The Foot and Ankle: Clinical Applications (A.L. Logan Series by Alfred Logan, Lindsay Rowe

By Alfred Logan, Lindsay Rowe

Utilized by scholars and practitioners, this e-book bargains sensible and powerful methods to therapy of the foot and ankle. The publication contains various illustrations of the foot and ankle anatomy, adjustive concepts, and routines. The Foot and Ankle is one in every of a three-book sequence of chiropractic process manuals written through the overdue A.L. Logan, DC.

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Intrinsic Muscles of the Foot Dorsal Muscles The extensor digitorum brevis and its medial slip, the exten­ sor hallucis brevis, arise from the superolateral surface of the calcaneus. Its tendon passes under the inferior retinaculum and attaches to the tendons of the extensor digitorum longus as they insert into digits two, three, and four. The extensor hallucis brevis inserts into the dorsum of the first phalanx of the great toe (Fig. 1-39). Plantar Muscles The muscles of the plantar surface are covered by the plan­ tar aponeurosis, a strong fibrous band extending from the cal- Patella Peroneus longus (cut) Biceps tendon Patellar ligament Posterior tibialis ----\-----1o,\\H+ Sartorius muscle Gastrocnemius muscle Peroneus longus muscle Origin of flexor hallucis longus �"""-fI'l'f-t-- Peroneus brevis Peroneus brevis muscle Tibialis anterior muscle Soleus muscle Extensor digitorum longus muscle Anterior retinaculum Flexor hallucis longus tendon Peroneus tertius muscle Tibialis anterior tendon Extensor digitorum longus tendons Peroneus longus tendon Fig.

2-14 Heel walk. Observe and palpate both feet at the same time, comparing the general appearance, condition of the toenails, texture of the skin, and skin temperature. Also look for the presence of a callus, corns, plantar warts, and fungal infection (athlete's foot). The presence of edema in both extremities indicates the possibility of a systemic problem; if edema is present only on the symptomatic side, a more localized problem would be ex­ pected. Vascular diseases are a common cause of problems of the feet.

Abduction of the Hindfoot Test for abduction of the hindfoot with the inside hand grasping the tarsal arch and the forefoot. Abduct the heel with the outside hand (Fig. 2-39). Pronation-Supination of the Hindfoot With the patient in the prone position and the leg fixed on the table, pronation and supination of the hindfoot are easily accomplished (Fig. 2-40). If an injury has occurred and a sprain is suspected, care must be used in testing abduction, adduction, eversion, and inversion of the foot itself.

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