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15 Cards in this Set

  • Front
  • Back
1. Homan’s sign
pain in the calf brought on by passive stretch of the foot in dorsiflexion position is a positive sign for thrombophlebitis.
Anterior drawer sign
Anterior translation of the talus away from the ankle mortise indicates a positive anterior talofibular ligament sprain
Talar tilt test
also known as the Inversion stress test, Talus is tilted into an adducted position, increased range of motion greater than the uninvolved side suggests a tear of the calcaneofibular ligament.
Thompson test
Squeezing of calf muscles would normally elicit the foot to plantar flex. A positive test, absence of plantar flexion, indicates a possible Achilles tendon rupture.
Compression test
Pain at the site of compression may be indicative of a fracture. Should not be performed if there is obvious deformity
Plantar fascitis
- inflammation of plantar aponeurosis
- overuse or extreme activity of "weekend warrior"
- deep tenderness at anterior medial aspect of calcaneus
- rest, ice, nsaids, stretching of achilles
Hallux Valgus
- bunion
- lateral deviation of the great toe
- caused by improper footwear, family predisposition or flatfoot
- surgery needed if bad
Stress fx
- xray normal initially
- presents 1-3 wks later
- metatarsal shaft frequently involved
- tx- activity modification, cast or walking boot
Ankle sprains
- most common athletic injury
- usual cause is inversion with rotatoin
- tx = RICE, immobilization, rehab
Jones fx
- transverse fx of the 5th metatarsal complicated by nonunion or malunioin
- requires casting
If diabetic ...
- don't forget to examine the feet
Charcot's disease
- neuropathic joint resulting in a progressive destruction and deformity of the joint secondary to impaired sensation and abnormal autonomic nerve function
- remember the picture with the ankle all jacked up and tilted in
- 6 D's = debris, distension, disorganization, dislocation, density, and destruction
Ottawa ankle rules
- tell us when it is ok to get x-ray
Inversion ankle sprain, be sure to look for
Look for avulsion of lateral ligaments, soft tissue swelling. If inversion force was great inspect the medial malleolus and the base of the fifth metatarsal for evidence of fracture.
Eversion ankle sprain
Look for avulsion of medial ligaments, soft tissue swelling. If eversion force was great inspect the lateral malleolus for the presence of a “knock-off” fracture