ankle
- swelling
- stiff in morning
(foot OA less common)
11
Q
Bursitis
Location of Symptoms
A
- calcaneal/retrocalcaneal bursitis=tender/painful at calcaneous
- subcalcaneal bursitis=tender under heel on plantar surface
(rule out plantar fasciitis, heel spur)
12
Q
Sprain
Agg Factors
A
- WB
- walk
- jump
13
Q
Cuboid Syndrome
Agg Factors
A
- pain in terminal stance
- single leg hop
14
Q
Tendon Injury
Agg Factors
A
- achilles/post tib: unable to stand on toes
- achilles: push off with gait
15
Q
Tibial Stress Syndrome/Fracture
Agg Factors
A
- walking
- standing on toes
- push off
16
Q
Posterior Tibial Nerve Entrapment
Agg Factors
A
- walking
- prolonged standing
17
Q
Plantar Fasciitis
Agg Factors
A
- walking
- jumping
- WB in morning
18
Q
OA/DJD
Agg Factors
A
- walking
- jumping
- WB
19
Q
Bursitis
Agg Factors
A
- rubbing of heel by shoe
- repetitive irritation
- running
- walking
20
Q
Sprain
Ease Factors
A
- ice
- NSAIDs
- decr WB
21
Q
Cuboid Syndrome
Ease Factors
A
- rest
- avoid prolonged terminal stance
22
Q
Tendon Injury
Ease Factors
A
-avoid WB
23
Q
Tibial Stress Syndrome/Fracture
Ease Factors
A
- ice
- massage
- NSAIDS
-if fracture=pain at rest
24
Q
Post Tibial Nerve Entrapment
Ease Factors
A
- NWB
- avoid pronation
25
OA/DJD
| Ease Factors
- rest
- NSAIDS
- increased movement
26
Plantar Fasciitis
| Ease Factors
-stretch
-massage
-ice
NSAIDS
27
Bursitis
| Ease Factors
- rest
- ice
- NSAIDS
- shoes that don't rub
28
Inversion Sprain
| History
- plantarflexion + Inversion injury
- check integrity of superficial peroneal nerve
- weak lateral collateral ligaments
29
Eversion Sprain
| History
- stress on medial collateral ligaments (deltoid)
- due to excessive eversion
- can be accompanied with talus or medial malleoli fracture
30
Cuboid Syndrome
| History
- plantarflexion + inversion -->sublux of cuboid laterally and posteriorly
- more common in pts with history of ankle sprains and over pronation during gait
- forefoot valgus
- tight peroneus longus
31
Tendon Injury--Achilles Rupture
| History
- MOI: explosive push off at terminal plantarflexion
- men>women
- 30-40 years old
- history of chronic achilles tendonitis
32
Tendon Injury--Post Tib tendonitis
| History
- Hx of over pronation
- flat foot
- tender midfoot (esp with toe raises)
- loss of arch
33
Tendon Injury Risk Factors
- Diabetes
- Obesity
- RA
- Women over 50 (post tib dysfunction)
34
Tibial Stress Syndrome/Fracture
| History
- inflam of contractile portoin of post tib
- irritation of interosseous membrane due to overpronation
- periostitis
- overuse
- recent increase in activity
35
Periostitis
over use stresses of ant tib at origin attachment
| -it is eccentrically over worked with achilles is tight
36
Posterior Tib Nerve Entrapment
| History
- worse at end of day
- flat foot
- post tib dysfunction
- Hx deltoid ligament sprain
37
Plantar Fasciitis
| History
- obesity
- overuse
- acute (step on hard object)
- occupational (prolonged stand/walk)
38
OA/DJD
| History
- over weight
- OA in other joints
- family Hx
- history of microtrauma to ankle/foot
- forefoot valgus
- flat foot
- overpronation
- decr ROM all directions
39
Bursitis
| History
- excessive running (rubbing on post calc)
| - tightness/restriction of achilles tendon
40
Sprain
| Neurodynamic Testing
-PF/Eversion + SLR
| common peroneal
41
Tendon Injury
| Neurodynamic Testing
-DF/Inversion + SLR
| sural nerve--achilles tendonitis
42
Tibial Stress Syndrome/Fracture
| Neurodynamic Testing
-PF/Inversion + SLR
| common peroneal
43
Post Tib N Entrapment
| Neurodynamic Testing
SLR with tibial nerve tension
44
Plantar Fasciitis
| Neurodynamic Testing
-DF/Eversion + SLR
| tibial
45
Sprain
| Neurological Exam
-inversion: check superficial peroneal nerve
46
Post Tib Nerve Entrapment
| Neurological Exam
-sole of foot
47
Sprain
| ROM
- inversion, eversion
| - DF, PF
48
Cuboid Syndrome
| ROM
- pn with PF + inversion
| - midtarsal mobility reproduces Sx
49
Achilles Rupture
| ROM
- unable to PF
| - check DF
50
Post Tibial Tendonitis
| ROM
- pn with inversion and PF (resisted motion)
- pn with passive eversion
- pn with active PF + eversion
51
Tibial Stress Syndrome/Fracture
| ROM
- PF, DF (passive/active)
| - ankle pron/sup
52
Post Tib N Entrapment
| ROM
- PF, DF
| - Inv, Ever
53
Plantar Fasciitis
| ROM
- df may be limited
| - pain with df + great toe extension
54
OA/DJD
| ROM
- Capsular pattern
| - decr PF and DF
55
____* DF needed for normal gait mechanics
10*
56
Bursitis
| ROM
- bursitis won't cause decr motion
| - but check for tight gastroc/soleus causing burisitis
57
Sprain--ATFL
| Special Tests
-ant drawer
58
Sprain--Calcaneofibular lig
| Special Tests
-talar tilt
59
Sprain--Deltoid lig
| Special Tests
-Klieger
60
Cuboid Syndrome
| Special Tests
check for misplaced cuboid
61
Tendon Injury--Achilles Rupture
| Special Tests
-Thompson
62
Post Tib N Entrapment
| Special Tests
-Tinel
63
OA/DJD
| Special Tests
- rule out other conditions
| - check for loss of motion
64
Sprain
| Palpation
-Palp over ligament affected
65
Cuboid Syndrome
| Palpation
-over calcaneocuboid causes pain
66
Tendon Injury
| Palpation
- pain over tendon
| - ball of muscle in calf
67
Tibial Stress Fracture
| Palpation
-tuning fork
68
Post Tib Nerve Entrapment
| Palpation
-post tib nerve
69
Plantar Fasciitis
| Palpation
pn with pressure over plantar fascia
70
OA/DJD
| Palpation
compression through joint + rotary movement reproduces symptoms
71
Bursitis
| Palpation
-post calcaneous tender
72
Muscle Length/Strength Testing of Ankle/Foot Disorders
- peroneus longus
- peroneus brevis
- tibialis ant
- gastrocnemius
- soleus
73
Outcome Measure
-LEFS
MSK 1
flashcards
Decks in class (15)
# Cards
-
Shoulder64
-
UE Peripheral nerves99
-
Elbow88
-
Hand/Wrist122
-
Shoulder Lab55
-
Wrist & Hand Examination37
-
Hip Classification/Diagnosis96
-
Hip examination/testing49
-
Hip OE Sequence10
-
Knee Classification/Diagnosis68
-
Knee Examination/Testing69
-
Shoulder Classification/Diagnoses58
-
Elbow Classification/Diagnoses49
-
Wrist Classification/Diagnoses61
-
Ankle Classification/Diagnoses73
