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34 Cards in this Set

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  • Back
ATF Mechanism of Injury
forced inversion and plantar flexion, capsular involvement
Calcaneofibular Injury Mechanism
forced inversion, may occur with ATF injury
Posterior Talofibular Lig Injury Mechanism
usually associated with fx, could be caused by inversion + DF, excessive posterior glide of the talus, last of the lateral ligs injured
Anterior Tibiofibular Lig Injury Mechanism
"high ankle sprain"
result of compression forces or excessive tibial ER
Posterior TibFib Lig Injury
very uncommon, may occur w/ fx
Deltoid Lig Injury
very difficult to tear, avulsion fx more likely with excessive eversion
Tendo Achilles Rupture
-affects middle age men active in jumping activities, result of eccentric DF
Tendo Achilles Rupture Findings
MMT = 0 grade
MSTT = wk/painless, may get assist from Post Tib, peroneal
Palp Cond = muscle gap
Thompson's Test = + no PF
still see CKC PF
mvmt anal - gait disrupted
Tendo Achilles Rupture Rx
immob in slight PF
post immob - improve jt limitations, stretch, strengthen, TFM, may benefit from heel lift to avoid excessive DF during rehab
Ligamentous Injury Findings
palp tend = + px over lig
special test = +
AccPROM = laxity
extent of findings dependent on Grade of sprain
Fibroplasia Stage of Healing
21 days
-pt educ. to avoid dmg
-manage tissue with TFM and applying stress w/out dmg
Fx vs Sprain Tear
-fx sounds worse, usually casted, immob results in tightness which can be treated
-sprains/tears splinted, result in laxity which can't be fixed, only countered w/ dynamic restraints (muscle)
Unimalleolar Fx
associated w/ sprains
Rx: AD, normalize gait, stabilize
Bimalleolar Fx
PINS = DF restricted b/c cephalic mvmt of fibula required
Trimalleolar Fx
not uniform nomenclature;
may refer to distal tib, talus or tibfib ligs...
Pott's Fx-Dislocation
term used to describe most malleolar fxs + dislocation
TSI's: fx, effusion, laxity, muscle weak
Fxn limitation: unable to WB
Trans, Oblique, Spiral Tibia Fx
open fx common, slow healing, dec blood flow
Stable: closed reduction, immobilization
Unstable: susceptible to angulation/shortening w/ closed reduction
spiral most difficult, trans=> extensive soft tissue dmg
Shin Splints
=>muscle only
MSTT to confirm, usually ant tib
idiopathic, exercise induced px
Posterior Tibial Exertional Compartment Syndrome (PTES)
gastroc, soleus, post tib
edema causing ischemia, pressure to post tib a&v, tib nerve
Findings: palp cond +, hindfoot pronation due to lack of muscle control, possible absent pulse, sensory change
Anterolateral Compartment Syndrome
ant tib, EHL
edema and ischemia to ant tib a&v; compression of deep peroneal n=> ant tib weakness, hindfoot pronation, sensory change to 1-2 webspace
Medial Tibial Stress Syndrome (MTSS)
tibial periosteitis
mistaken for shin splints, 6-8 mo immob to heal
no + tests
severe px with post tib/soleus contraction
exercise induced px
Plantar Fasciitis
- palp tend + px
- MLT toe FL + px
- pain with both hindfoot pronation (increased length) and supination (decreased force distribution)
Rx: biomechanical contributions, dec inflammation
Big Toe MTP Mobility
walk = 65 deg EXT required
run = 85 deg EXT required
decrease requires Kin Chain compensation
Hypo in EXT = FHL stress
Hypo FL = dec Plantar Fasc stress, dec supination
Hallux Rigidus
CA/PROM limited due to:
MTP capsule tight/adhesions
tight MTP flexors
edema/effusion
MTP jt laxity
Hallux Valgus
Great Toe angled laterally @ MTP
due to 1st TMT laxity and medial alignment
Hammer Toes
MTP EXT contracture
PIP FL contracture
TSI's: tight EXT muscles, plantar MTP capsule laxity due to hyperEXT/dislocation
interossei lose FL
Claw Toes
MTP hyperEXT contractures
PIP/DIP FL contractures
->defective intrinsics, extrinsics cause hyperEXT and FL
Morton's Metatarsalgia
3-4th webspace may be sensory change
algia = pain
palp tend +
toe EXT triggers px due to compression of n. by tight plantar MTP ligament
Morton's Neuroma
sensory change and palp tend +
difficult to distinguish from metatarsalgia
neuroma may require MD, is scarring down of nerve
Hindfoot Supination
hip ER talus lat glide
knee varus calc inverted
tibia ER med arch elevated
forefoot pronation
Hindfoot Pronation
hip IR knee valgus
tibia IR forefoot sup
talus med gl calc evert
med arch depression
Structural Pes Cavus
gout (shell fish intolerance)
charcot-marie tooth (genetic)
upper motor neuron lesion
RIGID
Fxnal Pes Cavus
tight plantar fascia
claw toes (ff drop, tight EXT)
Rx: shock absorbing shoe insert
RIGID
Fxnal Pes Planus
hip/tibia IR, trauma, ant tib weakness, talar laxity post&med
MOBILE