foot and ankle examination
DESCRIPTION
Foot and Ankle Examination. Dr. Abdulrahman Algarni , MD, SSC (Ortho), ABOS Assist. Professor, King Saud University Consultant Orthopedic and Arthroplasty Surgeon. Foot and Ankle Examination. Bilateral exposure: at least mid leg Compare, front, back and side - PowerPoint PPT PresentationTRANSCRIPT
Foot and Ankle Examination
Dr. Abdulrahman Algarni, MD, SSC (Ortho), ABOSAssist. Professor, King Saud University
Consultant Orthopedic and Arthroplasty Surgeon
Foot and Ankle Examination
Bilateral exposure: at least mid leg
Compare, front, back and side
Standing and supine position
Foot and Ankle Examination
StandingLookSpecial testGait
Neurovascular examination
SupineLookFeelMoveSpecial test
StandingLook
Skin changes
Soft tissues: Muscle wasting (leg), swelling
StandingLook
Bone alignment: (hind foot: varus or valgus, mid foot: cavus, flat foot. Forefoot: hallux valgus), swelling
StandingLook
Bone alignment: (hind foot: varus or valgus, mid foot: cavus, flat foot. Forefoot: hallux valgus), swelling
StandingSpecial test:
If patient has flat foot (pes planus): ask the pt to tip toe to check if it is flexible or rigid flatfoot.
Observe if the heel will correct from valgus to varus or not as well as midfoot arch reconstitution.
StandingGait
Foot-dropt: foot-slap and high-stepping gait
Fixed equinus deformity
SupineLook
Plantar surface (Sole): skin changes (callosities)
SupineFeel
Skin: temperature.
Soft tissue: Achilles tendon.
Bone: Bony Landmarks (LM, MM, medial and lateral collateral ligaments, joint line, calceneum) for tenderness.
SupineMove
Active and passive ankle ROM (dorsiflexion and planterflexion)
Passive subtalar ROM (ankle to neutral, and stabilize it then apply inversion and eversion to assess subtalar ROM).N.B: note if painful or painless
SupineSpecial tests
Anterior drawer test with ankle in planterflexion to evaluate anterior talofibular ligament
SupineSpecial tests
Achilles tendon test: Thompson test.
Neurovascular examination