foot and ankle

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Author:
Naheer
ID:
68467
Filename:
foot and ankle
Updated:
2011-02-24 17:15:52
Tags:
injury prevention care
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Description:
MR
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  1. what type of joint is talocrural joint and what are its movements?
    • hinge
    • dorsiflexion, planatarflexion
  2. what type of joint is subtalar joint and what are its movements?
    • plane
    • inversion , eversion
  3. supination includes
    • inversion of heel
    • adduction forefoot
    • plantarflexion
  4. pronation includes
    • eversion of heel
    • abduction forefoot
    • dorsiflexion
  5. metatarsal arches
    distal head of metatarsals
  6. tansverse arches
    across cuboid and cuneiforms
  7. medial longitudinal arches
    calcaneus to distal head of 1st metatarsal
  8. lateral longitudinal arches
    calcaneus to distal head of 5th metatarsal
  9. 1st degree sprain
    • most common
    • mild stretching of ligament
    • mild pain
    • ROM almost normal
    • strength=80-100%
    • speical/functional tests=normal
    • RX: PIER
  10. 2nd degree sprain
    • moderate tearing of ligament
    • moderate pain
    • tender over affected ligament
    • special test=positive
    • RX: PIER, crutches, aircast REFERRAL
  11. 3rd degree sprain
    • complete ligament rupture
    • severe pain
    • speical test: positive
    • RX: PIER, REFERRAL, brace, aircast, crutches, surgery?
  12. 1st degree strain
    • ROM normal
    • pain at end of ROM
    • participation= judgement call
    • Rx: PIER
  13. 2nd degree strain
    • ROM decreased
    • strength is decreased
    • participation= not reccommended
    • Rx: PIER, REFERRAL, crutches
  14. 3rd degree starin
    • AROM/ strength: movement not created by involved muscle
    • participation= definately not reccommended
    • Rx; PIER, REFERRAL, immobalize, surgery
  15. what is location of bursitis
    • retrocalcaneal
    • subcutaneous
  16. what are signs of bursitis and how to protect it?
    • red tender unable to wear footwear
    • sofeten or change fotowear elevate heal
  17. whatare signs and symptoms of contusions and how can you react?
    • pain weakness, hematoma, edema
    • react by PIER
  18. what would be MOI for torn peroneal retinaculum?
    direct blow, inversion sprasin, forceful dorsiflexion
  19. what are signs and symptoms of torn retinaculum and how can you react to this?
    • snapping sensation, pain, anke instability, discoloration, edema
    • can use PIER, balance training
  20. what is neuroma?
    thickening or nerve tissue
  21. what are signs and symptoms of neuroma and how can you react to this?
    • tingling, numbness, pain in foot
    • can react by PIER, padding, orthotics, change footwear
  22. explain the pain grade( steps I-IV)
    • I-occurs after activity
    • II-occurs befroe and after activity but doesnt affect perfformance
    • III- II, but does affect performance
    • IV-severe pain, activity impossible
  23. medial tibial stress syndrome
    • "shin splints"
    • feel like falling
    • stress fracture
    • interosseous membrane irritation
  24. what is MOI of medial tibial stress syndrome, what are signs how can it be treated?
    • MOI:weakness, imbalance, type of shoes, body weight
    • s/s: inflammation, small hematoms, weakness
    • treated: PIER,stretch, activity modification,ortthotics
  25. what is compartment compression syndrome and what is MOI?
    • increase in tissue fluid pressure alters the circulation and finction of tissue within that compartment
    • acute, chronic, recurrent
    • MOI: mild trauma with bleeding, exercise
  26. what is MOI of acute CCS?
    • fractures
    • compression of nerves, muscle and vascular tissues
  27. tendinopathy
    • overuse, repitition
    • too much too soon
  28. MOI of tendinopathy
    • • Tension applied quickly
    • • Tension applied obliquely
    • • Tension applied prior to blunt trauma
    • • Maximal contractions
    • • Forced dorsiflexion
  29. tendinitis
    inflammation of a tendon
  30. tendinosis
    • degeneration of tendon sturcture
    • may rupture
  31. peritenditis
    inflammation b/w peritendon sheath and tendon
  32. plantar fascitis
    • acute- hyperextension to mp joint
    • chronic- pronation, microtrauma to spring ligament
  33. stress fracture
    • sudden pain, lower 1/3 tibia
    • participation affected
    • xray positive 2 weeks later

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