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15 Cards in this Set
- Front
- Back
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What are the 4 arthrometric examination tools?
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gravity goniometer, forefoot measuring device, OED, Tractograph
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What is the gravity goniometer best used for?
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frontal plane leg deviation and malleolar position
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What is the forefoot measuring device used for?
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forefoot to rearfoot relationship. Hard to find
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ROM of Interphalangeal joints- - what motion is available?
- what motion is normal? |
motion available is dorsiflexion and plantarflexion. When they are fully extended, normal motion is seen as plantarflexion, dorsiflexion is abnormal
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ROM of MPJ
- what motion is available? - what degree of motion is required? - how is this assessed? - |
motion is in transverse and sagital plane. Motion required is 65 degrees at 1st MPJ, and slightly less at lesser MPJ.
Assessed by dorsiflexing digit on metatarsal and bisect the shaft of metatarsal and shaft of digit. |
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ROM of 1st ray
- what does it consist of? - what are the angles of angulation in the 3 planes? - what planes does the motion occur in? - how does pronation and supination of STJ affect it? - How do you assess it? - how can it vary? |
- 1st cuneiform and 1st metatarsal
- 45 degress in frontal and sagital, slight in transverse - all planes, predominately in dorsiflexion and plantarflexion. inversion accompanies dorsiflexion, eversion accompanies plantarflexion - pronation increases ROM, suppination decreases. - hold lesser metatarssal head with one hand, and 1st with the other. plantar and dorsiflex maximally without moving the MTJ or STJ. - should be equal. if plantarflexion exceeds = plantarflexion 1st ray deformity and visa versa |
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ROM of midtarsal joint
- what are the motions produced by each axis? - what happens with pronation and suppination of STJ - What is the minimum angle needed for LMTJ to compensate for calcaneal eversion? |
- Oblique = dorsiflexion, abduction with pronation and plantarflexion and adduction with supination; Longitudinal is inversion and eversion
- Supination decreases ROM, pronation increases ROM. - 4-6 degrees |
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ROMof STJ
- minimal degrees for inversion and eversion? |
- 4-6 degrees in each direction for a total of 8-12 for MINIMAL (normal ROM is 10 eversion and 20 inversion)
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ROM of Ankle joint
- what is ROM required when knee is extended and STJ is neutral? |
- 10 degrees dorsiflexion
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what three etiologies can lead to a rigid flatfoot?
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tarsal coalition,
fracture arthritic disease |
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what is a tarsal coalition?
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bridge betweeen two of the tarsal bones. TC (most common, 50% bilateral, middle facet most common location), CN (easiest to identify and 60% bilateral), TN
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what is the best way to check for tarsal coalition?
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put fot perp to leg,
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what happens to the peroneus brevis muscle with a STJ fracture?
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usually is seen in Spasm to stop STJ movement to eliminate pain
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How does arthritis lead to a ridig flatfoot?
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pain on moving the STJ causes patient to alwats have foot in pronation.This is usually done by having the peroneus brevis in spasm.
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What conditions can cause flexible flatfoot?
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ligamentous, pre-hallux, morton's foot, neuromuscular, ontogenic
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