Term
| Functional Assessments: Named assessments |
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Definition
Ankle Jt Functional Assessment Tool
Foot function index
Force to Pain Onset (FTPO) |
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Term
| Functional Assessments: Forced to Pain Onset (FTPO) 2 types |
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Definition
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Term
| Functional Assessments: clinical tests (3) |
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Definition
heel raising
twisting on the stance leg
single limb stance |
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Term
| MOI for lateral ligament injury of the ankle |
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Definition
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Term
| MOI for medial ligament injury of the ankle |
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Definition
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Term
| MOI for sprain of distal tibiofibular complex |
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Definition
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Term
| What makes up the lateral complex of the ankle (3) |
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Definition
anterior talofibular ligament
calcaneofibular ligament
posterior talofibular ligament |
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Term
| What ligament is most often sprained from the lateral complex |
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Definition
| anterior talofibular ligament |
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Term
| 20% of ligament sprains from the lateral complex are from what ligaments |
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Definition
| 20% anterior talofibular ligament and calcaneofibular ligament |
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Term
| Medial complex sprains involve what ligaments |
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Definition
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Term
| distal tibiofibular ligament injury is what type of injury |
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Definition
| syndesmotic injury or high ankle |
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Term
| ligamentous injury classification: mild sprain aka |
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Definition
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Term
| ligamentous injury classification: Grade I/Mild sprain s/s (5) |
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Definition
Minimal function loss
Little swelling
localized tenderness
Mild pain with stress
Integrity of ligament has not been compromised |
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Term
| ligamentous injury classification: Mild Sprain/Grade I average time before return to sport |
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Definition
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Term
| ligamentous injury classification: moderate sprain aka |
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Definition
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Term
| ligamentous injury classification: moderate/grade II sprain s/s (4) |
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Definition
moderate function loss
difficulty with toe raises and ambulation
diffuse tenderness and swelling
Nearly complete injury to ligament ocmplex |
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Term
| ligamentous injury classification: Moderate/grade II sprain time before return to sport |
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Definition
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Term
| ligamentous injury classification: severe sprain aka |
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Definition
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Term
| ligamentous injury classification: severe/grade III sprain s/s (5) |
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Definition
functional disability
marked tenderness and swelling
loss of ROM
Need crutches
Compmlete ligamentous rupture |
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Term
| ligamentous injury classification: severe sprain/grade III time before return to sport |
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Definition
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Term
| a high ankle sprain will not present with these s/s as compared to distal ankle sprain |
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Definition
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Term
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Definition
MOI
Pain location
Presence of swelling and or ecchymosis
A/PROM painful and limted in the same direction
Ligamentous stres testing (ant drawer and talar tilt tests, dorsiflexion external rotation test) |
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Term
| Associated tissue injuries with ankle sprains (5) |
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Definition
mm
fx 5th MT head
Fibular head fx
Ditsal fibular head fx
Bone bruise |
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Term
| Ankle Sprain Intervention (8) |
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Definition
RICE
AD as needed
Physical agents as indicated
A/PROM within limits
Grade I/II Mobs
Stretch heel cords and strengthen everters
Bracing/Orthotics
Proprioceptive training
Functional training |
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Term
| When should proprioceptive training of the ankle begin? |
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Definition
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Term
| Problem with ankle braces that lock a pt into PF |
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Definition
| may be more prone to ACL injuries |
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Term
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Definition
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Term
| Which gender is more likely to be affected by hallux valgus |
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Definition
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Term
| Possible factors for hallux valgus (4) |
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Definition
tight shoes
pes planus
jt hyperlaxity
forefoot pronation |
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Term
| common condition associated with hallux valgus |
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Definition
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Term
| Hallux Valgus Intervention: (6) |
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Definition
wider shoes
orthotics
achilles strengthening
toe spacer/bunion pad
medial longitudinal arch with morton's extension
surgery: realignment via varus osteotomy |
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Term
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Definition
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Term
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Definition
repetitive hyperextension of 1st MTP with loading
lighter, flexible shoes |
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Term
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Definition
Acute PRICEM (crutches as needed)
Taping
Forefoot plate to support 1st MTP |
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Term
| return to sport after Turf Toe |
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Definition
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Term
| how much 1st MTP extension is required to return to sport |
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Definition
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Term
| injury to articular cartilage and/or underlying subchondral bone |
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Definition
| osteochondritis dessicans |
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Term
| osteochondritis dessicans will affect what portions of the ankle (2) |
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Definition
anterolateral talus
posteromedial talus |
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Term
| mgmt of osteochonditis dessicans (4) |
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Definition
dependent on size of lesion
prolonged mobilization
surgical debridement
bone grafting if avascular necrosis occurs |
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Term
| Tendinitis/Tendinosis injuries of the ankle (2) |
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Definition
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Term
| MOI for tendinitis/tendinosis that is not overuse |
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Definition
| structural abnormalities of the foot/ankle |
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Term
| Post Tib Tendonitis: the tendon is lined with what that can ______ _______ |
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Definition
tenosynovial sheath
become inflammed |
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Term
| Post Tib Tendonitis: may progress to tendon rupture if untreated. how is this ID'd? (3) |
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Definition
acute onset of flat foot
too many toes sign
unable to raise up on toes |
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Term
| Post Tib Tendonitis: pain typically felt at (3) |
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Definition
navicular
proximal to medial malleolus
insertion of tendon at medial shin |
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Term
| Post Tib Tendonitis: Exam findings (5) |
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Definition
hx of change in activity level
pain behavior dictated by specific stage of tendinitis
c/o pain localized to area of lesion
over pronation common
A/PROM movements positive in opposite directiosn with significant resisted testing |
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Term
| Post Tib Tendonitis: mgmt (6) |
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Definition
stretching
strengthening
orthotics
casting/bracing
icing
activity modification |
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Term
| most common overuse syndrome of the lower leg |
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Definition
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Term
| Achilles Tendonitis: proposed mechanisms (2) |
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Definition
overpronation resulting in whipping action of achilles
repetive eccentric loading |
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Term
| Achilles Tendonitis: typically occurs where |
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Definition
at bony insertion
area 2-3 cm proximal to the insertion site |
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Term
| Achilles Tendonitis: may be referred to as (2) |
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Definition
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Term
| Achilles Tendonitis: mgmt (7) |
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Definition
activity modification
stretching
strengthening (eccentrics)
correct shoe wear
orthotics to address biomechanical faults
modalities (ionotophoresis)
use of a lift (heel lift) |
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Term
| Achilles Tendonitis: eccentric program (tenodnosis) |
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Definition
12 week eccentric program of heel drops with knee bent and knee straight
3x15 reps 2xper day 7 days pe rweek
load is increased provided pain is not disabling |
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Term
| Achilles Tendon Rupture: peak age |
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Definition
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Term
| Achilles Tendon Rupture: dx is based on |
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Definition
history of sudden calf pain (audible pop)
inability to WB or take a step
Palpable defect
ecchymosis
thompson test (+) |
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Term
| Achilles Tendon Rupture: mgmt |
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Definition
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Term
| the knee to the ankle is as to osgood schlater's to what |
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Definition
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Term
| Sever's Disease: what is sever's disease |
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Definition
| traction aphophysitis at insertion of achilles |
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Term
| Sever's Disease: when does it occur |
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Definition
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Term
| Sever's Disease: majority limb affected |
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Definition
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Term
| Sever's Disease: typically associated with what |
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Definition
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Term
| Sever's Disease: x-rays may show what |
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Definition
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Term
| Sever's Disease: palpation may reveal what |
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Definition
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Term
| Sever's Disease: mgmt (3) |
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Definition
stretching
activity modification
heel cups/wedges |
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Term
| Plantar Fascitis/Heel Pain syndrome: what is it |
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Definition
| inflammation of the fascia usually d/t overuse and/or structural abnormalities |
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Term
| Plantar Fascitis/Heel Pain syndrome: most common location of pain |
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Definition
| medial tubercule of calcaneus |
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Term
| Plantar Fascitis/Heel Pain syndrome: associated condition in which you must determine clinical relevance to current pt complaint |
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Definition
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Term
| Plantar Fascitis/Heel Pain syndrome: Exam findings (7) |
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Definition
hx of overuse
usually have severe AM pain that decreases with initial activity and worsens with prolonged WB'ing
tenderness at medial tubercle of the calcaneus
Loss of Ankle DF
May have inflammation
Pain with extension of MTP's or raising up on toes
May have structural abnormalities |
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Term
| Plantar Fascitis/Heel Pain syndrome: mgmt (10) |
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Definition
rest
activity modification
anti-inflammatory measures (ice massage)
Ionto (Dexamathosone or Acetic Acid)
Friction massage/soft tissue manipulation
Neuromobilization (post tib nn)
Gentle stretching
Orthototic mgmt
short term low dye taping (arch)
night splints (cases greater than 6 mos)
thrust/non thrust manips: AJ, STJ, 1st MTP |
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Term
| Tibial Stress Syndrome aka |
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Definition
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Term
| Tibial Stress Syndrome: definition |
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Definition
| mechanical inflammation of the mm and tissues of the lower leg, excluding stress fx and compartment syndromes |
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Term
| Tibial Stress Syndrome: anteriolateral (4) |
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Definition
| pretibial mm (tibialis anterior, extensor hallucis longus, extensor digitorum longus) |
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Term
| Tibial Stress Syndrome: posteromedial (3) |
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Definition
Tibialis posterior
flexor digitorum longus
flexor hallicus longus |
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Term
| Tibial Stress Syndrome: exam findings |
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Definition
hx of overuse or change in training routine
possible structural abnormalities
A/Prom painful and limited in opposite directions
Palpation: tenderness along tendon insertion along bony ridge with associated signs of inflammation
must r/o presence of stress fx |
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Term
| Tibial Stress Syndrome: mgmt (6) |
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Definition
rest/activity modification
NSAIDS
orthotic intervention
sometimes immobilization
Restricted activity for 4-12 weeks
progressive return to activity |
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