Describe/Attach EMG report: 7. Vascular lesion: Yes No Radial Ulnar Power/Strength: DETAILS OF INJUEMPLOYEE Measured ROM Normal ROM Ankle (Ankylosed joint in fixed (guide) degrees) Dorsi flexion (0-20) ROM Plantar flexion (0-40) Inversion (0-30) Eversion (0-20) Measured ROM Normal ROM Ankle ligaments (Ankylosed joint in fixed (guide) degrees) Medial Collateral Stable Lateral Collateral Stable Measured ROM Normal ROM ROM Big toe (Ankylosed joint in fixed (guide) degrees) Big toe (Hallux) IP - flexion (0-30) MP – Dorsi flexion (0-50) MP –Plantar flexion (0-30) 10. Radiology Report:
Describe/Attach EMG report: 7. Vascular lesion: Yes No Radial Ulnar Power/Strength: DETAILS OF INJUEMPLOYEE ROM Ankle Normal ROM (guide) Measured ROM (Ankylosed joint in fixed degrees) Dorsi flexion (0-20) Plantar flexion (0-40) Inversion (0-30) Eversion (0-20) ROM Ankle ligaments Normal ROM (guide) Measured ROM (Ankylosed joint in fixed degrees) Medial Collateral Stable Lateral Collateral Stable Big toe Normal ROM (guide) Measured ROM (Ankylosed joint in fixed degrees) Big toe (Hallux) IP - flexion (0-30) MP – Dorsi flexion (0-50) MP –Plantar flexion (0-30) 10. Radiology Report:
4-IAR-Foot-and-Ankle-Report.docx