Practical Examination Pes Cavus / Flat feet

know is it painful or not ?

and where is pain ?

         Talocalaneal coalition - medial side pain

         Calcaneonavicular Coalition - lateral side pain


Look -

           Standing - forefoot abducted , adducted - skew foot )

          hind foot - valgus

              bottom of foot - conved plantar surface - in rocker bottom foot

        shoulde be able to pass 2 fingers on medial arch.

        quickley see on lower back to see if there are any tell-tale signs.

Gait

 Tip toeing - flexible - heel varus ; medial arch prominent

 Tarsal Coalition - arch doesnot form , heel valgus


Sit - legs dangling

       check shoes

       more wear on medial side; if no wear ask if they are new.


Check Achilles tendon tightness -- stiff flat foot

ROM - Ankle and subtalar joint

            subtalar joint stiffness - difficult to illicit - patients will have ball and socket joint by   


            remodelling

 use IF/ Thumb to stabilize or at least to check talus body movement while  assessing subtalar joint



check neurovascular structures











Comments

Popular posts from this blog

Outline of Treatment of Spinal Tuberculosis

COXA VARA

Paediatric Supracondylar Humerus Fracture

Timing and Outcome of Surgery in Hip Fractures

Hind Foot amputation