1 - The Ankle: Mechanics and Diagnosis (Kusienski) Flashcards
With plantar flexion, distal tibiofibula joint movement is …?
Anterior medial
With dorsiflexion, the proximal tibiofibular joint goes in what direction?
Anterior (DEA)
Of the ankle, which is not a lateral ligament?
a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
e) anterior inferior tibiofibular ligament
d) deltoid
It is MEDIAL and extremely strong
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) anterior talofibular
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) anterior talofibular
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) anterior talofibular
b) calcaneofibular
c) posterior talofibular
ALL LATERAL ligaments
Which is more common: an inversion or eversion sprain? Why?
Inversion is more common because of the greater strength of the deltoid ligament.
An avulsion fracture is much more likely due to which ligament?
a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
d) deltoid
Because it’s SO STRONG
[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
d) eversion, dorsiflexion, and abduction with anteromedial glide of talus on calcaneus
[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) inversion, plantarflexion, adduction with posterolateral glide of talus on calcaneus
A syndesmosis injury is a tearing of which ligament?
a) anterior talofibular
b) calcaneofibular
c) posterior talofibular
d) deltoid
e) anterior inferior tibiofibular
e) anterior inferior tibiofibular
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) Grade 1
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
b) Grade 2
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
c) Grade 3