This document provides an outline for a foot and ankle exam performed by Dr. Casey Wagner of Emory Sports Medicine. It begins with disclosures and outlines the anatomy of bones and ligaments in the foot. It then describes how to perform an inspection, assess motion, gait, palpation, strength, neurologic function, and special tests of the foot and ankle. Key assessment tests covered include the anterior drawer test, talar tilt, Kleiger's test, squeeze test, bump test, single heel raise, windlass test, and metatarsal squeeze test. Common injuries and conditions discussed include stress fractures, nerve entrapments, plantar fasciitis, and Morton's neuroma. Sources cited include Or
This document provides an outline for a foot and ankle exam performed by Dr. Casey Wagner of Emory Sports Medicine. It begins with disclosures and outlines the anatomy of bones and ligaments in the foot. It then describes how to perform an inspection, assess motion, gait, palpation, strength, neurologic function, and special tests of the foot and ankle. Key assessment tests covered include the anterior drawer test, talar tilt, Kleiger's test, squeeze test, bump test, single heel raise, windlass test, and metatarsal squeeze test. Common injuries and conditions discussed include stress fractures, nerve entrapments, plantar fasciitis, and Morton's neuroma. Sources cited include Or
This document provides an outline for a foot and ankle exam performed by Dr. Casey Wagner of Emory Sports Medicine. It begins with disclosures and outlines the anatomy of bones and ligaments in the foot. It then describes how to perform an inspection, assess motion, gait, palpation, strength, neurologic function, and special tests of the foot and ankle. Key assessment tests covered include the anterior drawer test, talar tilt, Kleiger's test, squeeze test, bump test, single heel raise, windlass test, and metatarsal squeeze test. Common injuries and conditions discussed include stress fractures, nerve entrapments, plantar fasciitis, and Morton's neuroma. Sources cited include Or
This document provides an outline for a foot and ankle exam performed by Dr. Casey Wagner of Emory Sports Medicine. It begins with disclosures and outlines the anatomy of bones and ligaments in the foot. It then describes how to perform an inspection, assess motion, gait, palpation, strength, neurologic function, and special tests of the foot and ankle. Key assessment tests covered include the anterior drawer test, talar tilt, Kleiger's test, squeeze test, bump test, single heel raise, windlass test, and metatarsal squeeze test. Common injuries and conditions discussed include stress fractures, nerve entrapments, plantar fasciitis, and Morton's neuroma. Sources cited include Or
Casey Wagner, MD Non-Operative Sports Medicine Emory Sports Medicine Atlanta Wildcats Team Physician Disclosures • Nothing to disclose Who is excited to talk about feet? https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.washingtonpost.com%2Fblogs%2Fearly-lead%2Fpost%2Frex-ryan-wont-take-bait-on-obamas-comments%2F2012%2F08%2F03%2F815684d6- dd98-11e1-af1d-753c613ff6d8_blog.html&psig=AOvVaw2G0_klm6fDtoKkjObukujM&ust=1589678363845000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCPjcicybt-kCFQAAAAAdAAAAABAD Outline • Anatomy • Exam • Inspection • Motion • Gait • Palpation • Strength • Neuro • Special tests Bone Anatomy
https://www.google.com/url?sa=i&url=https%3A%2F%2Ftopmanhealth.com%2Fcompression-to-improves-plantar-flexion-and- dorsiflexion%2F&psig=AOvVaw2jHlkYRI9JrLft6mrGPzr3&ust=1589674054630000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCMD8h7-Lt-kCFQAAAAAdAAAAABAD Strength/Neuro • Foot Drop • Typically injury to common peroneal nerve • Extensor Hallucis Longus • Foot drop • Nerve: deep peroneal (L5/S1)
34 Squeeze Test • Assess Syndesmosis • High Ankle Sprain • Squeeze high to low • Pain localized for a positive test
35 Bump Test • Assessing • Talar dome • Syndesmosis • Stress fracture • Positive • Pain localized to anatomic area
36 Single heel raise • Assess PTT • Pain medially • Positive if unable to raise heel
37 Too many toes sign • Assess PTT function
• Positive • Pronated foot • Pes planus • More than 4th and 5th toes seen
38 Windlass Action • Failure of longitudinal arch to rise with dorsiflexion of toes • Indicates prolonged pes planus and stretching of plantar aponeurosis Windlass Test • Pain with test at proximal insertion of plantar fascia • Plantar Fasciitis Thompson • Plantaris
41 Single leg Hop test • Good for stress fracture Metatarsal Squeeze test • Evaluate for Morton’s Neuroma • 3rd and 4th metatarsal heads Dorsoplantar drawer test • Turf toe test and volar plate injury • Assessing volar plate - compare to contralateral side • MTP Lachman Thank you Sources 1. Orthobullets.com 2. O’Connor et al. ACSM’s Sports Medicine A Comprehensive Review 3. Researchgate.net
