chapter 4
Download
Skip this Video
Download Presentation
Chapter 4

Loading in 2 Seconds...

play fullscreen
1 / 24

Chapter 4 - PowerPoint PPT Presentation


  • 64 Views
  • Uploaded on

Chapter 4. Clinical Assessment of Foot & Toe Injuries Part II. Student Learning Outcomes. Identify common toe injuries based on their presenting history, symptoms, visual signs (inspection), & palpation findings Identify special tests that might be used to evaluate these injuries

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Chapter 4' - gillian-castillo


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
chapter 4

Chapter 4

Clinical Assessment of

Foot & Toe Injuries

Part II

student learning outcomes
Student Learning Outcomes
  • Identify common toe injuries based on their presenting history, symptoms, visual signs (inspection), & palpation findings
  • Identify special tests that might be used to evaluate these injuries
  • Discuss basic management strategies for dealing with these injuries
  • Discuss anatomical or biomechanical predisposing factors associated with these common toe injuries
location of pain phalanges
Location of Pain: Phalanges
  • Injuries to suspect
    • Collateral sprain
    • Fx/Dislocation
    • Hammer toes
    • Claw toes
management
Management
  • Collateral sprain
    • ICE
    • Buddy taping
    • Spring steel innersole
management1
Management
  • Fracture/dislocation
    • ICE
    • Buddy taping
    • Spring steel innersole
    • Referral for x-rays
management2
Management
  • Hammer toes
    • Passive stretching
    • Ensure that shoes fit properly
    • Use hammer toe splints
range of motion
Range of Motion
  • Toe flexion (75-85)
    • AROM
    • PROM
    • RROM
  • Toe extension (35 to 45)
    • AROM
    • PROM
    • RROM
predisposing factors
Predisposing Factors
  • Location of pain
    • Phalanges
      • Collateral sprain
      • Fx – foot structure with decreased ability to dissipate forces (stress fx)
      • Dislocation
      • Hammer toes – shoes that are too short
      • Claw toes – associated with pes cavus foot
management3
Management
  • Location of pain
    • Phalanges
      • Collateral sprain
      • Fx
      • Dislocation
      • Hammer toes
      • Claw toes

}

  • buddy taping
  • spring steel innersole

}

location of pain 1 st mtp
Location of Pain: 1st MTP
  • Injuries/conditions to consider
    • sprain
      • collateral
      • capsule (turf toe)
    • muscle/tendon strain – what muscles?
    • sesmoiditis
    • hallux valgus - bunion
    • hallux rigidus – rigid great toe with limited ROM
management4
Management
  • Great toe (1st MTP) collateral sprain
    • Ice
    • Collateral tape job
    • Spring steel innersole
    • capsule (turf toe)
management5
Management
  • Great toe (1st MTP) volar/capsule sprain (turf toe)
    • Ice
    • NSAIDs
    • Taping of MTP to prevent hyperextension
    • Spring steel innersole
history2
History
  • Location of pain
    • Great toe (1st MTP)
      • hallux valgus – bunion
      • See textbook for signs, symptoms, palpation, stress/special tests, and management
history3
History
  • Location of pain
    • Great toe (1st MTP)
      • hallux rigidus – rigid great toe with limited ROM
history4
History
  • Location of pain
    • Metatarsophalangeal joints (MTP)
      • 2nd -5th MTPs
        • sprain
        • metatarsalgia
  • Symptoms
  • Increased callus formation (2nd head)
  • MOI
  • Repetitive stress
  • Trauma to metatarsal arch
inspection palpation
Inspection/Palpation
  • Location of pain
    • Metatarsophalangeal joints (MTP)
      • 2nd -5th MTPs
        • sprain
        • metatarsalgia
  • Signs
  • increased callus formation (2nd head)
  • flattening of metatarsal arch
  • Palpation
  • point tender over 2nd MTP
  • prominent 2nd MTP
stress special tests
Stress/Special Tests
  • Location of pain
    • Metatarsophalangeal joints (MTP)
      • 2nd -5th MTPs
        • sprain
        • metatarsalgia

Tests?

management6
Management
  • Location of pain
    • Metatarsophalangeal joints (MTP)
      • 2nd -5th MTPs
        • sprain
        • metatarsalgia
  • Treatment
  • ice
  • anti-inflammatories
  • tear drop pad
  • spring steel innersole
ad