The American Board of Podiatric Medicine (ABPM)



Sample Template for EMR use:Hammertoes and other forefoot pathologyThe [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.left412750In 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].00In 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].[Insert template for pes planus or cavus here and add the following to the weightbearing exam] ................
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