Spinal and Limb Conditions Assessment
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rishabhsharma19022002Spinal and Limb Conditions Assessment
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rishabhsharma19022002Common questions
Powered by AIThe document considers candidates with hyperextensible finger joints as unfit if extensions exceed 90 degrees due to potential later ailments when under physical strain . Isolated hyperextension beyond 10 degrees in the elbow also leads to unfitness unless there's no trauma history . Other joints like knees, elbows, spine, and thumb are also examined for features of hyper-laxity, acknowledging that even isolated joint issues render a candidate unfit due to potential complications .
For pes planus, candidates are acceptable if arches reappear when standing on toes, and if they can skip and run well, indicating flexible, mobile, painless feet . Rigid or symptomatic flat feet are unfit . Mild idiopathic pes cavus without functional limitation is acceptable, but moderate or severe forms or those due to organic disease lead to rejection . All Talipes (Club Foot) cases result in rejection .
Hallux valgus with an angle greater than 20 degrees and first-second metatarsal angle more than 10 degrees leads to unfitness, especially if accompanied by bunion, corns, or callosities . Any hallux rigidus condition is deemed unfit due to the associated inability to support adequate service performance .
A goniometer is used to measure the degree of elbow hyperextension accurately. The standard for normal elbow extension is 0 degrees, and up to 10 degrees of hyperextension is considered within normal limits provided there is no trauma history . Measurements exceeding 10 degrees classify the candidate as unfit, supporting precise fitness outcomes .
Mallet finger involving loss of extensor mechanism at the distal interphalangeal joint leads to chronic deformity and functional deficit, deeming it unfit if the deformity is fixed . Mild conditions with under 10-degree extension lag are fit if no trauma or pressure symptoms exist . Hyperextensible finger joints beyond 90 degrees render candidates unfit due to potential strain-induced ailments .
Candidates with a history of recurrent shoulder dislocation, even post-corrective surgery, are deemed unfit . For the clavicle, non-union of an old fracture results in rejection, but mal-united fractures without functional loss or obvious deformity are acceptable .
Intra-Articular fractures of major joints result in unfitness, irrespective of surgery or implants . Extra-Articular fractures with in-situ implants also lead to rejection but can be reconsidered for fitness 12 weeks post-implant removal . For conservatively managed long bone fractures post nine-month duration, fitness is acceptable if there's no mal-alignment, neuro-vascular deficit, soft tissue loss, or functional deficit .
Candidates post-polydactyly surgery can be declared fit 12 weeks later if there's no bony abnormality on radiograph, the wound is well healed, the scar is supple, and there's no evidence of neuroma . For simple syndactyly, fitness is judged post-surgery under the same conditions, with added satisfactory webspace . Complex syndactyly, however, results in an unfit declaration .
Slight elbow movement limitations don't bar acceptance if function is adequate; however, ankylosis leads to rejection . For cubitus valgus, a carrying angle up to 15º in males and 18º in females is accepted unless accompanied by functional disability or causes like fracture mal-union . Hyperextension of the elbow is considered unfit if it exceeds 10 degrees unless there's no trauma history . Cubitus varus over 5 degrees and cubitus recurvatum over 10 degrees are deemed unfit .
Ligamentous laxity in knee joints renders candidates unfit, and ACL reconstruction history results in rejection . Genu valgum with intermalleolar distance over 5 cm in males and 8 cm in females is unfit . For genu varum, intercondylar distance over 7 cm leads to rejection . Genu recurvatum hyperextension within 10 degrees, without other deformities, leads to acceptance .
