04 19 yo sports injury

Question 1

Hearing a snap or tear Is/is not diagnostically significant in ankle/knee injury

Answer 1

knee - is

ankle - is not

Question 2

6Ps of compartment syndorme

Answer 2

pain pallor pulselessness paresthesia perishing cold, paralysis

Question 3

plantar flexion and inversion

Answer 3

lateral stabilizing ligaments (ant talofibular, calcaneofibular, posterior talofibular)
most common
anterior drawer test and inversion stress test

Question 4

eversion and dorsiflexion

Answer 4

deltoid, anterior talofibular, bony mortise

less common

Question 5

grading ankle sprains

Answer 5

Grade I - stretching and/or small tear of ligament
Grade II - incomplete tear and moderate functional impairment
Grade III - complete tear and loss of integrity of the ligament, severe swelling and ecchymosis, cannot bear weight. no definite stopping point.

Question 6

crossed leg test

Answer 6

have pt cross their legs iwth the injured leg resting at midcalf on the knee to detect high ankle sprains

Question 7

ottawa rules - ankle

Answer 7

pain in the malleolar zone AND either bony tenderness along distal 6 cm of posterior edge of either malleolus or inability to bear weight 4 steps immediately after injry and in the emergency department

Question 8

ottawa rules - foot

Answer 8

pain in the midfoot region AND 1 of following

a) bony tenderness at either navicular bone or base of fifth metatarsal
b) inability to bear weight 4 steps immediately after injury and in ED