Ankle and foot exam gsp
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This is a presentation essentially for medical students .Examination of foot and ankle is an important topic for students in final year
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Ankle and foot exam gsp
- 1. Ankle & Foot Examination Prof. G.S.Patnaik MS{ortho} FAOI{usa},FACS Consultant Orthopedic Surgeon
- 2. Stability of the ankle is dependent upon functional placement of the talus. Ankle & Foot Anatomy
- 4. Lateral ankle sprain is most common Ankle Sprain
- 5. Anterior drawer will be positive with gapping secondary to trauma Drawer’s Foot Sign
- 6. Posterior drawer employs just the opposite forces to challenge the posterior talofibular ligament. Posterior Drawer Test
- 7. Medial stability test secondary to trauma with gapping indicates potential deltoid ligament sprain Medial Ankle Sprain
- 10. Stabilize the mortise by opposing the fibula in the fibular notch (incisura fibularis tibiae) High Ankle Sprain Syndesmotic Ligament Sprain
- 11. Squeeze test Potts Compression or Squeeze Test
- 12. Stress radiographs High Ankle Sprain
- 14. Plantar and Achilles Examination
- 16. Supine with knee flexed Abrupt forcible dorsiflexion of foot Positive test produces pain in calf or popliteal region Homan’s Test Deep Vein Thrombophlebitis
- 17. Incorrect position for performance of Homan’s test Clinically unreliable and insensitive for DVT Positive test possible with DVT Homan’s
- 18. Analogous to carpal tunnel syndrome in the wrist… Tarsal Tunnel Syndrome
- 19. Tap tibial nerve at medial aspect of ankle Sign is present if paresthesias are produced in foot Tinel’s Sign
- 20. affected ankle and inflate to pressure 10 mm of Hg above systolic for 1-2 minutesApply sphygmomanomete r to Tourniquet Test
- 21. Related to tight achilles tendon and gastrocnemius muscles Common in runners and dancers May lead to plantar fasciitis Strain of Plantar Fascia
- 23. Sharp or shooting pain in toes Lack of shock absorption Resolved with foot orthotics Exercise Metatarsalgia
- 24. Pain and paresthesias Poorly fitting shoes increase pain PRICE Change shoes Orthotics Morton’s Neuroma
- 25. Medial plantar neuroma Thickening of medial plantar nerve, usually between the third and fourth digits Morton’s Neuroma
- 26. Patient complains of pain on the dorsum of the foot. Palpate both dorsal and plantar aspects of foot. Metatarsalgia
- 27. Pain typically is aggravated during the midstance and propulsion phases of walking or running. Metatarsalgia
- 28. PRICE Inexpensive orthotics are very effective Metatarsalgia Treatment
- 29. Strongest tendon in the body Provides the power in the push off phase of the gait cycle Achilles Tendon
- 30. Over-training Lack of stretching Poor sleeping posture Ill fitting shoes Worn shoes Lack of shock absorption Achilles Tendonitis
- 32. Pop or snap Feels like a gunshot or kick Inability to ambulate Achilles Rupture
- 33. Observation of Ruptured Achilles
- 34. Flex knee Squeeze calf Mechanical contraction of gastrocnemius and soleus will not plantar-flex the foot Thompson’s Test
- 35. Tap affected achilles tendon Exacerbation of pain indicates strain Inability to plantarflex foot indicates rupture Neurologically intact Achilles Tap Test
- 36. Stretching Rest and massage Sleeping posture Hydration Properly fitting shoes Shock absorption orthotics Treatment and Prevention of Pedal Problems
- 38. Musculoskeletal Manifestations of Diabetes Mellitus: Orthopedic and Rheumatologic afflictions in Diabetes Mellitus A review