Term
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Definition
| Lack of valgus rotation of the head and neck of the talus relative to the body of the talus during development. Inherited structural deformity. |
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Term
| What does the lack of valgus rotation of the head and neck of the talus lead to? |
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Definition
| Dorsiflexed 1st Ray. Leading to inversion of the remaining met heads. |
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Term
| "T/F As a generality, if the STJ pronates past 4 degrees valgus, then the STJ will pronate as much as it can or maximally?" |
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Definition
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Term
| What is Abnormal STJ pronation? |
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Definition
| Pronation in the propulsive period. (e.g. from compensation of the FF varus) |
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Term
| What is caused by the GRF forcing the 1st Ray into dorsiflexion? |
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Definition
| "Hypermobile 1st Ray (from pronation of STJ, thus supination of the LMTJ)" |
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Term
| What deformity is seen in the 5th Ray due to hypermobility from STJ pronation? |
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Definition
| Tailor’s Bunion (absence of transverse pedis insertion may also contribute) |
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Term
| T/F At the AJ the abnormal STJ pronation will have the opposite effect that STJ pronation had as a compensation for equinus? |
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Definition
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Term
| What will a pronated STJ have the appearance of at the AJ? |
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Definition
| "More than 10 degrees of joint dorsiflexion, if otherwise unable." |
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Term
| What are 3 levels or degrees of compensation? |
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Definition
| "Fully, Partially, and uncompensated." |
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Term
| What is a Fully compensated FF Varus? |
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Definition
| "There is sufficient subtalar joint motion |
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Term
| What is Partially compensated? |
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Definition
| "The amount of rearfoot motion with |
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Term
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Definition
| "The range of motion at the rearfoot with |
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Term
| What is evident on gait analysis of fully compensated FF Varus? |
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Definition
| "The STJ will be pronated all during MP and PP. GRF’s push on the lateral aspect of the |
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Term
| What is evident on gait analysis of Partially compensated FF Varus? |
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Definition
| "The subtalar joint will be pronated all |
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Term
| What is evident on gait analysis of Uncompensated FF Varus? |
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Definition
| "Due to the fact that no compensation is |
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Term
| What is the Sudden Abduction of the foot in an attempt to roll of the medial side of the FF? |
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Definition
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Term
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Definition
| STJ neutral + FPLD (Frontal Plane Leg Deviation) |
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Term
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Definition
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Term
| How many degrees of eversion is seen in a Fully Compensated FF Varus? |
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Definition
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Term
| What are some Clinical Findings of a Fully compensated FF Varus? |
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Definition
| Abduction of the FF on the RF. Minimal callus formation at medial heel. Hypermobile 1st Ray (lesion sub 2nd met) Heloma dura at the dorsal lateral 5th digit. Contraction of lesser digits. MEDIAL and ANTERIOR plantar shoe wear. |
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Term
| What are some clinical findings of an Uncompensated FF varus? |
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Definition
| "Calcaneus vertical or in varus. |
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Term
| What are some general pathologies associated with or secondary to FF Varus? |
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Definition
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Term
| What are the Radiographic findings of FF Varus? |
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Definition
| "Met Primus Elevatus (Hypermobile 1st Ray), Increased Talar Declination Angle, and Anterior break in the Cyma Line." |
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Term
| What is the Tx of FF Varus? |
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Definition
| "Fx Orthotic (Lock the MTJ), surgery is rare." |
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Term
| "T/F If surgery is needed for the Secondary pathologies, they should be done before or after the orthotics are prescribed? " |
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Definition
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Term
| What type of orthotic should be used for FF Varus? |
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Definition
| Semi-rigid to rigid shell. The RF post should control the STJ around the neutral position. (Post what you see!) |
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