Care and PRevention Worksheets 18 & 19
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City Colleges of Chicago, Malcolm X *
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MISC
Subject
Anatomy
Date
Jan 9, 2024
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5
Uploaded by DoctorWaterBuffalo19034
NAME _______Ryan LaClair_______________________
SECTION__________
CHAPTER 18 WORKSHEET
THE FOOT
MATCHING:
Select the structure and match it with the appropriate name.
_____O___ 1. Anterior talofibular
___N_____ 2. Anterior tibiofibular
_____G___ 3. Calcaneus
____J____ 4. Cuboid
___E_____ 5. Cuneiforms
____L____ 6. Deltoid
_____B___ 7. Fibula
___H_____ 8. Metatarsals
____D____ 9. Navicular
____I____10. Phalanges
____S____11. Calcaneofibular
___Q_____12. Posterior talofibular
___F_____13. Sesamoid bones
____C____14. Talus
___A_____15. Tibia
MATCHING
:
Match the condition with the
correct response.
__F____ 16. Acute compartment Syndrome
A. Sprain of metatarsophalangeal joint of great toe
___G___ 17. Pes planus foot
B. Damages plantar aponeurosis
__H____ 18. Jones Fracture
C. Retrocalcaneal bursitis
__D____ 19. Morton’s toe
D. Characterized by a short first metatarsal
__C____ 20. “Pump bump”
E. Tibial periostitis
___B___ 21. Plantar fascia strain
F. Weakness in foot dorsiflexion
___E___ 22. Shin bruise
G. Medial longitudinal arch appears to be flat
___A___ 23. Turf-toe
H. immediate swelling and pain over the fifth metatarsal.
SHORT ANSWER:
Answer the following questions with a brief response.
24. Where would you take a pulse to determine circulatory impairment?
Behind the medial malleolus and on the dorsum of the foot
25. How would you manage a bruised heel?
Athlete should not bear weight on the heel for the first 24 hours, it can also be taped, a protective heel cup, or
protective donut can be used to reduce comfort. Following immediate treatment, the third day therapeutic
modalities like warm whirlpools, cold therapy, and ultrasound,
26. What signs and symptoms are present in a plantar fasciitis?
Pain in anterior medial
heel at the plantar fascia attachment to the calcaneus. Pain intensifies when toes and forefoot
are forcibly dorciflex; as well as startup pain
27. Where does the most common acute fracture of the foot occur?
Base of 5th metatarsal
28. What ligament is tested by the anterior drawer test, and how is the test performed?
Anterior talofibular
29. How would you manage arch problems?
Ensure that shoes fit properly, use an exercise program to strengthen the muscles that cross the arch. For pain
treatment, a warm whirlpool until initial inflammation subsides
30. How would you place a pad to elevate the depressed metatarsal head when managing metatarsalgia?
Placed behind the metatarsal heads
31. What condition in the foot most resembles Osgood Schlatter disease in the knee?
Severs disease/apophysitis of the calcaneus
LISTING:
List four exercises that can be included in the beginning stage of a foot rehabilitation program.
32. Writing the ABC’s
33.Picking up objects
34. Ankle circumduction
35. Gripping and spreading the toes
List four signs and symptoms of Morton’s neuroma.
36.radiating pain from distal metatarsal heads to tips of toes
37. Radiating pain may be duplicated by palpation between the distal metatarsal heads
38.burning paresthesia in the forefoot
39.the skin between the metatarsal heads may be numb
ESSAY
40-42.
Explain how you would manage a longitudinal arch strain.
Longitudinal arch strains appear due to increased stress to the musculature of the foot due to repeated contact with
hard surfaces which leads to flattening or depression of the longitudinal arch while in mid support phase. It
involves immediate care first by following the POLICE acronym; protection, optimal loading, ice, compression,
elevation., following these, therapeutic modalities and reduction of weight bearing. The weight bearing must be
preformed pain free, and certain taping techniques (like #1 or #2) can be used to allow pain free weight bearing.
43-45.
What are some exercises that can be used in the non-weight bearing phase of a foot condition?
When an athlete has a foot injury, an immediate care is to reduce any additional stress, or bearing weight for some
period of time. Exercising, conditioning and rehabilitation are integral parts of getting an athlete back on their a-
game. Although immediate care is necessary; after experiencing a foot injury the athlete would not be able to
maintain fitness by running or high stress activities. Non-weight bearing exercises for rehabilitation of the foot
can be things such as swimming/pool running or working on an upper body ergometer, general strengthening
and flexibility exercises as allowed by injury.
INJURY ASSESSMENT
46-47. A basketball player comes to you with pain that occurs suddenly in the arch region and reports that the pain
decreases when he or she is non-weightbearing. What will you do to help alleviate the pain?
48-50. A 13-year-old boy comes to you complaining of pain at the posterior heel below the attachment of the
achilles tendon. What will you do to evaluate and manage the problem?
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NAME _____________Ryan LaClair_________________
SECTION__________
CHAPTER 19 WORKSHEET
THE ANKLE AND LOWER LEG
MATCHING:
Match each item with the appropriate response.
____J____ 1. Achilles tendon
____B____ 2. Extensor digitorum longus
____E____ 3. Extensor hallucis brevis
____D____ 4. Extensor hallucis longus
____F____ 5. Gastrocnemius
____I____ 6. Peroneus brevis
____H___ 7. Peroneus longus
_____A___ 8. Peroneus tertius
_____G___ 9. Soleus
__C______10. Tibialis anterior
SHORT ANSWER:
11. How would you manage an acute Achilles tendon strain?
By applying cold pressure with an ankle wrap , and POLICE
over an extended period of time. A lift should be placed in the heel to decrease stretching of the tendon. Athlete
should begin stretching and strengthening the heel cord complex as soon as possible
12. How might you relieve a tonic muscle spasm?
Firm grasp/squeeze and continuous stretching to relax
13. What serious complication can occur in a lower leg fracture when hemorrhage and swelling are present?
The beginning of Volkmann’s contracture
14. The primary muscle support in the region of the tarsometatarsal joint comes from. . .
Posterior tibialis and peroneals
15. How are Achilles tendon, bursitis, and tendinitis managed?
Reducing stress, ice compression, gentle massage, proper footwear, heel lifts, ultrasound
16. What is the mechanism of injury in peroneal tendon subluxation?
Moderate or severe inversion sprain that can cause a tear of the peroneal retinaculum, causing tendon to dislocate
partially
17. Name two causes of chronic medial shin pain.
Overuse stress / Lack of proper reciprocal muscle coordination
LISTING
: List three characteristic signs of an anterior compartment syndrome.
18. Deep aching pain and tightness due to pressure and swelling
19.Reduced circulation and sensation of foot
20. Pain with passive stretching of involved muscles
Name three conditions of the foot that predispose the body to injury.
21. Fallen arches
22. Prolonged stage of pronation
23.Cavus foot
ESSAY
24-26. Give a brief description of the various methods used to manage an athlete with shin splints.
Shin-splints, also known as Medial Tibial Stress syndrome, makes up 10-15% of all running injuries and
accounts for up to 60% of all conditions that cause pain in athletes legs. Common conditions are stress
fractures, muscle strains, and chronic anterior compartment syndrome. Factors that can lead to MTSS
are weak leg muscles , shoes with little support/cushioning, running on hard surfaces or overtraining, and
ROM of the ankle, hip and quadriceps angle. Due to the vast amount of factors that play a part on the
formation of the syndrome, treatment and management is extremely difficult. Firstly it is important that
a physician rules out a stress factor with an Xray/ Bone scans, along with behavior and activity
modification. Measures should be set in place to maintain cardiovascular fitness immediately, and a
flexibility program for gastrocnemius-soleus should also be set in place. For localized swelling or
iflammation/pain, ice massage along with modalities like arch taping can help subside symptoms. It is
also extremely important to correct any abnormal pronation during walking and running and get
properly fitting shoes or custom foot orthotics.
INJURY ASSESSMENT
27-29. A lacrosse player has come into the training room complaining of extreme pain and weakness in her Achilles
tendon, especially when she pushes off to sprint down the field. Your evaluation indicates that there is point
tenderness, swelling, erythremia, mild crepitation, and pain on motion. What would you suggest for managing
this injury?
30-32. A baseball player slid into third base directly impacting his right foot into the non-yielding base. He heard a
snap and is now in extreme pain and unable to move the ankle. How can you evaluate this injury to determine if
there is a possible fracture?