Shared Flashcard Set

Details

Ortho-Leg, Foot and Ankle
Orthopedics
154
Other
Graduate
04/22/2010

Additional Other Flashcards

 


 

Cards

Term
Where is there no muscle or tendon attachment on the foot
Definition
Talus
Term
What does the talus articulate with?
Definition
Distal Tib-Fib
Term
What has more motion? Proximal Tib-Fib Joint or Distal Tib-Fib Joint
Definition
Proximal Tib-Fib Joint
Term
How is most of the distal tib-fib joint connected?
Definition
Sydesmosis
Term
What is the Open Packed Position of the Distal tib-fib joint?
Definition
PF
Term
What is the Open Packed Position of the Distal tib-fib joint?
Definition
PF
Term
What is the close packed position of the distal tib-fib joint?
Definition
Maximal DF
Term
What type of motion at the distal tib-fib joint is distal and posterior glide of the fibular head?
Definition
Supination
Term
What type of motion of the distal tib-fib joint is proximal and anterior glide with an ER of fibula ?
Definition
Pronation
Term
What motion of the distal tib-fib joint is distal glide with slight medial rotation of the fibula?
Definition
PF
Term
What motion of the distal tib-fib joint is a proximal glide, fibula ER rotates around its longitudinal axis
Definition
DF
Term
What bone rotates more in ipsilateral rotation
Definition
Fibula- Becasue anterior and superior glide of fibula head on tibia at superior joint
Term
What bone rotates more medial during contralateral rotation?
Definition
Tibia- produces posterior and inferior fibular glide
Term
What happens with compartmental pressure with anterior compartment syndrome
Definition
Increase
Term
What happens with compartmental pressure with anterior compartment syndrome
Definition
Increase
Term
What is the Capsular Pattern for the ankle joint
Definition
PF > DF
Term
What is teh ROM for gait at the ankle joint
Definition
35 degrees
Term
What are three articualtion fo the STJ?
Definition
Posterior
Middle
Anterior
Term
What is the posterior portion of the STJ
Definition
Talus and calcaneus
Term
What is the anterior joint of the STJ
Definition
Talocalcaneonavicular joint
Term
what motion does the calcanus slide during any motion
Definition
opposite the direction of motion
Term
What motion does the anterior and middle portion of the STJ slide during any motion
Definition
slide in the same direction of the motion
Term
what is teh closed pack position for the STJ
Definition
maximal supination
Term
What is the capsular pattern of the STJ
Definition
INversion>eversion
Term
What are the two articulations of the the TTJ
Definition
Talonavicular
Cacaneocuboid
Term
What are teh two axis of the TTJ
Definition
Oblique
Longitudinal
Term
What is the closed pack postition of the MTJ
Definition
Supination
Term
What is the capsular pattern for the MTJ
Definition
inversion
Eversion
Term
Whst is the ROM of thefirst MTP needed for gait
Definition
60 70 degrees
Term
What is teh ROM of the first MTP needed for Running
Definition
90 degrees
Term
What is teh capsualr pattern of the MTP
Definition
PF>DF
Term
What is teh open packed postion of the MTP
Definition
10 degrees of DF
Term
What is the closed pack position of the first MTP
Definition
Full DF
Term
What are the ligaments for the talcrual joint
Definition
ATFL
CFL
PTFL
Deltiod
Term
When will the pt be tender with anterior compartment syndrome?(2)
Definition
Palpation
PF of Ankle
Term
What does the anterior compartment of the LE contain (5)
Definition
Tib Anterior
EHL
EDL
Deep Peroneal nerve
Anterior Tibial Artery
Term
Injury resulting from a direct blow over anterolateral leg leading to a hematoma and increased compartmental pressure
Definition
Anterior Compartment Sydrome
Term
What is the end stage of Anterior Compartment Syndrome?
Definition
Foot Drop
Term
What is the end stage of Anterior Compartment Syndrome?
Definition
Foot Drop
Term
When can you expect palpable pulses to be lost with anterior compartment syndrome?
Definition
Late or maybe not at all
Term
When can you expect palpable pulses to be lost with anterior compartment syndrome?
Definition
Late or maybe not at all
Term
Intermittent excessive pressure within an enclosed leg fascial compartment
Definition
Chronic Exertional Compartment Syndrome
Term
Intermittent excessive pressure within an enclosed leg fascial compartment
Definition
Chronic Exertional Compartment Syndrome
Term
What compartment is usually affect with Chronic Exertional Compartment Syndrome?
Definition
Anterior Compartment
Term
What compartment is usually affect with Chronic Exertional Compartment Syndrome?
Definition
Anterior Compartment
Term
When does pain increase with Chronic Exertional Compartment Syndrome?
Definition
During Exercise
Term
Where is numbness going to be felt for Chronic Exertional Compartment Syndrome?
Definition
Deep Peroneal Distribution, distally
Term
Where is numbness going to be felt for Chronic Exertional Compartment Syndrome?
Definition
Deep Peroneal Distribution, distally
Term
What is the treatment for Chronic Exertional Compartment Syndrome?
Definition
fasciotomy
Term
Pain in calf as a result of repetitive push off, possibly from a tennis serve
Definition
Medial Gastronemius Tear
Term
Pain in calf as a result of repetitive push off, possibly from a tennis serve
Definition
Medial Gastronemius Tear
Term
What motion is going to be painful Medial Gastronemius Tear?
Definition
PF
Term
What motion is going to restricted in medial gastronemius tear?
Definition
DF
Term
Where is a palpable gap going to be felt in medial Gastronemius Tear?
Definition
5 cm above MT junction, inner side of medial gastroc
Term
periosteal irritation from the fascial insertion of the medius soleus with dull aching pain along the middle or distal PM tibia
Definition
MTSS
Term
What is the other site of Shin Splint?
Definition
Anterior
Term
What are associated factors of achilles tendinitis? (4)
Definition
Over pronation
Tight Heel Cords
Training Errors
Foot Wear
Term
Caused by a sudden, forceful, eccentric contraction of triceps surae?
Definition
Achilles tendon Rupture
Term
At what age does achilles tendon rupture occur in?
Definition
Over than 40
Term
At what age does achilles tendon rupture occur in?
Definition
Over than 40
Term
What is a positive test for Achilles Tendon Rupture
Definition
Thompson test
Term
What is a positive test for Achilles Tendon Rupture
Definition
Thompson test
Term
What will a pt with achilles tendon rupture not be able to do?
Definition
Raise toes on affected side
Term
traction apophysitis at the insertion of the Achilles tendon
Definition
Sever's Disease
Term
Where is pain going to be felt for Sever's Disease
Definition
Heel
Term
Who does Sever's Disease usually affect?
Definition
young athletes between the ages of 8-13
Term
Who does Sever's Disease usually affect?
Definition
young athletes between the ages of 8-13
Term
What are the factors that lead to Sever's Disease?
Definition
Tight gastroc-solues
Foot pornation
Sudden increase in running
Term
Abnormal prominence of posterior superior lateral boarder of the calcaneus
Definition
Haglund's Deformity
Term
2-3 cm bump over lateral side of heel, often with accompanying thickening of the overlying skin
Definition
Haglund's Deformity
Term
what does Haglund's deformity aggravate?
Definition
Retrocalcaneal Bursa
Term
What is the most frequently injured ligament in the ankle?
Definition
ATFL
Term
What is the most frequently injured ligament in the ankle?
Definition
ATFL
Term
What percentage is the ATFL involved in ankle sprains?
Definition
80%
Term
What percentage is the ATFL involved in ankle sprains?
Definition
80%
Term
How often is there an isolated tear in the ATFL?
Definition
65%
Term
What is the MOI of Ankle Sprains?
Definition
Inversion Stress in PF (85%-90%)
Eversion Stress (deltoid Complex)
Hyper DF/PF
Term
What sprain grade is associated with minor tearing and no functional loss of ankle stability
Definition
Grade 1
Term
Ankle sprain grade if there is partial tearing and moderate instability?
Definition
Grade II
Term
Ankle sprain grade if there is partial tearing and moderate instability?
Definition
Grade II
Term
Ankle grade sprain if there is a complete tear and significant instability ?
Definition
Grade III
Term
Ankle grade sprain if there is a complete tear and significant instability ?
Definition
Grade III
Term
What tests are going to be positive for ankle sprains?
Definition
Anterior Drawer (lateral Ligaments)
Talar Tilt (Lateral Ligaments)
Kleiger Test ( Deltiod Ligament)
Term
Where is the sinus tarsi located
Definition
Inferior and slightly anterior to ATFL
Term
Where is the sinus tarsi located
Definition
Inferior and slightly anterior to ATFL
Term
Sprain of the STJ with injury of the Talocalcaneal interosseous Ligament
Definition
Sinus Tarsi Syndrome
Term
What is a sign of sinus tarsi syndrome when walking on uneven ground?
Definition
A feeling of instability
Term
When will pain get worse with sinus tarsi syndrome?
Definition
Palpation
Pronation
Term
Anterior ankle pain exacerbated by extreme DF, irritating the periosteum on the talar neck
Definition
Anterior Ankle Impingement
Term
Compression of posterior structures in activities requiring excessive PTF
Definition
Posterior Ankle Impingement
Term
caused by ankle DF with active peroneal contraction
Definition
Peroneal Subluxation/Dislocation
Term
Caused by inversion ankle sprain with ankle in 15-25 degrees of PF
Definition
Peroneal Subluxation/Dislocation
Term
When is there a painful snapping sensation in the PL ankle for pts with peroneal Subluxation (2)
Definition
walking
ankle circumduction
Term
In what ankle positions will a pt with peroneal subluxation feel unstable? (2)
Definition
DF
eversion
Term
Injury caused by laceration, rigid/flexible flat foot and tendon degeneration?
Definition
Tibialis Posterior Tendon tear
Term
When and in what sex is a tibialis posterior tendon tear?
Definition
women Greater than 40
Term
Where is pain going to be felt with a tibialis posterior tendon tear?
Definition
Over TP
Term
What motion is weak with a tibialis posterior tendon tear?
Definition
Inversion
Term
What is a sign that can be seen on the shoe if a pt has a tibialis posterior tendon tear?
Definition
Medial Heel Wear
Term
What test is positive for tibialis posterior tendon tear?
Definition
Positive Heel Raise test
Term
What modification can be done to the RF if a pt has tibialis posterior tendon tear?
Definition
Put it in slight varus
Term
Entrapment neuropathy of tibial nerve or posterior tibial artery.
Definition
Tarsal Tunnel Syndrome
Term
What other nerve can be involved in tarsal tunnel syndrome?
Definition
Medial Plantar Nerve
Lateral Plantar Nerve
Term
What other nerve can be involved in tarsal tunnel syndrome?
Definition
Medial Plantar Nerve
Lateral Plantar Nerve
Term
A syndrome that can be casued by post traumatic fibrosus, abnormal foot mechanics, rapid weight gain, or Valgus foot deformity,
Definition
Tarsal Tunnel Syndrome
Term
What test is positive for Tarsal Tunnel Syndrome?
Definition
Tinel's Sign
Term
What test is positive for Tarsal Tunnel Syndrome?
Definition
Tinel's Sign
Term
What ankle motions have pain with tarsal tunnel syndrome? (2)
Definition
Passive DF
Passive eversion
Term
What ankle motions have pain with tarsal tunnel syndrome? (2)
Definition
Passive DF
Passive eversion
Term
What will happen with two point discrimination on the plantar aspect of the foot for tarsal tunnel syndrome ?
Definition
It will decrese
Term
Accessory ossicle located on the medial side of the foot
Definition
Accessory Navicular
Term
What can cause the attachment of ossicle to navicular to be fractured?
Definition
Valgus Stress Injury
Term
Presents with gradual onset of midfoot px localized near the 4 and 5 met heads
Definition
Cuboid Sydrome
Term
What can Cuboid syndrome be a consequence of?
Definition
Inversion ankle Sprains
Term
Pt feels as if walking with stone in shoe?
Definition
Cuboid Syndrome
Term
Deformity of 1st MTP in which base of proximal phalnx of hallux is subluxed plantarly upon 1st met head.
Definition
Hallux Limitis/Rigidis
Term
If the hallux is unable to move through full range of motion during propulsion what can happen ?
Definition
Osseous Compression at dorsal aspect
Term
What can happen if repeated trauma of attempting to DF hallux during walking?
Definition
Ankylosis of First MTP
Term
What can happen if repeated trauma of attempting to DF hallux during walking?
Definition
Ankylosis of First MTP
Term
What are some etiological factor associated with Hallux Limitis/Rigidis? (6)
Definition
Hypermobility of 1st ray in conjunction with eversion
Immobilization of 1st ray
Excessively long first metatarsal
DF of 1st ray deformity
DJD
Trauma
Term
Progressive subluxation of 1st MTP
Definition
Halux Abductovalgus
Term
Hallux abducts on 1st met head and eventually presses against the 2nd toe and later first metatarsal adducts
Definition
Hallux abductovalgus
Term
What sex is more common for hallux abductovalgus
Definition
Women
Term
If a pt has rheumatic inflammatory disease and a hyper mobile 1st ray what injury are they succeptable to?
Definition
Hallux Abductovalgus
Term
What can develop in the later stages of HAV?
Definition
Medial Bunion ove medial aspect of 1st metatarsal head
Term
Sprain of the 1st MTP joint and occurs whne the hallux is forced into hyperdorsiflexion or hyperplantarflexion
Definition
Turf Toe
Term
What can turf toe develop into?
Definition
Hallux limitis/rigidis
Term
Inflammation and swelling of peritendinous structures of the sesamoids associated with local trauma
Definition
Sesamoiditis
Term
What sesamoid is more frequently involved with sesamoiditis
Definition
Tibial
Term
What direction of of the MTP elicits pain while palpating the sesamoid
Definition
Passive DF
Term
Fibrotic proliferation of tissue surrounding nerve bundle located between the metatarsals caused by abnormal shearing forces of the met heads.
Definition
Interdigital Neuroma
Term
pt has acute FF pain; burning and paresthesia into the toes
Definition
Interdigital Neuroma
Term
pt has acute FF pain; burning and paresthesia into the toes
Definition
Interdigital Neuroma
Term
What relieves pain in interdigital neuroma
Definition
removal and shoe and massaging foot
Term
Caused by abnormal pronation during pronation
Definition
Interdigital Neuroma
Term
Four types of plantarfasciitis
Definition
systemic
degenerative
traumatic
mechanical
Term
What is the most common site of irritation for plantar fasciitis?
Definition
Medial Calcaneal Tubercle
Term
What muscles are usually tight in plantar fasciitis?
Definition
Gastroc
Soleus
Term
What are the two type of people that usually get plantar fasciitis?
Definition
Athletes with training errors
Individuals who have gained wt over time
Term
What should be stretched for plantar fasciitis? (3)
Definition
plantar fascia
gastroc
soleus
Term
Flexion contracture of the plantar surface of the PIP, with mild associated extension contracture of MTP.
Definition
Hammer Toe Deformity
Term
If a pt has PF deformity, FF valgus deformity, abduction pressure from hallux or trauma to articular structures of MTP what might they eventually get?
Definition
Hammer toe deformity
Term
advanced contracture of capsule and intrinsic muscles of the foot
Definition
Claw Toe Deformity
Term
Etiology of claw toe deformity (6)
Definition
FF adductus
Congenial PF 1st Ray deformity
Arthritis
Spasm or contracture of the short and long flexors of the toes
Weakness of gastroc
PF deformity of FF
Term
Proximal fibular fx resulting from ER with the association of medial malleolus avulsion
Definition
Maisonneuve Fracture
Term
What ligaments can be ruptured with a Maisonneuve Fracture? (2)
Definition
Deltoid Ligament
ATFL
Term
ER force to ankle with transmission force thru the interosseous membrane
Definition
Maisonneuve Fracture
Term
High impact fracture of the distal tibia
Definition
Tibial Plafond Fracture
Term
Fracture Components of tibial Plafond Fracture? (4)
Definition
Combination of ankle fracture and distral tibia metaphyseal fracture
Fracture of medial malleolus
Fracture of anterior margin of tibia
Transverse fracture of posterior tibial surface
Term
injury where vertical loading drives tibia into distal tibia
Definition
Tibial Plafond Fracture
Term
What are associated injuries of tibial plafond fracture? (3)
Definition
Fibular fracture
Compartment syndrome
Compression fracture of lumbar spine usually L1
Term
ER/valgus injury with medial and lateral maleolous fracture?
Definition
Bimalleolar Fracture
Term
Fracture of the medial, lateral and posterior malleolus usually coming from ER, valgus and DF?
Definition
Trimalleolar Fracture
Term
Usually occurring secondary to forced DF of the Ankle
Definition
Talar Fractures
Supporting users have an ad free experience!