Clinical Assessment of - PowerPoint PPT Presentation

1 / 24
About This Presentation
Title:

Clinical Assessment of

Description:

... presenting history, symptoms, visual signs (inspection), & palpation ... See textbook for signs, symptoms, palpation, stress/special tests, and management ... – PowerPoint PPT presentation

Number of Views:306
Avg rating:3.0/5.0
Slides: 25
Provided by: tc79
Category:

less

Transcript and Presenter's Notes

Title: Clinical Assessment of


1
Chapter 4
  • Clinical Assessment of
  • Foot Toe Injuries
  • Part II

2
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

3
Location of Pain Phalanges
  • Injuries to suspect
  • Collateral sprain
  • Fx/Dislocation
  • Hammer toes
  • Claw toes

4
History
5
Inspection/Observation
6
Palpation
7
Physical Examination
8
Management
  • Collateral sprain
  • ICE
  • Buddy taping
  • Spring steel innersole

9
Management
  • Fracture/dislocation
  • ICE
  • Buddy taping
  • Spring steel innersole
  • Referral for x-rays

10
Management
  • Hammer toes
  • Passive stretching
  • Ensure that shoes fit properly
  • Use hammer toe splints

11
Range of Motion
  • Toe flexion (75-85?)
  • AROM
  • PROM
  • RROM
  • Toe extension (35 to 45?)
  • AROM
  • PROM
  • RROM

12
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

13
Management
  • Location of pain
  • Phalanges
  • Collateral sprain
  • Fx
  • Dislocation
  • Hammer toes
  • Claw toes

  • buddy taping
  • spring steel innersole


14
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

15
History
16
Management
  • Great toe (1st MTP) collateral sprain
  • Ice
  • Collateral tape job
  • Spring steel innersole
  • capsule (turf toe)

17
Management
  • Great toe (1st MTP) volar/capsule sprain (turf
    toe)
  • Ice
  • NSAIDs
  • Taping of MTP to prevent hyperextension
  • Spring steel innersole

18
History
  • Location of pain
  • Great toe (1st MTP)
  • hallux valgus bunion
  • See textbook for signs, symptoms, palpation,
    stress/special tests, and management

19
History
  • Location of pain
  • Great toe (1st MTP)
  • hallux rigidus rigid great toe with limited ROM

20
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

21
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

22
Stress/Special Tests
  • Location of pain
  • Metatarsophalangeal joints (MTP)
  • 2nd -5th MTPs
  • sprain
  • metatarsalgia

Tests?
23
Management
  • Location of pain
  • Metatarsophalangeal joints (MTP)
  • 2nd -5th MTPs
  • sprain
  • metatarsalgia
  • Treatment
  • ice
  • anti-inflammatories
  • tear drop pad
  • spring steel innersole

24
Questions?
Write a Comment
User Comments (0)
About PowerShow.com