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Part of a Shoe

Parts of a shoe

Vamp Anterior part covering the toes
Toe Box Anterior part of the vamp
Quarters The pieces that make up the posterior part
Tongue Leather lying under lace
Throat Shoe Entrance
Outsole Part that touches the ground
Insole Part that touches the bottom of the foot
Ball Widest part of the sole at met heads
Shank Narrowest part of the sole between heel and ball
External heel seat posterior part of sole the which heel is attached
Heel Attached to outer sole. Acts as a shock absorber and prevents shoe from wearing out. Shirts weight to the forefoot.
Breast Anterior part of heel. Heel is 1/8 inches at breast
Heel counter reinforces the shoe and stabilizes the foot by controlling the calcaneus
Collar Band of leather stitched to the top of the quarters
Lace stay portion containing eyes for laces
Heel cushion relief give pressure relief for the heel part like in a calcaneal spur
Sole relief cut sole for pressure relief
Scaphoid pads or arch cookies rubber or foam wedge to give medial longitudinal support
Met pads pad under the met heads
Heel wedges medial wedge promotes inversion and later wedge promotes eversion
UCBL orthosis custom molded insole used in flat foot
heel cup provides calcaneal support
arch insert can support medial or lateral longitudinal arch
insoles useful for many deformities
rocker bar convex strip placed under met heads externally to relieve metatarsal pan, quicken gait by assisting rollover, assist dorsifelxion or ecrease demand on weak plantar flexors
met bar external device under met heads relieves pressure from the met heads
sole wedge medial wedge promotes inversion and lateral wedge promotes eversion
toe wedge medial toe wedge encourages toeing in and lateral toe wedge helps in toeing out
sole flare widens base of support
steel shank is inserted between inner and outer sole and reduces work of metatarsals/phalanges while bending
heel flare used medially to resist eversion and laterally to resist inversion
heel extension supports longitudinal arch and can project medially or laterally
cushioned heel is a heel with posterior portion replaced by a rubberised material to absorb shock
heel lift is used to compensate for pes equnus deformity or a leg length discrepancy of 1/4 to 1/2 inch
Pes Planus Goal: decrease eversion an longitudinal arch support Modification: Thomas heel with medial high wedge, medial longitudinal arch support with cooke
Pes Cavus Goal: distribute weight over entire foot, decrease pain and pressure on med heads Modification: high quarter, high toe box, lateral heel and sole wedges, met bars and molded inner sole
Pes equines Goal:Heel strike, contain foot in shoe, decrease pressure on met head Modification:High quarter shoe, heel and sole elevation of the other shoe, modified lace stay for wide opening, medial longitudinal arch support
Metatarsalgia Goal:Decrease pressure on the Met heads and support transverse arch Modification:Met pad or Met bar, inner sole releif
Short limb Goal:Equalize leg length Modification:<0.5 inches internal lift; >0.5 external; >1 both internal and external; high quarter shoe and rocker bottom
Hammer toe Goal:Decrease pressure on the painful region and support transverse arch Modification:Extra depth shoe with high toe box, met pad
Hallux valgus Goal:Decrease pressure on the Met head, prevent foot slide and pressure distribution Modification:Relief in a soft vamp for the valgus, low heel, Met pad, medial longitudinal arch support
Calcaneal spur Goal:Decrease pressure on the painful area Modification: Heel cushion
Arthritis of foot Goal:Support the joint motion Modification:wide shoe, extra depth, flexible sole, fully molded insole, metatarsal pad, soft toe box, soft heel counter
Insensate foot Goal: prevent ulcers Modification: Extra depth shoe, microcellular rubber insole; Patient needs to examine the foot for any trauma and pay attention to the metatarsal head and can soak daily & apply emollients
Plantar Fascitis Goal: Pain releif Modification: UCBL shoe insert. This is a custom insert made of plastic shell, holds foot in position that releives tension in plantar fascia
Pronated foot Goal: to decrease pronation Modification: This is seen in runners. The foot tends to roll inward causing wear along the inner side of the shoe. Needs medial support, wide flared heel and motion control heel counter
Arthritis of foot Goal: pain releif Modification: wide shoe, extra depth, flexible sole, fully molded insole, metatarsal pad, soft toe box, soft heel counter
Created by: vech13