APMA News - November/December 2019 - 48

ABPM Templates continued from page 47

Sample template for EHR use:
Hallux valgus
The [right and/or left] hallux is [abutting, under-riding,
over-riding] the 2nd toe with [dorsal, dorsomedial, medial]
prominent 1st metatarsal head. [Insert template for lesser toe
deformities here if present] The hallux IPJ is [adducted, rectus,
abducted, flexed, extended] with [limited, hypermobile, normal, smooth, crepitus, pain free, painful] ROM. The 1st MTPJ
is [abducted, adducted, dorsiflexed, plantarflexed, not deviated] with [tracking, trackbound, reducible] range of motion
measuring [degrees] dorsiflexion and [degrees] plantarflexion.

The first ray rests [neutral, dorsal, plantar] to the 2nd ray; ROM
measures [degrees] dorsiflexion and [degrees] plantarflexion.
[Insert template for pes planus or cavus here and add the
following to the weightbearing exam]
In stance hallux [abductus, valgus, flexion, extension] [increases, decreases]. Passive hallux dorsiflexion in RCSP is
[degrees] and in NCSP [degrees]. Hallux purchase is [absent, poor, fair, good].

Sample template for EHR use:
Hammertoes and other forefoot pathology
The [2nd, 3rd, 4th, 5th] toe(s) have [rigid, semirigid, reducible]
[flexion, extension, abduction, adduction, varus, valgus] contraction(s) at the level of the [distal, proximal] interphalangeal
joint(s). The [2nd, 3rd, 4th, 5th] metatarsophalangeal joint(s)
[is/are] [rectus, deviated in which plane, subluxed, dislocated].
[MTPJ deformity is reducible, semireducible, nonreducible].
The [2nd, 3rd, 4th, 5th] MTPJ [is, is not] stable to dorsal subluxation stress (Lachman's test).
[If associated deformity of the hallux is present, insert template for hallux valgus here; if not proceed as follows]

The forefoot to rearfoot relation is [varus, perpendicular, valgus]. First ray ROM measures [degrees] dorsiflexion and [degrees] plantarflexion.
[Insert template for pes planus or cavus here and add the
following to the weightbearing exam]
In stance [flexion, extension, abduction, adduction, varus,
valgus] of the [number of toe and number of MTPJ] [increases, decreases]. Toe purchase is [absent, poor, fair,
good]. Passive hallux dorsiflexion in RCSP is [degrees] and
in NCSP [degrees].

Sample template for EHR use:
Proximal exam
Add to template for pertinent pathology-specific biomechanical exam
[Assessment of varus, valgus deformity, stability of the ankle joint, talar tilt and anterior drawer should be included if
part of the complaint]
Malleolar position is [degrees] external. The knee is [rectus,
degrees varus, degrees valgus] in the frontal plane with [rectus, flexion contraction, genu recurvatum] in the sagittal
plane. Hip rotation while extended measures [degrees] internal and [degrees] external, and while flexed measures [degrees]

48 APMA News November/December 2019

internal and [degrees] external. Manual muscle testing reveals
[grade the strength of weak proximal muscles using 5-point
scale; if no weakness document 5/5 strength].
In stance there is [no change, increase, or decrease] in knee
[alignment, varum, valgum]. Tibial alignment is [degrees varum, degrees valgum, or rectus].
In gait, [shoulders are level, right or left shoulder drop], [hips
are level, right or left hip drop]. Knee flexion and extension is
[normal, limited]. [Genu valgum, genu varum, rectus knee
position] is noted. Angle and base of gait are [increased, normal, decreased].
APMA News - November/December 2019

Table of Contents for the Digital Edition of APMA News - November/December 2019
