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Published byErick Bryan Modified over 9 years ago
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Foot & Ankle Examination Mazyad Alotaibi
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Subjective Age Occupation & Sport – sports, shoes, dominant foot Site - localised Spread - little Onset – overuse, trauma, insidious Duration – recent, longstanding, intermittent Behaviour – agg/ ease Symptoms – clicking, crepitus, locking, swelling, p+ns PMSH
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Observation Gait Posture Deformity Colour Wasting Swelling Site of pain State at rest
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Palpation Heat Swelling Synovial Thickening Pulses
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Ankle Joint Capsular pattern = more loss of plantar flex Pain, range and end feel Passive plantar flex Passive dorsi-flex (knee flexed)
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Ankle Joint Ligaments Passive plantar flexion and inversion Stresses lateral ligaments Passive plantar flexion and eversion Stresses deltoid ligament
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Muscles Pain and power Resisted dorsi-flexion Resisted plantar flexion Resisted eversion Resisted inversion
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Additional Tests Instability test – draw test Differentiation of ligaments: Anterior talo-fibular – plantar flex with inv Calcaneo-fibular – ankle in DF with varus of heel Calcaneo-cuboid – midtarsal inv with add Proprioception tests
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