Phalanges

Forefoot Metatarsals

Cuneiforms

Midfoot

Navicular Cuboid

Bones Talus

Rearfoot Calcaneus

Tibia

Leg Fibula

InterPhalangeal

Phalanges

Phalanges

MetatarsalPhalangeal

Metatarsals

Talus

Transverse Tarsal

Joints

TN Navicular

CC

Cuboid

Calcaneus

Subtalar Talus

Ankle Tibia

Tib-Fib Fibula

Proximal

Distal

Distal Tib-Fib

Proximal Tib-Fib

Deltoid

PTF

CF

ATF

Spring

Ligament

Connects

Ligaments Restrains

Ankle

Subtalar

MTP

IP

Joint

Sagittal

Plane of Motion Frontal Transverse

Joint Motion

Calcaneus Calcaneus

Talus Talus

Calcaneus Calcaneus

Talus Talus

Calcaneus

Calcaneus

Calcaneus

Supination Calcaneus

Pronation

Non-Weight Bearing

Weight Bearing

Pronation & Supination

MTP Adduction

MTP Abduction

MTP Extension

MTP Flexion

IP Extension

IP Flexion

Motion

Prime Mover(s)

Muscle – Joint Interaction

Rearfoot Inversion Rearfoot Eversion Ankle Dorsiflexion Ankle Plantarflexion

Motion

Prime Mover(s)

Muscle – Joint Interaction

Dorsal Foot

Dorsal Pedis

Anterior Compartment

Anterior Tibial

Plantar Foot

Posterior Compartment

Lateral Plantar

Posterior Tibial

Medial Plantar

Popliteal

Blood Supply

Dorsal Foot

Anterior Compartment

Deep Peroneal

Lateral Compartment

Superficial Peroneal

Common Peroneal

Sciatic

Medial Plantar

Tibial

Lateral Plantar

Plantar Foot

Posterior Compartment

Nerve Supply

Passing the Medial Malleolus

TA PT PB PL

EHL

EDL

Deep Peroneal N. Ant. Tib Artery

Sup. Peroneal N.

Anterior Compartment

Lateral Compartment

Posterior Compartment

PT FHL

Soleus

FDL Tibial N. Post. Tib Artery

Plantaris Gastroc

Contusion

Exostosis

BONE

Fracture

Apophysitis

Dislocation

Eversion Ankle Sprain

JOINT

Syndesmotic Ankle Sprain

Osteochondritis Dissecans

Inversion Ankle Sprain

Achilles

Gastroc

Tibialis Posterior

MUSCLE / TENDON

Tibialis Anterior

Peroneals

Retrocalcaneal Bursitis

BURSA

Tarsal Tunnel Syndrome

NERVE

Intermetatarsal Neuroma

Acute

Compartment Syndrome

VASCULAR

Deep Vein Thrombosis

Exertional

Hallux Valgus

Morton’s Toes

Claw Toes

Foot Type

Pes Cavus

Toenails

Calluses & Blisters

OBSERVATION

Pes Planus

Hammer Toes

Toe Postures

Hallux Abducto Valgus

Corns

FOOT AND TOES PALPATION GUIDE Medial Structures First Metatarsal First MTP Joint First Cuneiform Navicular Talar Head Sustenaculum Tali Spring Ligament Calcaneaous Flexor Hallicus Longus Flexor Digitorum Longus Tibialis Posterior Posterior Tibial Artery Lateral Structures Fifth Metatarsal Fifth MTP Joint Styloid Process Cuboid Lateral Border Calcaneous Peroneal Tendons Dorsal Structures Metatarsal Heads Extensor Hallicus Longus Extensor Digitorum Longus Rays Cuneiforms Tibialis Anterior Navicular Dome of Talus Inferior Extensor Retinaculum Dorsalis Pedis Artery Sinus Tarsi Extensor Digitorum Brevis Plantar Structures Metatarsal Heads Sesmoid Bones Plantar Fascia Medial Calcaneal Tubercle

ANKLE AND LOWER LEG PALPATION GUIDE Lateral Structures Head of the Fibula Peroneus Longus Peroneus Brevis Shaft of the Fibula Anterior Tibiofibular Ligament Interosseous Membrane Superior Peroneal Retinaculum Lateral Malleolus Calcaneofibular Ligament Anterior Talofibular Ligament Posterior Talofibular Ligament Peroneal Retinaculum Peroneal Tubercle Cuboid Base of the 5th Metatarsal Peroneus Tertius Anterior Structures Anterior Tibial Shaft Tibialis Anterior Extensor Hallicus Longus Extensor Digitorum Longus Dome of Talus Extensor Retinacula Dorsalis Pedis Artery Medial Structures Medial Malleolus Deltoid Ligament Flexor Hallicus Longus Flexor Digitorum Longus Tibialis Posterior Posterior Tibial Artery Sustenaculum Tali Spring Ligament Navicular Tuberosity Tibialis Posterior

Posterior Structures Gastroc-Soleus Complex Achilles Tendon Subcutaneous Calcaneal Bursa Calcaneous Subtendinous Calcaneal Bursa

Contusion

Bump Test

Exostosis

BONE

Fracture

Apophysitis

Squeeze Test

Tib-Fib Translation Test

Eversion Talar Tilt

Glides

Inversion Ankle Sprain

Kleiger’s Test

Osteochondritis Dissecans

JOINT

Syndesmotic Ankle Sprain

Sprain / Dislocation

Eversion Ankle Sprain

Squeeze Test

Anterior Drawer

Inversion Talar Tilt

IP Extension MTP Flexion MTP Extension MTP Abduction MTP Adduction

IP Flexion

Motion

Normal Stationary ROM Arm

Axis of Rotation

Goniometry Moving Arm

Rearfoot Inversion Rearfoot Eversion Plantar Flexion Dorsi Flexion

Motion

Normal Stationary ROM Arm

Axis of Rotation

Goniometry Moving Arm

Goniometry Worksheet Subject 1 ______________

Subject 2 _______________

Evaluator A Evaluator B Evaluator A Evaluator B _____________ _____________ _____________ _____________ MTP

Extension

Flexion

Adduction

Abduction Subtalar

Eversion

Inversion Talocrural

PF

DF

Thompson Test Achilles

Gastroc

Tibialis Posterior

MUSCLE / TENDON

Tibialis Anterior

Peroneals

Soleus

Gastroc

KNEE

ANKLE

PROM

KNEE

ANKLE

AROM

Pencil Test

Tinel’s Sign

Tarsal Tunnel Syndrome

NERVE

Intermetatarsal Neuroma

Morton’s Test

Dorsal Pedis Artery

Acute

Compartment Syndrome

VASCULAR

Deep Vein Thrombosis

Exertional

Posterior Tibial Artery

Homan’s Sign

Eversion Ankle Sprain

Turf Toe

Injury

Joint

Tibial Stress Fracture

Jones Fracture

Injury

Bone

Dorsiflexion with external rotation of the foot

Mechanisms

Mechanisms

Cuboid glide – plantar to dorsal

Anterior Drawer Inversion Talar Tilt

Special Tests

Squeeze Test Bump Test

Special Tests

Tibialis Posterior Strain

Tibialis Anterior Strain

Peroneal Tendon Subluxation

Plantar Fasciitis

Injury

Muscle / Tendon Mechanisms

Thompson Test

Special Tests

Anterior Compartment Syndrome

Injury

Vascular

Intermetatarsal Neuroma

Injury

Nerve

Mechanisms

Mechanisms

Deep Vein Thrombophlebitis

Special Tests

Tinel’s Sign

Special Tests