PTA 204 Ankle Exam Like Questions
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What CKC mobilization increases PF
what CKC mob increases df
Is DF or PF more commonly limited?
Talocrural joint loose pack
If traction at ankle is felt in LB or knee what would you do to isolate it more to the ankle?
If engaging this peroneus properly in CKC the foot will move into supination
A patient presents with a heel whip, what is occurring at the toe(s) to force this type of gait
- Lack of toe DF
- If big toe is below 40-60 degrees it doesn't allow normal gait mechanics
What is the safest position to put the talocrural joint in to perform traction
- loose pack
- PF 10 and slight inversion
Patient dx of posterior tib tendonitis but has 4+ MMT of post tib. What other weakness(es) has contributed to the dx
- weak peroneous longus and ?soleus?
- post tib doing too much of the work resulting in its tendinitis
what nerve is compressed with anterior tarsal tunnel
What nerve is compressed with TTS
Patient chart notes significant forefoot and rearfoot valgus. What foot position could the patient WB to accommodate this structural condition
Patient has a positive vibration test, what morbidity should you expect
Patient has positive Homan's test, what does this indicate
Patient has positive thompson's test. How does the patient present
Gait is lacking push off due to achilles tendon rupture
difference between a bunion and hallux valgus
bunion involves having excessive bone formation
which has more poor shock absorbtion pes planus or cavus
- a high arch is more rigid
what positions are the tarsals/phalanges in for claw toe
DIP and PIP in flexion
what positions are the tarsals/phalanges in for hammer toe
What positions do you put a acute s/p achilles tendon repair
- keep in -5DF
- slight knee flexion
pt c/o of weakness, shooting pain, tingling on bottom foot and medial side. What is mostly likely there dx
pt stands with navicular noticeably below 1st MT head and tip of malleoli. What is the name of the line it fell under and what does it indicate
what type of wrap pattern is best for ankle swelling
pt supine with foot planted shows increase posterior tibial translation on the talus. What does it indicate and the test name?
- ATF tear/laxity
- anterior draw test
PT's EDL losses its insertion attachment, what would you see at the foot?
- Mallet toe
- the EDL attachment is no longer there to extend the DIP
pt c/o snapping sound secondary to attempting to charge after a basket ball after coming down from a jump. What just occurred and what test might you apply
- Achilles tendon rupture
- You could perform Thompson's test to see if achilles is still attached
pt c/o of pain at proximal tibia with passive DF and eversion. What condition might they have?
- posterior shin splints
- it's not post tib tendinitis due to the location of pain being proximal tibia
pt c/o pain "at heel in the morning gets better after activity" what can patient do to help avoid morning pain and why
- an action to warm up and increase extensibility of the plantar fascia before walking/WB
- ie. ankle pumps
which is a absolute contra for TAA
A. Majority of talus affected by avasc necrosis
C. >20 degree hindfoot varus or valgus
D. <20 degree DF/PF arc
- Majority of talus affected by avascular necrosis is an absolute contra, when there is not a significant amount it is an indication for TAA
- B,C,and D are relative contras
What condition at 4-6wks s/p DF and PF ROM are permitted but eversion, inversion, and circumduction are still post poned?
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