4] Ankle And Foot Flashcards
Closed pack position for ankle
Full DF
Open packed position for ankle
10 degrees PF
Neutral
Check for instability with
Excursion and end feel
Which ankle sprain is most common?
Lateral
Lateral ankle sprain MOI
Forced in PF, in, ADD
Grade 1 lateral ankle sprain
ATFL stretch
No instability
Grade 2 lateral ankle sprain
ATFL tear or partial CFL tear
Mild-moderate instability
Grade 3 lateral ankle sprain
ATFL, CFL, PTFL tear
Severe instability
What Sx for lateral ankle sprain are for grades 2 and 3?
Hemorrhage and ecchymosis (discoloration of skin)
Difficulty WB
Anterior drawer test for lateral ankle sprain is in what grades
2 and 3
Medial ankle sprain MOI
Forced into ev, ER
MOI for distal tib fib sprain
Forced ER of foot
Distal tib fib sprain is injury to?
Syndesmosis
Interosseus ligament
Special tests for distal tib fib
Squeeze test
ER stress test
Common in ages 30-50
Overuse injury (runners)
More men
Achilles tendinopathy
Inflammation of tendon
Tendinitis
Pathology of chronic degeneration without inflammation
Tendinosis
MOI for arch tendino
Repetitive strain
MOI for achilles tendinosis
Chronic tendinopathy
S/Sx of tendinitis
Intermittent pain with exercise
Pain/stiff with prolonged immobile WB
Tender
Achilles tendinopathy Sx
Pain
Stuff
Prolonged WB
Initiation of exercise
Achilles tendinopathy signs
Achilles’ tendon palpation test
Painful arc sign
PF weak and decreased endurance
Achilles’ tendon rupture MOI
Pushing of- immediate pain but subsides soon
Special tests for Achilles’ tendon rupture
Thompson’s
Inflammation of PF due to overstretching
Plantar fasciitis
Bimalleolar MOI
Talar eversion
MOI for trimalleolar Fx
Talar eversion and posterior displacement
Interventions for malleolus Fxs
ORIF
