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T4-NMS-Orthos-Ankle
Question | Answer |
---|---|
Squeeze Test? | Patient is supine, and doctor wraps hands around lower leg, and works way up, POS=Deep Pain IND=high or posterior ankle sprain |
Anterior Drawer Test of the Ankle? | Patient is supine tibia is held against table and doc pulls up on the calcaneous POS=more ant translation of the calcaneous than the other side IND=ant tibofibularligament damage |
Morton’s Test? | Patient is supine and doctor grasps around the metatarsal heads and squeezes. POS=pain at the metatarsal heads IND=metatarsalgia or neuroma |
Struksy’s Sign? | Hyperflex the toes POS=Pain in the transverse arch of the food IND=metatarsalgia |
Homan’s Sign? | Patient is supine with knee extended. Doctor dorsiflexes the food and squeezes the calf POS=deep pain in the posterior leg or calf IND=thrombophlebitis |
Metatarsal Tap? | Doctor taps the metatarsal heads on the plantar surface of the foot with the reflex hammer POS=pain in the metatarsals IND=metatarsalgia |
Inversion or lateral stress test? | Doctor holds foot down and pushing the calcanous into inversion POS=Increased inversion as compared to the other side IND=anterior talofibular ligament or a calcaneofibular ligament tear |
Eversion or Medial Stress test? | Doctor holds foot down and pushes more into Eversion POS=more movement than other side IND=tear of the deltoid ligament |
Tinel Foot Sign? | Tapping on the medial aspect of the foot POS=tingling or parethesias raditing in the foot IND=irritation to the posterior tibial nerve, possibly tarsal tunnel |
Thompsons? | Patient is prone, and knee is flexed to 90 degress, doctor grasps both hands around the calf muscle and squeeze POS=foot does not plantar flex IND=achilies tendon rupture |
Achilles Tap Test? | Patient is prone and doc taps on the achillies POS=increase in pain and loss of plantarflexsion iND=rupture of the achillies tendon |
Hoffa Test? | Patient is prone and feet hanging off of the table. Doctor palpates the calcaneous, and achilies POS=achilies tendon is less taught and foot is in a dorsiflexed position, doctor may also palpate fragments behind either malleoulus—calcaneous fracture |
Helbing’s sing? | patient is standing and achiles tendons are observed POS=medial bowing |
Too many toes sign? | Patient is observed from the back POS=you can see more than 2 toes IND=significant forefoot abduction or pronation |