Ther Ex 2 Ankle

Front 1

Forefoot

Back 1

has 5metatarsals & 14 phalanges

Front 2

Ankle (Talocrural) Joint

Back 2

hinge joint; supported by deltoid (medial collateral ligament) and lateral collateral (ant & post talofibular and calcaneofibular ligaments);

Front 3

Plantarflexion

Back 3

loosed packed position for ankle

Front 4

Pronation

Back 4

loosed packed position for foot

Front 5

Subtalar (Talocalcaneal) Joint

Back 5

passively can isolate inversion & eversion-subtalar neutral

Front 6

Ankle and Foot Joints

Back 6

Ankle (Talocrural)
Subtalar (Talocalcaneal)
Talonavicular Joint
Transverse Tarsal Joint
Remaining Intertarsal and Tarsometatarsal Joints
Metatarsophalangeal and Interphalangeal Joints of the Toes

Front 7

Supination

Back 7

__________ causes lateral rotation of tibia

Front 8

Pronation

Back 8

_________ causes medial rotation of tibia

Front 9

pes planus or pronated foot

Back 9

flat foot

Front 10

Supinated foot or pes cavus

Back 10

high-arched foot

Front 11

Intrinsic muscles

Back 11

muscles that support arches

Front 12

Soleus & other muscles

Back 12

muscles that provide stability in standing

Front 13

Nerves L4, L5, S1

Back 13

Common Sources of Segmental Sensory Reference in the Foot

Front 14

Hallux Valgus

Back 14

develops as the proximal phalanx shifts laterally toward the second toe

Front 15

Hallus limitus/hallux rigidus

Back 15

narrowing & eventual obliteration of the first MTP joint space occur with progressive loss of extension

Front 16

Claw toe & hammer toe

Back 16

these result from muscle imbalances between the intrinsic & extrinsic muscles of the toes

Front 17

Arthrodesis

Back 17

-surgical fusion of boney surfaces of a joint with internal fixation

-usually done in cases of severe joint pain & instability in which mobility of the joint is a lesser concern or after failed TAA

-fused at 0deg DF
-will have asymmetrical gait

Front 18

Postoperative Management of
Arthrodesis at the Ankle and Foot

Back 18

-immobilization-several months
-weight-bearing considerations-often NWB 6 weeks with limited WB 12-16 weeks
-long term increases stress on other adjacent joints

Front 19

Plantar fasciitis

Back 19

-pain worse 1st thing in morning
-often short gastroc/soleus and plantarfascia
-flat foot OR High arch
-poor footwear and/or overweight

Front 20

Shin splints

Back 20

-pain in prox 2/3 of tibia;
-could be caused by muscular tendonitis, stress fracture, compartment syndrome

Front 21

Anterior shin splints

Back 21

-most common;
-overuse of tibialis anterior;
-weak anterior tibialis; tight gastroc/soleus; associated with foot pronation;
-pain with active DF; pain with stretch into plantarflexion

Front 22

Posterior shin splints

Back 22

- tight gastroc/soleus, weak tibialis posterior;
- pain with passive DF and eversion;
- pain with active supination; associated with foot pronation

Front 23

Inversion ankle strain

Back 23

most common (anterior talofibular and or clcaneiofibular ligament)

Front 24

Controlled motion phase

Back 24

may need splint; grade II mobilizations; NWB ROM; sitting scrunching towel, pick up

Front 25

Return to function phase

Back 25

unstable surface; weight bearing; resistance; balance training

Front 26

Immobilization of complete lateral ligament tears

Back 26

6-12 weeks and weight-bearing restricted for 3 months; Often CAM walking boot worn

Front 27

Traditional Repair of a Ruptured Achilles Tendon

Back 27

6 weeks immobilized in platarflexion & NWB, use of heel lift; very slow progression of DF

Front 28

Accelerated Repair of a Ruptured Achilles Tendon

Back 28

WBAT with ankle immobilized plantarflexion or neutral; FWB 3-6 weeks with heel lift; early NWB ROM