P - Tornozelo

FONE:_____________________________________CDIGO TRANSAO:_______________________________________
INSPEO
Marcha:_________________________________________________________________________Genu:_______________________
Tegumento (condies vasc, alt. cor, trficas, tumores) e anexos:________________________________________________________
____________________________________________________________________________________________________________
Hiperceratoses:_______________________________________________________________________________________________
Alt nos dedos:________________________________________________________________________________________________
P com carga:
Antep:_____________________________________________________________________________________________________
Atitude do retrop:_____________________________________________________________________________________________
Arco longitudinal medial:_______________________________________________________________________________________
Eixo da marcha:______________

ngulo do passo

Tipo de p

PALPAO
P________:
Palpao ssea (Malolo medial/lateral, Fbula distal, Tbia distal, Calcneo, Tlus, mdio-p, Metatarsos, Pododctilos):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Partes moles (Lig Talo-fib ant/post, Fib-calc, Delt, Tendo Aquileu, Msc TA/TP, fibulares, Fscia Plantar, Seio do Tarso...):
LAT:_______________________________________________________________________________________________________
DORSO:____________________________________________________________________________________________________
MEDIAL: ___________________________________________________________________________________________________
PLANTA: ___________________________________________________________________________________________________
Coxim gorduroso:_____________________________________________________________________________________________
Artria pediosa:_____________________________art. tibial post:____________________________________
MOBILIDADE
Dorsiflexo
Flex. Plantar
P Dir.
P Esq.
*com dor
Tem diminuio da mobilidade de algum pododctilo?_____________________________________________________________
SENBILIDADE

P - Tornozelo
MANOBRAS
Teste de Thompson:____________Tinel:_________________________T. Gaveta Ant. Tornozelo (sinal do vcuo?):______________
T. stress em varo(fibulocalc):________________________T. stress em valgo(deltide):___________________
T. compresso lateral da perna (Pillings):______________________T. da ponta dos ps:_____________________________________
Manobra da hiperextenso do tornozelo e dos artelhos:________________________________________________________________
T. de Jack (hiperextenso passiva do hlux):________________________________________________________________________
Prova para redutibilidade do valgismo do hlux (Prova de McBride):_____________________________________________________
T. da hipermobilidade do 1 raio:___________________________________Sinal dos muitos dedos:_________________________
T. da compresso ltero-medial do antep:_________________________________________________________________________
OUTRAS MANOBRAS:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Metatarsalgias:
Mecnicas:

A1 p como um todo (P equino, antep triangular simples, antep convexo simples, antep
cavo e antep triangular convexo)
A2 antep (Adquiridas : sobrecarga, trauma, deformidades dedos, alterao irrigao local,
artrose, neuropatias perifricas e iatrognicas)

No-Mecn:

B1 enfermidades locais (infeces, tumores)

B2 enfermidades gerais (vasculop, artrites, das metab e neuromsc)

Anlise de Exames Complementares:

RX____/____/____:___________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
TAC: ____/____/____:_________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
RNM: ____/____/____:________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
ECO____/____/_____:_________________________________________________________________________________________
____________________________________________________________________________________________________________
Descrio de achados em cirurgias prvias:
__/__/__:____________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Hiptese Diagnstica:_________________________________________________________________________________________
____________________________________________________________________________________________________________
Conduta:____________________________________________________________________________________________________