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Painful burning, tingling, or numb sensations in the lower legs. Pain worsens and spreads after standing for long periods; pain is worse with activity and is relieved by rest. Electric shock sensations; Pain radiating up into the leg, [1] behind the shin, and down into the arch, heel, and toes; Hot and cold sensations in the feet
The sural nerve (L4-S1) is a cutaneous sensory nerve of the posterolateral calf with cutaneous innervation to the distal one-third of the lower leg. [1] Formation of the sural nerve is the result of either anastomosis of the medial sural cutaneous nerve and the sural communicating nerve, or it may be found as a continuation of the lateral sural cutaneous nerve [2] traveling parallel to the ...
Chaddock's sign is present when stroking of the lateral malleolus causes extension of the great toe, indicating damage to the corticospinal tract. [1] It was identified by Charles Gilbert Chaddock in 1911. [2]
In cases of fibular stress fractures, pain occurs proximal to the lateral malleolus, that increases with activity and subsides with rest. [3] If pain is constantly present it may indicate a more serious bone injury. [4] There is usually an area of localized tenderness on or near the bone and generalized swelling in the area.
There is any pain in the malleolar zone; and, Any one of the following: Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR; Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus, OR
extension of big toe with stimulation of skin over lateral malleolus Chadwick sign: James Read Chadwick: obstetrics: pregnancy: cyanosis of vulva, vagina and cervix Chagas disease: Carlos Chagas: infectious disease, tropical medicine heart failure Heart failure, enlarged esophagus, enlarged colon: Charcot's triad: Jean-Martin Charcot: surgery ...
The calcaneofibular ligament is a narrow, rounded cord, running from the tip of the lateral malleolus of the fibula downward and slightly backward to a tubercle on the lateral surface of the calcaneus. It is part of the lateral collateral ligament, which opposes the hyperinversion of the subtalar joint, as in a common type of ankle sprain. [1]
You may also do a metacarpal squeeze at this point to test for metacarpal phalangeal tenderness. Now lay the patient down. For both legs compare true (ASIS to medial malleolus) and apparent (umbilicus to medial malleolus) leg length. Ask the patient to: "put your heel onto your bottom" to test knee flexion.