12: Ankle Pain Flashcards
Medial aspect of ankle stabilized by the _____ ligament.
Medial aspect of ankle stabilized by the deltoid ligament.
Lateral aspect of ankle stabilized by _____, _____, and _____ ligaments.
Lateral aspect of ankle stabilized by anteror talofibular, posterior talofibular, and calcaneo-fibular ligaments.
Talar tilt checks the _____ ligament which connects to the talus.
Talar tilt checks the calcaneofibular ligament which connects to the talus.
Plantar flexion and inversion causes dorsal pain on the _____ side in an ankle strain.
Plantar flexion and inversion causes dorsal pain on the lateral side in an ankle strain.
Plantar flexion and eversion that causes pain indicates a _____ strain.
Plantar flexion and eversion that causes pain indicates a deltoid strain.
An _____ is frequently painful when moved in any direction, whereas a ligamentous sprain produces maximal pain when the ligament is stretched.
An arthritic joint is frequently painful when moved in any direction, whereas a ligamentous sprain produces maximal pain when the ligament is stretched.
In the Thompson test, squeezing the calf should cause _____.
- In the Thompson test, squeezing the calf should cause plantar flexion.
- The asynch states the great toe of the foot should go down.
Is an inversion or eversion ankle sprain more common?
Inversion
Which ligaments are most commonly sprained?
- Talofibular
- Calcaneofibular
T/F Ankle sprains are the most common musculoskeletal injury.
True
Do you refer to a specialist with an inversion or eversion sprain?
- Eversion.
- These sprains are less common and require excessive force.
- If a deltoid ligament tear is suspected, refer to specialty.
The anterior drawer test of the ankle tests what ligament?
- Anterior Talofibular Ligament
- Positive test is when the talus moves forward.
Is the anterior drawer test useful in an inversion or eversion injury?
Inversion
Management of ankle injuries (6).
- RICE
- Crutches (non-weight-bearing)
- Splint (air cast)
- NSAIDs
- PT for grade 2/3
- Bone scan if fracture suspected (no improvement after 10 days)
T/F All ankle injuries need an x-ray.
False. X-ray not necessary for a sprain. Refer to Ottawa Ankle Rules.