ms3 family medicine - asopcastingworkshop.com/images/dl_leg_ankle_foot_problems.pdf · define...
TRANSCRIPT
![Page 1: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/1.jpg)
![Page 2: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/2.jpg)
MS3 Family Medicine
![Page 3: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/3.jpg)
Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower leg
Recognize history, presenting signs and pertinent exam findings of common problems
Review treatment of common problems
![Page 4: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/4.jpg)
Tibia
Fibula
Talus
Dome
Neck
Calcaneus
Medial tubercle
Anterior process
Posterior process
![Page 5: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/5.jpg)
![Page 6: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/6.jpg)
1. Fractures
2. Sesamoids
3. Joint crystals
4. Phleboliths
![Page 7: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/7.jpg)
![Page 8: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/8.jpg)
![Page 9: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/9.jpg)
![Page 10: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/10.jpg)
Extensor tendons
Dorsal pedis artery
Digital nerves
![Page 11: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/11.jpg)
![Page 12: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/12.jpg)
Plantar fascia
Longitudinal collagen fibers
Medial calcaneal tubercle
Proximal phalanges
Plantar nerves
![Page 13: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/13.jpg)
Tarsometatarsal Articulation (Lisfranc)
Transverse ligaments
![Page 14: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/14.jpg)
Inspection
Palpation
Range of motion
Strength
Neurovascular
Special Tests
![Page 15: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/15.jpg)
D
C B A
![Page 16: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/16.jpg)
AP Lateral Mortise
![Page 17: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/17.jpg)
![Page 18: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/18.jpg)
Bone
Ligament
Muscle Tendon
Nerve – Blood Vessels
Remember mechanism of injury!
![Page 19: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/19.jpg)
26 yo male with ankle pain
Landed on foot while playing basketball
Stopped playing
Lateral pain
Able to limp off court and into your office
![Page 20: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/20.jpg)
Previous history: several prior sprains
Previous rehabilitation: minimal
Ankle protection: none recently
Ability to bear weight: yes
Neurovascular symptoms: no
![Page 21: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/21.jpg)
Inspection: Able to walk Swelling, slight bruising laterally
Palpation: TTP ant-distal to LatMall, but not on bone
ROM: decreased DF, PF, Inv, Ev Strength: mild decrease Neurovascular intact Special Tests:
(A/P)Drawer: normal Talar tilt: normal
![Page 22: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/22.jpg)
![Page 23: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/23.jpg)
1. Unable to bear weight
2. Tender over posterior lateral malleolus
3. Tender over posterior medial malleolus
4. Tender on navicular bone
5. Tender on 5th MT base
6. All of the above
![Page 24: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/24.jpg)
1. Unable to bear weight
2. Tender over posterior lateral malleolus
3. Tender over posterior medial malleolus
4. Tender on navicular bone
5. Tender on 5th MT base
![Page 25: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/25.jpg)
Grade 1 – Ligament stretch
Grade 2 – Ligament partial tear
Grade 3 – Ligament complete tear
![Page 26: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/26.jpg)
1. RICE rehab
2. RICE brace rehab
3. RICE cast
4. Surgical repair of the ATFL
![Page 27: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/27.jpg)
Treatment
PRICEMM: Protect, rest, ice, compress, elevate, Meds
Brace for 1-3 months during activity
Gradual ROM exercise
Physical Therapy
ROM
Strength
Proprioception
![Page 28: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/28.jpg)
34 yo male football player
Right ankle rolled up under him during tackle
Walked off field
Unable to return to play
![Page 29: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/29.jpg)
Previous history: neg
Previous rehabilitation: n/a
Ankle protection: none
Ability to bear weight: yes
Neurovascular symptoms: none
![Page 30: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/30.jpg)
Inspection: Difficulty bearing weight
Mild swelling around ankle med/lat
Palp: TTP laterally, anteriorly, medially
ROM: full
Strength: mild decrease
Neurovascular intact
Special Tests: Painful Tib-Fib Squeeze
Painful ankle external rotation
![Page 31: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/31.jpg)
Pain proximal to ankle
Painful ExtRot test
Painful squeeze test
ORDER xrays
Rule out mortise widening
Rule out fractured proximal fibula
Treatment:
Wide mortise: SURGERY
Normal xrays: cast 2-4 weeks
>5mm
![Page 32: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/32.jpg)
24 yo ROTC student c/o aching in medial calves during running for 6 weeks
Goes away w/ 1-2 days rest, but lasting longer with time
Training for marathon
![Page 33: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/33.jpg)
Normal appearing legs/ankles/feet
Palp: TTP diffusely medial tibial edges, distally
ROM: normal ankles (maybe tight heel)
Strength: normal
Neurovascular: normal
Special tests:
Fulcrum test normal
![Page 34: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/34.jpg)
Com
partment s
yndro
me
Media
l tib
ial s
tress
sy...
Stre
ss fr
acture
Tib
ial s
adness sy
ndrom
e
0% 0%0%0%
1. Compartment syndrome
2. Medial tibial stress syndrome
3. Stress fracture
4. Tibial sadness syndrome
![Page 35: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/35.jpg)
Etiology Muscle-bone junction
traction injury
Risk factors: ???
DDx Stress fracture
Exertional compartment syndrome
Treatment Cease painful activity
Non-painful activity
Physical therapy referral
Ankle strength ex’s
Heel stretches
Orthotics
Consider compression sleeve
![Page 36: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/36.jpg)
45 yo Male with chronic, insidious posterior heel pain
Worse after volleyball or running
Pain for several months
Difficulty walking, but warms up
![Page 37: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/37.jpg)
What lives in the back of the leg?
Calcaneus
Calf muscles
Gastrocnemius
Soleus
Achilles Tendon
Retrocalcaneal bursa
![Page 38: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/38.jpg)
Evaluation
Inspection: thickened Achilles tendon
Palpation: very tender Achilles w/ thickened nodularity
ROM: limited DF from tight heel cords, o/w normal at ankle
Strength: normal
Neurovascular: normal
Special Tests:
Negative Thompson test for ruptured achilles tendon
![Page 39: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/39.jpg)
Treatment
Reduce painful activities; alternate training activities
Physical Therapy modalities for acute pain control
Heel lift and BID heel cord stretches
Eccentric strengthening:
90% success rate; takes time
Avoid steroid injection
Failures (>3 mos)
Refer to Sports Med
![Page 40: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/40.jpg)
20 yo female kickboxing instructor
Injured foot 2 days ago while kicking
Walking painful, can’t jump or kick
Whole foot hurts and is swollen
![Page 41: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/41.jpg)
Swelling in midfoot, some ecchymosis
Very TTP dorso-medial midfoot
ROM: ankle normal, toes decr.
Strength: decreased toes
Neurovascular: normal
Special Tests:
Midfoot stress test OUCH
Ankle ligaments stable
![Page 42: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/42.jpg)
![Page 43: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/43.jpg)
Non-weight bearing
x-rays are normal
![Page 44: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/44.jpg)
20% are missed on initial presentation
Treatment
Casting 2-6 weeks if NO FRACTURES OR INSTABILITY
Surgery for fractures or instability
CT/MRI/Bone Scan
![Page 45: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/45.jpg)
Chronic pain
Arthritis
Inability to run or jump
Acute compartment syndrome
![Page 46: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/46.jpg)
59 yo female with plantar heel pain
Worse with first steps when getting out of bed
Gradually improves but worsens by end of day
Related to wearing boots
![Page 47: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/47.jpg)
Valgus foot type (pronation, flatfoot)
TTP on sole at medial calcaneal tubercle
ROM: normal, but tight heel cords
Strength: normal
Neurovascular: normal
Special tests: neg
![Page 48: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/48.jpg)
Treatment
Cease painful activity
Pain meds acutely
Ice, cross-friction massage
Prefab orthoses
(Physical therapy)
Plantar fascia stretching
Heel cord stretching
Tension night splint
Steroid injection
![Page 49: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/49.jpg)
…before hands-on practice
![Page 50: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/50.jpg)
Anterior Drawer Test (ATFL)
![Page 51: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/51.jpg)
![Page 52: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/52.jpg)
Squeeze Test External Rotation Test
![Page 53: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/53.jpg)
Thompson Test Integrity of Achilles Tendon
+
is
no
movement
![Page 54: MS3 Family Medicine - ASOPcastingworkshop.com/images/DL_Leg_Ankle_Foot_Problems.pdf · Define relevant anatomy, physiology, and radiographic features of the foot, ankle and lower](https://reader033.vdocument.in/reader033/viewer/2022041904/5e6297f0d634d671ec639f98/html5/thumbnails/54.jpg)
Thompson Test
for Achilles
tendon rupture
neg POSITIVE