Foot and Ankle Joint

2001 ◽  
pp. 99-118
Author(s):  
C. E. Bachmann ◽  
G. Gruber ◽  
W. Konermann ◽  
A. Arnold ◽  
G. M. Gruber ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Foot And Ankle

A Mechanical Equinometer to Measure the Range of Motion of the Ankle Joint: Interobserver and Intraobserver Reliability

2006 ◽  
Vol 27 (3) ◽  
pp. 202-205 ◽  
Author(s):  
Dominik C. Meyer ◽  
Clement M.L. Werner ◽  
Tobias Wyss ◽  
Patrick Vienne
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Precise Measurement ◽  
Knee Extension ◽  
Measurement Tool ◽  
Foot And Ankle ◽  
Reliable Technique ◽  
Plantar Surface ◽  
Clinical Measurements ◽  
Very High

Background: Clinical measurement of passive dorsiflexion of the ankle joint is essential for the diagnosis of various pathologic conditions of the foot and ankle but is of unreliable precision with high interobserver variability in nonweightbearing tests. This work was designed to develop and test a precise, standardized, and reliable technique for measurement of passive and active ankle range of motion. Methods: The proposed measurement tool is composed of two mobile parallelograms, one attached to the tibia, the second one to the plantar surface of the foot. The parallelograms are connected with a hinge with an angular scale to measure the angle between the foot and tibia. Results: Interobserver correlation between clinical measure-ments for maximal passive foot dorsiflexion were 0.03 with knee extension and 0.38 with knee flexion, while for measurements with the proposed tool they reached 0.89 and 0.97, respectively, with a mean measurement error of 0.9 degrees. Intraobserver correlations reached values of r = 0.98 and 0.99. Conclusions: The proposed tool allows measurement of the ankle range of motion with very high precision and reproducibility far superior to clinical measurements. Clinical Relevance: Precise measurement of ankle range of motion is clinically challenging. With the use of the proposed tool, measurement precision and reliability are decisively improved.

scholarly journals The Silverskold Test, Are We All Doing it the Same?

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Nicholas Cheney ◽  
Kyle Rockwell ◽  
John Weis ◽  
Dylan Lewis ◽  
Joseph Long ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Subtalar Joint ◽  
Senior Author ◽  
Foot And Ankle ◽  
Talonavicular Joint ◽  
Ankle Pain ◽  
Wide Range ◽  
Growing Body ◽  
Equinus Contracture ◽  
The Difference

Category: Pathophysiology Introduction/Purpose: Gastrocnemius eqiunus has been associated with a wide range of foot and ankle pathologies in the literature, however, many still question it’s involvement or existence. A recent response in Foot & Ankle International pointed out an incorrect demonstration of the Silfverskold test in a prior study. With a growing body of literature supporting gastrocnemius equinus as a contributing factor in foot and ankle pain, why do many feel that it still does not exist? It was our hypothesis that unless the examination is performed correctly, the diagnosis can be missed and could be the potential cause for disbelief in its existence or effect on foot and ankle pain. We sought to demonstrate the difference in examination findings when performing the test correctly and incorrectly. Methods: Thirty consecutive patients with conditions associated with gastrocnemius equinus in the literature were included in the study. Each patient was consented and had a Silverskold test performed correctly by inverting and locking the subtalar joint as well as stabilizing the talonavicular joint in order to isolate the ankle joint. We then performed the exam incorrectly without stabilizing the same two joints, allowing motion through the ipsilateral hindfoot and midfoot joints. A long arm goniometer was used to measure the angles with each arm along the length of the fibula and fifth metatarsal. The senior author performed all of the examinations to maintain consistency. The angles were recorded for later review. Results: We found that when the subtalar and talonavicular joints were stabilized, there was almost fifteen degrees less dorsiflexion than when the same joints were not stabilized. The average dorsiflexion when performed in the correct manner was seventy-eight degrees, while the average dorsiflexion with the exam performed incorrectly was ninety-three degrees. Conclusion: We demonstrated that if the examination is not performed correctly, the equinus contracture could go undiagnosed as motion through the hindfoot and midfoot joints can alter the findings. It is important to understand and perform the technique correctly to evaluate for the contracture as it has been shown to be a contributing factor in many foot and ankle problems. If we standardize the examination, there may be less disagreement about its existence or affect on foot and ankle pain.

scholarly journals Foot and Ankle Kinematics in Rheumatoid Arthritis: Influence of Foot and Ankle Joint and Leg Tendon Pathologies

2013 ◽  
Vol 65 (4) ◽  
pp. 503-511 ◽  
Author(s):  
R. Dubbeldam ◽  
H. Baan ◽  
A. V. Nene ◽  
K. W. Drossaers-Bakker ◽  
M. A. F. J. van de Laar ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Ankle Joint ◽  
Foot And Ankle ◽  
Ankle Kinematics

Surgical rehabilitation of patients with postburn contractures and deformities of foot and ankle joint

Burns ◽  
2007 ◽  
Vol 33 (1) ◽  
pp. S9
Author(s):  
B. M. Sakirov ◽  
Nargisa M. Mavlyanova ◽  
C. K. Karoboev ◽  
B. S. Tursunov ◽  
B. M. Shakirov
Keyword(s):  
Ankle Joint ◽  
Foot And Ankle

Manipulation method for the treatment of ankle equinus

2000 ◽  
Vol 90 (8) ◽  
pp. 385-389 ◽  
Author(s):  
HJ Dananberg ◽  
J Shearstone ◽  
M Guillano
Keyword(s):  
Achilles Tendon ◽  
Ankle Joint ◽  
Clinical Entity ◽  
Foot And Ankle ◽  
Compound A ◽  
Ankle Joint Dorsiflexion ◽  
Manual Manipulation

Ankle equinus is a well-known clinical entity that has previously been shown to compound a variety of foot and ankle conditions. Treatments for this disorder have included surgery to lengthen the Achilles tendon and daily stretching. This article describes a method of manual manipulation that can immediately and substantially increase ankle joint dorsiflexion. Patients treated with manipulation in the current study demonstrated nearly twice as much dorsiflexion motion as that demonstrated by patients in a prior study who were treated with a 5-minute daily stretching program for 6 months.

scholarly journals Clinical Examination of Foot and Ankle Joint

2016 ◽  
Vol 2016 (05) ◽  
pp. 111-116 ◽  
Author(s):  
M Wurm ◽  
M Wiewiorski ◽  
A Gösele ◽  
V Valderrabano
Keyword(s):  
Ankle Joint ◽  
Clinical Examination ◽  
Foot And Ankle

scholarly journals Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Ichiro Tonogai ◽  
Eiki Fujimoto ◽  
Koichi Sairyo
Keyword(s):  
Ankle Joint ◽  
Vascular Complications ◽  
Posterior Tibial Artery ◽  
Ankle Arthroscopy ◽  
Peroneal Artery ◽  
Anterior Tibial Artery ◽  
Foot And Ankle ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Anterior Tibial

The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Here, we report the unusual case of a 48-year-old man in general good health with the absence of the anterior tibial artery and posterior tibial artery. The patient presented with a pseudoaneurysm of the perforating peroneal artery following ankle arthroscopy for traumatic osteoarthritis associated with nonunion of the medial malleolus. The perforating peroneal artery injury was repaired by performing end-to-end anastomosis. The perforating peroneal artery is at higher risk for iatrogenic injury during ankle arthroscopy in the presence of abnormal arterial variations of the foot and ankle, particularly the absence of the anterior tibial artery and posterior tibial artery. Before ankle arthroscopy, surgeons should therefore carefully observe the course of the perforating peroneal artery on enhanced 3-dimensional computed tomography, especially in patients with a history of trauma to the ankle joint.

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