1 - The Ankle: Mechanics and Diagnosis (Kusienski) Flashcards

1
Q

With plantar flexion, distal tibiofibula joint movement is …?

A

Anterior medial

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2
Q

With dorsiflexion, the proximal tibiofibular joint goes in what direction?

A

Anterior (DEA)

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3
Q

Of the ankle, which is not a lateral ligament?

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
e) anterior inferior tibiofibular ligament

A

d) deltoid

It is MEDIAL and extremely strong

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4
Q

What ligament is most frequently injured when the foot is inverted (turned in)?

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
e) anterior inferior tibiofibular ligament

A

a) anterior talofibular

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5
Q

If I performed a talar anterior drawer test, which ligament(s) am I testing?

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
e) anterior inferior tibiofibular ligament

A

a) anterior talofibular

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6
Q

If I performed an Inversion/Talar tilt test, which ligament(s) am I testing?

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid

A

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular

ALL LATERAL ligaments

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7
Q

Which is more common: an inversion or eversion sprain? Why?

A

Inversion is more common because of the greater strength of the deltoid ligament.

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8
Q

An avulsion fracture is much more likely due to which ligament?

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid

A

d) deltoid

Because it’s SO STRONG

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9
Q

[TQ] A 80 yo male pronates his foot, which directions describes the major motions of the subtalar joint?

a) inversion, plantarflexion, adduction w/ posterolateral glide of talus on calcaneus
b) inversion, plantarflexion, adduction w/ anteromedial glide of talus on calcaneus
c) eversion, dorsiflexion, and abduction w/ posterolateral glide of talus on calcaneus
d) eversion, dorsiflexion, and abduction w/ anteromedial glide of talus on calcaneus

A

d) eversion, dorsiflexion, and abduction with anteromedial glide of talus on calcaneus

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10
Q

[TQ] A 80 yo male supinates his foot, which directions describes the major motions of the subtalar joint

a) inversion, plantarflexion, adduction w/ posterolateral glide of talus on calcaneus
b) inversion, plantarflexion, adduction w/ anteromedial glide of talus on calcaneus
c) eversion, dorsiflexion, and abduction w/ posterolateral glide of talus on calcaneus
d) eversion, dorsiflexion, and abduction w/ anteromedial glide of talus on calcaneus

A

a) inversion, plantarflexion, adduction with posterolateral glide of talus on calcaneus

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11
Q

A syndesmosis injury is a tearing of which ligament?

a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
e) anterior inferior tibiofibular

A

e) anterior inferior tibiofibular

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12
Q

A 18 yo male football player presents with a CC of ankle pain. On exam, there is no swelling with pain inversion, but no laxity. You suspect that some fibers are torn. What grade ankle sprain does he have?

a) Grade 1
b) Grade 2
c) Grade 3
d) Complete dislocation

A

a) Grade 1

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13
Q

A 18 yo male football player presents with a CC of ankle pain. On exam, there is a restricted range of motion with moderate swelling, some bruising around the area and tenderness. You suspect that there is a complete tear of the anterior talofibular ligament (AFTL) laterally and a partial tear of the calcaneofibular ligament (CFL). What grade ankle sprain does he have?

a) Grade 1
b) Grade 2
c) Grade 3
d) Complete dislocation

A

b) Grade 2

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14
Q

A 18 yo male football player presents with CC of ankle pain. On exam, there is marked swelling, hemorrhage and tenderness. You notice a loss of function and marked abnormal joint motion and instability. You suspect that there is a complete disruption of both the anterior talofibular ligament (AFTL) and the calcaneofibular ligament (CFL) laterally. What grade ankle sprain would you think he has?

a) Grade 1
b) Grade 2
c) Grade 3
d) Complete dislocation

A

c) Grade 3

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