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
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
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