REIDER PART 236
296
Chapter 7
Lower Leg, Foot, and Ankle
TAKE HOME POINTS
1. Weightbearing inspection of the foot and ankle is a critical part of the evaluation. This should be done with the patient standing still, as well as during gait.
2. Remember relevant medical history, including systemie endocrine or inflammatory disorders.
3. Strength of the gastrocnemius-soleus complex can only be graded 5/5 if the patient is able to perform single-leg heel rises 10 times.
4. Always perform a neurological examination of the lower extremity.
5. Always evaluate the spine in patients with suspected calcaneal fractures resulting from a fali from a great height.
6. Always compare findings with the patient's contralateral side.
7. Inspect the bottom of the patient's foot for callosities that may indicate areas of excessive pressure.
■ BIBLIOGRAPHY
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Goldberg RS: Surgical treatment of the accessory navicular. Clin Orthop. 1983;177:61-66.
Hamilton WG: Stenosing tenosynovitis of the flexor hallucis longus ten-don and posterior impingement upon the os trigonum in ballet dancers. Foot Ankle Int. 1982;3:74-80.
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