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Foot and Ankle pt 2
Exam and Int
39
Medical
Graduate
03/21/2016

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Cards

Term
morton's/interdigital neuroma: what is it?
Definition
fibrous development around of the interdigital nerves
Term
morton's/interdigital neuroma: where does it typically occur
Definition
3rd and 4th metatarsals
Term
morton's/interdigital neuroma: may be associated with what abnormal foot movements (2)
Definition
overpronation
excessive splaying of the MT
Term
morton's/interdigital neuroma: how does it present
Definition
paresthesias between the involved digits
Term
morton's/interdigital neuroma: dx (3)
Definition
palpation
squeeze test
symptom behavior
Term
morton's/interdigital neuroma: intervention
Definition
MT/scaphoid pad to support transverse arch and MT heads
orthotics
Pulsed US
cortisone injection
Term
morton's/interdigital neuroma: note about a pad intervention
Definition
may put pressure on the neuroma
Term
Tarsal Tunnel Syndrome: what is it
Definition
compression or irritation of the posterior tibial nn behind the medial malleolus
Term
Tarsal Tunnel Syndrome: possible causes (5)
Definition
chronic tendinitis/tendinosis
fx
excessive pronation
ganglion
RA
Term
Tarsal Tunnel Syndrome: pt presentaiton
Definition
report pain and paresthesais along the plantar aspect of the foot particularly at night and with weight bearing
(+) Tinnel's symptoms
Term
Tarsal Tunnel Syndrome: mgmt
Definition
treat symptomatically
rest and orthotic intervention
Term
Compartment Syndrome: Acute/Chronic Exertional: what is it
Definition
increased tissue fluid pressure in a closed fascial compartment encroaches on the circulation tonerves and mm within that compartment
Term
Compartment Syndrome: Acute/Chronic Exertional: can be associated with what
Definition
overuse or direct trauma (acute vs chronic exertional)
Term
Compartment Syndrome: Acute/Chronic Exertional: may be a medical emergency d/t what
Definition
potential for mm and nerve cell death within first 24-48 hrs
Term
Compartment Syndrome: Acute/Chronic Exertional: ID symptoms
Definition
pain that is present at rest and not relieved with medication
Term
Compartment Syndrome: Acute/Chronic Exertional: ROM
Definition
severe pain with A/PROM
Term
Compartment Syndrome: Acute/Chronic Exertional: mm symptoms (2)
Definition
paralysis
parasthesia
Term
Compartment Syndrome: Acute/Chronic Exertional: cardiovascular s/s
Definition
decreased pulses distal to area of compression
Term
Compartment Syndrome: Acute/Chronic Exertional: dx
Definition
wick's catheter and/or measure of compartment pressure pre and post exercise
Term
Compartment Syndrome: Acute/Chronic Exertional: 6 P's
Definition
Pain out of proprtion to what is expected based on the physical exam findings
Paresthesia
Pallor
Paralysis
Pulselessness
Poikilothermia
Term
Compartment Syndrome: Acute/Chronic Exertional: mgmt
Definition
discontinue/modify activity that precipiated problem
massage, gentle stretching, soft tissue manips
neuromobs sub acute/chronic cases
Surgery indicate in acute and sometiems chronic cases may be indicated
Term
Stress fx: common areas of occurence include
Definition
posteromedial tibia
metatarsals 1,2,5
navicular
sesamoids
Term
Stress fx: cause
Definition
increase in activity or training errors
may have underlying structural abnormality
Term
Stress fx: ID
Definition
hx
x-ray (may take up to 2 mos to be observable)
bone scan
Clinically: US, Tuning fork
Term
Stress fx: mgmt
Definition
rest/activity modification
anti-inflammatory measures
limit weight bearing possibly thru casting/walking cast/splint
progressive return to activity
Term
General foot fx: (5)
Definition
unimalleolar
bimalleolar
trimalleolar
5th MT
Lisfranc
Term
General foot fx: 5th MT fx aka
Definition
jones/dancer fracture
usually a transverse fx
Term
General foot fx: what is a Lisfranc fx
Definition
hyperplantarflexion fx
Term
General foot fx: interventions
Definition
manage impairments and funcitonal limitaitons following immobilizaiton
Term
Hallux Limitus/Rigidus: typically related to what
Definition
degenereation and spurring aroudn the 1st MTP articulation
Term
Hallux Limitus/Rigidus: results in what
Definition
limited ROM
pain
stiffness
Term
Hallux Limitus/Rigidus: functional limitations
Definition
ambulation
running
Term
Hallux Limitus/Rigidus: population affecfted
Definition
although degenerative, may be seen in younger active/athletic populations
Term
Hallux Limitus/Rigidus: what does functional hallux limitus refer to
Definition
ROM loss presenation only in WB
Term
Hallux Limitus/Rigidus: non-PT mgmt (2)
Definition
pharmacologic
Surgery (cheliectomy, arthrodesis)
Term
Hallux Limitus/Rigidus: PT related mgmt
Definition
mob/manip (1st MTP, cuneiform, sesamoids)
Stretching (plantarfascia, capsule, achilles)
Orthotics (morton's extension, deformity accomodation)
Term
Star Excursion Balance Test: what does it require
Definition
strength
flexibility
proprioception
Term
Star Excursion Balance Test: can be used to asses what
Definition
dynamic balance
predict risk of injury
determine return to sport
chronic ankle instability
Term
Foot Posture index: assess what
Definition
static foot posture through 6 component measure
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