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amills1
on FreezingBlue Flashcards.
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What CKC mobilization increases PF
posterior tib/fib
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what CKC mob increases df
anterior tib/fib
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Is DF or PF more commonly limited?
DF
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Talocrural joint loose pack
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If traction at ankle is felt in LB or knee what would you do to isolate it more to the ankle?
More DF
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If engaging this peroneus properly in CKC the foot will move into supination
peroneus longus
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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
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What is the safest position to put the talocrural joint in to perform traction
- loose pack
- PF 10 and slight inversion
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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
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what nerve is compressed with anterior tarsal tunnel
deep peroneal
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What nerve is compressed with TTS
tibial
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Patient chart notes significant forefoot and rearfoot valgus. What foot position could the patient WB to accommodate this structural condition
supination
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Patient has a positive vibration test, what morbidity should you expect
stress fracture
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Patient has positive Homan's test, what does this indicate
possible DVT
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Patient has positive thompson's test. How does the patient present
Gait is lacking push off due to achilles tendon rupture
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difference between a bunion and hallux valgus
bunion involves having excessive bone formation
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which has more poor shock absorbtion pes planus or cavus
- cavus
- a high arch is more rigid
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what positions are the tarsals/phalanges in for claw toe
DIP and PIP in flexion
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what positions are the tarsals/phalanges in for hammer toe
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What positions do you put a acute s/p achilles tendon repair
- keep in -5DF
- slight knee flexion
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pt c/o of weakness, shooting pain, tingling on bottom foot and medial side. What is mostly likely there dx
TTS
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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
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what type of wrap pattern is best for ankle swelling
figure 8
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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
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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
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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
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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
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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
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which is a absolute contra for TAA
A. Majority of talus affected by avasc necrosis
B. Obesity
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
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What condition at 4-6wks s/p DF and PF ROM are permitted but eversion, inversion, and circumduction are still post poned?
TAA
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