12: Ankle Pain Flashcards

1
Q

Medial aspect of ankle stabilized by the _____ ligament.

A

Medial aspect of ankle stabilized by the deltoid ligament.

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2
Q

Lateral aspect of ankle stabilized by _____, _____, and _____ ligaments.

A

Lateral aspect of ankle stabilized by anteror talofibular, posterior talofibular, and calcaneo-fibular ligaments.

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3
Q

Talar tilt checks the _____ ligament which connects to the talus.

A

Talar tilt checks the calcaneofibular ligament which connects to the talus.

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4
Q

Plantar flexion and inversion causes dorsal pain on the _____ side in an ankle strain.

A

Plantar flexion and inversion causes dorsal pain on the lateral side in an ankle strain.

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5
Q

Plantar flexion and eversion that causes pain indicates a _____ strain.

A

Plantar flexion and eversion that causes pain indicates a deltoid strain.

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6
Q

An _____ is frequently painful when moved in any direction, whereas a ligamentous sprain produces maximal pain when the ligament is stretched.

A

An arthritic joint is frequently painful when moved in any direction, whereas a ligamentous sprain produces maximal pain when the ligament is stretched.

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7
Q

In the Thompson test, squeezing the calf should cause _____.

A
  • In the Thompson test, squeezing the calf should cause plantar flexion.
  • The asynch states the great toe of the foot should go down.
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8
Q

Is an inversion or eversion ankle sprain more common?

A

Inversion

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9
Q

Which ligaments are most commonly sprained?

A
  • Talofibular
  • Calcaneofibular
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10
Q

T/F Ankle sprains are the most common musculoskeletal injury.

A

True

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11
Q

Do you refer to a specialist with an inversion or eversion sprain?

A
  • Eversion.
  • These sprains are less common and require excessive force.
  • If a deltoid ligament tear is suspected, refer to specialty.
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12
Q

The anterior drawer test of the ankle tests what ligament?

A
  • Anterior Talofibular Ligament
  • Positive test is when the talus moves forward.
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13
Q

Is the anterior drawer test useful in an inversion or eversion injury?

A

Inversion

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14
Q

Management of ankle injuries (6).

A
  1. RICE
  2. Crutches (non-weight-bearing)
  3. Splint (air cast)
  4. NSAIDs
  5. PT for grade 2/3
  6. Bone scan if fracture suspected (no improvement after 10 days)
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15
Q

T/F All ankle injuries need an x-ray.

A

False. X-ray not necessary for a sprain. Refer to Ottawa Ankle Rules.

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16
Q

Ottowa Rules for ankles indicate an ankle x-ray in these 3 situations.

A
  1. Pain near the malleoli
  2. Inability to bear weight
  3. Severe injury
17
Q

Ottowa Rules for ankles indicate a foot x-ray in these 3 situations.

A
  1. Pain in the midfoot
  2. Inability to bear weight
  3. Bony tenderness at the base of the 5th metatarsal
18
Q

When do you refer ankle injuries (5)?

A
  1. Eversion injury
  2. Grade 3 sprain
  3. No improvement after 2-3 weeks or instability present
  4. Neurovascular compromise
  5. Tendon rupture or subluxation