Method for clinical diagnostics of longitudinal platypodia

FIELD: medicine, orthopedics, traumatology.

SUBSTANCE: one should measure the height of longitudinal pedal arch with the help of a foot-meter. In 2-3 min it is necessary to fulfill repeated measurement under conditions of maximal muscular relaxation. At decreased height of longitudinal pedal arch one should diagnose the availability of longitudinal platypodia.

EFFECT: higher accuracy of clinical diagnostics.

2 dwg

 

The invention relates to methods of examination of patients and can be used in orthopedics and traumatology for clinical diagnostics longitudinal platypodia.

Famous visual method of clinical diagnosis longitudinal platypodia, consisting in the following. The subject becomes the feet on a hard surface with the vertical position of the body, while visually assess the shape and approximate height of the longitudinal arch of the feet, then objectively measure the height of the longitudinal arch of the foot using a compass, ruler or Stopera vertically rising from the floor to the highest point of the foot on the back surface corresponding to the position of the scaphoid and spaced at a distance of 15-20 mm from the anterior surface of the tibia (Krasnov A.F., Kotelnikov G.P., Ivanova K.A. Orthopaedics: a Textbook for physicians postgraduate and undergraduate students. - Samara: Samara. printing house, 1998. - 480 S.; Skoblin A.P., Lived with US, Gerela A.N. A guide to practical exercises in traumatology and orthopedics. - M.: Medicine, 1975. - 223 C.).

The disadvantage of this method of investigation is that during the examination of the subject can strain the muscles supporting the longitudinal arch of the foot, lifting it, thus you may receive the doctor conducting the examination, the false impression of placer was generated is t and the normal height of the longitudinal arch of the foot in a patient with flat feet.

The objective of the invention is improving the accuracy of clinical diagnosis of longitudinal platypodia.

The problem is solved by a method for the visual observation of the arch of the subject in a state of static load and measure its height with Stopera, characterized in that the monitoring carried out by the method of "deferred inspection" within a certain period of time in conditions of maximum muscle relaxation and H1=H-h judge the degree of flatfoot, where:

H - the height of the arch of the subject in the initial examination;

H1- the height of the arch of the subject with repeated ("deferred") examination;

h - magnitude reduction in the height of the longitudinal arch of the foot.

1 schematically shows the arrangement of the horizontal plank of stoparea on the back surface of the foot at a distance of 15-20 mm from the anterior surface of the tibia.

On figa schematically shows the level of the height of the dome N stop surveyed in the initial examination (in the state of tension of the muscles supporting the longitudinal arch of the foot).

On figb schematically shows the level set H1stop surveyed for the second ("deferred") inspection after 2-3 minutes (during relaxation of the muscles supporting the longitudinal arch of the foot), where:

1 - hour with a scale ruler;

2 is a horizontal plank;

3 - stop.

When you have flat feet within a specified period of time, there is a gradual lowering of the longitudinal arch of the foot to the usual for the subject patient's pathological level, which proposed to designate as a positive symptom "hidden flat feet". This horizontal plate Stopera, descending together with the longitudinal arch of the foot, objectively shows the value of h to reduce the height of the longitudinal arch of the foot.

The subject is placed on the stand with warm dry clean solid and smooth surface in the standing position, feet shoulder width apart, with strictly parallel arrangement of the stop. On a stand set Toomer, consisting of a support, a rack fixed on her large-scale ruler 1 and freely moving it horizontal bars 2. Horizontal bar 2 mounted on the rear surface of the foot 3 in the area of the scaphoid, showing on the scale ruler 2 the height of the foot 3. Make a visual inspection of the feet of the subject, mark the height of the longitudinal arch N on the scale ruler, then offer the subject to relax and to stand for 2-3 minutes, keeping the specified position. The procedure is repeated, determining the height of the longitudinal arch H1when re ("deferred") examination. Determine the reduction in the height h of the arch of the foot.

Offers the right diagnosis method to the diagnosis of the symptom "hidden flat feet" improves the accuracy and timeliness of detection of longitudinal platypodia.

The way clinical diagnostics longitudinal platypodia, consisting in measuring the height of the longitudinal arch of the foot, using Stopera, characterized in that the re-determine the height of the longitudinal arch of the foot after 2-3 min in conditions of maximum relaxation of the muscles, and by reducing the height of the longitudinal arch of the foot diagnose the presence of a longitudinal platypodia.



 

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