Base of 5th metatarsal bone (lateral view):
Palpation: Palpate the base of the 5th metatarsal bone by palpating along the lateral edge of the foot. About midway between the heel and the fifth little toe lies the tuberosity of the 5th metatarsal bone (3).
Medial malleolus: 6 cm along the edge of the posterior medial malleolus
Navicular (medial surface):
Surface anatomy palpation of the navicular bone: Palpate along the medial side of the foot from the heel, you'll feel navicular prominence anterior to the sustentaculum tali (1), (2).
Sources:
(1) Navicular surface anatomy: http://www.flashcardmachine.com/hoppenfeld-ankle-footpalpation.html
(2) Navicular surface anatomy: https://web.duke.edu/anatomy/mbs/Lab15_MBS/Lab16_preLab.html
(3) 5th metatarsal bone palpation: http://www.dummies.com/how-to/content/surface-anatomy-of-the-knee-and-foot.html
Leg surface anatomy: https://web.duke.edu/anatomy/lab15/lab16_prelab.html
Ankle/foot surface anatomy: https://sites.google.com/site/1styearportfolio/the-ankle-foot/bones-landmarks
Palpation of bony landmarks:
https://www.fgc.edu/wp-content/uploads/2011/12/palpation-of-bony-landmarks.pdf
Ottawa rule for the ankle/foot: http://www.lightspeedphysio.com/ottawa_ankle.png
http://shs-manual.ucsc.edu/sites/shs-manual.ucsc.edu/files/Ottawa%20rules%20for%20x-ray%20of%20ankle%20%26%20foot.pdf
http://www.aafp.org/afp/2001/0101/p93.html
http://www.aafp.org/afp/2002/0901/p785.html
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1303302/pdf/westjmed00352-0069.pdf
Ottawa rule misses a fracture in the talus from high fall: http://emj.bmj.com/content/18/6/521.full
No comments:
Post a Comment