Term
| The ankle joint axis is how many degrees to the TV Plane? |
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Definition
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Term
| The ankle joint axis is how many degrees to the F Plane? |
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Definition
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Term
| The STJ joint axis is how many degrees to the TV Plane? |
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Definition
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Term
| The STJ joint axis is how many degrees to the S Plane? |
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Definition
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Term
| The OA of the MTJ is how many degrees to the TV Planes? |
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Definition
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Term
| The OA of the MTJ is how many degrees to the s Planes? |
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Definition
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Term
| The LA of the MTJ is how many degrees to the TV Planes? |
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Definition
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Term
| The LA of the MTJ is how many degrees to the s Planes? |
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Definition
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Term
| describe the orientation of STJ axis |
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Definition
| Plantar, Lateral, Posterior, to Medial, Dorsal, Anterior |
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Term
| describe the axis of the 1st ray |
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Definition
| 45 degrees to sagittal and frontal |
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Term
| describe the coupled motion of the 1st ray... |
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Definition
| DF with inversion, PF with eversion |
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Term
| What is the main ligament that restricts STJ INV and EVERS |
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Definition
| Interosseous talocalcaneal |
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Term
| which structures aids in the restriction of inversion of STj |
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Definition
| lateral talocalcaneal lig, inferior extensor retinaculum, lateral collateral ligament |
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Term
| what ratio of motion would be expectedd if the STJ axis was higher (say 60 degrees) |
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Definition
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Term
| In OKC what are components of STJ pronation |
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Definition
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Term
| In CKC motion, what are components of STJ pronation? |
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Definition
| Adduction, Eversion, and PF |
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Term
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Definition
stj neither pronated nor suppinated,
where stj inverts twice as much as everts,
maximum articular congruence, |
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Term
| what is the minimum ROM required of the STJ for gait |
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Definition
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Term
| what ligaments support the MTJ? |
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Definition
| Short and long plantar, spring, bifurcate |
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Term
| which muscle provide dynamic stability of the MTJ |
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Definition
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Term
| discuss orientation of R1 axis |
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Definition
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Term
| how much 1st MPJ DF is required for gait? |
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Definition
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Term
| how does 1st ray PF occur |
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Definition
| PL stabilize midfoot, while intrinsics esp abductor hallucis produce active Plantar flexion |
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Term
| ON examination you find more DF than PF of the 1st ray... what is the condition? |
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Definition
| Metatarsus Primus Elevatus |
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Term
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Definition
| 1st 20-30 degrees is purely df, then R1 plantarflexes, which shifts the transverse axis dorsal and proximal which results in arthrodial motion of remainder of propulsion |
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Term
| what is needed for normal R1 PF? |
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Definition
| heel lift, stj suppination, normal sesamoids, and a 2nd met longer than 1st |
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Term
| what is normal met length formula? |
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Definition
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Term
| what will happen with a short 1st met? |
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Definition
| it will try to PF, this may result in stj pronation... |
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Term
| what are implications of long 1st met? |
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Definition
| inability to PF R1 leading to HAV or hallux rigidus/limitus |
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Term
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Definition
| DF with eversion, PF with inversion |
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Term
| Pt has a RF VL of 5 degrees, what will stj do? |
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Definition
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Term
| What are 2 causes of a rigid Pes planus? |
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Definition
| tarsal coalition (peroneal spastic flatfoot) and COngenital Convex pes valgus (congenital vertical talus) |
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Term
| what is the most common tarsel coalition of the stj? |
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Definition
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Term
| what are some signs of a rigid pes planus from tarsel coalition? |
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Definition
| local tenderness, decreased or absent ROM, muscle spasm, some degree of rigid flatfoot |
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Term
| what are causes of peroneal spastic flatfoot? |
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Definition
- Tarsel coalition (most common),
- juvenile chronic arthritis,
- osteochondral fractures,
- neoplasms and
- idiopathic
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Term
| describe features of peroneal spastic flatfoot |
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Definition
peroneal muscle spasm
decreased STJ ROM and ankle ROM
valus appearance of foot
pain
antalgic, apropulsive, external rotated gait |
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Term
| Rx of peroneal spastic flatfoot... |
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Definition
| NSAID, footwear, orthotic therapy, immobilisation, common peroneal nerve block, surgery |
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Term
| what diagnoses should be consider in male pt with flat feet, mental retardation |
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Definition
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Term
| what are some causes of acquired flexible pes planus? |
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Definition
tendon failure(PT)
arthritis
trauma
neuromuscular Dz (polio)
spasticity |
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Term
| Buldging of talar navicular region, calcaneal eversion and positive hellbings sign indicate which condition? |
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Definition
| some form of flatfoot deformity |
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Term
| PF at choparts in pes cavus is which type of cavus/ |
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Definition
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Term
| What are some biomechanics causes of pes cavus/ |
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Definition
| FFVL, PFR1, uncompensated RFVR, ankle equinus, leg length descrepency |
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Term
| what % of pes cavus cases are cause by nuero probs? |
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Definition
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Term
| what are causes of acute hallux limitus/rigidus? |
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Definition
traumatic synovitis
muscle spasm (usu FHB)
capsule contraction
marginal bone lipping |
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Term
| What are rx of acute hallux rigidus? |
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Definition
| heat, analgesia, ruberfacients, PMP padding, long shaft padding, cortisone injection |
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Term
| discuss signs of Hallux limitus? |
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Definition
| HK PMA 2-4, IPJ D1, lessor toe deformities |
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Term
| signs of chronic rigidus? |
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Definition
cpma 4-5, IPJ D1, Lat D5, lessor toe deformities.
dorsal bursa |
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Term
| note some foot wear signs of chronic hallux rigidus |
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Definition
heavy wear IPJ d1, tip of shoe
little PMA 1 wear
spin marks on PMA 5
Oblique creases to upper |
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Term
| burning pain in HAV indicates what? |
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Definition
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Term
| pain when barefoot in a patient with HAV indicates what? |
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Definition
| degenerative Dz or lessor metatarsalgia |
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Term
| what are causes of ankle equinus? |
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Definition
osseus,
spastic paralysis,
tonic spasm,
excess pronation,
weak DFers,
tigh hamstrings,
prolonged bed rest,
high heels, |
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Term
| if ankle equinus is only present with knee extended which muscle is the problem> |
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Definition
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Term
| if ankle equinus is present with knee flexed what are 2 causes? |
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Definition
soleous tightness (spongy end feel),
osseus deformity (soldi end feel) |
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Term
| briefly, what are pathomechanics of ankle equinus... ie the result? |
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Definition
| not enough AJ df, so get STJ pronation, also get OAMTJ DF (with midfoot collapse) |
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Term
| what is the average cadence of men and women? |
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Definition
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Term
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Definition
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Term
| average distance between heel strike is |
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Definition
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Term
| An PF at the navicular/cuneiform is called what? |
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Definition
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Term
| PF deformity at lisfrancs joint (tarsometatarsel joint) is called what |
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Definition
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Term
| Who is your favourite Pod student? |
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Definition
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Term
| What is Trents current beer of choice |
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Definition
|
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Term
| what are clinica features of pes cavus |
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Definition
| restrcited pronation, excessive shock with symtoms, ankle equinus, lateral ankle instability, digital contractures, tight plantar fascia, CPMA and callous on digits, pain |
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Term
| ankle joint plantar flexion is limited by what? |
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Definition
| anterior talfibular ligament, osseous block by posterior tubercle of calc |
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Term
| ankle joint df is limited by what |
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Definition
| triceps surae, post deltoid, post talofibular ligament |
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Term
| what is the average STJ neutral position |
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Definition
| 0-3 degrees inverted (varus) |
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Term
| how is MTJ supination limited primarily? (which structures) |
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Definition
| plantar calcaneocuboid (short plantar), and calcaneocuboid component of bifurcate |
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Term
| pronation of the rearfoot, and subsequent supination of the forefoot will place less tension on the plantar fascia, thus increasing 1st MPJ ROM..T or F |
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Definition
| False, excessive proantion will, cause increase tension, leading to decrease available rom at 1st MPJ |
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Term
| The peroneus longus Plantar flexes the 1st ray. t or false? |
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Definition
| false, the PL stablizes the 1st ray, while the abductor hallucis actively PF it |
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