The Hip - book

Physical Exam of Sub Talar Joint

– Discussion:     – wt bearing line of the body normally falls medial to the axis of sub talar joint, & therefore, when the patient stands on one foot, the  foot pronates;            – when pt rotates leg externally, heel inverts & wt bearing line moves laterally;     – total … Read more

Physical Exam for ACL Tear

– See:      – Physical Exam of the Knee:      – Mechanism: ACL Tear:      – Anteromedial Rotatory Stability:      – Anterior Cruciate Ligament      – Anterior Drawer Test      – Anterolateral Rotatory Instability      – Clunk Test      – Lachman      – Losee Test       – … Read more

Pes anserinus

– Discussion:     – pes arserinus is final common tendinous insertion of sartorius, gracilis,            & semitendinosus along proximal medial aspect to tibia;            – these muscles serve as flexors & internal rotators, & help protect knee                   … Read more

Pes Cavus

– Discussion: – cavus deformity of the foot (elevated longitudinal arch) due to fixed plantar flexion of the forefoot; – frequency: The anatomy of cavus foot deformity – main type is the cavovarus; – associated with spinal cerebellar degenerative dz; – associated deformities: – claw toes – differential dx: (commonly associatted with neurologic disorders) – … Read more

Pes Planus / Flat Foot

– Discussion: – loss of normal medial longitudinal arch leads to pes planus, which can be flexible or rigid; – may arise as a consequence of hyper-pronation or from increased eversion of the subtalar joint; – hence, the calcaneus lies in valgus and external rotation relative to the talus; – associated midfoot sag may be … Read more

Peroneus Brevis

    – Anatomy:     – origin: distal 2/3 of the lateral surface of the body of fibula and the adjacent intermuscular septa;     – insertion: tuberosity on lateral side of proximal end of 5th metatarsal;     – action:           – plantar flexion and eversion of the foot … Read more

Peroneus Tertius

– See: – Lateral Compartment – Anatomy: – origin: distal 1/3 of the anterior surface of the fibula and adjacent intermuscular septum; – insertion: dorsal surface of the base of the 5th metatarsal; – action: dorsiflexes and everts the foot at the ankle; – nerve supply: peroneal, L4, L5, S1 (see innervation) – synergist: extensor … Read more