Tags
Foot and Ankle
You will be asked to examine the feet
- Clear description of the pathology
- Expose from calves and below
- From front "Pes Cavus deformity with Peek a boo heels. Associated CLAW toes, big toe is hyperextended due to over-recruitment of EHL"
- From side
- From back "Hindfoot in varus, Wasting of muscles of lateral compartments - champagne bottle leg"
- Medially "very high arch"
- Describe deformity systematically from hindfoot, mid foot and forefoot
- LOOK AT SPINE IMMEDIATELY
- Gait
- Presence of high stepping gait due to foot drop and weak anterior tibialis muscle
- Presence of external rotation of the foot - classical of stiff ankle joint
- Presence of broad based gait in CMT
- Coleman Block Test
- Placing a block on the lateral aspect of the foot. Principle is to unload posterior and lateral tripod.
- If it is varus corrected, then it is forefoot driven OR flexible
- If it is uncorrected, then it is hindfoot driven or Rigid hind foot
- Pes Cavus - AT and PB weak, PT and PL for transfers
- Complete by looking at hands if CMT for dorsal guttering