Quick Review: Examination of the Foot and Ankle

by Stephen Holt, MD, MS

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    00:01 All right, I think it's time for us to review some of what we've learned.

    00:05 On this table, I'm going to highlight just a few key points.

    00:08 So when it comes to looking for specific fractures of the tibia, the fibula or the mid foot, you're going to be using those auto ankle rules that are so effective at helping us to exclude fracture and tell us that we don't need to get plain films on everyone who sprains their ankle.

    00:24 When we're thinking about an ankle sprain, you're going to hone in on the interior talofibular ligament should be tender over that area, and doing the talotilt test may exacerbate their discomfort.

    00:36 The Tinel's sign is something we would look for when we're thinking about Tarsal Tunnel Syndrome just underneath the medial malleolus, interior drawer can also help to test the integrity of the ATFL if we're concerned about a complete tere of that ligament.

    00:54 And then the Thompsons test is also known as the calf squeeze test is a simple bedside manoeuvre to look for an Achilles tendon rupture.

    01:05 So which of the following is not part of the Ottawa ankle rules? The inability to wait bear.

    01:12 Tenderness over the fifth metatarsophalangeal joint.

    01:15 Tenderness over the posterior medial malleolus.

    01:19 Tenderness over the posterior lateral malleolus.

    01:22 Or tenderness over the interior tail fibrillar ligament.

    01:29 So all of these are features of the Ottawa ankle rules except tenderness over the anterior talofibular ligament.

    01:36 Anybody who sprains their ankle, it's gonna have tenderness there.

    01:38 So you'd be getting plain films on everybody.

    01:41 So it's important to not look for tenderness in that area.

    01:44 The answer is letter E.

    01:49 Which of the following pairings is incorrect? Tarsal Tunnel Syndrome and the Tinel's sign.

    01:55 Posterior tibial tendinopathy and resisted eversion.

    01:59 Achilles tendon rupture and the Thompsons test.

    02:02 Ankle sprain and tailor tilt.

    02:04 Plantar fasciitis and first toe dorsiflexion.

    02:12 All of these pairings are correctly paired except for posterior tibial tendinopathy and resisted eversion.

    02:19 Remember that the posterior tibial tendon runs along the medial side of the foot.

    02:24 So it is an inverter of the ankle.

    02:28 Therefore resisted inversion would be what would actually exacerbate posterior tibial tendinopathy.

    02:34 The answer is B.

    About the Lecture

    The lecture Quick Review: Examination of the Foot and Ankle by Stephen Holt, MD, MS is from the course Examination of the Lower Extremities.

    Author of lecture Quick Review: Examination of the Foot and Ankle

     Stephen Holt, MD, MS

    Stephen Holt, MD, MS

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