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'The First Metatarsal Rise Sign' in posterior tibial tendon dysfunction

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Craig Payne, Jul 30, 2015.

  1. Craig Payne

    Craig Payne Moderator

    Articles:
    8

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    I just stumbled on this 1996 paper that I either did not recall or missed; I have not come across this test in other sources either *or too dumb to recognize it!)

    The First Metatarsal Rise Sign: A Simple, Sensitive Sign of Tibialis Posterior Tendon Dysfunction
    Beat Hintermann, M.D. & Andr? G?chter, M.D.
    Foot & Ankle International April 1996 vol. 17 no. 4 236-241
    The sign:
    The finding:
     
  2. efuller

    efuller MVP

    I'm thinking about the supination resistance test in relation to this test. I remember Craig talking about how some feet would "break the supination resistance machine". I don't remember if it was medially deviated axis feet or PT tendon dysfunction feet that broke the machine. Regardless, My sense is that there is a high correlation between those feet. Then you look at the test where they take one hand and externally rotate the shank. Or they take one hand to move the heel into varus. Something is not adding up. One hand is a lot less than breaking the machine. If a subject keeps the same ratio of weight on the forefoot and the rearfoot, it is really hard to move the foot by grabbing the leg and twisting. Does the article have pictures of the test?

    Eric
     
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